The cross-lagged path coefficients in the total sample, with adjustment for covariates
Obesity measures | IR measures | Path coefficients (IR → Obesity) | Path coefficients (Obesity → IR) | P value† | RMR | CFI | ||
β1 | 95% CI | β2 | 95% CI | |||||
BMI | HOMA-IR | 0.074* | 0.047 to 0.101 | 0.232* | 0.197 to 0.267 | <0.001 | 0.015 | 0.990 |
WC | HOMA-IR | 0.192* | 0.156 to 0.228 | 0.187* | 0.153 to 0.221 | 0.855 | 0.006 | 0.996 |
HC | HOMA-IR | 0.201* | 0.165 to 0.237 | 0.154* | 0.120 to 0.187 | 0.087 | 0.010 | 0.961 |
WHR | HOMA-IR | 0.151* | 0.113 to 0.189 | 0.080* | 0.047 to 0.112 | 0.011 | 0.019 | 0.886 |
BMI | HOMA-%β | 0.051* | 0.024 to 0.077 | 0.168* | 0.135 to 0.201 | <0.001 | 0.020 | 0.989 |
WC | HOMA-%β | 0.172* | 0.137 to 0.207 | 0.158* | 0.126 to 0.191 | 0.612 | 0.010 | 0.995 |
HC | HOMA-%β | 0.176* | 0.140 to 0.211 | 0.150* | 0.118 to 0.181 | 0.346 | 0.014 | 0.962 |
WHR | HOMA-%β | 0.136* | 0.098 to 0.174 | 0.047* | 0.016 to 0.079 | 0.002 | 0.025 | 0.891 |
Covariates include age, sex, smoking, drinking and follow-up years.
Insulin, HOMA-IR and HOMA-%β were log-transformed for normal distribution.
β1 describes the cross-lagged path coefficient from baseline HOMA-IR or HOMA-%β to follow-up BMI/WC/HC/WHR; β2 describes the cross-lagged path coefficient from baseline BMI/WC/HC/WHR to follow-up HOMA-IR or HOMA-%β.
*P<0.05 for β1 and β2 being different from 0.
†P value for difference between β1 and β2.
BMI, body mass index; CFI, comparative fit index; HC, hip circumference; HOMA-%β, homeostasis model assessment of beta cell function; HOMA-IR, homeostasis model assessment of insulin resistance; IR, insulin resistance; RMR, root mean square residual; WC, waist circumference; WHR, waist-to-hip ratio.