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June 7, 2020Journal of Diabetes InvestigationOpen Access

Low‐density lipoprotein cholesterol : high‐density lipoprotein cholesterol ratio is associated with incident diabetes in Chinese adults: A retrospective cohort study

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Key result

An elevated LDL-C/HDL-C ratio (highest vs lowest quartile) was associated with an increased risk of new-onset diabetes in Chinese adults (HR 1.92; 95% CI 1.43-2.59; P for trend <0.001).

Why the study?

Although LDL-C/HDL-C ratio is a recognized marker for insulin resistance and cardiovascular disease, its association with diabetes risk has rarely been reported.

Does an elevated LDL-C/HDL-C ratio increase the risk of new-onset diabetes in adults without baseline diabetes?

Population

116,661 adults without baseline diabetes in China

Comparison

Higher LDL-C/HDL-C ratio quartiles vs the lowest quartile

Design

Retrospective cohort study

Follow-up

Median 2.98 years

Authors

LWLimin WeiFirst Affiliated Hospital of Henan University of Science and TechnologyMWMeng WeiXinjiang Medical UniversityLCLei ChenUnion Hospital

Discussion

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Member takes

Overview

LDL-C/HDL-C ratio may predict new-onset diabetes risk; leaves open its added value beyond standard markers in validation studies.

Study Design

Type

Cohort (n=116,661)

Structured PICO

Does an elevated LDL-C/HDL-C ratio increase the risk of new-onset diabetes in adults without baseline diabetes?

P
Population
116,661 Chinese adults without baseline diabetes followed for a median of 2.98 years.
E
Exposure
Elevated LDL-C/HDL-C ratio (stratified into quartiles)
C
Comparator
Lowest quartile of the LDL-C/HDL-C ratio
O
Outcome
New-onset diabeteshard clinical

Main Result

Hazard Ratio: 1.92 (95% CI 1.43–2.59)

Absolute Event Rate: 0.88% vs 0.31%

p-value: p=<0.001

An elevated LDL-C/HDL-C ratio is an independent risk factor for new-onset diabetes in Chinese adults.

Cite This Study

Wei et al. (2020) conducted a cohort in diabetes (n=116,661). Elevated LDL-C/HDL-C ratio vs. Lowest quartile of LDL-C/HDL-C ratio was evaluated on new-onset diabetes (HR 1.92, 95% CI 1.43-2.59, p=<0.001). An elevated LDL-C/HDL-C ratio (highest vs lowest quartile) was associated with an increased risk of new-onset diabetes in Chinese adults (HR 1.92; 95% CI 1.43-2.59; P for trend <0.001).

synapsesocial.com/papers/6a87114bb688e10ffe82c700https://doi.org/10.1111/jdi.13316
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Also Consider

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