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Data-driven subgroups of prediabetes and the associations with outcomes in Chinese adults

Prediabetes and its pathophysiology remain important issues. We aimed to examine the cluster characteristics of prediabetes and explore their associations with developing diabetes and its complications based on 12 variables representing body fat, glycemic measures, pancreatic β cell function, insuli...

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Autores principales: Zheng, Ruizhi, Xu, Yu, Li, Mian, Gao, Zhengnan, Wang, Guixia, Hou, Xinguo, Chen, Li, Huo, Yanan, Qin, Guijun, Yan, Li, Wan, Qin, Zeng, Tianshu, Chen, Lulu, Shi, Lixin, Hu, Ruying, Tang, Xulei, Su, Qing, Yu, Xuefeng, Qin, Yingfen, Chen, Gang, Gu, Xuejiang, Shen, Feixia, Luo, Zuojie, Chen, Yuhong, Zhang, Yinfei, Liu, Chao, Wang, Youmin, Wu, Shengli, Yang, Tao, Li, Qiang, Mu, Yiming, Zhao, Jiajun, Hu, Chunyan, Jia, Xiaojing, Xu, Min, Wang, Tiange, Zhao, Zhiyun, Wang, Shuangyuan, Lin, Hong, Ning, Guang, Wang, Weiqing, Lu, Jieli, Bi, Yufang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10040373/
https://www.ncbi.nlm.nih.gov/pubmed/36863337
http://dx.doi.org/10.1016/j.xcrm.2023.100958
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author Zheng, Ruizhi
Xu, Yu
Li, Mian
Gao, Zhengnan
Wang, Guixia
Hou, Xinguo
Chen, Li
Huo, Yanan
Qin, Guijun
Yan, Li
Wan, Qin
Zeng, Tianshu
Chen, Lulu
Shi, Lixin
Hu, Ruying
Tang, Xulei
Su, Qing
Yu, Xuefeng
Qin, Yingfen
Chen, Gang
Gu, Xuejiang
Shen, Feixia
Luo, Zuojie
Chen, Yuhong
Zhang, Yinfei
Liu, Chao
Wang, Youmin
Wu, Shengli
Yang, Tao
Li, Qiang
Mu, Yiming
Zhao, Jiajun
Hu, Chunyan
Jia, Xiaojing
Xu, Min
Wang, Tiange
Zhao, Zhiyun
Wang, Shuangyuan
Lin, Hong
Ning, Guang
Wang, Weiqing
Lu, Jieli
Bi, Yufang
author_facet Zheng, Ruizhi
Xu, Yu
Li, Mian
Gao, Zhengnan
Wang, Guixia
Hou, Xinguo
Chen, Li
Huo, Yanan
Qin, Guijun
Yan, Li
Wan, Qin
Zeng, Tianshu
Chen, Lulu
Shi, Lixin
Hu, Ruying
Tang, Xulei
Su, Qing
Yu, Xuefeng
Qin, Yingfen
Chen, Gang
Gu, Xuejiang
Shen, Feixia
Luo, Zuojie
Chen, Yuhong
Zhang, Yinfei
Liu, Chao
Wang, Youmin
Wu, Shengli
Yang, Tao
Li, Qiang
Mu, Yiming
Zhao, Jiajun
Hu, Chunyan
Jia, Xiaojing
Xu, Min
Wang, Tiange
Zhao, Zhiyun
Wang, Shuangyuan
Lin, Hong
Ning, Guang
Wang, Weiqing
Lu, Jieli
Bi, Yufang
author_sort Zheng, Ruizhi
collection PubMed
description Prediabetes and its pathophysiology remain important issues. We aimed to examine the cluster characteristics of prediabetes and explore their associations with developing diabetes and its complications based on 12 variables representing body fat, glycemic measures, pancreatic β cell function, insulin resistance, blood lipids, and liver enzymes. A total of 55,777 individuals with prediabetes from the China Cardiometabolic Disease and Cancer Cohort (4C) were classified at baseline into six clusters. During a median of 3.1 years of follow-up, significant differences in the risks of diabetes and its complications between clusters were observed. The odds ratios of diabetes stepwisely increase from cluster 1 to cluster 6. Clusters 1, 4, and 6 have increased chronic kidney diseases risks, while the prediabetes in cluster 4, characterized by obesity and insulin resistance, confers higher risks of cardiovascular diseases compared with others. This subcategorization has potential value in developing more precise strategies for targeted prediabetes prevention and treatment.
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spelling pubmed-100403732023-03-28 Data-driven subgroups of prediabetes and the associations with outcomes in Chinese adults Zheng, Ruizhi Xu, Yu Li, Mian Gao, Zhengnan Wang, Guixia Hou, Xinguo Chen, Li Huo, Yanan Qin, Guijun Yan, Li Wan, Qin Zeng, Tianshu Chen, Lulu Shi, Lixin Hu, Ruying Tang, Xulei Su, Qing Yu, Xuefeng Qin, Yingfen Chen, Gang Gu, Xuejiang Shen, Feixia Luo, Zuojie Chen, Yuhong Zhang, Yinfei Liu, Chao Wang, Youmin Wu, Shengli Yang, Tao Li, Qiang Mu, Yiming Zhao, Jiajun Hu, Chunyan Jia, Xiaojing Xu, Min Wang, Tiange Zhao, Zhiyun Wang, Shuangyuan Lin, Hong Ning, Guang Wang, Weiqing Lu, Jieli Bi, Yufang Cell Rep Med Article Prediabetes and its pathophysiology remain important issues. We aimed to examine the cluster characteristics of prediabetes and explore their associations with developing diabetes and its complications based on 12 variables representing body fat, glycemic measures, pancreatic β cell function, insulin resistance, blood lipids, and liver enzymes. A total of 55,777 individuals with prediabetes from the China Cardiometabolic Disease and Cancer Cohort (4C) were classified at baseline into six clusters. During a median of 3.1 years of follow-up, significant differences in the risks of diabetes and its complications between clusters were observed. The odds ratios of diabetes stepwisely increase from cluster 1 to cluster 6. Clusters 1, 4, and 6 have increased chronic kidney diseases risks, while the prediabetes in cluster 4, characterized by obesity and insulin resistance, confers higher risks of cardiovascular diseases compared with others. This subcategorization has potential value in developing more precise strategies for targeted prediabetes prevention and treatment. Elsevier 2023-03-01 /pmc/articles/PMC10040373/ /pubmed/36863337 http://dx.doi.org/10.1016/j.xcrm.2023.100958 Text en © 2023. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Zheng, Ruizhi
Xu, Yu
Li, Mian
Gao, Zhengnan
Wang, Guixia
Hou, Xinguo
Chen, Li
Huo, Yanan
Qin, Guijun
Yan, Li
Wan, Qin
Zeng, Tianshu
Chen, Lulu
Shi, Lixin
Hu, Ruying
Tang, Xulei
Su, Qing
Yu, Xuefeng
Qin, Yingfen
Chen, Gang
Gu, Xuejiang
Shen, Feixia
Luo, Zuojie
Chen, Yuhong
Zhang, Yinfei
Liu, Chao
Wang, Youmin
Wu, Shengli
Yang, Tao
Li, Qiang
Mu, Yiming
Zhao, Jiajun
Hu, Chunyan
Jia, Xiaojing
Xu, Min
Wang, Tiange
Zhao, Zhiyun
Wang, Shuangyuan
Lin, Hong
Ning, Guang
Wang, Weiqing
Lu, Jieli
Bi, Yufang
Data-driven subgroups of prediabetes and the associations with outcomes in Chinese adults
title Data-driven subgroups of prediabetes and the associations with outcomes in Chinese adults
title_full Data-driven subgroups of prediabetes and the associations with outcomes in Chinese adults
title_fullStr Data-driven subgroups of prediabetes and the associations with outcomes in Chinese adults
title_full_unstemmed Data-driven subgroups of prediabetes and the associations with outcomes in Chinese adults
title_short Data-driven subgroups of prediabetes and the associations with outcomes in Chinese adults
title_sort data-driven subgroups of prediabetes and the associations with outcomes in chinese adults
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10040373/
https://www.ncbi.nlm.nih.gov/pubmed/36863337
http://dx.doi.org/10.1016/j.xcrm.2023.100958
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