Type 2 & other diabetes

Circulating FGF21 Concentration, Fasting Plasma Glucose, and the Risk of Type 2 Diabetes: Results From the PREVEND Study

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

Higher circulating FGF21 concentrations are independently associated with an increased risk of incident T2D in participants with a low fasting plasma glucose, making circulating FGF21 concentration a potential early biomarker for type 2 diabetes.

Study context

Population
PREVEND participants aged 52 ± 12 years, 50% male
Participants
5,244 participants
Exposure
Higher vs lower circulating FGF21 concentration
Outcome
Incident T2D
Follow-up
7.3 [6.1-7.7] years
Methodological detailspopulation-based (PREVEND), Cox proportional hazards models adjusted for potential confounders, Circulating FGF21 measured by Mesoscale U-PLEX immunoassay
  • Population-based (PREVEND)
  • Cox proportional hazards models adjusted for potential confounders
  • Circulating FGF21 measured by Mesoscale U-PLEX immunoassay

Main finding

As reported in the abstract

Incident T2D per doubling of circulating FGF21

HR per doubling of FGF21 (fully adjusted), 95% CI 1.06-1.51; P = 0.008

1.26

Effect modification by FPG, consistent with stronger association at lower fasting glucose: interaction coefficient (P = 0.022)

−0.12

Observational data: associations, not effects.

Further findings

Circulating FGF21 concentration

Median [IQR] FGF21, pg/mL
860 [525-1329]

Incident T2D · 7.3 [6.1-7.7] years of follow-up

Participants who developed T2D
299 (5.7%)

Original publication

Circulating FGF21 Concentration, Fasting Plasma Glucose, and the Risk of Type 2 Diabetes: Results From the PREVEND Study. J Clin Endocrinol Metab. Published 19 December 2022. doi:10.1210/clinem/dgac729

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