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ORIGINAL RESEARCH article

Front. Endocrinol.
Sec. Clinical Diabetes
Volume 15 - 2024 | doi: 10.3389/fendo.2024.1495340

Threshold Effect of Atherogenic Index of Plasma on Type 2 Diabetes Mellitus and Modification by Uric Acid in Normal-Weight Adults with Hypertension

Provisionally accepted
Yu Tao Yu Tao *Tao Wang Tao Wang Zhou Wei Zhou Wei Lingjuan Zhu Lingjuan Zhu Chao Yu Chao Yu Juxiang Li Juxiang Li Huihui Bao Huihui Bao Xiaoshu Cheng Xiaoshu Cheng
  • Second Affiliated Hospital of Nanchang University, Nanchang, China

The final, formatted version of the article will be published soon.

    The association between atherogenic index of plasma (AIP) and type 2 diabetes mellitus (T2DM) in normal-weight individuals with hypertension remains unclear. This study seeks to elucidate this relationship in normal-weight adults with hypertension.This cross-sectional study included 8,258 normal-weight adults with hypertension from the China Hypertension Registry Study. The AIP was calculated as log10 (triglycerides/ high-density lipoprotein cholesterol). The multivariate logistic regression, generalized additive model, smooth fitting curve, sensitivity analyses, two-part logistic regression, and subgroup analyses were conducted to detect the correlation between AIP and T2DM.The mean age of the study population was 64.89 ± 8.97 years, with an overall prevalence of T2DM of 15.55%. Multivariate logistic regression analyses indicated that there was a positive and independent relationship between AIP and T2DM (OR: 3.73; 95% CI: 2.82, 4.94). Threshold effect analysis identified a J-shaped association between AIP and T2DM, with an inflection point at 0.Additionally, an interaction between hyperuricemia and AIP was observed (P for interaction = 0.034).In normal-weight adults with hypertension, there was a J-shaped association between AIP and T2DM, with an inflection point at 0. the correlation between AIP and T2DM was more pronounced in individuals with hyperuricemia compared to those with normal uric acid.

    Keywords: threshold effect, Atherogenic index of plasma, uric acid modification, Hypertension, type 2 diabetes mellitus

    Received: 12 Sep 2024; Accepted: 12 Nov 2024.

    Copyright: © 2024 Tao, Wang, Wei, Zhu, Yu, Li, Bao and Cheng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Yu Tao, Second Affiliated Hospital of Nanchang University, Nanchang, China

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