Type 2 & other diabetes

Sex‐specific associations between skeletal muscle mass and incident diabetes: A population‐based cohort study

Diabetes Obes MetabPublished Retrospective cohort study

Authors' conclusion

In females, a larger muscular mass is associated with a lower risk of type 2 diabetes. For males, this association is significant only among those with diminished muscle mass.

Study context

Population
Chinese adults without diabetes at baseline from WATCH (West chinA adulT health CoHort), a health check-up-based database; median age 40 years, 53.2% women1,836 developed T2D
Participants
47,885 adults
Exposure
Higher vs lower predicted skeletal muscle mass index, by sex
Outcome
Incident T2D
Follow-up
5-year median
Methodological detailspopulation-based, longitudinal, sex-specific analysis, weighted Cox proportional hazards regression with segmented linear splines
  • Population-based
  • Longitudinal
  • Sex-specific analysis
  • Weighted Cox proportional hazards regression with segmented linear splines

Main finding

As reported in the abstract

Estimate (95% CI)P value
Womenhigher pSMI associated with lower risk
HR per SD increment in pSMI 0.79(0.68–0.91)
Pnonlinearity = 0.09
Men, pSMI <8.1higher pSMI associated with lower risk
HR 0.58(0.40–0.84)
Men, pSMI ≥8.1not significantly associated
HR 1.08(0.93–1.25)
Nonlinear association of pSMI with incident T2D in men
Pnonlinearity < 0.001

Observational data: associations, not effects.

Original publication

Sex‐specific associations between skeletal muscle mass and incident diabetes: A population‐based cohort study. Diabetes Obes Metab. Published 23 November 2023. doi:10.1111/dom.15373

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

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