Differential Impact of Obesity on the Risk of Diabetes Development in Two Age Groups: Analysis from the National Health Screening Program.

IF 6.8 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Diabetes & Metabolism Journal Pub Date : 2023-11-01 Epub Date: 2023-08-23 DOI:10.4093/dmj.2022.0242
Tae Kyung Yoo, Kyung-Do Han, Yang-Hyun Kim, Ga Eun Nam, Sang Hyun Park, Eun-Jung Rhee, Won-Young Lee
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引用次数: 0

Abstract

Backgruound: The effect of obesity on the development of type 2 diabetes mellitus (DM) in different age groups remains unclear. We assessed the impact of obesity on the development of DM for two age groups (40-year-old, middle age; 66-year-old, older adults) in the Korean population.

Methods: We analyzed Korean National Health Insurance Service data of 4,145,321 Korean adults with 40- and 66-year-old age without DM, between 2009 and 2014. Participants were followed up until 2017 or until the diagnosis of DM. We assessed the risk of DM based on the body mass index and waist circumference of the participants. Multiple confounding factors were adjusted.

Results: The median follow-up duration was 5.6 years. The association of general and abdominal obesity with the risk of DM development was stronger in the 40-year-old group (general obesity: hazard ratio [HR], 3.566, 95% confidence interval [CI], 3.512 to 3.622; abdominal obesity: HR, 3.231; 95% CI, 3.184 to 3.278) than in the 66-year-old group (general obesity: HR, 1.739; 95% CI, 1.719 to 1.759; abdominal obesity: HR, 1.799; 95% CI, 1.778 to 1.820). In the 66-year-old group, abdominal obesity had a stronger association with the development of DM as compared to general obesity. In the 40-year-old group, general obesity had a stronger association with the risk of DM development than abdominal obesity.

Conclusion: The influence of general and abdominal obesity on the development of DM differed according to age. In older adults, abdominal obesity had a stronger association with DM development than general obesity.

肥胖对两个年龄组糖尿病发展风险的不同影响:来自国家健康筛查项目的分析。
背景:肥胖对不同年龄组2型糖尿病(DM)发展的影响尚不清楚。我们评估了肥胖对韩国人群中两个年龄组(40岁,中年;66岁,老年人)糖尿病发展的影响。方法:我们分析了2009年至2014年间4145321名40岁和66岁无糖尿病的韩国成年人的韩国国民健康保险服务数据。参与者被随访至2017年或诊断为糖尿病。我们根据参与者的体重指数和腰围评估了患糖尿病的风险。对多种混杂因素进行了调整。结果:中位随访时间为5.6年。与66岁组相比,40岁组的普通型和腹部型肥胖与糖尿病发生风险的相关性更强(普通型肥胖:危险比[HR],3.566,95%置信区间[CI],3.512-3.622;腹部型肥胖:HR,3.231;95%CI,3.184-3.278)在66岁组中,与一般肥胖相比,腹部肥胖与糖尿病的发展有更强的相关性。在40岁组中,与腹部肥胖相比,一般性肥胖与糖尿病发展风险的相关性更强。结论:一般性肥胖和腹部肥胖对糖尿病发展的影响因年龄而异。在老年人中,腹部肥胖与糖尿病发展的相关性比普通肥胖更强。
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来源期刊
Diabetes & Metabolism Journal
Diabetes & Metabolism Journal Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
10.40
自引率
6.80%
发文量
92
审稿时长
52 weeks
期刊介绍: The aims of the Diabetes & Metabolism Journal are to contribute to the cure of and education about diabetes mellitus, and the advancement of diabetology through the sharing of scientific information on the latest developments in diabetology among members of the Korean Diabetes Association and other international societies. The Journal publishes articles on basic and clinical studies, focusing on areas such as metabolism, epidemiology, pathogenesis, complications, and treatments relevant to diabetes mellitus. It also publishes articles covering obesity and cardiovascular disease. Articles on translational research and timely issues including ubiquitous care or new technology in the management of diabetes and metabolic disorders are welcome. In addition, genome research, meta-analysis, and randomized controlled studies are welcome for publication. The editorial board invites articles from international research or clinical study groups. Publication is determined by the editors and peer reviewers, who are experts in their specific fields of diabetology.
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