Objective: To clarify the quantitative relationship of body mass index (BMI) change from early adulthood to midlife with presence of type 2 diabetes mellitus (T2DM) after midlife. Methods: This study included 120,666 middle-aged and elderly, whose retrospectively self-reported body weight at 20 and 40 years and measured height were available. BMI at 20 and 40 years and BMI change in between were defined as early-adulthood BMI, midlife BMI, and early-adulthood BMI change. Results: The odds ratio (OR) for T2DM associated with an 1-unit increment of early-adulthood or midlife BMI was 1.08 (95% confidence interval (CI), 1.07-1.08) and 1.09 (95% CI, 1.09-1.10) respectively. In the cross-tabulation of both early-adulthood BMI and BMI change, the prevalence of T2DM increased across both variables. Compared with participants with normal early-adulthood weight and BMI increase/decrease <= 1, the OR (95% CI) for T2DM of participants with early-adulthood overweight/obesity and BMI increase >= 4 kg/m(2) was 3.49 (3.05-4.00). For participants with early-adulthood underweight and BMI increase/decrease <= 1, the OR (95% CI) was 0.85 (0.75-0.97). Subgroup analysis according to sex and age showed similar trends. Conclusions: Early-adulthood BMI may influence T2DM prevalence after midlife independent of current BMI. T2DM prevalence after midlife was positively associated with early-adulthood weight gain and inversely related to early-adulthood weight loss, while early-adulthood weight loss could not completely negate the adverse effect of early-adulthood overweight/obesity on diabetes.
基金:
China National Clinical Research Center for Metabolic Diseases [2013BAI09B13]; 973 Program [2015CB553600]; National Key New Drug Creation and Manufacturing Program of Ministry of Science and Technology [2012ZX09303006-001]; National Natural Science Foundation of China [81321001, 81390350, 81222008, 81170719, 81130016]
第一作者单位:[1]Shanghai Jiao Tong Univ, Sch Med, Rui Jin Hosp, Natl Clin Res Ctr Metab Dis, Shanghai 200030, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Sun Wanwan,Shi Lixin,Ye Zhen,et al.Association Between the Change in Body Mass Index from Early Adulthood to Midlife and Subsequent Type 2 Diabetes Mellitus[J].OBESITY.2016,24(3):703-709.doi:10.1002/oby.21336.
APA:
Sun, Wanwan,Shi, Lixin,Ye, Zhen,Mu, Yiming,Liu, Chao...&Ning, Guang.(2016).Association Between the Change in Body Mass Index from Early Adulthood to Midlife and Subsequent Type 2 Diabetes Mellitus.OBESITY,24,(3)
MLA:
Sun, Wanwan,et al."Association Between the Change in Body Mass Index from Early Adulthood to Midlife and Subsequent Type 2 Diabetes Mellitus".OBESITY 24..3(2016):703-709