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Triglyceride levels and risk of type 2 diabetes mellitus: a longitudinal large study

Amani Beshara, Eytan Cohen, Elad Goldberg, Pearl Lilos, Moshe Garty, Ilan Krause
DOI: 10.1136/jim-2015-000025 Published 28 January 2016
Amani Beshara
1Department of Internal Medicine, F—Recanati Institute, Petach Tikva, Israel
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Eytan Cohen
1Department of Internal Medicine, F—Recanati Institute, Petach Tikva, Israel
2Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Elad Goldberg
1Department of Internal Medicine, F—Recanati Institute, Petach Tikva, Israel
2Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Pearl Lilos
2Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Moshe Garty
2Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
3Recanati Center for Preventive Medicine, Rabin Medical Center, Petach Tikva, Israel
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Ilan Krause
1Department of Internal Medicine, F—Recanati Institute, Petach Tikva, Israel
2Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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    Figure 1

    Diabetes mellitus (DM) rate with normal triglyceride levels after 7.6 years of follow-up.

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    Figure 2

    Impaired fasting glucose (IFG) rate with normal triglyceride levels after 7.6 years of follow-up.

Tables

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  • Table 1

    Characteristics of 5085 participants without diabetes attending a health screening center

    MenWomenTotal
    n=3746n=1339N=5085p Value
    Age (years), mean±SD42.6±8.943.5±9.342.8±90.001
    Follow-up (year), mean±SD7.7±2.07.3±1.97.6±2.0<0.001
    BMI (kg/m2), mean±SD26.8±3.724.8±4.426.3±3.96<0.001
    Impaired fasting glucose, n (%)764 (20.4%)157 (11.7%)921 (18.1%)<0.001
    Hypertriglyceridemia, n (%)1181 (31.5%)182 (13.6%)1363 (27%)<0.001
    Hypertension, n (%)168 (4.5%)41 (3.1% )209 (4.1%)0.025
    Family history of diabetes, n (%)795 (21.3%)300 (22.6%)1095 (21.6%)0.33
    HDL cholesterol (mg/dL), mean±SD45.8±9.660±13.749.5±12.5<0.001
    LDL cholesterol (mg/dL) mean±SD127.3±0.4119.1±30.7124.7±30.7<0.001
    • BMI, body mass index; HDL, high-density lipoprotein; LDL, low-density lipoprotein.

  • Table 2

    Baseline characteristics of participants diagnosed with DM by the end of the study

    DMNo DM
    n=170n=4915p Value
    Age (year), mean±SD48.3±8.742.6±8.9<0.001
    Men, n (%)139 (82%)3607 (73%)0.02
    BMI (kg/m2), mean±SD29.1±4.326.2±3.9<0.001
    Impaired fasting glucose, n (%)130 (76%)791 (16%)<0.001
    Triglycerides (mg/dL), mean±SD172.6±89.7123.2±70.9<0.001
    Hypertriglyceridemia, n (%)83 (49%)1280 (26%)<0.001
    Hypertension, n (%)21 (12.4%)188 (4%)<0.001
    Family history of DM, n (%)75 (44%)1020 (21%)<0.001
    HDL cholesterol (mg/dL), mean±SD44.3±9.349.7±12.6<0.001
    LDL cholesterol (mg/dL), mean±SD129.9±31.4124.6±30.70.048
    • BMI, body mass index; DM, diabetes mellitus; HDL, high-density lipoprotein; LDL, low-density lipoprotein.

  • Table 3

    Results of stepwise logistic regression analysis of risk of diabetes mellitus in normoglycemic participants for all triglyceride levels

    Variable/step numberOR95% CIp Value
    Triglycerides/101.041.02 to 1.07 <0.001
    Family history3.191.69 to 6.03 <0.001
    BMI1.111.04 to 1.190.003
    Age/101.451.02 to 2.060.044
    • AUC, area under the curve=0.77.

    • BMI, body mass index.

  • Table 4

    Results of stepwise logistic regression for analysis of risk of diabetes mellitus in participants with impaired fasting glucose for all triglyceride levels

    Variable/step numberOR95% CIp Value
    Tg/HDL ratio1.191.70 to 3.77<0.001
    Family history2.561.02 to 1.07<0.001
    Age/101.591.24 to 1.93<0.001
    BMI1.061.02 to 1.120.017
    • AUC, area under the curve=0.70.

    • BMI, body mass index; HDL, high-density lipoprotein.

  • Table 5

    Baseline characteristics of participants with IFG by the end of the study, excluding those who had initial IFG and those who developed DM

    IFGNo IFG
    n=998n=3126p Value
    Age (years), mean±SD44.7±8.841.1±8.6<0.001
    Men, n (%)800 (80.2%)2153 (68.9%)<0.001
    BMI (kg/m2), mean±SD27.1±3.825.5±3.7<0.001
    Triglycerides (mg/dL), mean±SD134.8±80.4115±66.5<0.001
    Hypertriglyceridemia, n (%)321 (32.2 %)672 (21.5%)<0.001
    Hypertension, n (%)52 (5.2%)73 (2.3%)<0.001
    Family history of DM, n (%)244 (24.5%)581 (18.7%)<0.001
    HDL cholesterol (mg/dL), mean±SD47.9±11.450.7±13.1<0.001
    LDL cholesterol (mg/dL), mean±SD127.6±30.7122.1±30.4<0.001
    • BMI, body mass index; DM, diabetes mellitus; HDL, high-density lipoprotein; IFG, impaired fasting glucose; LDL, low-density lipoprotein.

  • Table 6

    Results of stepwise logistic regression for analysis of risk of impaired fasting glucose in normoglycemic participants for all triglyceride levels excluding Tg/HDL ratio

    Variable/step no.OR 95% CIp Value
    Gender (M)1.691.37 to 2<0.001
    Age/101.571.44 to 1.70<0.001
    Family history1.451.21 to 1.72<0.001
    BMI1.081.06 to 1.10<0.001
    Triglyceride/101.020.01 to 1.030.001
    • AUC, area under the curve=0.69.

    • BMI, body mass index; HDL, high-density lipoprotein.

  • Table 7

    Results of stepwise logistic regression for analysis of risk of impaired fasting glucose in normoglycemic participants for all triglyceride levels including Tg/HDL ratio

    Variable/step numberOR 95% CIp Value
    Gender (M)1.691.37 to 2.00<0.001
    Age/101.571.44 to 1.70<0.001
    Family history1.451.21 to 1.72<0.001
    BMI1.081.06 to 1.10<0.001
    Tg/HDL ratio1.051.03 to 1.110.001
    • AUC, area under the curve=0.67.

    • BMI, body mass index; HDL, high-density lipoprotein.

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Journal of Investigative Medicine: 64 (2)
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Triglyceride levels and risk of type 2 diabetes mellitus: a longitudinal large study
Amani Beshara, Eytan Cohen, Elad Goldberg, Pearl Lilos, Moshe Garty, Ilan Krause
Journal of Investigative Medicine Feb 2016, 64 (2) 383-387; DOI: 10.1136/jim-2015-000025

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Triglyceride levels and risk of type 2 diabetes mellitus: a longitudinal large study
Amani Beshara, Eytan Cohen, Elad Goldberg, Pearl Lilos, Moshe Garty, Ilan Krause
Journal of Investigative Medicine Feb 2016, 64 (2) 383-387; DOI: 10.1136/jim-2015-000025
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Triglyceride levels and risk of type 2 diabetes mellitus: a longitudinal large study
Amani Beshara, Eytan Cohen, Elad Goldberg, Pearl Lilos, Moshe Garty, Ilan Krause
Journal of Investigative Medicine Feb 2016, 64 (2) 383-387; DOI: 10.1136/jim-2015-000025
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