Type 2 & other diabetes

All-cause Mortality and Incidence of Cardiovascular Diseases in Lean Patients With Newly Diagnosed Type 2 Diabetes

J Clin Endocrinol MetabPublished Retrospective cohort study

Main finding · All-cause mortalityResult — go to the resultHazard ratio 2.106 95% CI 1.974–2.248

Authors' conclusion

Our findings underscore the critical role of maintaining an appropriate weight status to reduce all-cause mortality and incidence of cardiovascular diseases among lean patients with newly diagnosed type 2 diabetes.

Study context

Population
Patients with newly diagnosed T2D who underwent health screening 2010–2014 in Korea, followed up until 2019
Participants
419,509 patients
Exposure
Lean body mass index (BMI) vs normal BMI in newly diagnosed T2D
Outcome
All-cause mortality and incidence of CVD
Methodological detailsmultivariate Cox proportional hazards model
  • Multivariate Cox proportional hazards model

Main finding

All-cause mortality

Hazard ratio

2.106

95% CI 1.974–2.248

Leanvs Normal BMI
HR 2.106 (95% CI 1.974–2.248)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
CVD1.132 (1.078–1.189)
Coronary heart disease1.219 (1.124–1.323)
HF1.405 (1.279–1.543)
Stroke1.155 (1.024–1.302)
Ischemic stroke1.205 (1.045–1.388)

All-cause mortality by BMI change over time

Highest all-cause mortality in those who remained lean during follow-up

Original publication

All-cause Mortality and Incidence of Cardiovascular Diseases in Lean Patients With Newly Diagnosed Type 2 Diabetes. J Clin Endocrinol Metab. Published 26 July 2024. doi:10.1210/clinem/dgae449

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