Type 2 & other diabetes

Effect of changes in anthropometric measurements on the remission and progression of prediabetes: A community-based cohort study

Diabetes Res Clin PractPublished Community-based cohort study

Authors' conclusion

Short-term management of BMI and BF% should be emphasized to promote the remission and prevent the progression of prediabetes. Moreover, it is of particular clinical importance to monitor BF% among people with combined IFG and IGT.

Study context

Population
Middle-aged and elderly Chinese adults with prediabetes
Participants
3,632 participants
Exposure
Per-SD increase in 2.5-year change in body mass index (BMI), BF% and waist circumference (WC)
Outcome
Remission to normal glucose regulation (NGR), persistence in prediabetes, or progression to newly diagnosed DM (NDM)
Follow-up
2.5 years
Methodological details2.5-year follow-up
  • 2.5-year follow-up

Main finding

As reported in the abstract

Returned to normal glucose regulation (NGR)
16.9%
Progressed to NDM
24.6%
Remission, RR per SD increase of BMI change
0.86 [0.79-0.93]
Progression, RR per SD increase of BMI change
1.15 [1.08-1.23]
Remission, RR per SD increase of BF% change
0.91 [0.84-0.98]
Progression, RR per SD increase of BF% change
1.11 [1.03-1.19]

Observational data: associations, not effects.

Further findings

Remission in combined impaired fasting glucose (IFG) and impaired glucose tolerance (IGT) subgroup

Only BF% change significantly associated with remission

Original publication

Effect of changes in anthropometric measurements on the remission and progression of prediabetes: A community-based cohort study. Diabetes Res Clin Pract. Published 17 November 2022. doi:10.1016/j.diabres.2022.110163

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