Type 2 & other diabetes

Circulating amino acids and Type 2 diabetes in a Latin American population-based cohort

Cardiovasc DiabetolPublished Prospective population-based cohort study

Authors' conclusion

Elevated plasma BCAA concentrations in Chilean adults were significantly associated with the prevalence of T2D, while only high isoleucine was associated with the incidence of T2D. These findings could inform risk stratification by specific metabolic mechanisms and guide future research on targeted interventions.

Study context

Population
Adults aged 38 to 74 years, agricultural population of Molina County, Central Chile (MAUCO cohort, enrolled 2014)of 2000 selected for metabolomics
Participants
1,738 adults
Exposure
Circulating amino acids and T2D prevalence and incidence
Outcome
T2D prevalence and incidence (ADA guidelines)
Methodological detailscross-sectional and longitudinal analyses, adjusted for sex, age, education, BMI, smoking, alcohol, physical activity and Mediterranean diet score
  • Cross-sectional and longitudinal analyses
  • Adjusted for sex, age, education, BMI, smoking, alcohol, physical activity and Mediterranean diet score

Main finding

As reported in the abstract

T2D prevalence (cross-sectional analysis)
Plasma branched-chain amino acids (BCAAs) and T2D, aOR
2.1 (95% CI 1.80-2.50)
Plasma alanine and T2D, aOR
1.57 (95% CI 1.37-1.80)
Histidine and T2D (inverse), aOR
0.80 (95% CI 0.69-0.91)
Glycine and T2D (inverse), aOR
0.68 (95% CI 0.57-0.80)
Glutamine and T2D (inverse), aOR
0.64 (95% CI 0.56-0.74)

Observational data: associations, not effects.

Further findings

Incident T2D · median follow-up 4.3 years

New T2D cases
127 (10.5% incidence)
High isoleucine and incident T2D, aHR
1.31 (95% CI 1.10-1.56)
Similar pattern to prevalence; only high isoleucine reached statistical significance

Original publication

Circulating amino acids and Type 2 diabetes in a Latin American population-based cohort. Cardiovasc Diabetol. Published 26 March 2026. doi:10.1186/s12933-026-03146-8

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