Type 2 & other diabetes

Associations Between Adiponectin and the Development of Diabetes in Rheumatoid Arthritis

J Clin Endocrinol MetabPublished Prospective cohort study

Main finding · Incident diabetesResult — go to the resultHazard ratio 1.70 CI 1.34–2.16

Authors' conclusion

The relationship between adiponectin and incident diabetes risk is U-shaped in RA. Patients with very high adiponectin levels have greater systemic inflammation and an altered relationship between adiponectin and diabetes risk.

Study context

Population
Adults with Rheumatoid Arthritis (RA) from the Veterans Affairs Rheumatoid Arthritis Registry1,689 without prevalent diabetes
Participants
2,595 adults
Exposure
Adiponectin categories
  • >40 μg/mLn = 379
Outcome
Incident diabetes
Methodological detailsmultivariable Cox proportional hazard models
  • Multivariable Cox proportional hazard models

Main finding

As reported in the abstract

Hazard ratio

1.70

CI 1.34–2.16

P < 0.001

>40 μg/mLvs 10-40 μg/mL
HR 1.70 (CI 1.34–2.16); P < 0.001
New cases of diabetes among 1689 patients without prevalent disease
125

Observational data: associations, not effects.

Further findings

Inflammatory cytokines and effect modification

Adiponectin >40 μg/mL: significantly higher inflammatory cytokines, with evidence of modified effect of adiponectin on diabetes risk in inflammation
Adiponectin >40 μg/mL: older and lower body mass index (BMI)

Original publication

Associations Between Adiponectin and the Development of Diabetes in Rheumatoid Arthritis. J Clin Endocrinol Metab. Published 8 January 2024. doi:10.1210/clinem/dgae010

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