Type 2 & other diabetes

Insulin resistance assessed by estimated glucose disposal rate and risk of atherosclerotic cardiovascular diseases incidence: the multi-ethnic study of atherosclerosis

Cardiovasc DiabetolPublished Prospective cohort study

Authors' conclusion

eGDR level was negatively associated with incident ASCVD risk in a linear fashion among the general population. Our findings may contribute to preventive measures by improving ASCVD risk assessment.

Study context

Population
Participants of the Multi-Ethnic Study of Atherosclerosis; mean age 63.6 ± 10.1 years, 52.5% women
Participants
6,026 participants
Exposure
Estimated glucose disposal rate (eGDR) quartiles Q2–Q4 vs lowest quartile
Outcome
Incident ASCVD
Follow-up
Median 14.1 years

Main finding

As reported in the abstract

Adjusted hazard ratio (95% CI)
Q2vs Q1
0.87(0.68–1.10)
Q3vs Q1
0.63(0.47–0.84)
Q4vs Q1
0.43(0.30–0.64)
Per 1 SD increase in eGDR: Atherosclerotic cardiovascular diseases (ASCVD) risk reduction
HR 0.70 30% (95% CI 0.60-0.80)

Observational data: associations, not effects.

Further findings

Incident ASCVD events in cohort · median follow-up 14.1 years

Developed ASCVD
565 (9.4%)
MI
256 (4.2%)
Stroke
234 (3.9%)
Fatal coronary heart disease
358 (5.9%)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Insulin resistance assessed by estimated glucose disposal rate and risk of atherosclerotic cardiovascular diseases incidence: the multi-ethnic study of atherosclerosis. Cardiovasc Diabetol. Published 28 September 2024. doi:10.1186/s12933-024-02437-2

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