Type 2 & other diabetes

Association between arterial stiffness/remodeling and new-onset type 2 diabetes mellitus in general population

Diabetes Res Clin PractPublished Prospective population-based cohort study

Authors' conclusion

Elevated arterial stiffness is independently associated with incident type 2 diabetes. For most arterial stiffness markers, the associations with incident type 2 diabetes were more robust in individuals with a higher GRS for diabetes.

Study context

Population
General population, Rotterdam Study; mean age 67.2 years
Participants
3,055 participants
Exposure
Higher vs lower arterial stiffness/remodeling markers
Outcome
Incident T2D
Follow-up
Median 14.0 years
Methodological detailsMendelian randomization analysis, genetic risk score (403 SNPs)
  • Mendelian randomization analysis
  • Genetic risk score (403 SNPs)

Main finding

As reported in the abstract

Incident T2D per higher arterial stiffness/remodeling marker

Carotid-femoral pulse wave velocity: HR

1.18 (1.04-1.35) (95% CI)

Carotid distensibility coefficient: HR

1.17 (1.04-1.32) (95% CI)

Carotid intima-media thickness: HR

1.15 (1.01-1.32) (95% CI)

Observational data: associations, not effects.

Further findings

Effect modification by genetic risk score (GRS) for T2D

Associations stronger among individuals with higher GRS for T2D

Causality (Mendelian randomization (MR) analysis)

MR analysis did not support causality of the observed associations

Original publication

Association between arterial stiffness/remodeling and new-onset type 2 diabetes mellitus in general population. Diabetes Res Clin Pract. Published 5 January 2023. doi:10.1016/j.diabres.2023.110237

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