Type 2 & other diabetes

Sex differences in body composition in people with prediabetes and type 2 diabetes as compared with people with normal glucose metabolism: the Maastricht Study

DiabetologiaPublished Population-based cohort study

Authors' conclusion

This study indicates that there are sex differences in body composition associated with type 2 diabetes. The pathophysiological significance of these sex-associated differences requires further study.

Study context

Population
Adults aged 40–75 years, 50% women, 25% T2D; the Maastricht Study
Participants
7,639 adults
Exposure
Prediabetes and T2D vs normal glucose metabolism, by sex
Outcome
Sex differences (women minus men) in DEXA- and MRI-derived body composition and hip circumference associated with diabetes status
Methodological detailscross-sectional analysis of sex-by-diabetes status interaction, adjusted regression models
  • Cross-sectional analysis of sex-by-diabetes status interaction
  • Adjusted regression models

Main finding

As reported in the abstract

Sex difference (W-M) in T2D vs NGM difference in body composition
Women vs MenMean difference, cm2 (95% CI)
Subcutaneous adipose tissue; T2Dvs NGM difference greater in women
15.0(1.5–28.5)
Visceral adipose tissue; greater in men
−14.8(−26.4 to −3.1)
Women vs MenMean difference, cm (95% CI)
Hip circumference; greater in women
3.2(2.2–4.1)
Women vs MenMean difference, g (95% CI)
Total lean mass; greater in women
690(8–1372)
Peripheral lean mass; greater in women
443(142–744)

Observational data: associations, not effects.

Further findings

Sex differences in body composition, prediabetes vs NGM

Generally in the same direction, but not significantly different between women and men

Original publication

Sex differences in body composition in people with prediabetes and type 2 diabetes as compared with people with normal glucose metabolism: the Maastricht Study. Diabetologia. Published 20 February 2023. doi:10.1007/s00125-023-05880-0

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

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