Type 2 & other diabetes

Sarcopenic Obesity and Risk of Incident Type 2 Diabetes: A Prospective Cohort Study and Landmark Analysis From the UK Biobank

Diabetes CarePublished Prospective cohort study

Main finding · Incident T2DResult — go to the resultHazard ratio 3.54 95% CI 3.34–3.74

Authors' conclusion

SO was associated with higher T2D risk than obesity or sarcopenia alone

Study context

Population
Diabetes-free UK Biobank participants32,948 developed T2D
Participants
479,607 participants
Exposure
Sarcopenic obesity vs obesity alone and sarcopenia alone
Outcome
Incident T2D
Follow-up
Median 14.2 years
Methodological detailslandmark analysis
  • Landmark analysis

Main finding

As reported in the abstract

Hazard ratio

3.54

95% CI 3.34–3.74

Sarcopenic obesityvs obesity alone and sarcopenia alone
HR 3.54 (95% CI 3.34–3.74)

Observational data: associations, not effects.

Further findings

Incident T2D by phenotype transition (landmark analysis, n = 53,107): transitioning to sarcopenic obesity (SO)

HR (95% CI)
Transitioning to SOLandmark analysis2.90 (2.07–4.07)

Incident T2D by phenotype transition (landmark analysis, n = 53,107): persistent SO

HR (95% CI)
Persistent SOLandmark analysis3.07 (1.63–5.79)

Original publication

Sarcopenic Obesity and Risk of Incident Type 2 Diabetes: A Prospective Cohort Study and Landmark Analysis From the UK Biobank. Diabetes Care. Published 13 July 2026. doi:10.2337/dc26-0797

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