A retrospective cohort study on the relationship between triglyceride and type 2 diabetes mellitus
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A retrospective cohort study on the relationship between triglyceride and type 2 diabetes mellitus
Journal of Chongqing Medical UniversityVol. 47, Issue 4, Pages: 417-421(2022)
作者机构:
1. 第三军医大学大坪医院野战外科研究所健康管理科,重庆,400042
2. 国家卫生健康委高血压疾病研究重点实验室,乌鲁木齐,830001
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Published:2022,
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Chen Lanbo, Cai Xintian, Gu Xiaohong. A retrospective cohort study on the relationship between triglyceride and type 2 diabetes mellitus. [J]. Journal of Chongqing Medical University 47(4):417-421(2022)
DOI:
Chen Lanbo, Cai Xintian, Gu Xiaohong. A retrospective cohort study on the relationship between triglyceride and type 2 diabetes mellitus. [J]. Journal of Chongqing Medical University 47(4):417-421(2022)DOI:
A retrospective cohort study on the relationship between triglyceride and type 2 diabetes mellitus
Objective:To explore the relationship between triglyceride(TG) and the risk of type 2 diabetes mellitus(T2DM) in Chinese population. Methods:This study was a retrospective cohort study. A total of 211 833 participants were included in the study and completed at least two follow-up visits within 5 years. The Cox proportional hazard regression model was used to evaluate the independent relationship between the continuous variables TG and TG tri-groups and the T2DM risk,and to calibrate the potential confounding factors. This study used a generalized additive model to identify whether there was a nonlinear relationship,and used the principle based on the maximum likelihood method to automatically calculate the critical point of the threshold effect through recursive experiments. Results:The Cox proportional hazard regression model adjusted for various possible influencing factors,showing that TG could be used as a risk factor for T2DM events(HR=1.20,95%CI=1.15-1.24,P<0.001). There was a non-linear relationship between TG and the risk of T2DM. The inflection point of TG calculated by piecewise linear regression model was 1.27 mmol/L(P<0.001 for log-likelihood ratio test). On the left side of the critical point,TG was significantly positively correlated with the incidence of T2DM(HR=2.30,95%CI=1.89-2.79,P<0.001). On the right side of the critical point,the relationship between TG and the risk of T2DM tended to be saturated(HR=1.08,95%CI=1.03-1.13,P<0.001). Conclusion:TG can be used as a risk factor for the occur-rence of T2DM events in the Chinese population,and there is a non-linear relationship and a threshold saturation effect between TG levels and the occurrence of T2DM events.
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