Impacts of Triglyceride Glucose-Waist to Height Ratio on Diabetes Incidence: A Secondary Analysis of A Population-Based Longitudinal Data

BackgroundThe anthropometric indices (body mass index [BMI], waist circumference [WC] and waist-to-height ratio [WHtR]), triglyceride-glucose (TyG) index and TyG-related indicators (TyG-WHtR, TyG-BMI, TyG-WC) have been well documented to be highly correlated with insulin resistance (IR) and type 2 diabetes mellitus (T2DM). However, it was not immediately obvious which indicator would be optimal for screening people at risk of T2DM. Hence, this study intended to compare the predictive effects of the aforementioned markers on T2DM and to investigate the relation between baseline TyG-WHtR and incident T2DM.MethodsThis longitudinal study included 15464 study population who were involved in the NAGALA (NAfld in the Gifu Area Longitudinal Analysis) study from 2004 to 2015. The TyG index was defined as ln [FPG (mg/dL) ×fasting TG (mg/dL)/2]. And the TyG-WHtR was calculated as TyG index ×WHtR. We divided the participants into four groups according to the TyG-WHtR quartiles. The primary endpoint was the incidence of diabetes.ResultsAfter a median follow-up of 5.4 years, 2.4% (373/15464) participants developed diabetes. The incidence of diabetes increased with ascending TyG-WHtR quartiles (P for trend<0.001). Multivariable Cox proportional hazard analysis showed that a one-unit increase in TyG-WHtR was independently correlated with a 2.714-fold higher risk of diabetes [hazard ratio (HR) 2.714, 95% confidence interval (CI) 1.942-3.793; P<0.001). Stratification analysis revealed that increased TyG-WHtR (per 1-unit) was consistently correlated with diabetes incidence in different subgroups. Moreover, TyG-WHtR outperformed the other parameters by presenting the biggest area under the ROC curve (AUC) in men (AUC 0.746, 95% CI 0.716-0.776, P<0.001). However, all pairwise comparisons of AUC between TyG-WHtR and other indicators were not statistically different except TyG-WHtR vs. WHtR in women.ConclusionsA high TyG-WHtR is an important predictor of the increased cumulative risk of diabetes development. TyG-WHtR outperforms TyG, WHtR, TyG-WC and TyG-BMI in screening individuals who are susceptible to T2DM, especially in men

Phosphorous-containing oxygen-deficient cobalt molybdate as an advanced electrode material for supercapacitors

The intrinsically poor electrical conductivity and insufficient number of electrochemically active sites of transition-metal oxides hamper their wide application in high-performance supercapacitors. Herein, we demonstrate an effective strategy of creating phosphorus-containing cobalt molybdate (CoMoO4) with oxygen vacancies (P-CoMoO4-x) on nickel foam for use as a supercapacitor electrode. Experimental analyses and theoretical calculations reveal that the electronic structure of P-CoMoO4-x can be efficiently modulated by incorporating P heteroatoms and O vacancies, thereby simultaneously reducing the energy band gap and increasing electrical conductivity. Moreover, incorporating P into P-CoMoO4-x weakens the Co-O bond energy and induces the low oxidation states of molybdenum species, facilitating surface redox chemistry and improving electrochemical performance. Accordingly, the optimized P-CoMoO4-x electrode exhibits a high specific capacity of 1368 C g−1 at a current density of 2 A g−1, and it retains 95.3% of the initial capacity after 5000 cycles at a high current density of 10 A g−1. An asymmetric supercapacitor assembled with the optimized P-CoMoO4-x as positive electrode and activated carbon as negative electrode delivers a high energy density of 58 W h kg−1 at a power density of 850 W kg−1 as well as achieves excellent cycling lifespan

The role of adiponectin in the association between abdominal obesity and type 2 diabetes: a mediation analysis among 232,438 Chinese participants

BackgroundAdiposity and adipokines are closely associated with obesity-related metabolic abnormalities, but little is known regarding whether abdominal obesity is linked to type 2 diabetes mellitus (T2DM) through circulating adiponectin levels. Thus, this large-population–based study was designed to investigate the mediating effect of adiponectin in the relationship between abdominal obesity and T2DM.MethodsA total of 232,438 adults who lived in Dongguan, Guangdong Province, China, were enrolled in the present study. The circulating adiponectin concentrations were measured using latex-enhanced immunoturbidimetric assay. The association between circulating adiponectin and other clinical parameters was detected by Spearman’s correlation analysis. Restricted cubic spline (RCS) regression was also used to address the non-linearity of the relationship between waist circumference and diabetes. Mediation analyses of circulating adiponectin were conducted using linear and logistic regression.ResultsSubjects with abdominal obesity had lower levels of circulating adiponectin (P < 0.001). The circulating adiponectin value was inversely related to BMI (r = −0.370, P < 0.001), waist circumference (r = −0.361, P < 0.001), and fasting plasma glucose (r = −0.221, P < 0.001). The RCS plot showed a non-linear relation linking waist circumference with T2DM (P for non-linearity < 0.001). Patients with abdominal obesity presented 2.062 times higher odds of T2DM in comparison with those with non-abdominal obesity (odds ratio, 2.062; 95% confidence interval, 1.969–2.161) after adjusting for confounders. In the mediation analyses, the circulating adiponectin mediated the association between abdominal obesity and T2DM, with a mediation effect of 41.02% after adjustments. The above results were consistent in both men and women.ConclusionThe relationship between abdominal obesity and T2DM is mediated through circulating adiponectin level in adults, suggesting that circulating adiponectin might be a potential predictor for controlling the adverse progression from adiposity to T2DM

New insight into the effect of fluorine doping and oxygen vacancies on electrochemical performance of Co2MnO4 for flexible quasi-solid-state asymmetric supercapacitors

Anion doping and oxygen-defect creation have been extensively employed to modify the electronic properties and increase concentration of electrochemically active sites of electrode materials for electrical energy storage technologies; however, comprehensive study of the roles of anion doping and oxygen vacancy on the enhancement of electrochemical performance is not clear. Herein, we provide new insight into the effect of fluorine dopant and oxygen vacancy on electrochemical performance of fluorine-doped oxygen-deficient Co2MnO4 (F-Co2MnO4-x) nanowires grown on carbon fiber (CF) as advanced electrode materials for supercapacitor. An experimental and theoretical study reveals that the structural and electronic properties in F-Co2MnO4-x is effectively tuned by introducing F dopants and oxygen vacancies, synergistically increasing electrical conductivity and providing rich Faradaic redox chemistry. The resultant F-Co2MnO4-x achieves a high specific capacity of 269 mA h g−1 at 1 A g−1, and superior cyclic stability with 93.2% capacity retention after 5000 cycles at 15 A g−1. A flexible quasi-solid-state asymmetric supercapacitor (ASC) is constructed with F-Co2MnO4-x/CF as the positive electrode and Fe2O3/CF as the negative electrode. The ASC device exhibits a high energy density of 64.4 W h kg−1 at a power density of 800 W kg−1. Significantly, the device yields 89.9% capacitance retention after 2000 bending tests at a bending angle ranging from 0 to 30°, demonstrating the high integration of excellent mechanical flexibility and cycling stability

Association of Body Fat Percentage with Time in Range Generated by Continuous Glucose Monitoring during Continuous Subcutaneous Insulin Infusion Therapy in Type 2 Diabetes

Background. Obesity is a crucial risk factor associated with type 2 diabetes mellitus (T2DM). Excessive accumulation of body fat may affect the glycemia control in T2DM. This study investigated the relationship between body fat percentage and time in range (TIR) assessed by continuous glucose monitoring (CGM) during short-term continuous subcutaneous insulin infusion (CSII) therapy in T2DM patients. Method. A total of 85 T2DM patients were recruited in this cross-sectional study. All participants underwent 72 h CGM period during short-term CSII therapy. TIR was defined as the percentage of time spent within the target glucose range of 3.9-10.0 mmol/L. Body composition was measured using bioelectrical impedance analysis (BIA) and overfat was defined as an amount of body fat of at least 25% of total body mass for men or at least 30% for women. Multiple linear regression models were used to evaluate the independent association of body fat percentage with TIR after adjusting for confounding factors. Results. Compared with normal fat T2DM patients, individual with a higher body fat percentage exhibited lower levels of TIR (P=0.004) and higher 72 h mean blood glucose (72 h MBG) (P=0.001) during short-term CSII treatment. The prevalence of overfat assessed by body fat percentage decreased with the ascending TIR tertiles (P<0.05). Multiple linear regression analysis indicated that body fat percentage was significantly associated with TIR independent of age, gender, diabetes duration, HbA1c, and BMI (P=0.043). Conclusions. Body fat percentage was significantly associated with TIR in T2DM during short-term CSII therapy. Reduction of body fat may be an important therapeutic target to improve glycemic control in high body fat T2DM patients, who may benefit less from intensive insulin treatment

Image_1_The role of adiponectin in the association between abdominal obesity and type 2 diabetes: a mediation analysis among 232,438 Chinese participants.tif

BackgroundAdiposity and adipokines are closely associated with obesity-related metabolic abnormalities, but little is known regarding whether abdominal obesity is linked to type 2 diabetes mellitus (T2DM) through circulating adiponectin levels. Thus, this large-population–based study was designed to investigate the mediating effect of adiponectin in the relationship between abdominal obesity and T2DM.MethodsA total of 232,438 adults who lived in Dongguan, Guangdong Province, China, were enrolled in the present study. The circulating adiponectin concentrations were measured using latex-enhanced immunoturbidimetric assay. The association between circulating adiponectin and other clinical parameters was detected by Spearman’s correlation analysis. Restricted cubic spline (RCS) regression was also used to address the non-linearity of the relationship between waist circumference and diabetes. Mediation analyses of circulating adiponectin were conducted using linear and logistic regression.ResultsSubjects with abdominal obesity had lower levels of circulating adiponectin (P ConclusionThe relationship between abdominal obesity and T2DM is mediated through circulating adiponectin level in adults, suggesting that circulating adiponectin might be a potential predictor for controlling the adverse progression from adiposity to T2DM.</p