PMID- 38419956 OWN - NLM STAT- MEDLINE DCOM- 20240301 LR - 20240311 IS - 1664-2392 (Print) IS - 1664-2392 (Electronic) IS - 1664-2392 (Linking) VI - 15 DP - 2024 TI - The combination of body mass index and fasting plasma glucose is associated with type 2 diabetes mellitus in Japan: a secondary retrospective analysis. PG - 1355180 LID - 10.3389/fendo.2024.1355180 [doi] LID - 1355180 AB - BACKGROUND: Body mass index (BMI) and fasting plasma glucose (FPG) are known risk factors for type 2 diabetes mellitus (T2DM), but data on the prospective association of the combination of BMI and FPG with T2DM are limited. This study sought to characterize the association of the combination of BMI and FPG (ByG) with T2DM. METHODS: The current study used the NAGALA database. We categorized participants by tertiles of ByG. The association of ByG with T2DM was expressed with hazard ratios (HRs) with 95% confidence intervals (CIs) after adjustment for potential risk factors. RESULTS: During a median follow-up of 6.19 years in the normoglycemia cohort and 5.58 years in the prediabetes cohort, the incidence of T2DM was 0.75% and 7.79%, respectively. Following multivariable adjustments, there were stepwise increases in T2DM with increasing tertiles of ByG. After a similar multivariable adjustment, the risk of T2DM was 2.57 (95% CI 2.26 - 2.92), 1.97 (95% CI 1.53 - 2.54) and 1.50 (95% CI 1.30 - 1.74) for a per-SD change in ByG in all populations, the normoglycemia cohort and the prediabetes cohort, respectively. CONCLUSION: ByG was associated with an increased risk of T2DM in Japan. The result reinforced the importance of the combination of BMI and FPG in assessing T2DM risk. CI - Copyright (c) 2024 Zhao, Yao, Song, Fan, Liu, Gao, Wang, Lu and Liu. FAU - Zhao, Xiaofang AU - Zhao X AD - Department of Geriatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Yao, Tianci AU - Yao T AD - Department of Geriatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Song, Bei AU - Song B AD - Department of Geriatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Fan, Haohui AU - Fan H AD - Department of Geriatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Liu, Ting AU - Liu T AD - Department of Geriatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Gao, Guangyu AU - Gao G AD - Department of Geriatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Wang, Kun AU - Wang K AD - Department of Geriatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Lu, Weilin AU - Lu W AD - Department of Geriatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Liu, Chengyun AU - Liu C AD - Department of Geriatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. LA - eng SI - Dryad/10.5061%2Fdryad.8q0p192 PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20240214 PL - Switzerland TA - Front Endocrinol (Lausanne) JT - Frontiers in endocrinology JID - 101555782 RN - 0 (Blood Glucose) SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/epidemiology/etiology MH - Body Mass Index MH - *Prediabetic State MH - Blood Glucose MH - Retrospective Studies MH - Japan/epidemiology MH - Fasting PMC - PMC10899432 OTO - NOTNLM OT - Japan OT - body mass index OT - fasting plasma glucose OT - insulin resistance OT - type 2 diabetes mellitus COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2024/02/29 06:42 MHDA- 2024/03/01 06:44 PMCR- 2024/01/01 CRDT- 2024/02/29 04:02 PHST- 2023/12/13 00:00 [received] PHST- 2024/01/29 00:00 [accepted] PHST- 2024/03/01 06:44 [medline] PHST- 2024/02/29 06:42 [pubmed] PHST- 2024/02/29 04:02 [entrez] PHST- 2024/01/01 00:00 [pmc-release] AID - 10.3389/fendo.2024.1355180 [doi] PST - epublish SO - Front Endocrinol (Lausanne). 2024 Feb 14;15:1355180. doi: 10.3389/fendo.2024.1355180. eCollection 2024.