Evidence map›Paper›PMID 41851698›Full record

ArticleBMC medicine2026

Risk factor profiles for infections in individuals with type 2 diabetes: a prospective cohort study.

Han-Cheng Yu, Ji-Juan Zhang, Jin-Jin Zhang, Xiao-Bao Yu, Frank Qian, Rui Li, Zi-Xin Qiu, Kai Zhu, Ru-Yi Li, Yu-Xiang Wang and 6 more

Abstract read
In one paragraph

Article in BMC medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Han-Cheng Yu *Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Ji-Juan Zhang *Department of Epidemiology and Biostatistics, Ministry of Education Key Laboratory of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Jin-Jin Zhang *Department of Epidemiology and Biostatistics, Ministry of Education Key Laboratory of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Xiao-Bao Yu *Department of Electronic Technology, School of Biomedical Engineering, Southern Medical University, Guangzhou, 510515, China.
Frank QianSection of Cardiovascular Medicine, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, USA.
Rui LiDepartment of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Ministry of Education Key Laboratory of Environment and Health, State Key Laboratory of Environment Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Zi-Xin QiuDepartment of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Ministry of Education Key Laboratory of Environment and Health, State Key Laboratory of Environment Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Kai ZhuDepartment of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Ministry of Education Key Laboratory of Environment and Health, State Key Laboratory of Environment Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Ru-Yi LiDepartment of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Ministry of Education Key Laboratory of Environment and Health, State Key Laboratory of Environment Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Yu-Xiang WangDepartment of Epidemiology and Biostatistics, Ministry of Education Key Laboratory of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Kun YangDepartment of Endocrinology, Affiliated Dongfeng Hospital, Hubei University of Medicine, Shiyan, 442001, China.
Ting-Ting GengDepartment of Epidemiology and Biostatistics, Ministry of Education Key Laboratory of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Oscar H FrancoJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
An PanDepartment of Epidemiology and Biostatistics, Ministry of Education Key Laboratory of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. panan@hust.edu.cn.ORCID 0000-0002-1089-7945
Gang LiuDepartment of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Ministry of Education Key Laboratory of Environment and Health, State Key Laboratory of Environment Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. liugang026@hust.edu.cn.ORCID 0000-0002-1430-3016
Yun-Fei LiaoUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. yunfeiliao2012@163.com.ORCID 0000-0003-0688-775X

Funding

Key Research and Development Project of Hubei Province 2022BCA036National Key Research and Development Program of China 2023YFC3606300National Natural Science Foundation of China 82070830National Natural Science Foundation of China 82273623 and 82073554National Natural Science Foundation of China 82325043 and 81930124
6 · The paper itself

Abstract

backgroundInfection is a significant complication of diabetes, yet comprehensive assessments of risk factors for infections in individuals with diabetes are scarce. We aimed to identify risk factor profiles and their contributions to infections in people with type 2 diabetes (T2D).

methodsThis prospective cohort study included 24,021 participants with T2D. Twenty-eight risk factors covering domains of socioeconomic status, lifestyle factors, environmental pollution, psychological factors, clinical biomarkers, and comorbidities and complications were selected. Negative binomial regression models were used to estimate incidence rate ratios (IRRs) and 95% confidence intervals (CIs) for infections. Population attributable fractions (PAFs) were calculated to assess the contributions of individual risk factors and domains.

resultsDuring a median follow‑up of 13.2 years, 9988 infection events occurred among 6517 participants, with an overall incidence rate of 33.5 per 1000 person‑years. Nineteen risk factors were significantly associated with increased infection risks, including high Townsend deprivation index, low education level, low household income, retired or unemployed status, central obesity, unhealthy diet, current smoking, non‑moderate alcohol consumption, unhealthy sleep duration, depression, loneliness, high glycated hemoglobin, low high-density lipoprotein cholesterol, low estimated glomerular filtration rate, cancer, cardiovascular disease, peripheral artery disease, diabetic microvascular complications, and chronic obstructive pulmonary disease. Central obesity was the leading individual contributor to total infections (PAF, 13.2%). Across domains, lifestyle factors contributed most to total infections (joint PAF, 32.7%), followed by socioeconomic status (joint PAF, 26.3%), comorbidities and complications (joint PAF, 25.2%), clinical biomarkers (joint PAF, 17.1%), psychological factors (joint PAF, 6.3%), and environmental pollution (joint PAF, 3.3%).

conclusionsThis study identified a broad array of risk factors for infections in adults with T2D, indicating the importance of comprehensive management strategies for preventing infections among individuals with T2D.

Indexed as

Diabetes Mellitus, Type 2InfectionsAdultAgedFemaleHumansIncidenceLife StyleMaleMiddle AgedProspective StudiesRisk FactorsSocioeconomic FactorsCohortDiabetesInfectionsPopulation attributable fractionRisk factors

Identifiers

PMID41851698
PMCPMC13112720

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.