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Article ; Online: Cumulative exposure to hypertriglyceridemia and risk of type 2 diabetes in young adults.

Lee, Min-Kyung / Han, Kyungdo / Kim, Bongsung / Kim, Jong-Dai / Jung Kim, Moon / Kim, Byungpyo / Heo, Jung / Ahn, Jiyeon / Sohn, Seo-Young / Lee, Jae-Hyuk

Diabetes research and clinical practice

2024  Volume 208, Page(s) 111109

Abstract: Aim: This study aimed to examine whether cumulative exposure to hypertriglyceridemia is associated with an increased risk of developing type 2 diabetes in young adults.: Methods: The study included 1,840,251 participants aged 20-39 years who had ... ...

Abstract Aim: This study aimed to examine whether cumulative exposure to hypertriglyceridemia is associated with an increased risk of developing type 2 diabetes in young adults.
Methods: The study included 1,840,251 participants aged 20-39 years who had undergonefourconsecutiveannualhealth checkups and had no history of type 2 diabetes. Participants werecategorized into five groups (exposure score 0-4) based on the frequencies of hypertriglyceridemia diagnosis over a four-year period. The primary outcome was newly diagnosed type 2 diabetes. Exploratory analyses were performed for the different subgroups.
Results: During a follow-up period of 6.53 years, 40,286 participants developed type 2 diabetes. The cumulative incidence of type 2 diabetes significantly increased with higher exposure scores for hypertriglyceridemia (log-rank test, P < 0.001). The multivariable-adjusted hazard ratios for incident diabetes were 1.674 (95 % CI, 1.619, 1.732), 2.192 (95 % CI, 2.117, 2.269), 2.637 (95 % CI, 2.548, 2.73), and 3.715 (95 % CI, 3.6, 3.834) for participants with scores of 1-4, respectively, compared with those with an exposure score of 0.
Conclusions: In this large-scale prospective cohort study of young adults, cumulative exposure to hypertriglyceridemia was significantly associated with an increased risk of type 2 diabetes, independent of lifestyle-related factors.
MeSH term(s) Humans ; Young Adult ; Diabetes Mellitus, Type 2/epidemiology ; Diabetes Mellitus, Type 2/etiology ; Prospective Studies ; Hypertriglyceridemia/complications ; Hypertriglyceridemia/epidemiology ; Incidence ; Life Style ; Risk Factors
Language English
Publishing date 2024-01-21
Publishing country Ireland
Document type Journal Article
ZDB-ID 632523-3
ISSN 1872-8227 ; 0168-8227
ISSN (online) 1872-8227
ISSN 0168-8227
DOI 10.1016/j.diabres.2024.111109
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