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Table 3 Additive effect of increased adiposity and inflammation in incident type 2 diabetes

From: Combined effect of adiposity and elevated inflammation on incident type 2 diabetes: a prospective cohort study

Main effects–hazard ratios

Overweight and obesity (BMI)

Central obesity (Waist circumference)

Fatty liver

Model 1

 Increased adiposity

2.15 (2.06‒2.25)

1.78 (1.71‒1.85)

2.47 (2.37‒2.57)

 Increased inflammation

1.16 (1.07‒1.25)

1.16 (1.09‒1.23)

1.15 (1.09‒1.22)

 Joint effect

2.61 (2.48‒2.75)

2.10 (2.00‒2.20)

2.84 (2.70‒2.97)

 RERI

0.30 (0.17‒0.43)

0.16 (0.05‒0.27)

0.22 (0.08‒0.36)

 AP

0.12 (0.07‒0.16)

0.08 (0.03‒0.13)

0.08 (0.03‒0.13)

 S

1.23 (1.12‒1.35)

1.17 (1.05‒1.31)

1.14 (1.04‒1.23)

 Attributable proportion, (%)

  Increased adiposity

71.43

70.91

79.89

  Increased inflammation

9.94

14.55

8.15

  Additive interaction

18.63

14.54

11.96

Model 2

 Increased adiposity

1.77 (1.69‒1.85)

1.67 (1.61‒1.74)

2.03 (1.95‒2.12)

 Elevated inflammation

1.14 (1.06‒1.23)

1.15 (1.08‒1.21)

1.12 (1.07‒1.18)

 Joint effect

2.08 (1.97‒2.19)

1.94 (1.85‒2.03)

2.30 (2.19‒2.42)

 RERI

0.17 (0.05‒0.28)

0.12 (0.02‒0.23)

0.15 (0.02‒0.27)

 AP

0.08 (0.03‒0.14)

0.06 (0.01‒0.12)

0.06 (0.01‒0.11)

 S

1.19 (1.05‒1.34)

1.15 (1.01‒1.30)

1.13 (1.02‒1.24)

 Attributable proportion, (%)

 Increased adiposity

71.30

71.28

79.23

 Increased inflammation

12.96

15.96

9.23

 Additive interaction

15.74

12.76

11.54

  1. Model 1: adjusted for sex, age, smoking habits, alcohol consumption, physical activities, family history of diabetes, antihypertensives, lipid-lowering drugs. Model 2: further adjusted for log(TG/HDL-C) (continuous) and SBP (continuous)
  2. AP attributable proportion due to interaction, RERI relative excess risk due to interaction, S synergy index; others are as in Table 1