1
|
Li R, He M, Yang Q, Liang Z, Li Y, Huang L, Wu R, Huang J. Association between serum creatinine and type 2 diabetes in the Chinese population: a retrospective cohort study. Sci Rep 2023; 13:6806. [PMID: 37100791 PMCID: PMC10133309 DOI: 10.1038/s41598-023-33878-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2023] [Accepted: 04/20/2023] [Indexed: 04/28/2023] Open
Abstract
The relationship between serum creatinine and type 2 diabetes is limited. We aimed to investigate the association of baseline serum creatinine and new-onset type 2 diabetes in Chinese population. This retrospective cohort study was conducted using data from the health screening program in China. The population were divided into four groups based on serum creatinine levels, and the outcome of interest was the occurrence of a diabetic event. Cox proportional risk model was used to assess the independent effect of baseline serum creatinine level on future diabetes risk. Sensitivity and subgroup analysis were used to verify the reliability of the results. After an average follow-up of 3.12 years, among 201,298 individuals aged ≥ 20 years, 3389 patients developed diabetes. Compared with participants in quartile 2-4 (> 51.6umol/L for female, > 71.8umol/L for male,), a significantly higher risk of new-onset Type 2 Diabetes (OR, 1.15; 95%CI: 1.07-1.23) was found in those in quartile 1 (< 51.6umol/L for female, < 71.8umol/L for male). Moreover, Similar results were found in various subgroups stratified by age, BMI, TG, TC, FPG and family history group. Low serum creatinine is independently associated with increased risk of type 2 diabetes in Chinese adults. It was also stable in various subgroups stratified.
Collapse
Affiliation(s)
- Rugang Li
- Department of Nephrology, Yuebei People's Hospital, No. 133 South Huimin Road, Shaoguan, 512026, Guangdong, China
| | - Min He
- Department of Nephrology, Yuebei People's Hospital, No. 133 South Huimin Road, Shaoguan, 512026, Guangdong, China
| | - Qilin Yang
- Department of Critical Care, the Second Affiliated Hospital of Guangzhou Medical University, No. 250 Changgang East Road, Haizhu District, Guangzhou, Guangdong, China
| | - Zezhi Liang
- Department of Nephrology, Yuebei People's Hospital, No. 133 South Huimin Road, Shaoguan, 512026, Guangdong, China
| | - Ying Li
- Department of Nephrology, Yuebei People's Hospital, No. 133 South Huimin Road, Shaoguan, 512026, Guangdong, China
| | - Ling Huang
- Department of Nephrology, Yuebei People's Hospital, No. 133 South Huimin Road, Shaoguan, 512026, Guangdong, China
| | - Rong Wu
- Department of Cardiology, Chenzhou Third People's Hospital, Chenzhou, 423000, Hunan, China
| | - Jieping Huang
- Department of Nephrology, Yuebei People's Hospital, No. 133 South Huimin Road, Shaoguan, 512026, Guangdong, China.
| |
Collapse
|