PMID- 38422562 OWN - NLM STAT- MEDLINE DCOM- 20240401 LR - 20240508 IS - 1873-460X (Electronic) IS - 1056-8727 (Linking) VI - 38 IP - 4 DP - 2024 Apr TI - Increased skeletal muscle mass index was involved in glycemic efficacy following diabetes treatment, and changes in fat mass index correlated with the changes in the lipid ratio in type 2 diabetes. PG - 108717 LID - S1056-8727(24)00043-6 [pii] LID - 10.1016/j.jdiacomp.2024.108717 [doi] AB - AIM: This study aimed to investigate the association between changes in body composition, glycated hemoglobin, and lipid ratio during the treatment of patients with type 2 diabetes mellitus (T2DM). METHODS: This retrospective analysis used data from outpatients with T2DM who had confirmed body composition and measured laboratories at administration and after treatment. The baseline characteristics and prescribed treatment were collected. The total cholesterol/high-density lipoprotein cholesterol (HDL) ratio, low-density lipoprotein cholesterol (LDL)/HDL ratio, and triglyceride-glucose (TyG) index were also calculated. RESULTS: A total of 207 patients (mean patient age, 62.0 +/- 13.7 years; 68.1 % males) were enrolled. Fat mass index (FMI) changes correlated with the changes in the lipid ratio, whereas skeletal muscle mass index (SMI) changes inversely correlated with glycated hemoglobin (HbA1c) changes. Multiple regression analysis showed that changes in LDL/HDL and TyG correlated with FMI changes (t = 2.388, p = 0.017, t = 2.022, p = 0.044). Conversely, HbA1c changes correlated with SMI changes (t = -2.552, p = 0.011). CONCLUSION: In patients with T2DM, increased SMI was involved in glycemic efficacy, and FMI changes were associated with LDL/HDL and TyG. CI - Copyright (c) 2024 Elsevier Inc. All rights reserved. FAU - Matsuura, Shun AU - Matsuura S AD - Division of Diabetes Endocrinology Medicine, Fujieda Municipal General Hospital, 4-1-11, Surugadai, Fujieda, Shizuoka 426-8677, Japan; Division of Respiratory Internal Medicine, Fujieda Municipal General Hospital, 4-1-11, Surugadai, Fujieda, Shizuoka 426-8677, Japan. Electronic address: s_shun_shun@yahoo.co.jp. FAU - Nagata, Soichiro AU - Nagata S AD - Division of Diabetes Endocrinology Medicine, Fujieda Municipal General Hospital, 4-1-11, Surugadai, Fujieda, Shizuoka 426-8677, Japan. FAU - Shibazaki, Koji AU - Shibazaki K AD - Division of Diabetes Endocrinology Medicine, Fujieda Municipal General Hospital, 4-1-11, Surugadai, Fujieda, Shizuoka 426-8677, Japan. FAU - Uchida, Reiko AU - Uchida R AD - Division of Diabetes Endocrinology Medicine, Fujieda Municipal General Hospital, 4-1-11, Surugadai, Fujieda, Shizuoka 426-8677, Japan. FAU - Imai, Yukiko AU - Imai Y AD - Division of Diabetes Endocrinology Medicine, Fujieda Municipal General Hospital, 4-1-11, Surugadai, Fujieda, Shizuoka 426-8677, Japan. FAU - Shibata, Shoko AU - Shibata S AD - Division of Diabetes Endocrinology Medicine, Fujieda Municipal General Hospital, 4-1-11, Surugadai, Fujieda, Shizuoka 426-8677, Japan. FAU - Morita, Hiroshi AU - Morita H AD - Division of Diabetes Endocrinology Medicine, Fujieda Municipal General Hospital, 4-1-11, Surugadai, Fujieda, Shizuoka 426-8677, Japan. LA - eng PT - Journal Article DEP - 20240227 PL - United States TA - J Diabetes Complications JT - Journal of diabetes and its complications JID - 9204583 RN - 0 (Glycated Hemoglobin) RN - 0 (Blood Glucose) RN - 0 (Triglycerides) RN - 0 (Cholesterol, LDL) RN - 0 (Cholesterol, HDL) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Male MH - Humans MH - Middle Aged MH - Aged MH - Female MH - *Diabetes Mellitus, Type 2/complications/drug therapy MH - Glycated Hemoglobin MH - Blood Glucose MH - Retrospective Studies MH - Triglycerides MH - Cholesterol, LDL MH - Cholesterol, HDL MH - Glucose MH - Muscle, Skeletal OTO - NOTNLM OT - Body composition OT - Cholesterol high-density lipoprotein OT - DPP-4 inhibitors OT - HbA1c OT - Low-density lipoprotein cholesterol OT - Type 2 diabetic mellitus COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2024/02/29 18:42 MHDA- 2024/04/01 06:42 CRDT- 2024/02/29 18:00 PHST- 2023/08/31 00:00 [received] PHST- 2023/11/01 00:00 [revised] PHST- 2024/02/26 00:00 [accepted] PHST- 2024/04/01 06:42 [medline] PHST- 2024/02/29 18:42 [pubmed] PHST- 2024/02/29 18:00 [entrez] AID - S1056-8727(24)00043-6 [pii] AID - 10.1016/j.jdiacomp.2024.108717 [doi] PST - ppublish SO - J Diabetes Complications. 2024 Apr;38(4):108717. doi: 10.1016/j.jdiacomp.2024.108717. Epub 2024 Feb 27.