Comparison of HOMA-IR, HOMA-β% and disposition index between US white men and Japanese men in Japan: the ERA JUMP study

Vasudha Ahuja, Takashi Kadowaki, Rhobert W. Evans, Aya Kadota, Tomonori Okamura, Samar R. El Khoudary, Akira Fujiyoshi, Emma J.M. Barinas-Mitchell, Takashi Hisamatsu, Abhishek Vishnu, Katsuyuki Miura, Hiroshi Maegawa, Aiman El-Saed, Atsunori Kashiwagi, Lewis H. Kuller, Hirotsugu Ueshima, Akira Sekikawa

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Abstract

Aims/hypothesis: At the same level of BMI, white people have less visceral adipose tissue (VAT) and are less susceptible to developing type 2 diabetes than Japanese people. No previous population-based studies have compared insulin resistance and insulin secretion between these two races in a standardised manner that accounts for VAT. We compared HOMA-IR, HOMA of beta cell function (HOMA-β%) and disposition index (DI) in US white men and Japanese men in Japan.

Methods: We conducted a population-based, cross-sectional study, comprising 298 white men and 294 Japanese men aged 40–49 years without diabetes. Insulin, glucose, VAT and other measurements were performed at the University of Pittsburgh. We used ANCOVA to compare geometric means of HOMA-IR, HOMA-β% and DI, adjusting for VAT and other covariates.

Results: White men had higher HOMA-IR, HOMA-β% and DI than Japanese men, and the difference remained significant (p < 0.01) after adjusting for VAT (geometric mean [95% CI]): 3.1 (2.9, 3.2) vs 2.5 (2.4, 2.6), 130.8 (124.6, 137.3) vs 86.7 (82.5, 91.0), and 42.4 (41.0, 44.0) vs 34.8 (33.6, 36.0), respectively. Moreover, HOMA-IR, HOMA-β% and DI were significantly higher in white men even after further adjustment for BMI, impaired fasting glucose and other risk factors.

Conclusions/interpretation: The higher VAT-adjusted DI in white men than Japanese men may partly explain lower susceptibility of white people than Japanese people to developing type 2 diabetes. The results, however, should be interpreted with caution because the assessment of insulin indices was made using fasting samples and adjustment was not made for baseline glucose tolerance. Further studies using formal methods to evaluate insulin indices are warranted.

Original languageEnglish
Pages (from-to)265-271
Number of pages7
JournalDiabetologia
Volume58
Issue number2
DOIs
Publication statusPublished - 2015 Jan 1

Keywords

  • Cross-sectional analysis
  • Epidemiology
  • Humans
  • Insulin resistance
  • Japanese
  • Pathophysiology
  • Race
  • Type 2 diabetes
  • Visceral adipose tissue
  • White race

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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    Ahuja, V., Kadowaki, T., Evans, R. W., Kadota, A., Okamura, T., El Khoudary, S. R., Fujiyoshi, A., Barinas-Mitchell, E. J. M., Hisamatsu, T., Vishnu, A., Miura, K., Maegawa, H., El-Saed, A., Kashiwagi, A., Kuller, L. H., Ueshima, H., & Sekikawa, A. (2015). Comparison of HOMA-IR, HOMA-β% and disposition index between US white men and Japanese men in Japan: the ERA JUMP study. Diabetologia, 58(2), 265-271. https://doi.org/10.1007/s00125-014-3414-6