Type 2 & other diabetes

Association of lipoprotein subfractions with incidence of type 2 diabetes among five U.S. Race and Ethnic groups: The Mediators of Atherosclerosis in South Asians Living in America (MASALA) and Multi-Ethnic study of Atherosclerosis (MESA)

Diabetes Res Clin PractPublished Pooled analysis of two prospective cohort studies

Authors' conclusion

Composition of lipoprotein subfractions is differentially associated with prevalent and incident T2D without difference by race/ethnic group. Assessment of lipoprotein composition may enhance targeted risk reduction for T2D.

Study context

Population
Adults self-identifying as White, Black, Chinese, Hispanic and South Asian-American without CVD, with data at enrollment and after 5 years; mean age 62 years, 51 % women3,839 without prevalent diabetes
Participants
4,474 participants
Comparison
Lipoprotein subfractions and odds of incident T2D
Outcome
Incident T2D
Follow-up
5 years
Methodological detailsMASALA and MESA, multi-ethnic, LASSO regularized logistic regression, adjusted for age, sex, race/ethnicity, lipid-lowering agent use and waist circumference
  • MASALA and MESA
  • Multi-ethnic
  • LASSO regularized logistic regression
  • Adjusted for age, sex, race/ethnicity, lipid-lowering agent use and waist circumference

Pooled result

As reported in the abstract

Incident T2D (234 cases)

Triglycerides in small, dense LDL-5: OR (95 % CI 1.11,1.43), higher odds

1.26

VLDL triglycerides: [1.16,1.46], higher odds

1.30

Phospholipids in VLDL-1: OR (1.17,1.47), higher odds

1.31

Free cholesterol in large HDL-1: OR (95 % CI 0.63,0.89), inversely associated

0.75

Further pooled results

Prevalent diabetes; variation by race/ethnic group

Results similar for prevalent diabetes and did not vary by race/ethnic group

Original publication

Association of lipoprotein subfractions with incidence of type 2 diabetes among five U.S. Race and Ethnic groups: The Mediators of Atherosclerosis in South Asians Living in America (MASALA) and Multi-Ethnic study of Atherosclerosis (MESA). Diabetes Res Clin Pract. Published 28 September 2023. doi:10.1016/j.diabres.2023.110926

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