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        Multiple Biomarkers Improved Prediction for the Risk of Type 2 Diabetes Mellitus in Singapore Chinese Men and Women

        Yeli Wang,Woon-Puay Koh,Xueling Sim,Jian-Min Yuan,An Pan 대한당뇨병학회 2020 Diabetes and Metabolism Journal Vol.44 No.2

        Background: Multiple biomarkers have performed well in predicting type 2 diabetes mellitus (T2DM) risk in Western populations. However, evidence is scarce among Asian populations. Methods: Plasma triglyceride-to-high density lipoprotein (TG-to-HDL) ratio, alanine transaminase (ALT), high-sensitivity Creactive protein (hs-CRP), ferritin, adiponectin, fetuin-A, and retinol-binding protein 4 were measured in 485 T2DM cases and 485 age-and-sex matched controls nested within the prospective Singapore Chinese Health Study cohort. Participants were free of T2DM at blood collection (1999 to 2004), and T2DM cases were identified at the subsequent follow-up interviews (2006 to 2010). A weighted biomarker score was created based on the strengths of associations between these biomarkers and T2DM risks. The predictive utility of the biomarker score was assessed by the area under receiver operating characteristics curve (AUC). Results: The biomarker score that comprised of four biomarkers (TG-to-HDL ratio, ALT, ferritin, and adiponectin) was positively associated with T2DM risk (P trend <0.001). Compared to the lowest quartile of the score, the odds ratio was 12.0 (95% confidence interval [CI], 5.43 to 26.6) for those in the highest quartile. Adding the biomarker score to a base model that included smoking, history of hypertension, body mass index, and levels of random glucose and insulin improved AUC significantly from 0.81 (95% CI, 0.78 to 0.83) to 0.83 (95% CI, 0.81 to 0.86; P=0.002). When substituting the random glucose levels with glycosylated hemoglobin in the base model, adding the biomarker score improved AUC from 0.85 (95% CI, 0.83 to 0.88) to 0.86 (95% CI, 0.84 to 0.89; P=0.032). Conclusion: A composite score of blood biomarkers improved T2DM risk prediction among Chinese.

      • KCI등재

        Plasma Fetuin-A Levels and Risk of Type 2 Diabetes Mellitus in A Chinese Population: A Nested Case-Control Study

        Yeli Wang,Woon-Puay Koh,Majken K. Jensen,Jian-Min Yuan,An Pan 대한당뇨병학회 2019 Diabetes and Metabolism Journal Vol.43 No.4

        Background: Fetuin-A is a hepatokine that involved in the pathogenesis of insulin resistance. Previous epidemiological studies have found a positive association between blood fetuin-A and type 2 diabetes mellitus (T2DM) risk among Caucasians and African Americans. We aimed to investigate the prospective relationship between fetuin-A and T2DM in an Asian population for the first time. Methods: A nested case-control study was established within a prospective cohort of Chinese living in Singapore. At blood collection (1999 to 2004), all participants were free of diagnosed T2DM and aged 50 to 79 years. At subsequent follow-up (2006 to 2010), 558 people reported to have T2DM and were classified as incident cases, and 558 controls were randomly chosen from the participants who did not develop T2DM to match with cases on age, sex, dialect group, and date of blood collection. Plasma fetuin-A levels were measured retrospectively in cases and controls using samples collected at baseline. Conditional logistic regression models were used to compute the odds ratio (OR) and 95% confidence interval (CI). Restricted cubic spline analysis was used to examine a potential non-linear association between fetuin-A levels and T2DM risk. Results: Compared with those in the lowest fetuin-A quintile, participants in the highest quintile had a two-fold increased risk of developing T2DM (OR, 2.06; 95% CI, 1.21 to 3.51). A non-linear association was observed (P nonlinearity=0.005), where the association between fetuin-A levels and T2DM risk plateaued at plasma concentrations around 830 μg/mL. Conclusion: There is a positive association between plasma fetuin-A levels and risk of developing T2DM in this Chinese population.

      • KCI등재후보

        Simulation of the Temperature and Salinity Along 36N in the Yellow Sea with a Wave-Current Coupled Model

        Fangli Qiao,Jian Ma,Yongzeng Yang,Yeli Yuan 한국해양과학기술원 2004 Ocean science journal Vol.39 No.1

        Based on the MASNUM wave-current coupled model, the temperature and salinity structures along 36°N in the Yellow Sea are simulated and compared with observations. Both the position and strength of the simulated thermocline are similar to data analysis. The wave-induced mixing is strongest in winter and plays a key role in the formation of the upper mixed layer in spring and summer. Numerical experiments suggest that in the coastal area, wave-induced mixing and tidal mixing control the vertical structure of temperature and salinity.

      • Simulation of the Temperature and Salinity Along $36^{\circ}N$ in the Yellow Sea with a Wave-Current Coupled Model

        Qiao, Fangli,Ma, Ji-An,Yang, Yong-Zeng,Yuan, Yeli The Korean Society of Oceanography 2004 Journal of the Korean Society of Oceanography Vol.39 No.1

        Based on the MASNUM wave-current coupled model, the temperature and salinity structures along $36^{\circ}N$ in the Yellow Sea are simulated and compared with observations. Both the position and strength of the simulated thermocline are similar to data analysis. The wave-induced mixing is strongest in winter and plays a key role in the formation of the upper mixed layer in spring and summer. Numerical experiments suggest that in the coastal area, wave-induced mixing and tidal mixing control the vertical structure of temperature and salinity.

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