Fitness, Body Habitus, and the Risk of Incident Type 2 Diabetes Mellitus in Korean Men

Sae Young Jae, Barry A. Franklin, Jina Choo, Eun Sun Yoon, Yoon Ho Choi, Won Hah Park

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Abstract

The relative contributions of cardiorespiratory fitness (CRF) and body habitus to predict incident type 2 diabetes mellitus (T2DM) remain unclear. We prospectively investigated the relation of CRF and body habitus on the risk of developing T2DM in men. Participants included 3,770 apparently healthy men who initially presented without baseline evidence of diabetes, cardiovascular disease, and hypertension. Participants were divided into 3 groups as normal weight (18.5 to 24.9 kg/m2), obese I (25.0 to 29.9 kg/m2), and obese II (≥30.0 kg/m2). CRF was directly measured by peak oxygen uptake (VO2peak) and categorized into unfit and fit cohorts based on the median value of age-specific VO2peak. Diabetes was defined as a glycated hemoglobin >6.5% and/or a fasting glucose >126 mg/dl at baseline and follow-up examinations. During a median follow-up of 5 years, 170 men (4.5%) developed diabetes. After adjusting for age and fasting glucose, the relative risk and 95% confidence interval (CI) for incident T2DM were 1.52 (95% CI 1.11 to 2.07) for obese I and 3.11 (95% CI 1.35 to 7.16) for obese II versus normal weight and 0.69 (95% CI 0.51 to 0.95) for fit versus unfit. However, these associations were no longer statistically significant after adjusting for potential confounders with VO2peak (1.32; 95% CI 0.96 to 1.83 for obese I and 1.61, 95% CI 0.64 to 4.06 for obese II vs normal weight) or body mass index (0.75, 95% CI 0.54 to 1.05 for fit vs unfit). In the joint analysis, obese-unfit men had 1.81 times (95% CI 1.22 to 2.69) greater risk of incident T2DM, but obese-fit men were not at increased risk of incident T2DM (0.95, 95% CI 0.57 to 1.58) compared with fit-normal weight men. In conclusion, these results suggest that both CRF and obesity predict the incidence of T2DM independent of potential confounders; however, CRF appears to attenuate the risk of developing diabetes in obese men.

Original languageEnglish
Pages (from-to)585-589
Number of pages5
JournalAmerican Journal of Cardiology
Volume117
Issue number4
DOIs
Publication statusPublished - 2016 Feb 15

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Type 2 Diabetes Mellitus
Confidence Intervals
Weights and Measures
Fasting
Glucose
Glycosylated Hemoglobin A
Body Mass Index
Cardiovascular Diseases
Obesity
Cardiorespiratory Fitness
Oxygen
Hypertension
Incidence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Fitness, Body Habitus, and the Risk of Incident Type 2 Diabetes Mellitus in Korean Men. / Jae, Sae Young; Franklin, Barry A.; Choo, Jina; Yoon, Eun Sun; Choi, Yoon Ho; Park, Won Hah.

In: American Journal of Cardiology, Vol. 117, No. 4, 15.02.2016, p. 585-589.

Research output: Contribution to journalArticle

Jae, Sae Young ; Franklin, Barry A. ; Choo, Jina ; Yoon, Eun Sun ; Choi, Yoon Ho ; Park, Won Hah. / Fitness, Body Habitus, and the Risk of Incident Type 2 Diabetes Mellitus in Korean Men. In: American Journal of Cardiology. 2016 ; Vol. 117, No. 4. pp. 585-589.
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abstract = "The relative contributions of cardiorespiratory fitness (CRF) and body habitus to predict incident type 2 diabetes mellitus (T2DM) remain unclear. We prospectively investigated the relation of CRF and body habitus on the risk of developing T2DM in men. Participants included 3,770 apparently healthy men who initially presented without baseline evidence of diabetes, cardiovascular disease, and hypertension. Participants were divided into 3 groups as normal weight (18.5 to 24.9 kg/m2), obese I (25.0 to 29.9 kg/m2), and obese II (≥30.0 kg/m2). CRF was directly measured by peak oxygen uptake (VO2peak) and categorized into unfit and fit cohorts based on the median value of age-specific VO2peak. Diabetes was defined as a glycated hemoglobin >6.5{\%} and/or a fasting glucose >126 mg/dl at baseline and follow-up examinations. During a median follow-up of 5 years, 170 men (4.5{\%}) developed diabetes. After adjusting for age and fasting glucose, the relative risk and 95{\%} confidence interval (CI) for incident T2DM were 1.52 (95{\%} CI 1.11 to 2.07) for obese I and 3.11 (95{\%} CI 1.35 to 7.16) for obese II versus normal weight and 0.69 (95{\%} CI 0.51 to 0.95) for fit versus unfit. However, these associations were no longer statistically significant after adjusting for potential confounders with VO2peak (1.32; 95{\%} CI 0.96 to 1.83 for obese I and 1.61, 95{\%} CI 0.64 to 4.06 for obese II vs normal weight) or body mass index (0.75, 95{\%} CI 0.54 to 1.05 for fit vs unfit). In the joint analysis, obese-unfit men had 1.81 times (95{\%} CI 1.22 to 2.69) greater risk of incident T2DM, but obese-fit men were not at increased risk of incident T2DM (0.95, 95{\%} CI 0.57 to 1.58) compared with fit-normal weight men. In conclusion, these results suggest that both CRF and obesity predict the incidence of T2DM independent of potential confounders; however, CRF appears to attenuate the risk of developing diabetes in obese men.",
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