Evidence map›Paper›PMID 42761864›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2026

Glycemic Markers and Cardiometabolic Multiple Long-Term Conditions: Comparative Roles of Glycated Hemoglobin and Fasting Plasma Glucose in the English Longitudinal Study of Ageing.

Samuel Seidu, Setor K Kunutsor, Kamlesh Khunti

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Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Samuel SeiduLeicester Real World Evidence Unit, Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, United Kingdom.
Setor K KunutsorLeicester Real World Evidence Unit, Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, United Kingdom.
Kamlesh KhuntiLeicester Real World Evidence Unit, Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To examine and contrast the associations of glycated hemoglobin (HbA1c) and fasting plasma glucose (FPG) with the risk of cardiometabolic multiple long-term conditions (cMLTC) and evaluate their incremental predictive utility. Patients and Methods: The study analyzed 2233 adults (mean age 63; 1009 (45.2%) men) free of hypertension, coronary disease, diabetes, and stroke at baseline (wave 4; 2008-2009). Incident cardiometabolic multimorbidity (≥2 of these conditions) was assessed at wave 10 (2021-2023). Logistic regression, restricted cubic splines, and discrimination metrics evaluated predictors and predictive performance. Results: Over 12-15 years, 129 participants developed cMLTC (57.8 per 1000; 95% CI, 48.5-68.3). Restricted cubic splines showed continuous, dose-response relationships between HbA1c and FPG with cMLTC risk. HbA1c was strongly associated with cMLTC (per 1% increase, OR 1.99; 95% CI, 1.51-2.63; highest vs lowest tertile, OR 3.15; 95% CI, 2.00-4.94), whereas FPG associations were more modest (per 1 mmol/L: OR 1.39; 95% CI, 1.18-1.64; tertile: OR 1.98; 95% CI, 1.23-3.19) and attenuated after mutual adjustment. Adding HbA1c to established risk factors improved discrimination (ΔC-index=0.0344, Conclusion: In this nationally representative cohort of older adults in England, higher HbA1c and FPG levels were each associated with an increased risk of cMLTC and enhanced risk prediction. However, HbA1c emerged as a substantially stronger and more informative marker than FPG.

Identifiers

PMID42761864
PMCPMC13587801

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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.