Type 2 & other diabetes

N-terminal Pro-B-Type Natriuretic Peptide and Risk for Diabetes Mellitus and Metabolic Syndrome

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

NT-proBNP was inversely associated with odds of diabetes, MetS, and the MetS dysglycemia component. The metabolic implications of B-type natriuretic peptides appear important for glycemic homeostasis.

Study context

Population
Participants of the REGARDS study with baseline (2003–2007) and follow-up (2013–2016) examinations and baseline NT-proBNP measurement
Participants
2,899 participants
Exposure
Higher vs lower NT-proBNP
Outcome
Incident diabetes, incident MetS and MetS components
Follow-up
Mean 9.4 years
Methodological detailslogistic regression, fully adjusted for demographics, risk and laboratory factors
  • Logistic regression
  • Fully adjusted for demographics, risk and laboratory factors

Main finding

As reported in the abstract

Incident diabetes · mean 9.4 years

Participants developing diabetes

310

2364 at risk

Fully adjusted OR per SD higher log NT-proBNP for incident diabetes

0.80

95% CI 0.69–0.93

Observational data: associations, not effects.

Further findings

Incident metabolic syndrome (MetS) · mean 9.4 years

Participants developing MetS
361 (2059 at risk)
Fully adjusted OR, highest vs lowest NT-proBNP quartile
0.59 (95% CI 0.37-0.92)
Linear association with incident MetS not statistically significant

Incident dysglycemia (MetS component)

Fully adjusted OR per SD log NT-proBNP
0.65 (95% CI 0.53-0.79)
Not associated with other MetS components

Effect modification

No effect modification by sex, race, age or BMI

Original publication

N-terminal Pro-B-Type Natriuretic Peptide and Risk for Diabetes Mellitus and Metabolic Syndrome. J Clin Endocrinol Metab. Published 4 May 2024. doi:10.1210/clinem/dgae301

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