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However, few studies have examined whether early life course interactions between cardiometabolic risk factors and sex are associated with incident <jats:styled-content style=\"fixed-case\">T2DM<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study followed 7725 children (3834 [49.6%] females, 3891 [50.4%] males) from the Bogalusa Heart Study through mid\u2010adulthood to examine whether low\u2010density lipoprotein cholesterol (<jats:styled-content style=\"fixed-case\">LDL\u2010C<\/jats:styled-content>), high\u2010density lipoprotein cholesterol (<jats:styled-content style=\"fixed-case\">HDL\u2010C<\/jats:styled-content>), body mass index (<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>), or systolic blood pressure (<jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content>) differentially affect the risk of <jats:styled-content style=\"fixed-case\">T2DM<\/jats:styled-content> for females versus males. Potential sex interactions were tested after adjusting for age, race, triglycerides, smoking, follow\u2010up time, puberty stage, use of birth control, and enrollment year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean (\u00b1 <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>) age at baseline was 9.4\u2009\u00b1\u20093.5\u2009years. There were 176 cases of <jats:styled-content style=\"fixed-case\">T2DM<\/jats:styled-content> (cumulative incidence\u2009=\u20092.3%) during a median follow\u2010up of 9.1\u2009years. In females versus males, <jats:styled-content style=\"fixed-case\">LDL\u2010C<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content> were differentially associated with <jats:styled-content style=\"fixed-case\">T2DM<\/jats:styled-content> (<jats:italic>P<\/jats:italic>\u2009\u2264\u20090.001 and <jats:italic>P<\/jats:italic>\u2009=\u20090.017, respectively). The relationships of <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">HDL\u2010C<\/jats:styled-content> with <jats:styled-content style=\"fixed-case\">T2DM<\/jats:styled-content> were non\u2010differential between females and males (<jats:italic>P<\/jats:italic>\u2009=\u20090.79 and <jats:italic>P<\/jats:italic>\u2009=\u20090.27, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study is the first to show evidence of sex\u2010specific differential effects of <jats:styled-content style=\"fixed-case\">LDL\u2010C<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content> on the risk of <jats:styled-content style=\"fixed-case\">T2DM<\/jats:styled-content> from childhood to adulthood. Greater <jats:styled-content style=\"fixed-case\">LDL\u2010C<\/jats:styled-content> places girls at disproportionally higher risk of <jats:styled-content style=\"fixed-case\">T2DM<\/jats:styled-content> as women, whereas greater <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content> differentially exposes boys to a greater risk of <jats:styled-content style=\"fixed-case\">T2DM<\/jats:styled-content> as men. Additional studies within existing child cohorts are needed to confirm and investigate the mechanisms underlying these differential effects.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1753-0407.12543","type":"journal-article","created":{"date-parts":[[2017,2,27]],"date-time":"2017-02-27T05:42:39Z","timestamp":1488174159000},"page":"449-457","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Differential sex effects of systolic blood pressure and low\u2010density lipoprotein cholesterol on type 2 diabetes: Life course data from the Bogalusa Heart Study"],"prefix":"10.1111","volume":"10","author":[{"given":"Benjamin D.","family":"Pollock","sequence":"first","affiliation":[{"name":"Department of Epidemiology Tulane School of Public Health and Tropical Medicine, Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Tulane School of Public Health and Tropical Medicine, Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily W.","family":"Harville","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Tulane School of Public Health and Tropical Medicine, Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tian","family":"Shu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Tulane School of Public Health and Tropical Medicine, Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivian","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franck","family":"Mauvais\u2010Jarvis","sequence":"additional","affiliation":[{"name":"Department of Medicine Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanika N.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Tulane School of Public Health and Tropical Medicine, Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lydia A.","family":"Bazzano","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Tulane School of Public Health and Tropical Medicine, Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,4,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCO.0000000000000297"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-6686.2012.00274.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/2150131913503347"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000343"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(86)90532-2"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a009366"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.162.1.82"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/07853890.2015.1127406"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199806043382302"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/clinchem\/20.4.470"},{"key":"e_1_2_7_12_1","unstructured":"JangMJ. 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