Risk of incident diabetes associated with per standard unit of fatty acids
OR for risk of diabetes mellitus (95% CIs) | ||||||||
Fatty acid* | Unadjusted | P value | Model 1† | P value | Model 2‡ | P value | Model 3§ | P value |
SFAs | ||||||||
Myristic acid (14:0) | 1.11 (0.93 to 1.32) | 0.24 | 1.12 (0.93 to 1.34) | 0.23 | 1.08 (0.89 to 1.31) | 0.42 | 1.13 (0.92 to 1.40) | 0.25 |
Palmitic acid (16:0) | 1.46 (1.23 to 1.76) | <0.001 | 1.44 (1.18 to 1.74) | <0.001 | 1.35 (1.10 to 1.67) | 0.004 | 1.36 (1.09 to 1.70) | 0.01 |
Stearic acid (18:0) | 1.00 (0.83 to 1.20) | >0.99 | 0.95 (0.78 to 1.15) | 0.57 | 0.90 (0.74 to 1.11) | 0.33 | 0.90 (0.72 to 1.12) | 0.34 |
MUFAs | ||||||||
Myristoleic acid (14:1n5) | 1.01 (0.85 to 1.21) | 0.88 | 1.03 (0.85 to 1.25) | 0.77 | 1.00 (0.82 to 1.23) | 0.98 | 1.06 (0.85 to 1.31) | 0.62 |
Palmitoleic acid (16:1n7) | 1.37 (1.16 to 1.63) | <0.001 | 1.37 (1.13 to 1.67) | 0.002 | 1.32 (1.08 to 1.63) | 0.01 | 1.31 (1.04 to 1.63) | 0.02 |
Oleic acid (18:1n9) | 1.33 (1.12 to 1.60) | 0.002 | 1.42 (1.15 to 1.76) | 0.001 | 1.32 (1.06 to 1.64) | 0.01 | 1.35 (1.05 to 1.73) | 0.02 |
Ratios | ||||||||
Palmitoleic acid/palmitic acid (SCD1) | 1.32 (1.11 to 1.58) | 0.002 | 1.32 (1.08 to 1.61) | 0.01 | 1.29 (1.04 to 1.59) | 0.02 | 1.26 (1.00 to 1.58) | 0.05 |
Oleic acid/stearic acid (SCD1) | 1.24 (1.04 to 1.49) | 0.01 | 1.30 (1.06 to 1.58) | 0.01 | 1.26 (1.03 to 1.55) | 0.02 | 1.28 (1.02 to 1.61) | 0.03 |
Stearic acid/palmitic acid (Elovl6) | 0.79 (0.66 to 0.96) | 0.01 | 0.77 (0.63 to 0.94) | 0.01 | 0.79 (0.64 to 0.97) | 0.02 | 0.79 (0.63 to 0.99) | 0.04 |
*All the values of fatty acids and their ratios were converted into SD units. All ORs are per one SD unit.
†Model 1: Age, sex, ethnicity, body mass index, carbohydrate intake, oral glucose tolerance status, physical activity, family history of diabetes, alcohol, smoking status and education.
‡Model 2: model 1 covariates and insulin sensitivity.
§Model 3: model 2 covariates and acute insulin response.
MUFA, monounsaturated fatty acid; SCD1, stearoyl CoA desaturase-1; SFA, unsaturated fatty acid.