Research Article

The 7-Year Change in the Prevalence of Insulin Resistance, Inflammatory Biomarkers, and Their Determinants in an Urban South African Population

Table 1

Characteristics of participants in 2008/09 and 2014/16.

Characteristics2008/09 ()2014/16 () value
()
Median (25th; 75th percentiles)
()
Median (25th; 75th percentiles)

Gender0.114
Women, (%)620 (77.8)1278 (74.9)
Men, (%)177 (22.2)428 (25.1)
Age, year<0.001
Level of education
Education , (%)271 (34.2)559 (33.0)0.553
Education , (%)522 (65.8)1136 (67)0.553
Alcohol use
Current drinker, (%)563 (71.4)1213 (71.5)0.958
Nondrinker, (%)225 (28.6)483 (28.5)0.958
Cotinine (ng/mL)10 (9; 311)48.2 (10; 268)<0.001
Tobacco use
Nonsmoker, (%)447 (56.2)779 (47.1)<0.001
Smoker, (%)348 (43.8)874 (52.9)<0.001
Anthropometry
Body mass index (kg/m2)0.013
BMI status
Normal (18.5 kg/m2 to 25 kg/m2), (%)218 (27.7)603 (35.8)<0.001
Overweight (25 kg/m2 to 29.9 kg/m2), (%)218 (27.7)385 (22.9)0.009
Obese (≥30 kg/m2), (%)352 (44.7)696 (41.3)0.109
Waist circumference (cm)<0.001
Hip circumference (cm)<0.001
Waist-to-hip ratio0.504
Systolic blood pressure (mmHg)<0.001
Diastolic blood pressure (mmHg)<0.001
Fasting glucose (mmol/L)5.6 (5.0;6.5)5.0 (4.6;5.6)<0.001
2 hr glucose (mmol/L)6.8 (5.7;8.7)6.1 (4.9; 7.6)<0.001
HBA1c (mmol/mol)<0.001
HBA1c (%)<0.001
Fasting insulin (mIU/L)6.6 (2.7; 12.5)6.6 (4.2; 10.4)0.414
2 hr insulin (mIU/L)38.1 (19.5; 72.2)38.8 (20.7; 71.9)0.829
Normoglycemia, (%)474 (59.7)1278 (75.3)<0.001
Pre-diabetes, (%)184 (23.2)296 (17.4)<0.001
Screened-detected diabetes, (%)136 (17.1)124 (7.3)<0.001
HDL-C (mmol/L)1.2 (1.0; 1.5)1.3 (1.1; 1.5)<0.001
LDL-C (mmol/L)3.6 (3.0; 4.3)3.1 (2.5; 3.7)<0.001
Triglycerides (mmol/L)1.2 (0.9; 1.7)1.5 (0.8; 1.7)0.620
Ultra-sensitive C-reactive protein (mg/L)3.6 (0.9; 9.4)3.9 (1.5; 8.6)0.228
Gamma-glutamyl transferase (IU/L)27 (19; 42)28 (20; 45)0.011
HOMA-IR1.6 (0.6; 3.1)1.4 (0.9; 2.4)0.859
QUICKI0.6 (0.5; 0.9)0.7 (0.6; 0.8)0.124
McAuley index7.9 (6.1; 10.7)7.9 (6.4; 9.4)0.050
Matsuda index7.9 (4.0; 17.8)8.4 (4.8; 15.3)0.685

; screen-detected diabetes: newly diagnosed diabetics; HDL-C: high-density lipoprotein cholesterol; LDL-C: low-density lipoprotein cholesterol; HOMA-IR: homeostatic model assessment of insulin resistance.