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Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Triglycerides and total cholesterol concentrations in association with IFG/IGT in Chinese adults in Qingdao, China

Authors: Jing Cui, Jianping Sun, Wei Wang, Nafeesa Yasmeen, Ma Ke, Hualei Xin, Qing Qiao, Aiguo Ma, Zulqarnain Baloch

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

To investigative the association of triglycerides (TG) and total cholesterol (TC) concentrations with impaired fasting glucose/ impaired glucose tolerance (IFG/IGT) in Chinese adults.

Methods

The population-based cross-sectional diabetes survey was conducted in 2006 and 2009 in Qingdao, separately. 4400 participants (1 793 men and 2607 women) were include in current analysis. IFG/IGT was defined according to fasting plasma glucose (FPG) and/or 2 h post-load plasma glucose (2 h PG). Logistic regression models and areas under receiver operating characteristic curves (AUROC) were performed to estimate the associations between TG, TC levels and IFG/IGT.

Results

Spearman analysis showed that serum TG and TC was independently and positively associated with FPG and 2 h PG. As compared with normoglycaemia, the odds ratio[(95% confidence intervals), OR(95%CI)] for IFG/IGT corresponding to hypertriglyceridemia (HTG) were 1.61 (1. 17, 2. 22) in men and 1.57(1.15, 2.14) in women for TG and accompany with Hypercholesterolemia (HTC) 1.56 (1.15, 2.13) and 1. 20 (0.93, 1.54) for TC, when adjusting for confounding factor. The AUROCs of TG, TC for IFG/IGT were relatively smaller (0.50 < AUROC< 0. 7) in both gender. The optimal cut-offs for TG and TC was 1.61, 4.91 in men and 1. 24, 5. 32 in women, respectively.

Conclusions

Evaluated TG in both gender and TC in men were independently associated with the present of the IFG/IGT, yet, could not be an authentic predictors of IFG/IGT in both men and women in current Chinese population.
Literature
1.
go back to reference WHO / IDF. Consultation. Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia: report of a WHO /international diabetes federation consultation. Geneva: The World Health Organization Document Production Services; 2006. WHO / IDF. Consultation. Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia: report of a WHO /international diabetes federation consultation. Geneva: The World Health Organization Document Production Services; 2006.
2.
go back to reference Nathan DM, Davidson MB, DeFronzo RA, Heine RJ, Henry RR, Pratley R, Zinman B. Impaired fasting glucose and impaired glucose tolerance: implications for care. Diabetes Care. 2007;30:753–9.CrossRefPubMed Nathan DM, Davidson MB, DeFronzo RA, Heine RJ, Henry RR, Pratley R, Zinman B. Impaired fasting glucose and impaired glucose tolerance: implications for care. Diabetes Care. 2007;30:753–9.CrossRefPubMed
3.
go back to reference Perreault L, Pan Q, Mather KJ, Watson KE, Hamman RF, Kahn SE. Diabetes prevention program research group. Effect of regression from prediabetes to normal glucose regulation on long-term reduction in diabetes risk: results from the diabetes prevention program outcomes study. Lancet. 2012;379:2243–51.CrossRefPubMedPubMedCentral Perreault L, Pan Q, Mather KJ, Watson KE, Hamman RF, Kahn SE. Diabetes prevention program research group. Effect of regression from prediabetes to normal glucose regulation on long-term reduction in diabetes risk: results from the diabetes prevention program outcomes study. Lancet. 2012;379:2243–51.CrossRefPubMedPubMedCentral
4.
go back to reference Yang W, Lu J, Weng J, Jia W, Ji L, Xiao J, Shan Z, Liu J, Tian H, Ji Q, Zhu D, Ge J, Lin L, Chen L, Guo X, Zhao Z, Li Q, Zhou Z, Shan G, He J, China National Diabetes and Metabolic Disorders Study Group. Prevalence of diabetes among men and women in China. N Engl J Med. 2010;362:1090–101.CrossRefPubMed Yang W, Lu J, Weng J, Jia W, Ji L, Xiao J, Shan Z, Liu J, Tian H, Ji Q, Zhu D, Ge J, Lin L, Chen L, Guo X, Zhao Z, Li Q, Zhou Z, Shan G, He J, China National Diabetes and Metabolic Disorders Study Group. Prevalence of diabetes among men and women in China. N Engl J Med. 2010;362:1090–101.CrossRefPubMed
5.
go back to reference Gu D, Reynolds K, Duan X, Xin X, Chen J, Wu X, Mo J, Whelton PK, He J, InterASIA Collaborative Group. Prevalence of diabetes and impaired fasting glucose in the Chinese adult population: International collaborative study of cardiovascular disease in Asia (InterASIA). Diabetologia. 2003;46:1190–8.CrossRefPubMed Gu D, Reynolds K, Duan X, Xin X, Chen J, Wu X, Mo J, Whelton PK, He J, InterASIA Collaborative Group. Prevalence of diabetes and impaired fasting glucose in the Chinese adult population: International collaborative study of cardiovascular disease in Asia (InterASIA). Diabetologia. 2003;46:1190–8.CrossRefPubMed
6.
go back to reference Meigs JB, Wilson PW, Nathan DM, D'Agostino RB, Williams K, Haffner SM. Prevalence and Characteristics of the metabolic syndrome in the San Antonio heart and Framingham offspring studies. Diabetes. 2003;52(8):2160–7.CrossRefPubMed Meigs JB, Wilson PW, Nathan DM, D'Agostino RB, Williams K, Haffner SM. Prevalence and Characteristics of the metabolic syndrome in the San Antonio heart and Framingham offspring studies. Diabetes. 2003;52(8):2160–7.CrossRefPubMed
7.
go back to reference Bansal S, Buring JE, Rifai N, Mora S, Sacks FM, Ridker PM. Fasting compared with nonfasting triglycerides and risk of cardiovascular events in women. JAMA. 2007;298:309–16.CrossRefPubMed Bansal S, Buring JE, Rifai N, Mora S, Sacks FM, Ridker PM. Fasting compared with nonfasting triglycerides and risk of cardiovascular events in women. JAMA. 2007;298:309–16.CrossRefPubMed
8.
go back to reference Christian JB, Bourgeois N, Snipes R, Lowe KA. Prevalence of severe (500 to 2000mg/dl) hypertriglyceridemia in United States adults. Am J Cardiol. 2011;107:891–7.CrossRefPubMed Christian JB, Bourgeois N, Snipes R, Lowe KA. Prevalence of severe (500 to 2000mg/dl) hypertriglyceridemia in United States adults. Am J Cardiol. 2011;107:891–7.CrossRefPubMed
9.
go back to reference Nagasawa S-y, Okamura T, Iso H, Tamakoshi A, Yamada M, Watanabe M, Murakami Y, Miura K, Ueshima H. For the evidence for cardiovascular prevention from observational cohorts in Japan (EPOCH-JAPAN) research group. Relation between serum Total cholesterol level and cardiovascular disease stratified by sex and age group: a pooled analysis of 65 594 individuals from 10 cohort studies in Japan. J Am Heart Assoc. 2012;1(5):e001974.CrossRefPubMedPubMedCentral Nagasawa S-y, Okamura T, Iso H, Tamakoshi A, Yamada M, Watanabe M, Murakami Y, Miura K, Ueshima H. For the evidence for cardiovascular prevention from observational cohorts in Japan (EPOCH-JAPAN) research group. Relation between serum Total cholesterol level and cardiovascular disease stratified by sex and age group: a pooled analysis of 65 594 individuals from 10 cohort studies in Japan. J Am Heart Assoc. 2012;1(5):e001974.CrossRefPubMedPubMedCentral
10.
go back to reference Kompoti M, Mariolis A, Alevizos A, Kyrazis I, Protopsaltis I, Dimou E, Lentzas I, Levisianou D, Gova A, Melidonis A. Elevated serum triglycerides is the strongest single indicator for the presence of metabolic syndrome in patients with type 2 diabetes. Cardiovasc Diabetol. 2006;5:21.CrossRefPubMedPubMedCentral Kompoti M, Mariolis A, Alevizos A, Kyrazis I, Protopsaltis I, Dimou E, Lentzas I, Levisianou D, Gova A, Melidonis A. Elevated serum triglycerides is the strongest single indicator for the presence of metabolic syndrome in patients with type 2 diabetes. Cardiovasc Diabetol. 2006;5:21.CrossRefPubMedPubMedCentral
11.
go back to reference Rhee EJ, Han K, Ko SH, Ko KS, Lee WY. Increased risk for diabetes development in subjects with large variation in total cholesterol levels in 2,827,950 Koreans: a nationwide population-based study. PLoS One. 2017;12(5):e0176615.CrossRefPubMedPubMedCentral Rhee EJ, Han K, Ko SH, Ko KS, Lee WY. Increased risk for diabetes development in subjects with large variation in total cholesterol levels in 2,827,950 Koreans: a nationwide population-based study. PLoS One. 2017;12(5):e0176615.CrossRefPubMedPubMedCentral
12.
go back to reference Mykkänen L, Kuusisto J, Pyörälä K, Laakso M. Cardiovascular disease risk factors as predictors of type 2 (non-insulin-dependent) diabetes mellitus in elderly subjects. Diabetologia. 1993;36:553–9.CrossRefPubMed Mykkänen L, Kuusisto J, Pyörälä K, Laakso M. Cardiovascular disease risk factors as predictors of type 2 (non-insulin-dependent) diabetes mellitus in elderly subjects. Diabetologia. 1993;36:553–9.CrossRefPubMed
13.
go back to reference Tirosh A, Shai I, Bitzur R, Kochba I, Tekes-Manova D, Israeli E, Shochat T, Rudich A. Changes in triglyceride levels over time and risk of type 2 diabetes in young men. Diabetes Care. 2008;31:2032–7.CrossRefPubMedPubMedCentral Tirosh A, Shai I, Bitzur R, Kochba I, Tekes-Manova D, Israeli E, Shochat T, Rudich A. Changes in triglyceride levels over time and risk of type 2 diabetes in young men. Diabetes Care. 2008;31:2032–7.CrossRefPubMedPubMedCentral
14.
go back to reference Akehi Y, Tsutsumi Y, Tatsumoto A, Yoshida R, Ohkubo K, Takenoshita H, Kudo T, Ashida K, Anzai K, Yamashita T, Kawashima H. Serum γ-glutamyltransferase, triglyceride and total cholesterol are possible prediabetic risk markers in young Japanese men. Endocr J. 2010;57(11):981–9.CrossRefPubMed Akehi Y, Tsutsumi Y, Tatsumoto A, Yoshida R, Ohkubo K, Takenoshita H, Kudo T, Ashida K, Anzai K, Yamashita T, Kawashima H. Serum γ-glutamyltransferase, triglyceride and total cholesterol are possible prediabetic risk markers in young Japanese men. Endocr J. 2010;57(11):981–9.CrossRefPubMed
15.
go back to reference Chakarova N, Tankova T, Atanassova I, Dakovska L. Serum lipid and hsCRP levels in prediabetes--impaired fasting glucose (IFG) and impaired glucose tolerance (IGT). Diabetes Res ClinPract. 2009;86(1):56–60.CrossRef Chakarova N, Tankova T, Atanassova I, Dakovska L. Serum lipid and hsCRP levels in prediabetes--impaired fasting glucose (IFG) and impaired glucose tolerance (IGT). Diabetes Res ClinPract. 2009;86(1):56–60.CrossRef
16.
go back to reference Cui J, Sun J, Wang W, Xin H, Qiao Q, Baloch Z, Aiguo MA. The association of triglycerides and total cholesterol concentrationswith newly diagnosed diabetes in adults in China. Oncotarget. 2017;8(61):103477–85.CrossRefPubMedPubMedCentral Cui J, Sun J, Wang W, Xin H, Qiao Q, Baloch Z, Aiguo MA. The association of triglycerides and total cholesterol concentrationswith newly diagnosed diabetes in adults in China. Oncotarget. 2017;8(61):103477–85.CrossRefPubMedPubMedCentral
17.
go back to reference Song J, Zha X, Li H, Guo R, Zhu Y, Wen Y. Analysis of blood glucose distribution characteristics and its risk factors among a health examination population in Wuhu (China). Int J Environ Res Public Health. 2016;13(4):392.CrossRefPubMedPubMedCentral Song J, Zha X, Li H, Guo R, Zhu Y, Wen Y. Analysis of blood glucose distribution characteristics and its risk factors among a health examination population in Wuhu (China). Int J Environ Res Public Health. 2016;13(4):392.CrossRefPubMedPubMedCentral
18.
go back to reference Zhao M, Lin H, Yuan Y, Wang F, Xi Y, Wen LM, Shen P, Bu S. Prevalence of pre-diabetes and its associated risk factors in rural areas of Ningbo, China. Int J Environ Res Public Health. 2016;13(8):E808.CrossRefPubMed Zhao M, Lin H, Yuan Y, Wang F, Xi Y, Wen LM, Shen P, Bu S. Prevalence of pre-diabetes and its associated risk factors in rural areas of Ningbo, China. Int J Environ Res Public Health. 2016;13(8):E808.CrossRefPubMed
19.
go back to reference Joint Committee for Developing Chinese Guidelines on Prevention and Treatment of Dyslipidemia in Adults. Guidelines on prevention and treatment of blood lipid abnormality in Chinese adults (Revised in 2016). Chinese Circulation Journal. 2016(31):937–53. Joint Committee for Developing Chinese Guidelines on Prevention and Treatment of Dyslipidemia in Adults. Guidelines on prevention and treatment of blood lipid abnormality in Chinese adults (Revised in 2016). Chinese Circulation Journal. 2016(31):937–53.
20.
go back to reference Rasmussen SS, Glumer C, Sandbaek A, Lauritzen T, Borch-Johnsen K. Determinants of progression from impaired fasting glucose and impaired glucose tolerance to diabetes in a high-risk screened population: 3-year follow-up in the ADDITION study, Denmark. Diabetologia. 2008;51:249–57.CrossRefPubMed Rasmussen SS, Glumer C, Sandbaek A, Lauritzen T, Borch-Johnsen K. Determinants of progression from impaired fasting glucose and impaired glucose tolerance to diabetes in a high-risk screened population: 3-year follow-up in the ADDITION study, Denmark. Diabetologia. 2008;51:249–57.CrossRefPubMed
21.
go back to reference Dotevall A, Johansson S, Wilhelmsen L, Rosengren A. Increased levels of triglycerides, BMI and blood pressure and low physical activity increase the risk of diabetes in Swedish women. A prospective 18-year follow-up of the BEDA study. Diabet Med. 2004;21(6):615–22.CrossRefPubMed Dotevall A, Johansson S, Wilhelmsen L, Rosengren A. Increased levels of triglycerides, BMI and blood pressure and low physical activity increase the risk of diabetes in Swedish women. A prospective 18-year follow-up of the BEDA study. Diabet Med. 2004;21(6):615–22.CrossRefPubMed
22.
go back to reference Perry IJ, Wannamethee SG, Walker MK, Thomson AG, Whincup PH, Shaper AG. Prospective study of risk factors for development of non-insulin dependent diabetes in middle aged British men. BMJ. 1995;310(6979):560–4.CrossRefPubMedPubMedCentral Perry IJ, Wannamethee SG, Walker MK, Thomson AG, Whincup PH, Shaper AG. Prospective study of risk factors for development of non-insulin dependent diabetes in middle aged British men. BMJ. 1995;310(6979):560–4.CrossRefPubMedPubMedCentral
23.
go back to reference Tirosh A, Rudich A, Shochat T, Tekes-Manova D, Israeli E, Henkin Y, Kochba I, Shai I. Changes in triglyceride levels and risk for coronary heart disease in young men. Ann Intern Med. 2007;147(6):377–85.CrossRefPubMed Tirosh A, Rudich A, Shochat T, Tekes-Manova D, Israeli E, Henkin Y, Kochba I, Shai I. Changes in triglyceride levels and risk for coronary heart disease in young men. Ann Intern Med. 2007;147(6):377–85.CrossRefPubMed
24.
go back to reference Adiels M, Taskinen MR, Boren J. Fatty liver, insulin resistance, and dyslipidemia. Curr Diabetes Rep. 2008;8:60–4.CrossRef Adiels M, Taskinen MR, Boren J. Fatty liver, insulin resistance, and dyslipidemia. Curr Diabetes Rep. 2008;8:60–4.CrossRef
25.
go back to reference Tchernof A, Despres JP. Pathophysiology of human visceral obesity: an update. Physiol Rev. 2013;93:359–404.CrossRefPubMed Tchernof A, Despres JP. Pathophysiology of human visceral obesity: an update. Physiol Rev. 2013;93:359–404.CrossRefPubMed
26.
go back to reference Giannini S, Bardini G, Dicembrini I, Monami M, Rotella CM, Mannucci E. Lipid levels in obese and nonobese subjects as predictors of fasting and postload glucose metabolism. J Clin Lipidol. 2012;6:132–8.CrossRefPubMed Giannini S, Bardini G, Dicembrini I, Monami M, Rotella CM, Mannucci E. Lipid levels in obese and nonobese subjects as predictors of fasting and postload glucose metabolism. J Clin Lipidol. 2012;6:132–8.CrossRefPubMed
27.
go back to reference Meikle PJ, Wong G, Barlow CK, Weir JM, Greeve MA, MacIntosh GL, Almasy L, Comuzzie AG, Mahaney MC, Kowalczyk A. Plasma lipid profiling shows similar associations with prediabetes and type 2 diabetes. PLoS One. 2013;8(9):e74341.CrossRefPubMedPubMedCentral Meikle PJ, Wong G, Barlow CK, Weir JM, Greeve MA, MacIntosh GL, Almasy L, Comuzzie AG, Mahaney MC, Kowalczyk A. Plasma lipid profiling shows similar associations with prediabetes and type 2 diabetes. PLoS One. 2013;8(9):e74341.CrossRefPubMedPubMedCentral
28.
go back to reference Bardini G, Rotella CM, Giannini S. Dyslipidemia and diabetes: reciprocal impact of impaired lipid metabolism and Beta-cell dysfunction on micro- and macrovascular complications. Rev Diabet Stud. 2012;9(2–3):82–93.CrossRefPubMedPubMedCentral Bardini G, Rotella CM, Giannini S. Dyslipidemia and diabetes: reciprocal impact of impaired lipid metabolism and Beta-cell dysfunction on micro- and macrovascular complications. Rev Diabet Stud. 2012;9(2–3):82–93.CrossRefPubMedPubMedCentral
29.
go back to reference Yin Y, Han W, Wang Y, Zhang Y, Wu S, Zhang H, Jiang L, Wang R, Zhang P, Yu Y, Li B. Identification of risk factors affecting impaired fasting glucose and diabetes in adult patients from Northeast China. Int J Environ Res Public Health. 2015;12(10):12662–78.CrossRefPubMedPubMedCentral Yin Y, Han W, Wang Y, Zhang Y, Wu S, Zhang H, Jiang L, Wang R, Zhang P, Yu Y, Li B. Identification of risk factors affecting impaired fasting glucose and diabetes in adult patients from Northeast China. Int J Environ Res Public Health. 2015;12(10):12662–78.CrossRefPubMedPubMedCentral
30.
go back to reference Chhetri JK, Zheng Z, Xu X, Ma C, Chan P. The prevalence and incidence of frailty in pre-diabetic and diabetic community-dwelling older population: results from Beijing longitudinal study of aging II (BLSA-II). BMC Geriatr. 2017;17(1):47.CrossRefPubMedPubMedCentral Chhetri JK, Zheng Z, Xu X, Ma C, Chan P. The prevalence and incidence of frailty in pre-diabetic and diabetic community-dwelling older population: results from Beijing longitudinal study of aging II (BLSA-II). BMC Geriatr. 2017;17(1):47.CrossRefPubMedPubMedCentral
31.
go back to reference Whiting D, Unwin N, Roglic G. Diabetes: equity and social determinants. In: Blas E, Kurup A, editors. Equity, social determinants and public health programmes. Geneva: World health Organization; 2010. p. 77–94. ISBN: 9789241563970. Whiting D, Unwin N, Roglic G. Diabetes: equity and social determinants. In: Blas E, Kurup A, editors. Equity, social determinants and public health programmes. Geneva: World health Organization; 2010. p. 77–94. ISBN: 9789241563970.
32.
go back to reference Linetzky B, De Maio F, Ferrante D, Konfino J, Boissonnet C. Sex-stratified socio-economic gradients in physical inactivity, obesity, and diabetes: evidence of short-term changes in Argentina. Int J Public Health. 2013;58(2):277–84.CrossRefPubMed Linetzky B, De Maio F, Ferrante D, Konfino J, Boissonnet C. Sex-stratified socio-economic gradients in physical inactivity, obesity, and diabetes: evidence of short-term changes in Argentina. Int J Public Health. 2013;58(2):277–84.CrossRefPubMed
33.
go back to reference Cunningham J, O'Dea K, Dunbar T, Weeramanthri T, Shaw J, Zimmet P. Socioeconomic status and diabetes among urban indigenous Australians aged 15-64 years in the DRUID study. Ethn Health. 2008;13(1):23–37.CrossRefPubMed Cunningham J, O'Dea K, Dunbar T, Weeramanthri T, Shaw J, Zimmet P. Socioeconomic status and diabetes among urban indigenous Australians aged 15-64 years in the DRUID study. Ethn Health. 2008;13(1):23–37.CrossRefPubMed
34.
go back to reference Walatara KN, Athiththan LV, Hettiaratchi UK, Perera PR. Effect of demographic status and lifestyle habits on Glycaemic levels in apparently healthy subjects: a cross-sectional study. J Diabetes Res. 2016;2016:5240503.CrossRefPubMedPubMedCentral Walatara KN, Athiththan LV, Hettiaratchi UK, Perera PR. Effect of demographic status and lifestyle habits on Glycaemic levels in apparently healthy subjects: a cross-sectional study. J Diabetes Res. 2016;2016:5240503.CrossRefPubMedPubMedCentral
Metadata
Title
Triglycerides and total cholesterol concentrations in association with IFG/IGT in Chinese adults in Qingdao, China
Authors
Jing Cui
Jianping Sun
Wei Wang
Nafeesa Yasmeen
Ma Ke
Hualei Xin
Qing Qiao
Aiguo Ma
Zulqarnain Baloch
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5286-z

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