Document Detail


Prediction of incident diabetes mellitus by baseline IGF1 levels.
MedLine Citation:
PMID:  21059863     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: IGF1 is associated with metabolic parameters and involved in glucose metabolism. Low-IGF1 has been implicated in the etiology of glucose intolerance and subjects with pathological causes of either low- or high-IGF1 are at risk of diabetes. We hypothesized that both low- and high-IGF1 levels increase the risk of diabetes and aimed to assess the role of IGF1 in the risk of developing diabetes in a large prospective study.
DESIGN: An analysis of two prospective cohort studies, the DETECT study and SHIP.
METHODS: We measured IGF1 levels in 7777 nondiabetic subjects and assessed incident diabetes mellitus during follow-up.
RESULTS: There were 464 cases of incident diabetes during 32 229 person-years (time of follow-up in the DETECT study and SHIP: 4.5 and 5 years respectively). There was no heterogeneity between both studies (P > 0.4). The hazard ratios (HRs) of incident diabetes in subjects with IGF1 levels below the 10th or above the 90th age- and sex-specific percentile, compared to subjects with intermediate IGF1 levels, were 1.44 (95% confidence interval (CI) 1.07-1.94) and 1.55 (95% CI 1.06-2.06) respectively, after multiple adjustment. After further adjustment for metabolic parameters, the HR for low-IGF1 became insignificant. Analysis of IGF1 quintiles revealed a U-shaped association of IGF1 with risk of diabetes. Results remained similar after exclusion of patients with onset of new diabetes within 1 year or with borderline glucose or HbA1c levels at baseline.
CONCLUSIONS: Subjects with low- or high-IGF1 level are at increased risk of developing diabetes.
Authors:
Harald Jörn Schneider; Nele Friedrich; Jens Klotsche; Sabine Schipf; Matthias Nauck; Henry Völzke; Caroline Sievers; Lars Pieper; Winfried März; Hans-Ulrich Wittchen; Günter Karl Stalla; Henri Wallaschofski
Related Documents :
9295313 - Glucose increases both the plasma membrane number and phosphorylation of insulin-like g...
15662223 - Vascular responses to igf-i and insulin are impaired in aortae of hypertensive rats.
16939333 - Salt-induced changes in pork myofibrillar tissue investigated by ft-ir microspectroscop...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-11-08
Journal Detail:
Title:  European journal of endocrinology / European Federation of Endocrine Societies     Volume:  164     ISSN:  1479-683X     ISO Abbreviation:  Eur. J. Endocrinol.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9423848     Medline TA:  Eur J Endocrinol     Country:  England    
Other Details:
Languages:  eng     Pagination:  223-9     Citation Subset:  IM    
Affiliation:
Medizinische Klinik-Innenstadt, Ludwig-Maximilians University, Munich, Germany. harald.schneider@med.uni-muenchen.de
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Serum proteome changes in acromegalic patients following transsphenoidal surgery: novel biomarkers o...
Next Document:  The prevalence of thyroid disorders during early pregnancy in China: the benefits of universal scree...