Diabetologia: Complex interactions between an empty stomach's blood sugar, body mass index, age, and gender for all-cause death: a cohort study of 15 million Korean adults

The aim of this work was to check whether BMI and perinatal blood sugar (FBG) were associated with mortality and to identify high mortality FBG-BMI clusters by sex and age.
between 2003 and 2006, a total of 15,149,275 Korean adults participated in health checks and followed up until December 2018.
the mortality HRs in 40 groups of FBG-BMI combined using cox proportional risk models.
, 1,213,401 people died in an average of 13.7 years of follow-up.
found a J-type association between FBG and all-cause mortality in all BMI categories.
at any given FBG level, people with a BMI of 20 kg/m2 had the highest mortality rate, followed by those with a BST of 20-22.4 kg/m2.
effects of increased FBG values in lean individuals were greater than in obese individuals.
, the co-effects of high blood sugar and wasting were stronger in young people than in older adults.
compared to the reference group (overweight and normal blood sugar), overweight and normal blood sugar (body mass index -lt; 20kg/m2 and FBG 4.4-5.2 millimol/L), overweight and diabetic (body mass index 25-27.4kg/m2 and FBG ≥10.0 millimol/L) and diabetic (BMO) The age- and gender-adjusted heart rates of 20kg/m2 and FBG ≥10.0 millimol/L) were 1.29, 2.59 and 11.18 respectively, and the identification of the BMI-FBG sub-group associated with higher mortality was not direct, FBG 6 The mortality rate was similar or higher in the .1-6.9 mmol/L and BMR 20-22.4 kg/m2 group compared to the FBG 7.0-9.9 mor/L and BMD ≥22.5 kg/m2 group.
among women aged 45 years and FBG at 6.9 millimoles/L, women with a BMI of ≥27.5 kg/m2 had the highest mortality rate, while individuals with a BMI of 20 kg/m2 had the highest mortality rates in other age groups and sex groups.
the interaction between wasting and high blood sugar increases mortality in a way that is super-multiplied, especially among young people;
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