Abstract
Aims: We examined interaction of sex steroid hormones and obesity with regard to insulin resistance (IR) and type 2 diabetes (T2D) by using nationally representative data from the US. Methods: Data of 1461 men aged ≥. 20. years who participated in the Third National Health and Nutrition Examination Survey were analyzed. Multiplicative interaction was calculated by cross-product interaction terms in multivariable logistic regression models. Additive interaction was assessed by the relative excess risk due to interaction (RERI). Results: After adjusting for demographic and lifestyle covariates, the odds of IR were greatest among obese men with low free testosterone and high androstanediol glucuronide. Multiplicative interactions for total testosterone, free testosterone, and free estradiol index (FEI) were statistically significant with central obesity but not with overweight and obesity regarding to T2D (P < 0.05). Significant additive interactions with obesity or central obesity were detected for total testosterone (RERI = 2.75, 95% CI = 0.92,4.59), SHBG (RERI = 5.71, 95% CI = 0.77,10.64), and FEI (RERI = -9.96, 95% CI = -19.18,-0.74) with regard to IR, beta-cell dysfunction, and T2D. Conclusions: Our findings add to the evidence suggesting that low testosterone and high estradiol may be associated greater risks of IR and T2D by interacting with overall and central obesity in adult men.
| Original language | English (US) |
|---|---|
| Journal | Journal of Diabetes and its Complications |
| DOIs | |
| State | Accepted/In press - Mar 22 2016 |
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Keywords
- Insulin resistance
- Men
- NHANES
- Obesity
- Sex steroid hormones
- Type 2 diabetes
ASJC Scopus subject areas
- Internal Medicine
- Endocrinology, Diabetes and Metabolism
- Endocrinology
Cite this
Interaction of sex steroid hormones and obesity on insulin resistance and type 2 diabetes in men : The Third National Health and Nutrition Examination Survey. / Li, Ji; Lai, Hong Chen; Chen, Shaoguang; Zhu, Hong; Lai, Shenghan.
In: Journal of Diabetes and its Complications, 22.03.2016.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Interaction of sex steroid hormones and obesity on insulin resistance and type 2 diabetes in men
T2 - The Third National Health and Nutrition Examination Survey
AU - Li, Ji
AU - Lai, Hong Chen
AU - Chen, Shaoguang
AU - Zhu, Hong
AU - Lai, Shenghan
PY - 2016/3/22
Y1 - 2016/3/22
N2 - Aims: We examined interaction of sex steroid hormones and obesity with regard to insulin resistance (IR) and type 2 diabetes (T2D) by using nationally representative data from the US. Methods: Data of 1461 men aged ≥. 20. years who participated in the Third National Health and Nutrition Examination Survey were analyzed. Multiplicative interaction was calculated by cross-product interaction terms in multivariable logistic regression models. Additive interaction was assessed by the relative excess risk due to interaction (RERI). Results: After adjusting for demographic and lifestyle covariates, the odds of IR were greatest among obese men with low free testosterone and high androstanediol glucuronide. Multiplicative interactions for total testosterone, free testosterone, and free estradiol index (FEI) were statistically significant with central obesity but not with overweight and obesity regarding to T2D (P < 0.05). Significant additive interactions with obesity or central obesity were detected for total testosterone (RERI = 2.75, 95% CI = 0.92,4.59), SHBG (RERI = 5.71, 95% CI = 0.77,10.64), and FEI (RERI = -9.96, 95% CI = -19.18,-0.74) with regard to IR, beta-cell dysfunction, and T2D. Conclusions: Our findings add to the evidence suggesting that low testosterone and high estradiol may be associated greater risks of IR and T2D by interacting with overall and central obesity in adult men.
AB - Aims: We examined interaction of sex steroid hormones and obesity with regard to insulin resistance (IR) and type 2 diabetes (T2D) by using nationally representative data from the US. Methods: Data of 1461 men aged ≥. 20. years who participated in the Third National Health and Nutrition Examination Survey were analyzed. Multiplicative interaction was calculated by cross-product interaction terms in multivariable logistic regression models. Additive interaction was assessed by the relative excess risk due to interaction (RERI). Results: After adjusting for demographic and lifestyle covariates, the odds of IR were greatest among obese men with low free testosterone and high androstanediol glucuronide. Multiplicative interactions for total testosterone, free testosterone, and free estradiol index (FEI) were statistically significant with central obesity but not with overweight and obesity regarding to T2D (P < 0.05). Significant additive interactions with obesity or central obesity were detected for total testosterone (RERI = 2.75, 95% CI = 0.92,4.59), SHBG (RERI = 5.71, 95% CI = 0.77,10.64), and FEI (RERI = -9.96, 95% CI = -19.18,-0.74) with regard to IR, beta-cell dysfunction, and T2D. Conclusions: Our findings add to the evidence suggesting that low testosterone and high estradiol may be associated greater risks of IR and T2D by interacting with overall and central obesity in adult men.
KW - Insulin resistance
KW - Men
KW - NHANES
KW - Obesity
KW - Sex steroid hormones
KW - Type 2 diabetes
UR - http://www.scopus.com/inward/record.url?scp=85007478139&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85007478139&partnerID=8YFLogxK
U2 - 10.1016/j.jdiacomp.2016.10.022
DO - 10.1016/j.jdiacomp.2016.10.022
M3 - Article
C2 - 27914732
AN - SCOPUS:85007478139
JO - Journal of Diabetes and its Complications
JF - Journal of Diabetes and its Complications
SN - 1056-8727
ER -