Association between blood urea nitrogen and incidence of type 2 diabetes mellitus in a Chinese population: a cohort study
To examine the association between blood urea nitrogen (BUN) and risk of type 2 diabetes (T2DM) among Chinese adults, we performed an ongoing cohort study of 38578 Chinese adults (56.3% males; average age, 41.6 y) who underwent repeated health check-up examinations between 2009 and 2016 and without...
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| Veröffentlicht in: | ENDOCRINE JOURNAL 2021, Vol.68(9), pp.1057-1065 |
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| creator | Li, Shu-na Cui, Yun-feng Luo, Ze-yan Lou, Yan-mei Liao, Min-qi Chen, Hong-en Peng, Xiao-lin Gao, Xu-ping Zhao, Dan Xu, Shan Wang, Li Ma, Jian-ping Chen, Qing-shan Ping, Zhao Liu, Huina Zeng, Fang-fang |
| description | To examine the association between blood urea nitrogen (BUN) and risk of type 2 diabetes (T2DM) among Chinese adults, we performed an ongoing cohort study of 38578 Chinese adults (56.3% males; average age, 41.6 y) who underwent repeated health check-up examinations between 2009 and 2016 and without T2DM at baseline. During follow-up, incident T2DM cases were identified based on self-report, medication use, measurements of fasting plasma glucose, 2 h post oral glucose, or haemoglobinA1c. 2009 (5.2%) cases confirmed with incident T2DM were identified during median follow-up of 3.1 years. With increasing quartiles of BUN levels, the incidences of T2DM gradually increased with 0.69%, 1.11%, 1.53%, and 1.87% for quartile 1 to quartile 4 (p trend |
| doi_str_mv | 10.1507/endocrj.EJ20-0794 |
| format | Article |
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During follow-up, incident T2DM cases were identified based on self-report, medication use, measurements of fasting plasma glucose, 2 h post oral glucose, or haemoglobinA1c. 2009 (5.2%) cases confirmed with incident T2DM were identified during median follow-up of 3.1 years. With increasing quartiles of BUN levels, the incidences of T2DM gradually increased with 0.69%, 1.11%, 1.53%, and 1.87% for quartile 1 to quartile 4 (p trend <0.001). Compared with quartile 1, the multivariate-adjusted hazard ratios (HRs) and its 95% confidence intervals (95% CIs) for T2DM risk were 1.16 (0.97–1.38) for quartile 2, 1.28 (1.07–1.51) for quartile 3, and 1.28 (1.08–1.52) for quartile 4 (p trend = 0.005). HR for per each standard deviation increase in BUN level was 1.10 (1.04–1.16) (p trend <0.001). This association tended to be more pronounced in those with a lower body mass index at baseline (p-interaction <0.001). Our results suggested that BUN levels were positively associated with incident T2DM risk among Chinese adults. Future prospective investigations in other populations are necessary to confirm our findings.</description><identifier>ISSN: 0918-8959</identifier><identifier>EISSN: 1348-4540</identifier><identifier>DOI: 10.1507/endocrj.EJ20-0794</identifier><identifier>PMID: 33907068</identifier><language>eng</language><publisher>Japan: The Japan Endocrine Society</publisher><subject>Adult ; Aged ; Asians - statistics & numerical data ; Blood Glucose - analysis ; Blood Urea Nitrogen ; Body Mass Index ; China - epidemiology ; Chronic kidney disease ; Cohort analysis ; Cohort Studies ; Cohort study ; Diabetes ; Diabetes mellitus (non-insulin dependent) ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - epidemiology ; Female ; Humans ; Male ; Middle Aged ; Population studies ; Risk Factors ; Type 2 of diabetes mellitus ; Urea</subject><ispartof>Endocrine Journal, 2021, Vol.68(9), pp.1057-1065</ispartof><rights>The Japan Endocrine Society</rights><rights>Copyright Japan Science and Technology Agency 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c691t-a0a4df1492878ca350985869859e93dc0f4488fe6e369aeb6e506c01f3d4a12f3</citedby><cites>FETCH-LOGICAL-c691t-a0a4df1492878ca350985869859e93dc0f4488fe6e369aeb6e506c01f3d4a12f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,1884,27926,27927</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33907068$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Shu-na</creatorcontrib><creatorcontrib>Cui, Yun-feng</creatorcontrib><creatorcontrib>Luo, Ze-yan</creatorcontrib><creatorcontrib>Lou, Yan-mei</creatorcontrib><creatorcontrib>Liao, Min-qi</creatorcontrib><creatorcontrib>Chen, Hong-en</creatorcontrib><creatorcontrib>Peng, Xiao-lin</creatorcontrib><creatorcontrib>Gao, Xu-ping</creatorcontrib><creatorcontrib>Zhao, Dan</creatorcontrib><creatorcontrib>Xu, Shan</creatorcontrib><creatorcontrib>Wang, Li</creatorcontrib><creatorcontrib>Ma, Jian-ping</creatorcontrib><creatorcontrib>Chen, Qing-shan</creatorcontrib><creatorcontrib>Ping, Zhao</creatorcontrib><creatorcontrib>Liu, Huina</creatorcontrib><creatorcontrib>Zeng, Fang-fang</creatorcontrib><creatorcontrib>School of Medicine</creatorcontrib><creatorcontrib>Department of Epidemiology</creatorcontrib><creatorcontrib>Department of Child & Adolescent Psychiatry</creatorcontrib><creatorcontrib>Department of Global Health</creatorcontrib><creatorcontrib>Ningbo Institute of Life and Health Industry</creatorcontrib><creatorcontrib>University of Chinese Academy of Sciences</creatorcontrib><creatorcontrib>Shenzhen Nanshan Center for Chronic Disease Control</creatorcontrib><creatorcontrib>Hwa Mei Hospital</creatorcontrib><creatorcontrib>Department of Health Management</creatorcontrib><creatorcontrib>Peking University Sixth Hospital (Institute of Mental Health</creatorcontrib><creatorcontrib>Jinan University</creatorcontrib><creatorcontrib>Department of Non-communicable Disease Prevention and Control</creatorcontrib><creatorcontrib>Key Laboratory of Diagnosis and Treatment of Digestive System Tumors of Zhejiang Province</creatorcontrib><creatorcontrib>Beijing Xiao Tang Shan Hospital</creatorcontrib><title>Association between blood urea nitrogen and incidence of type 2 diabetes mellitus in a Chinese population: a cohort study</title><title>ENDOCRINE JOURNAL</title><addtitle>Endocr J</addtitle><description>To examine the association between blood urea nitrogen (BUN) and risk of type 2 diabetes (T2DM) among Chinese adults, we performed an ongoing cohort study of 38578 Chinese adults (56.3% males; average age, 41.6 y) who underwent repeated health check-up examinations between 2009 and 2016 and without T2DM at baseline. During follow-up, incident T2DM cases were identified based on self-report, medication use, measurements of fasting plasma glucose, 2 h post oral glucose, or haemoglobinA1c. 2009 (5.2%) cases confirmed with incident T2DM were identified during median follow-up of 3.1 years. With increasing quartiles of BUN levels, the incidences of T2DM gradually increased with 0.69%, 1.11%, 1.53%, and 1.87% for quartile 1 to quartile 4 (p trend <0.001). Compared with quartile 1, the multivariate-adjusted hazard ratios (HRs) and its 95% confidence intervals (95% CIs) for T2DM risk were 1.16 (0.97–1.38) for quartile 2, 1.28 (1.07–1.51) for quartile 3, and 1.28 (1.08–1.52) for quartile 4 (p trend = 0.005). HR for per each standard deviation increase in BUN level was 1.10 (1.04–1.16) (p trend <0.001). This association tended to be more pronounced in those with a lower body mass index at baseline (p-interaction <0.001). Our results suggested that BUN levels were positively associated with incident T2DM risk among Chinese adults. Future prospective investigations in other populations are necessary to confirm our findings.</description><subject>Adult</subject><subject>Aged</subject><subject>Asians - statistics & numerical data</subject><subject>Blood Glucose - analysis</subject><subject>Blood Urea Nitrogen</subject><subject>Body Mass Index</subject><subject>China - epidemiology</subject><subject>Chronic kidney disease</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Cohort study</subject><subject>Diabetes</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Population studies</subject><subject>Risk Factors</subject><subject>Type 2 of diabetes mellitus</subject><subject>Urea</subject><issn>0918-8959</issn><issn>1348-4540</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU9v1DAQxSMEokvhA3BBlrhwSbHjP7G5VatSiipxgbPldSZdr7JxajtC--2Z7S6p1MuMNP7Nmye_qvrI6BWTtP0KYxd92l3d_GxoTVsjXlUrxoWuhRT0dbWihulaG2kuqnc57yjlXAr-trrg3NCWKr2qDtc5Rx9cCXEkGyh_AbAPMXZkTuDIGEqKDzhzY0fC6EMHowcSe1IOE5CGdMHhGmSyh2EIZc5IEUfW2zBCBjLFaR6e1L_h1MdtTIXkMneH99Wb3g0ZPpz7ZfXn-83v9Y_6_tft3fr6vvbKsFI76kTXM2Ea3WrvuKRGS62wGDC887QXQuseFHBlHGwUSKo8ZT3vhGNNzy-rLyfdKcXHGXKx-5A9mnUjxDnbRjLDmWikRPTzC3QX5zSiO6RaLVkjeIMUO1E-xZwT9HZKYe_SwTJqj7nYcy72mIs95oI7n87K82YP3bLxPwgEbk8AvgbvhjgO-IHP9_2jelK1DW2YpbhCDTaON2WLRUmuMWmtnpV2ubgHWE65VIIfYDGntDXHsphcCL91CTH-D3bpuyo</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Li, Shu-na</creator><creator>Cui, Yun-feng</creator><creator>Luo, Ze-yan</creator><creator>Lou, Yan-mei</creator><creator>Liao, Min-qi</creator><creator>Chen, Hong-en</creator><creator>Peng, Xiao-lin</creator><creator>Gao, Xu-ping</creator><creator>Zhao, Dan</creator><creator>Xu, Shan</creator><creator>Wang, Li</creator><creator>Ma, Jian-ping</creator><creator>Chen, Qing-shan</creator><creator>Ping, Zhao</creator><creator>Liu, Huina</creator><creator>Zeng, Fang-fang</creator><general>The Japan Endocrine Society</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>20210101</creationdate><title>Association between blood urea nitrogen and incidence of type 2 diabetes mellitus in a Chinese population: a cohort study</title><author>Li, Shu-na ; Cui, Yun-feng ; Luo, Ze-yan ; Lou, Yan-mei ; Liao, Min-qi ; Chen, Hong-en ; Peng, Xiao-lin ; Gao, Xu-ping ; Zhao, Dan ; Xu, Shan ; Wang, Li ; Ma, Jian-ping ; Chen, Qing-shan ; Ping, Zhao ; Liu, Huina ; Zeng, Fang-fang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c691t-a0a4df1492878ca350985869859e93dc0f4488fe6e369aeb6e506c01f3d4a12f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Asians - statistics & numerical data</topic><topic>Blood Glucose - analysis</topic><topic>Blood Urea Nitrogen</topic><topic>Body Mass Index</topic><topic>China - epidemiology</topic><topic>Chronic kidney disease</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Cohort study</topic><topic>Diabetes</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Diabetes Mellitus, Type 2 - blood</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Population studies</topic><topic>Risk Factors</topic><topic>Type 2 of diabetes mellitus</topic><topic>Urea</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Shu-na</creatorcontrib><creatorcontrib>Cui, Yun-feng</creatorcontrib><creatorcontrib>Luo, Ze-yan</creatorcontrib><creatorcontrib>Lou, Yan-mei</creatorcontrib><creatorcontrib>Liao, Min-qi</creatorcontrib><creatorcontrib>Chen, Hong-en</creatorcontrib><creatorcontrib>Peng, Xiao-lin</creatorcontrib><creatorcontrib>Gao, Xu-ping</creatorcontrib><creatorcontrib>Zhao, Dan</creatorcontrib><creatorcontrib>Xu, Shan</creatorcontrib><creatorcontrib>Wang, Li</creatorcontrib><creatorcontrib>Ma, Jian-ping</creatorcontrib><creatorcontrib>Chen, Qing-shan</creatorcontrib><creatorcontrib>Ping, Zhao</creatorcontrib><creatorcontrib>Liu, Huina</creatorcontrib><creatorcontrib>Zeng, Fang-fang</creatorcontrib><creatorcontrib>School of Medicine</creatorcontrib><creatorcontrib>Department of Epidemiology</creatorcontrib><creatorcontrib>Department of Child & Adolescent Psychiatry</creatorcontrib><creatorcontrib>Department of Global Health</creatorcontrib><creatorcontrib>Ningbo Institute of Life and Health Industry</creatorcontrib><creatorcontrib>University of Chinese Academy of Sciences</creatorcontrib><creatorcontrib>Shenzhen Nanshan Center for Chronic Disease Control</creatorcontrib><creatorcontrib>Hwa Mei Hospital</creatorcontrib><creatorcontrib>Department of Health Management</creatorcontrib><creatorcontrib>Peking University Sixth Hospital (Institute of Mental Health</creatorcontrib><creatorcontrib>Jinan University</creatorcontrib><creatorcontrib>Department of Non-communicable Disease Prevention and Control</creatorcontrib><creatorcontrib>Key Laboratory of Diagnosis and Treatment of Digestive System Tumors of Zhejiang Province</creatorcontrib><creatorcontrib>Beijing Xiao Tang Shan Hospital</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>ENDOCRINE JOURNAL</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Shu-na</au><au>Cui, Yun-feng</au><au>Luo, Ze-yan</au><au>Lou, Yan-mei</au><au>Liao, Min-qi</au><au>Chen, Hong-en</au><au>Peng, Xiao-lin</au><au>Gao, Xu-ping</au><au>Zhao, Dan</au><au>Xu, Shan</au><au>Wang, Li</au><au>Ma, Jian-ping</au><au>Chen, Qing-shan</au><au>Ping, Zhao</au><au>Liu, Huina</au><au>Zeng, Fang-fang</au><aucorp>School of Medicine</aucorp><aucorp>Department of Epidemiology</aucorp><aucorp>Department of Child & Adolescent Psychiatry</aucorp><aucorp>Department of Global Health</aucorp><aucorp>Ningbo Institute of Life and Health Industry</aucorp><aucorp>University of Chinese Academy of Sciences</aucorp><aucorp>Shenzhen Nanshan Center for Chronic Disease Control</aucorp><aucorp>Hwa Mei Hospital</aucorp><aucorp>Department of Health Management</aucorp><aucorp>Peking University Sixth Hospital (Institute of Mental Health</aucorp><aucorp>Jinan University</aucorp><aucorp>Department of Non-communicable Disease Prevention and Control</aucorp><aucorp>Key Laboratory of Diagnosis and Treatment of Digestive System Tumors of Zhejiang Province</aucorp><aucorp>Beijing Xiao Tang Shan Hospital</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between blood urea nitrogen and incidence of type 2 diabetes mellitus in a Chinese population: a cohort study</atitle><jtitle>ENDOCRINE JOURNAL</jtitle><addtitle>Endocr J</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>68</volume><issue>9</issue><spage>1057</spage><epage>1065</epage><pages>1057-1065</pages><artnum>EJ20-0794</artnum><issn>0918-8959</issn><eissn>1348-4540</eissn><abstract>To examine the association between blood urea nitrogen (BUN) and risk of type 2 diabetes (T2DM) among Chinese adults, we performed an ongoing cohort study of 38578 Chinese adults (56.3% males; average age, 41.6 y) who underwent repeated health check-up examinations between 2009 and 2016 and without T2DM at baseline. During follow-up, incident T2DM cases were identified based on self-report, medication use, measurements of fasting plasma glucose, 2 h post oral glucose, or haemoglobinA1c. 2009 (5.2%) cases confirmed with incident T2DM were identified during median follow-up of 3.1 years. With increasing quartiles of BUN levels, the incidences of T2DM gradually increased with 0.69%, 1.11%, 1.53%, and 1.87% for quartile 1 to quartile 4 (p trend <0.001). Compared with quartile 1, the multivariate-adjusted hazard ratios (HRs) and its 95% confidence intervals (95% CIs) for T2DM risk were 1.16 (0.97–1.38) for quartile 2, 1.28 (1.07–1.51) for quartile 3, and 1.28 (1.08–1.52) for quartile 4 (p trend = 0.005). HR for per each standard deviation increase in BUN level was 1.10 (1.04–1.16) (p trend <0.001). This association tended to be more pronounced in those with a lower body mass index at baseline (p-interaction <0.001). Our results suggested that BUN levels were positively associated with incident T2DM risk among Chinese adults. Future prospective investigations in other populations are necessary to confirm our findings.</abstract><cop>Japan</cop><pub>The Japan Endocrine Society</pub><pmid>33907068</pmid><doi>10.1507/endocrj.EJ20-0794</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Endocrine Journal, 2021, Vol.68(9), pp.1057-1065 |
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| language | eng |
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| source | J-STAGE Free; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Aged Asians - statistics & numerical data Blood Glucose - analysis Blood Urea Nitrogen Body Mass Index China - epidemiology Chronic kidney disease Cohort analysis Cohort Studies Cohort study Diabetes Diabetes mellitus (non-insulin dependent) Diabetes Mellitus, Type 2 - blood Diabetes Mellitus, Type 2 - epidemiology Female Humans Male Middle Aged Population studies Risk Factors Type 2 of diabetes mellitus Urea |
| title | Association between blood urea nitrogen and incidence of type 2 diabetes mellitus in a Chinese population: a cohort study |
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