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. 2018 Aug 8;8(8):e020665. doi: 10.1136/bmjopen-2017-020665

Table 4.

Clinical features of the study population according to haemoglobin A1c categories

ADA criteria P values Our proposed criteria P values
<5.7% 5.7%–6.4% ≥6.5% <5.5% 5.5%–6.1% ≥6.1%
N 494 78 9 374 191 16
Age (years) 20.30 (0.13) 19.28 (0.33)* 22.11 (0.86)† 0.001 20.38 (0.14) 19.67 (0.23)* 21.33 (0.90) 0.010
Sex (M/F) 253/241 49/29 6/3 0.115 189/185 108/83 11/5 0.176
BMI (kg/m2) 25.41 (0.24) 27.53 (0.83)* 28.73 (2.82) <0.001 25.03 (0.26) 26.90 (6.46)* 28.65 (2.11)† <0.001
WC (cm) 84.4 (0.6) 89.7 (2.1)* 97.7 (7.8)† <0.001 83.4 (0.7) 88.5 (1.12)* 94.0 (5.6)† <0.001
SBP (mm Hg)‡ 114.7 (0.5) 114.5 (1.2) 127.5 (3.6)†§ 0.002 114.6 (0.6) 115.1 (0.8) 119.2 (2.7) 0.251
DBP (mm Hg)‡ 72.9 (0.39) 75.2 (1.0) 81.7 (2.9)† 0.003 72.3 (0.5) 74.9 (0.6)¶ 78.3 (2.2)** <0.001
FBG (mmol/L)‡ 4.85 (0.03) 4.99 (0.08) 9.24 (0.23)†§ <0.001 4.82 (0.04) 4.94 (0.06) 7.61 (0.19)**†† <0.001
2hBG (mmol/l)‡ 5.87 (0.07) 6.46 (0.18)* 16.43 (0.51)†§ <0.001 5.80 (0.09) 6.15 (0.12) 12.89 (0.41)**†† <0.001
IFG, n (%) 16 (3.2) 8 (10.3)* 4 (44.4)†§ <0.001 6 (1.6) 15 (7.9)¶ 7 (43.8)**†† <0.001
IGT, n (%) 24 (5.0) 9 (12.0)* 2 (22.2)†§ <0.001 16 (4.4) 17 (9.2)¶ 2 (12.5)**†† <0.001
Pre-diabetes, n (%) 39 (8.1) 16 (21.3)* 2 (22.2)† <0.001 22 (6.1) 30 (16.3)¶ 4 (25.0)** <0.001
T2DM, n (%) 1 (0.2) 2 (2.6) 7 (77.8%)†§ <0.001 0 (0%) 1 (0.5%) 9 (56.3%)**†† <0.001
Ln FINS (mIU/L)‡‡ 1.92 (0.03) 1.97 (0.07) 2.64 (0.21)†§ 0.003 1.92 (0.03) 1.95 (0.04) 2.13 (0.16) 0.421
Ln 2h-INS (mU/L)‡‡ 3.58 (0.03) 3.76 (0.09) 3.73 (0.30) 0.164 3.60 (0.04) 3.60 (0.06) 3.76 (0.21) 0.778
Ln HOMA-IR‡‡ 0.38 (0.02) 0.46 (0.07) 1.58 (0.22)†§ <0.001 0.38 (0.03) 0.42 (0.05) 0.91 (0.17)**†† 0.007
Ln HOMA-⇇ 4.66 (0.03) 4.63 (0.07) 4.30 (0.22) 0.280 4.68 (0.03) 4.64 (0.04) 4.09 (0.16)**†† 0.002
Ln ISI‡‡ 1.81 (0.02) 1.72 (0.06) 0.95 (0.21)†§ <0.001 1.81 (0.03) 1.79 (0.04) 1.45 (0.15)**†† 0.068
Ln IGI‡‡ 0.25 (0.04) 0.12 (0.09) −1.20 (0.3)†§ <0.001 0.30 (0.04) 0.14 (0.06)¶ −1.14 (0.22)**†† <0.001
Ln DIO‡‡ 2.06 (0.03) 1.84 (0.09)* −0.21 (0.32)†§ <0.001 2.11 (0.04) 1.92 (0.06)¶ 0.38 (0.21)**†† <0.001
LDL-C (mmol/L)‡ 2.50 (0.03) 2.62 (0.08) 3.47 (0.24)†§ <0.001 2.49 (0.04) 2.58 (0.05) 2.95 (0.18)** 0.022
HDL-C (mmol/L)‡ 1.43 (0.01) 1.45 (0.03) 1.35 (0.10) 0.609 1.44 (0.02) 1.42 (0.02) 1.50 (0.07) 0.576
TC (mmol/L)‡ 4.30 (0.04) 4.56 (0.10)* 5.55 (0.33)†§ <0.001 4.30 (0.05) 4.40 (0.07) 5.12 (0.24)**†† 0.003
TG (mmol/L)‡ 1.10 (0.04) 1.29 (0.09) 2.24 (0.26)†§ <0.001 1.08 (0.04) 1.12 (0.06) 2.30 (0.20)**†† <0.001
Ln CRP (mg/L)‡‡ 0.09 (0.05) 0.45 (0.14)* −0.03 (0.39) 0.043 0.015 (0.061) 0.34 (0.084)¶ 0.283 (0.302) 0.008
Obesity, n (%) 152 (30.8) 32 (41.0) 5 (55.6) 0.134 108 (29.0) 72 (37.7) 9 (56.3) 0.024
MS, n (%) 61 (12.4) 16 (20.8) 7 (77.8)†§ <0.001 39 (10.5) 36 (18.8)¶ 9 (60.0)**†† <0.001

*<5.7% vs 5.7%–6.4%.

†< 5.7% vs >6.4%.

‡Adjusted for age, sex and BMI.

§5.7%–6.4% vs >6.4%.

¶<5.5% vs 5.5%–6.1%.

**<5.5% vs >6.1%.

††5.5%–6.1% vs >6.1%.

‡‡Log transformed and adjust for age, sex and BMI; data were shown as mean (SE) or number (percentage).

2hBG, 2-hour blood glucose; 2hINS, 2-hour insulin; ADA, American Diabetes Association; BMI, body mass index; CRP, C-reacting protein; DBP, diastolic blood pressure; DIO, Oral Disposition Index; FBG, fasting blood glucose; FINS, fasting insulin; HDL-C: high-density lipoprotein cholesterol; HOMA-IR, the index of homeostasis model assessment of insulin resistance; IFG, impaired fasting glucose; IGI, Insulinogenic Index; IGT, impaired glucose tolerance; ISI, Insulin Sensitivity Index; LDL-C: low-density lipoprotein cholesterol; MS, metabolic syndrome; SBP, systolic blood pressure; T2DM: type 2 diabetes; TC, total cholesterol; TG, triglycerides; WC, waist circumference.