Association between atherogenic index of plasma and type 2 diabetic complications: a cross-sectional study

BackgroundThe Atherogenic Index of Plasma (AIP) was originally developed primarily as a marker for assessing atherosclerosis. Consequently, this study investigates the potential association between AIP and type 2 diabetic complications through a cross-sectional design.MethodsThe National Metabolic M...

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Main Authors: Yue-Yang Zhang, Xiao-Yu Yang, Qin Wan
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2025.1537303/full
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author Yue-Yang Zhang
Yue-Yang Zhang
Yue-Yang Zhang
Yue-Yang Zhang
Yue-Yang Zhang
Xiao-Yu Yang
Xiao-Yu Yang
Xiao-Yu Yang
Xiao-Yu Yang
Xiao-Yu Yang
Qin Wan
Qin Wan
Qin Wan
Qin Wan
Qin Wan
author_facet Yue-Yang Zhang
Yue-Yang Zhang
Yue-Yang Zhang
Yue-Yang Zhang
Yue-Yang Zhang
Xiao-Yu Yang
Xiao-Yu Yang
Xiao-Yu Yang
Xiao-Yu Yang
Xiao-Yu Yang
Qin Wan
Qin Wan
Qin Wan
Qin Wan
Qin Wan
author_sort Yue-Yang Zhang
collection DOAJ
description BackgroundThe Atherogenic Index of Plasma (AIP) was originally developed primarily as a marker for assessing atherosclerosis. Consequently, this study investigates the potential association between AIP and type 2 diabetic complications through a cross-sectional design.MethodsThe National Metabolic Management Center(MMC) serves as a comprehensive platform dedicated to the establishment of standardized protocols for the diagnosis, treatment, and long-term follow-up of metabolic diseases. Following the relevant inclusion and exclusion criteria, a total of 3,094 patients were enrolled for subsequent analysis. In this study, logistic regression, restricted cubic splines, and subgroup analyses were employed to evaluate the association between the AIP and four major complications of type 2 diabetes, namely, type 2 diabetes with carotid atherosclerosis (DA), diabetic kidney disease (DKD), diabetic retinopathy (DR), and diabetic peripheral neuropathy (DPN).ResultsThe logistic regression results demonstrate that in the fully adjusted model, each SD increase in AIP correlates with an elevated risk of type 2 diabetic kidney disease (DKD), with the risk of kidney damage intensifying alongside higher AIP groupings. The RCS analysis and subgroup analyses similarly revealed a dose-response relationship between AIP levels and the risk of DKD. Furthermore, the AIP was not found to be statistically significantly associated with DA, DR,and DPN.ConclusionsThe AIP may serve as a valuable predictive indicator for evaluating kidney damage in patients with type 2 diabetes, and regular screening of AIP in this population could provide significant benefits in the prevention of DKD.
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publishDate 2025-02-01
publisher Frontiers Media S.A.
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series Frontiers in Endocrinology
spelling doaj-art-3edc0df4baab4064a0a19d17f0f997f82025-02-04T05:28:05ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-02-011610.3389/fendo.2025.15373031537303Association between atherogenic index of plasma and type 2 diabetic complications: a cross-sectional studyYue-Yang Zhang0Yue-Yang Zhang1Yue-Yang Zhang2Yue-Yang Zhang3Yue-Yang Zhang4Xiao-Yu Yang5Xiao-Yu Yang6Xiao-Yu Yang7Xiao-Yu Yang8Xiao-Yu Yang9Qin Wan10Qin Wan11Qin Wan12Qin Wan13Qin Wan14Department of Endocrinology and Metabolism, Affiliated Hospital of Southwest Medical University, Luzhou, ChinaMetabolic Vascular Disease Key Laboratory of Sichuan Province, Luzhou, ChinaSichuan Clinical Research Center for Diabetes and Metabolism, Luzhou, ChinaSichuan Clinical Research Center for Nephropathy, Luzhou, ChinaCardiovascular and Metabolic Diseases Key Laboratory of Luzhou, Luzhou, ChinaDepartment of Endocrinology and Metabolism, Affiliated Hospital of Southwest Medical University, Luzhou, ChinaMetabolic Vascular Disease Key Laboratory of Sichuan Province, Luzhou, ChinaSichuan Clinical Research Center for Diabetes and Metabolism, Luzhou, ChinaSichuan Clinical Research Center for Nephropathy, Luzhou, ChinaCardiovascular and Metabolic Diseases Key Laboratory of Luzhou, Luzhou, ChinaDepartment of Endocrinology and Metabolism, Affiliated Hospital of Southwest Medical University, Luzhou, ChinaMetabolic Vascular Disease Key Laboratory of Sichuan Province, Luzhou, ChinaSichuan Clinical Research Center for Diabetes and Metabolism, Luzhou, ChinaSichuan Clinical Research Center for Nephropathy, Luzhou, ChinaCardiovascular and Metabolic Diseases Key Laboratory of Luzhou, Luzhou, ChinaBackgroundThe Atherogenic Index of Plasma (AIP) was originally developed primarily as a marker for assessing atherosclerosis. Consequently, this study investigates the potential association between AIP and type 2 diabetic complications through a cross-sectional design.MethodsThe National Metabolic Management Center(MMC) serves as a comprehensive platform dedicated to the establishment of standardized protocols for the diagnosis, treatment, and long-term follow-up of metabolic diseases. Following the relevant inclusion and exclusion criteria, a total of 3,094 patients were enrolled for subsequent analysis. In this study, logistic regression, restricted cubic splines, and subgroup analyses were employed to evaluate the association between the AIP and four major complications of type 2 diabetes, namely, type 2 diabetes with carotid atherosclerosis (DA), diabetic kidney disease (DKD), diabetic retinopathy (DR), and diabetic peripheral neuropathy (DPN).ResultsThe logistic regression results demonstrate that in the fully adjusted model, each SD increase in AIP correlates with an elevated risk of type 2 diabetic kidney disease (DKD), with the risk of kidney damage intensifying alongside higher AIP groupings. The RCS analysis and subgroup analyses similarly revealed a dose-response relationship between AIP levels and the risk of DKD. Furthermore, the AIP was not found to be statistically significantly associated with DA, DR,and DPN.ConclusionsThe AIP may serve as a valuable predictive indicator for evaluating kidney damage in patients with type 2 diabetes, and regular screening of AIP in this population could provide significant benefits in the prevention of DKD.https://www.frontiersin.org/articles/10.3389/fendo.2025.1537303/fullatherogenic index of plasmatype 2 diabetesdiabetic complicationsmetabolic management centercross-sectional study
spellingShingle Yue-Yang Zhang
Yue-Yang Zhang
Yue-Yang Zhang
Yue-Yang Zhang
Yue-Yang Zhang
Xiao-Yu Yang
Xiao-Yu Yang
Xiao-Yu Yang
Xiao-Yu Yang
Xiao-Yu Yang
Qin Wan
Qin Wan
Qin Wan
Qin Wan
Qin Wan
Association between atherogenic index of plasma and type 2 diabetic complications: a cross-sectional study
Frontiers in Endocrinology
atherogenic index of plasma
type 2 diabetes
diabetic complications
metabolic management center
cross-sectional study
title Association between atherogenic index of plasma and type 2 diabetic complications: a cross-sectional study
title_full Association between atherogenic index of plasma and type 2 diabetic complications: a cross-sectional study
title_fullStr Association between atherogenic index of plasma and type 2 diabetic complications: a cross-sectional study
title_full_unstemmed Association between atherogenic index of plasma and type 2 diabetic complications: a cross-sectional study
title_short Association between atherogenic index of plasma and type 2 diabetic complications: a cross-sectional study
title_sort association between atherogenic index of plasma and type 2 diabetic complications a cross sectional study
topic atherogenic index of plasma
type 2 diabetes
diabetic complications
metabolic management center
cross-sectional study
url https://www.frontiersin.org/articles/10.3389/fendo.2025.1537303/full
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