Type 2 & other diabetes

Cumulative BMI and incident prediabetes over 30 years of follow‐up: The CARDIA study

Obesity (Silver Spring)Published Prospective cohort study

Main finding · Incident prediabetes by cBMI quartileResult — go to the resultHazard rate ratio 2.064 95% CI 1.793–2.377

Authors' conclusion

The cumulative burden of higher weight and longer duration was associated with incident prediabetes, but this association was statistically significant only after a higher threshold was reached. Strategies for prevention of prediabetes in middle age may focus on avoiding overweight in young adulthood to limit duration.

Study context

Population
Black and White men and women aged 18 to 30 years in 1985 to 1986, free of prediabetes or diabetes at baseline (CARDIA study)
Participants
4,190 participants
Exposure
Cumulative BMI quartiles
Outcome
Incident prediabetes
Follow-up
30 years
Methodological detailsbiracial, observational, 30-year follow-up
  • Biracial
  • Observational
  • 30-year follow-up

Main finding

Incident prediabetes by cumulative BMI (cBMI) quartile

Hazard rate ratio

2.064

95% CI 1.793–2.377

Q4vs Q1
hazard rate ratio 2.064 (95% CI 1.793–2.377)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Mean cBMI by prediabetes status

P < 0.0001

Incidence of prediabetes · 30 years

Developed prediabetes
46.2%

Original publication

Cumulative BMI and incident prediabetes over 30 years of follow‐up: The CARDIA study. Obesity (Silver Spring). Published 15 September 2023. doi:10.1002/oby.23866

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