Evidence map›Paper›PMID 42973753›Full record

ArticleFrontiers in nutrition2026

Nonlinear association of cholesterol, high-density lipoprotein, and glucose index with the risk of prediabetes and diabetes in normal-weight middle-aged and older Chinese adults: a multicenter retrospective cohort study.

Junling Ding, Zhimao Cai, Xianglin Wang, Lifen Qin, Weifeng Chen

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Article in Frontiers in nutrition, 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

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Junling Ding *Dapeng New District Kuichong Branch of Shenzhen Second People's Hospital, Shenzhen, Guangdong, China.
Zhimao Cai *Department of General Medicine, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China.
Xianglin WangDepartment of Internal Medicine, Dapeng New District Kuichong Branch of Shenzhen Second People's Hospital, Shenzhen, Guangdong, China.
Lifen QinDapeng New District Kuichong Branch of Shenzhen Second People's Hospital, Shenzhen, Guangdong, China.
Weifeng ChenDepartment of General Medicine, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The relationship between the cholesterol, high-density lipoprotein, and glucose (CHG) index and dysglycemia is widely recognized in the general population; however, this relationship has been much less examined among normal-weight, middle-aged and older adults-a subgroup routinely marginalized in metabolic research. Accordingly, the current study was designed to evaluate the relationship of the CHG index with incident prediabetes and diabetes specifically among this population. Methods: The study cohort comprised 19,981 Chinese adults (age ≥45 years, BMI 18.5-23.9 kg/m Results: During an average follow-up of 3.19 years, a higher CHG index was significantly linked to a greater risk of the outcome. After adjustment (Model 3), the hazard ratio (HR) for the CHG index as a continuous variable was 2.20 (95% CI: 1.90-2.54). Compared with Quartile 1, the HRs for Quartiles 2, 3, and 4 were 1.42, 1.86, and 1.91, respectively (all Conclusion: This study indicates a nonlinear positive association between the CHG index and the risk of incident prediabetes and diabetes among normal-weight middle-aged and older Chinese adults. Future research employing large prospective cohorts is warranted to fully explicate the mechanisms and establish a causal nexus.

Indexed as

cohort studydiabetesmiddle-aged and oldernonlinear associationnormal-weightprediabetes

Identifiers

PMID42973753
PMCPMC13724456

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