Research Article

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

Table 2

Prevalence of IR and inflammation in all participants and in those with normoglycemia and not on lipid lowering and/or hypertension medication.

OverallWomenMenGender year of study
interaction
2008/09
(%)
2014/16
(%)
value2008/09
(%)
2014/16
(%)
value2008/09
(%)
2014/16
(%)
value

Insulin resistance: all participants
Fasting insulin196 (24.8)278 (16.9)<0.001174 (28.4)231 (18.7)<0.00122 (12.5)47 (11.4)0.7060.939
HOMA-IR196 (24.8)253 (15.4)<0.001170 (27.7)205 (16.6)<0.00126 (14.8)48 (11.7)0.2960.375
QUICKI186 (23.6)218 (13.3)<0.001158 (25.8)176 (14.3)<0.00128 (15.9)42 (10.2)0.0500.550
McAuley index201 (25.5)348 (21.3)0.021167 (27.2)275 (22.4)0.02334 (19.5)73 (18.0)0.6670.369
Matsuda index200 (25.5)299 (18.8)<0.001174 (28.6)255 (21.5)0.00126 (14.8)44 (10.9)0.1940.119
Insulin resistance: normoglycemia and not on lipid lowering and/or hypertension medication
Fasting insulin247 (31.3)413 (25.1)0.001211 (34.4)343 (27.8)0.00436 (20.5)70 (17.0)0.3170.765
HOMA-IR288 (36.5)451 (27.4)<0.001248 (40.5)377 (30.6)<0.00140 (22.7)74 (18.0)0.1810.455
QUICKI323 (40.9)504 (30.6)<0.001274 (44.7)422 (34.2)<0.00149 (27.8)82 (19.9)0.0340.548
McAuley index281 (35.7)535 (32.8)0.157233 (38.0)430 (35.1)0.21648 (27.6)105 (25.9)0.6780.236
Matsuda index310 (39.5)542 (34.1)0.009263 (43.3)469 (39.5)0.12347 (26.7)73 (18.2)0.0200.170
Sub-clinical inflammation: all participants
usCRP436 (54.7)967 (57.1)0.264351 (56.6)772 (60.8)0.07985 (48.02)195 (45.9)0.6310.092
Gamma GT235 (29.6)567 (33.4)0.055162 (26.2)408 (32.1)0.00973 (42.2)159 (37.3)0.3680.158
Sub-clinical inflammation: normoglycemia and not on lipid lowering and/or hypertension medication
usCRP160 (46.2)480 (49.5)0.3124 (47.9)356 (53.1)0.15736 (41.4)124 (41.5)0.6250.217
Gamma GT83 (24.1)276 (28.4)0.1250 (19.4)176 (26.2)0.0333 (37.9)100 (33.3)0.3720.166

Interaction between men and women; HOMA-IR: homeostatic model assessment of insulin resistance; usCRP: ultrasensitive C-reactive protein; gamma GT: gamma-glutamyl transferase.