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October 27, 2025Journal of Diabetes InvestigationOpen Access

Effect of remnant cholesterol on the onset of diabetes mellitus

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Authors

TMTeruki MiyakeEhime University HospitalSFShinya FurukawaEhime UniversityAKAyumi KanamotoEhime University

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Implication

Retrospective cohort study reveals an association between elevated remnant cholesterol and diabetes mellitus onset in adults under 50, highlighting the potential value of age-specific screening.

Key Points

  • To evaluate the association between remnant cholesterol levels and the onset of diabetes mellitus across different age and sex groups.
  • Retrospective cohort study of 13,952 participants with two or more health checkups between April 2003 and March 2021 in Japan, with a mean follow-up of 4.66 years.
  • Multivariate Cox proportional hazard models assessed diabetes onset risk stratified by sex and age (<50 vs. ≥50 years), comparing remnant cholesterol against triglycerides.
  • Elevated remnant cholesterol significantly associated with diabetes onset in individuals <50 years among men (aHR = 1.81, 95% CI: 1.46–2.20) and women (aHR = 2.13, 95% CI: 1.18–3.37).
  • Remnant cholesterol showed no statistically significant association with diabetes onset in adults aged ≥50 years.
  • Triglyceride levels also predicted diabetes onset in younger adults, displaying a slightly higher predictive ability (AUC) than remnant cholesterol, especially in younger women.

Cite This Study

Miyake et al. (2025) studied this question.

synapsesocial.com/papers/6a7dce57fcc540eda03c93a6https://doi.org/10.1111/jdi.70163
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