Diabetes complications

Serum albumin and risk of incident diabetes and diabetic microvascular complications in the UK Biobank cohort

Diabetes MetabPublished Prospective cohort study

Authors' conclusion

In this large prospective study, serum levels of albumin were inversely associated with the incidences of diabetes and diabetic microvascular complications. These findings underscore the importance of maintaining optimal nutrient status in reducing the risk of diabetes and its complications.

Study context

Population
UK Biobank participants without diabetes (398,146) and patients with diabetes (30,952)
Exposure
Per 10 g/l increase in serum albumin
Outcome
Incident diabetes
Follow-up
Median 12.90 years
Methodological detailsUK Biobank, multivariate-adjusted Cox proportional hazard models, Mendelian randomization analysis
  • UK Biobank
  • Multivariate-adjusted Cox proportional hazard models
  • Mendelian randomization analysis

Main finding

As reported in the abstract

median 12.90 years

Participants developing incident diabetes

14,710

HR per 10 g/l increase in serum albumin, multivariate-adjusted

0.88 [0.82;0.94] (95% CI)

Observational data: associations, not effects.

Further findings

Mendelian randomization (MR): genetic influence of serum albumin on diabetes

OR per 1 g/l increase, UK Biobank
0.99 [0.98;1.00] (95% CI)
OR per 1 g/l increase, FinnGen consortium
0.78 [0.67;0.92] (95% CI)

Diabetic microvascular complications in patients with diabetes

HR per 10 g/l increase, diabetic nephropathy
0.42 [0.30;0.58]
HR per 10 g/l increase, ophthalmopathy
0.61 [0.52;0.72]
HR per 10 g/l increase, neuropathy
0.67 [0.51;0.88]

Original publication

Serum albumin and risk of incident diabetes and diabetic microvascular complications in the UK Biobank cohort. Diabetes Metab. Published 6 September 2023. doi:10.1016/j.diabet.2023.101472

Composed by AI from the published abstract and checked against it. How Briefs are made →

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