Table 2. Clinical and cardiometabolic characteristic of adolescents and adults stratified by parental history (yes/no).
Adolescents |
Adults |
Meta-analysis |
||||||||
---|---|---|---|---|---|---|---|---|---|---|
Parental diabetic history |
Padjusted |
Parental diabetic history |
Padjusted | Pfixed | Prandom |
Heterogeneity test |
||||
No | Yes | No | Yes | PQ | I2 | |||||
N | 1861 | 165 | — | 411 | 144 | — | — | — | — | — |
Sex (male %) | 44.8% (833) | 53.9% (89) | 0.0239 | 199 (48%) | 69 (48%) | 0.9174 | — | — | — | — |
Age (years) | 15.55±2.04 | 15.76±2.08 | 0.1265 | 43.9±8.35 | 42.51±7.74 | 0.0807 | — | — | — | — |
Obesity traits | ||||||||||
Body height (cm) | 161.4±8.3 | 162.3±9.6 | 0.7238 | 161.6±8.1 | 160.4±8.8 | 0.0108 | 0.0440 | 0.2009 | 0.1058 | 0.6177 |
Body weight (kg) | 52.1±11.2 | 55.3±12.9 | 0.0081 | 61.8±10.9 | 63±12.6 | 0.1988 | 0.0048 | 0.0048 | 0.3908 | 0.0000 |
Body mass index (kg m−2) | 19.9±3.4 | 20.9±3.9 | 0.0013 | 23.6±3.3 | 24.4±4 | 0.0071 | 2.6 × 10−5 | 2.6 × 10−5 | 0.9882 | 0.0000 |
Waist circumference (cm) | ||||||||||
Male | 71.2±8.5 | 72.8±9.3 | 0.1382 | 83.8±8.2 | 85.5±9.5 | 0.1378 | 0.0370 | 0.0370 | 0.7954 | 0.0000 |
Female | 65.6±6.6 | 67.5±8 | 0.0219 | 74.1±8.3 | 74.9±9.2 | 0.3339 | 0.0150 | 0.0150 | 0.5939 | 0.0000 |
Hip circumference (cm) | 88.9±7.7 | 90.4±8.8 | 0.0693 | 93.7±5.8 | 94.6±7.1 | 0.1562 | 0.0224 | 0.0224 | 0.7465 | 0.0000 |
Waist–hip ratio | 0.77±0.05 | 0.78±0.05 | 0.0122 | 0.84±0.07 | 0.84±0.08 | 0.1768 | 0.0045 | 0.0045 | 0.8264 | 0.0000 |
Body fat percentage (%) | 21.2±6.9 | 21.9±7.9 | 0.0292 | 27.5±6.6 | 28.6±7.5 | 0.0565 | 0.0037 | 0.0037 | 0.9854 | 0.0000 |
Glucose-related traits | ||||||||||
Fasting plasma glucose (mmol l−1) | 4.7±0.35 | 4.72±0.36 | 0.5558 | 4.96±0.62 | 5.18±0.75 | 2.1 × 10−4 | 0.0381 | 0.2760 | 0.0016 | 0.9001 |
Fasting plasma insulin (pmol l−1) | 46.8 (45.8–47.7) | 49.8 (46.4–53.4) | 0.0377 | 44.4 (41.3–47.8) | 53.6 (47.9–60.1) | 0.0113 | 0.0028 | 0.0314 | 0.1753 | 0.4555 |
HOMA-IR | 1.62 (1.59–1.66) | 1.73 (1.61–1.87) | 0.0393 | 1.62 (1.51–1.75) | 2.05 (1.82–2.31) | 0.0023 | 0.0013 | 0.0638 | 0.0675 | 0.7009 |
HOMA-β | 135.8 (132.8–139) | 143.5 (133.1–154.7) | 0.1113 | 109 (100.9–117.8) | 115.5 (102.1–130.6) | 0.6061 | 0.0993 | 0.0993 | 0.7663 | 0.0000 |
2-h glucose (mmol l−1)a | 6.05±1.61 | 6.15±1.5 | 0.6928 | 6.39±2.31 | 6.79±2.75 | 0.0488 | 0.0732 | 0.0732 | 0.3577 | 0.0000 |
2-h insulin (pmol l−1)a | 460.8 (415.9–510.5) | 492 (376–643.8) | 0.6031 | 271.4 (252.8–291.5) | 313.7 (276.3–356.3) | 0.0535 | 0.0495 | 0.0495 | 0.6937 | 0.0000 |
Glucose AUC during OGTT at 0–120 mina | 814.9±160.9 | 835.7±140.3 | 0.4652 | 893.8±224 | 954.5±263.4 | 0.0027 | 0.0045 | 0.0318 | 0.2151 | 0.3492 |
Insulin AUC during OGTT at 0–120 mina | 59702 (55381–64360) | 56779 (45538–70795) | 0.7045 | 36227 (34372–38182) | 40664 (36720–45032) | 0.0587 | 0.1274 | 0.3453 | 0.2353 | 0.2899 |
Insulinogenic indexa | 32 (29–35.4) | 27.6 (21–36.1) | 0.3145 | 13.2 (12.2–14.3) | 12.8 (10.9–15.1) | 0.5342 | 0.3028 | 0.3028 | 0.5594 | 0.0000 |
Insulin sensitivity indexa | 68.2 (62.7–74.3) | 63.3 (49.8–80.4) | 0.4803 | 93.8 (88.4–99.6) | 77 (69.2–85.6) | 0.0014 | 0.0015 | 0.0015 | 0.4284 | 0.0000 |
Oral disposition indexa | 17.64 (15.9–19.57) | 12.64 (10.36–15.43) | 0.0294 | 8.46 (7.65–9.36) | 6.21 (5.15–7.48) | 0.0015 | 1.1 × 10−4 | 1.1 × 10−4 | 0.9682 | 0.0000 |
Blood pressure | ||||||||||
Systolic blood pressure (mm Hg) | 116.8±12.6 | 118.4±13.8 | 0.3760 | 117±17.8 | 119.3±19 | 0.0387 | 0.0654 | 0.1319 | 0.1947 | 0.4055 |
Diastolic blood pressure (mm Hg) | 72.6±9.2 | 71.8±9.9 | 0.3419 | 75.5±10.7 | 77.1±11.7 | 0.0419 | 0.6244 | 0.6748 | 0.0281 | 0.7926 |
Lipid profile | ||||||||||
Total cholesterol (mmol l−1) | 4.17±0.7 | 4.19±0.72 | 0.5544 | 5.21±0.93 | 5.32±0.98 | 0.0849 | 0.1500 | 0.1842 | 0.2624 | 0.2038 |
Triglycerides (mmol l−1) | 0.76 (0.75–0.77) | 0.77 (0.73–0.82) | 0.4085 | 1.07 (1.01–1.12) | 1.18 (1.08–1.29) | 0.0183 | 0.0465 | 0.1481 | 0.1275 | 0.5696 |
HDL cholesterol (mmol l−1) | 1.6±0.31 | 1.6±0.32 | 0.9900 | 1.59±0.42 | 1.53±0.4 | 0.0970 | 0.3504 | 0.4095 | 0.1691 | 0.4713 |
LDL cholesterol (mmol l−1) | 2.2±0.6 | 2.21±0.65 | 0.6292 | 3.06±0.84 | 3.19±0.85 | 0.0351 | 0.1275 | 0.2445 | 0.1234 | 0.5788 |
Cardiovascular risk factor | ||||||||||
Albumin-creatinine ratio | 0.61 (0.58–0.64) | 0.58 (0.49–0.68) | 0.7971 | 0.81 (0.73–0.89) | 0.88 (0.73–1.08) | 0.2856 | 0.6159 | 0.6159 | 0.3280 | 0.0000 |
Abbreviations: AUC, areas under the curve; HDL, high-density lipoprotein; HOMA-IR, homoeostasis model assessment of insulin resistance; HOMA-β, homoeostasis model assessment of β-cell function; LDL, low-density lipoprotein; OGTT, oral glucose tolerance test.
Data were expressed as n, %, mean±s.d. or geometric mean (95% confidence interval).
Padjusted refers to P-value obtained from linear regression adjusted by sex and age.
Pfixed and Prandom refer to P-value obtained from meta-analysis using fixed- and random-effect model, respectively.
PQ refers to P-value of Cochran's Q statistics in heterogeneity test.
I2 index is used to quantify the degree of heterogeneity of β-coefficient. I2 values around 25, 50 and 75% would mean low, medium and high heterogeneity.
Indicates only a subset of samples (285 adolescents and 555 adults) who were included in the analysis.