Life-course trajectories of weight and their impact on the incidence of type 2 diabetes

Abstract Although exposure to overweight and obesity at different ages is associated to a higher risk of type 2 diabetes, the effect of different patterns of exposure through life remains unclear. We aimed to characterize life-course trajectories of weight categories and estimate their impact on the...

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Autores principales: Diego Yacamán-Méndez, Ylva Trolle-Lagerros, Minhao Zhou, Antonio Monteiro Ponce de Leon, Hrafnhildur Gudjonsdottir, Per Tynelius, Anton Lager
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/5e9d98f53c3b422fa6126e1732de1c81
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spelling oai:doaj.org-article:5e9d98f53c3b422fa6126e1732de1c812021-12-02T17:23:49ZLife-course trajectories of weight and their impact on the incidence of type 2 diabetes10.1038/s41598-021-91910-z2045-2322https://doaj.org/article/5e9d98f53c3b422fa6126e1732de1c812021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-91910-zhttps://doaj.org/toc/2045-2322Abstract Although exposure to overweight and obesity at different ages is associated to a higher risk of type 2 diabetes, the effect of different patterns of exposure through life remains unclear. We aimed to characterize life-course trajectories of weight categories and estimate their impact on the incidence of type 2 diabetes. We categorized the weight of 7203 participants as lean, normal or overweight at five time-points from ages 7–55 using retrospective data. Participants were followed for an average of 19 years for the development of type 2 diabetes. We used latent class analysis to describe distinctive trajectories and estimated the risk ratio, absolute risk difference and population attributable fraction (PAF) associated to different trajectories using Poisson regression. We found five distinctive life-course trajectories. Using the stable-normal weight trajectory as reference, the stable overweight, lean increasing weight, overweight from early adulthood and overweight from late adulthood trajectories were associated to higher risk of type 2 diabetes. The estimated risk ratios and absolute risk differences were statistically significant for all trajectories, except for the risk ratio of the lean increasing trajectory group among men. Of the 981 incident cases of type 2 diabetes, 47.4% among women and 42.9% among men were attributable to exposure to any life-course trajectory different from stable normal weight. Most of the risk was attributable to trajectories including overweight or obesity at any point of life (36.8% of the cases among women and 36.7% among men). The overweight from early adulthood trajectory had the highest impact (PAF: 23.2% for woman and 28.5% for men). We described five distinctive life-course trajectories of weight that were associated to increased risk of type 2 diabetes over 19 years of follow-up. The variability of the effect of exposure to overweight and obesity on the risk of developing type 2 diabetes was largely explained by exposure to the different life-course trajectories of weight.Diego Yacamán-MéndezYlva Trolle-LagerrosMinhao ZhouAntonio Monteiro Ponce de LeonHrafnhildur GudjonsdottirPer TyneliusAnton LagerNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Diego Yacamán-Méndez
Ylva Trolle-Lagerros
Minhao Zhou
Antonio Monteiro Ponce de Leon
Hrafnhildur Gudjonsdottir
Per Tynelius
Anton Lager
Life-course trajectories of weight and their impact on the incidence of type 2 diabetes
description Abstract Although exposure to overweight and obesity at different ages is associated to a higher risk of type 2 diabetes, the effect of different patterns of exposure through life remains unclear. We aimed to characterize life-course trajectories of weight categories and estimate their impact on the incidence of type 2 diabetes. We categorized the weight of 7203 participants as lean, normal or overweight at five time-points from ages 7–55 using retrospective data. Participants were followed for an average of 19 years for the development of type 2 diabetes. We used latent class analysis to describe distinctive trajectories and estimated the risk ratio, absolute risk difference and population attributable fraction (PAF) associated to different trajectories using Poisson regression. We found five distinctive life-course trajectories. Using the stable-normal weight trajectory as reference, the stable overweight, lean increasing weight, overweight from early adulthood and overweight from late adulthood trajectories were associated to higher risk of type 2 diabetes. The estimated risk ratios and absolute risk differences were statistically significant for all trajectories, except for the risk ratio of the lean increasing trajectory group among men. Of the 981 incident cases of type 2 diabetes, 47.4% among women and 42.9% among men were attributable to exposure to any life-course trajectory different from stable normal weight. Most of the risk was attributable to trajectories including overweight or obesity at any point of life (36.8% of the cases among women and 36.7% among men). The overweight from early adulthood trajectory had the highest impact (PAF: 23.2% for woman and 28.5% for men). We described five distinctive life-course trajectories of weight that were associated to increased risk of type 2 diabetes over 19 years of follow-up. The variability of the effect of exposure to overweight and obesity on the risk of developing type 2 diabetes was largely explained by exposure to the different life-course trajectories of weight.
format article
author Diego Yacamán-Méndez
Ylva Trolle-Lagerros
Minhao Zhou
Antonio Monteiro Ponce de Leon
Hrafnhildur Gudjonsdottir
Per Tynelius
Anton Lager
author_facet Diego Yacamán-Méndez
Ylva Trolle-Lagerros
Minhao Zhou
Antonio Monteiro Ponce de Leon
Hrafnhildur Gudjonsdottir
Per Tynelius
Anton Lager
author_sort Diego Yacamán-Méndez
title Life-course trajectories of weight and their impact on the incidence of type 2 diabetes
title_short Life-course trajectories of weight and their impact on the incidence of type 2 diabetes
title_full Life-course trajectories of weight and their impact on the incidence of type 2 diabetes
title_fullStr Life-course trajectories of weight and their impact on the incidence of type 2 diabetes
title_full_unstemmed Life-course trajectories of weight and their impact on the incidence of type 2 diabetes
title_sort life-course trajectories of weight and their impact on the incidence of type 2 diabetes
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/5e9d98f53c3b422fa6126e1732de1c81
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