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Kowall, B.* ; Rathmann, W.* ; Heier, M. ; Holle, R. ; Peters, A. ; Thorand, B. ; Herder, C.* ; Strassburger, K.* ; Giani, G.* ; Meisinger, C.

Impact of weight and weight change on normalization of prediabetes and on persistence of normal glucose tolerance in an older population: The KORA S4/F4 study.

Int. J. Obes. 36, 826-833 (2012)
DOI PMC
Open Access Green as soon as Postprint is submitted to ZB.
Background and aims:In a population-based cohort study with older subjects and without specific interventions, we investigated the impact of body mass index (BMI) and BMI change (as well as waist circumference and change of waist circumference) on reversion from prediabetes to normal glucose tolerance (NGT) and on long-term persistence of NGT.Materials and methods:Oral glucose tolerance tests were conducted at baseline and at follow-up in a cohort study in Southern Germany (KORA S4/F4; 1223 subjects without diabetes aged 55-74 years at baseline in 1999-2001; 887 subjects (73%), of whom 436 had prediabetes at baseline, participated in the follow-up 7 years later).Results:BMI reduction, but not initial BMI, predicted reversion from prediabetes to NGT. The odds ratio (OR) for returning to NGT was 1.43 (95% CI: 1.18-1.73) for a BMI decrease of 1 kg m(-2), after adjustment for age, sex, baseline glucose values and lifestyle factors. Initial BMI had no effect on reversion to NGT (OR=0.98, 95% CI: 0.91-1.06, per kg m(-2)). Persistence of NGT was associated with baseline BMI (OR=0.94, 95% CI: 0.88-0.998) and BMI reduction (OR=1.16, 95% CI: 1.02-1.33, per decrease by 1 kg m(-2)). For waist circumference and change of waist circumference similar results were obtained.Conclusion:In older adults, weight loss strongly increased the chances of returning from prediabetes to NGT irrespective of initial BMI. Long-term persistence of NGT depended both on initial BMI and on BMI change.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords prediabetes; normal glucose tolerance; body mass index; waist circumference; weight loss; body weight change
ISSN (print) / ISBN 0307-0565
e-ISSN 1476-5497
Journal International Journal of Obesity
Quellenangaben Volume: 36, Issue: 6, Pages: 826-833 Article Number: , Supplement: ,
Publisher Nature Publishing Group
Non-patent literature Publications
Reviewing status Peer reviewed
Institute(s) Institute of Epidemiology II (EPI2)
Institute of Health Economics and Health Care Management (IGM)