2.Association between fatty liver and type 2 diabetes in the baseline population of Jinchang Cohort.
Y B MA ; N CHENG ; Y B LU ; H Y LI ; J S LI ; J DING ; S ZHENG ; Y L NIU ; H Q PU ; X P SHEN ; H D MU ; X B HU ; D S ZHANG ; Y N BAI
Chinese Journal of Epidemiology 2018;39(6):760-764
<b>Objective:b> To explore the association between fatty liver and type 2 diabetes mellitus (T2DM) in the baseline-population of Jinchang cohort study. <b>Methods:b> Data from all the participants involved in the baseline-population of Jinchang cohort study was used, to compare the risks of T2DM in fatty liver and non fatty liver groups and to explore the interaction between family history or fatty liver of diabetes and the prevalence of T2DM. <b>Results:b> Among all the 46 861 participants, 10 574 were diagnosed as having fatty liver (22.56%), with the standardized rate as 20.66%. Another 3 818 participants were diagnosed as having T2DM (8.15%) with standardized rate as 6.90%. The prevalence of T2DM increased in parallel with the increase of age (trend χ(2)=2 833.671, trend P<0.001). The prevalence of T2DM in the fatty liver group was significantly higher than that in the non-fatty liver group, both in men or women and in the overall population. Compared with the group of non-fatty liver, the risks of T2DM in fatty liver group were seen 1.78 times higher in males, 2.33 times in women and 2.10 times in the overall population, after adjustment for factors as age, levels of education, smoking, drinking, physical exercise, BMI, family history of diabetes and some metabolic indicators (pressure, TC, TG, uric acid, ALT, AST, gamma-glutamyl transferase). Date from the interaction model showed that fatty liver and family history of diabetes present a positive additive interaction on T2DM (RERI=1.18, 95%CI: 0.59-1.78; AP=0.24, 95%CI: 0.14-0.34; S=1.43, 95%CI: 1.21-1.69). <b>Conclusions:b> Fatty liver could significantly increase the risk of T2DM and a positive additive interaction was also observed between fatty liver and family history of diabetes on T2DM. It was important to strengthen the prevention program on T2DM, in order to effectively control the development of fatty liver.
China/epidemiology*
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Cohort Studies
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Diabetes Mellitus, Type 2/ethnology*
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Fatty Liver/ethnology*
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Female
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Humans
;
Male
;
Non-alcoholic Fatty Liver Disease/epidemiology*
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Prevalence
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Risk Factors
3.Association between maternal body height and risk of preterm birth.
H LI ; L L SONG ; L J SHEN ; B Q LIU ; X X ZHENG ; L N ZHANG ; Y Y LI ; W XIA ; B ZHANG ; A F ZHOU ; Y J WANG ; S Q XU
Chinese Journal of Epidemiology 2018;39(3):313-316
<b>Objective:b> To investigate the association between maternal body height and risk of preterm birth. <b>Methods:b> A total of 11 311 pregnant women who gave birth of live singletons were recruited from the Healthy Baby Cohort Study in Hubei province, China from September 2012 to October 2014. Finally 11 070 pregnant women were selected as study subjects. Data were collected by using questionnaires, their prenatal care records and medical records. The women were divided into 4 groups according to the quartiles distribution (<158 cm, 158- cm, 160- cm, and >164 cm). Gestational age was estimated according to maternal last menstrual time. Preterm birth was defined as delivering a live singleton infant at 28-37 weeks' gestational age. Logistic regression was used to calculate the odds ratios (OR) and 95% confidence intervals (CI) for the association between body height and preterm birth. <b>Results:b> Among the 11 070 pregnant women, the incidence of preterm birth was 5.9%. Logistic regression analysis indicated that women in group with body height <158 cm had 46% (OR=1.46, 95%CI: 1.16-1.83) higher risk of giving preterm birth than those in group with body height >164 cm after adjustment for potential confounders. Every 1- cm increase in body height was associated with 3% lower risk of preterm birth (OR=0.97, 95%CI: 0.95-0.99). <b>Conclusion:b> Shorter body height was a risk factor for preterm birth. It is necessary to strengthen the monitoring in pregnant women with short body height to reduce the risk of preterm birth.
Body Height
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China/epidemiology*
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Cohort Studies
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Female
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Gestational Age
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Humans
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Incidence
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Infant, Newborn
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Odds Ratio
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Pregnancy
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Premature Birth/epidemiology*
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Prenatal Care
;
Risk Factors