Type 2 & other diabetes

Polygenic risk scores and lifestyle factors predicting new onset of type 2 diabetes in the Japanese general population

J Clin Endocrinol MetabPublished Cross-sectional and longitudinal cohort study

Authors' conclusion

PRS are associated with diabetes risk in Japanese general populations, independent of traditional risk factors.

Study context

Population
Japanese general population: Shika resident cohort (cross-sectional, n = 895) and Toshiba worker cohort (longitudinal, n = 7019); Polygenic risk scores (PRS) built from East Asian genome-wide association study datatwo cohorts
Exposure
High vs low polygenic risk score
Outcome
Diabetes (T2D) defined by HbA1c, fasting blood glucose, self-reported diagnosis or medication use
Methodological detailstwo cohorts, multivariate logistic regression, Cox proportional hazards models
  • Two cohorts
  • Multivariate logistic regression
  • Cox proportional hazards models

Main finding

As reported in the abstract

Diabetes risk, high vs low PRS
High PRS vs Low PRSEstimate (95% CI)
Resident cohort
OR 4.51(2.53–8.04)
Worker cohort
HR 1.50(1.23–1.83)

Observational data: associations, not effects.

Further findings

Lifestyle factors and diabetes risk

Regular exercise, absence of hypertension and absence of dyslipidemia associated with lower diabetes risk, particularly in the high PRS group

Risk prediction

Adding PRS to conventional prediction models improved discrimination of diabetes risk

Original publication

Polygenic risk scores and lifestyle factors predicting new onset of type 2 diabetes in the Japanese general population. J Clin Endocrinol Metab. Published 16 April 2026. doi:10.1210/clinem/dgag171

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