{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T19:30:25Z","timestamp":1779910225782,"version":"3.53.1"},"reference-count":27,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2015,12,12]],"date-time":"2015-12-12T00:00:00Z","timestamp":1449878400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81170760"],"award-info":[{"award-number":["81170760"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["2011CB504001"],"award-info":[{"award-number":["2011CB504001"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet. Med."],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate the prevalence and risk of diabetes based on family history in high\u2010risk subjects and also to evaluate insulin sensitivity and insulin secretion in these subjects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were analysed from 9756 participants in the Shanghai High\u2010Risk Diabetic Screen (<jats:styled-content style=\"fixed-case\">SH<\/jats:styled-content>i<jats:styled-content style=\"fixed-case\">DS<\/jats:styled-content>) Project. Family history of diabetes was classified according to parental and sibling diabetes status. The prevalence and odds ratios were calculated for each grouping after adjusting for other risk factors. Insulin resistance and sensitivity were evaluated using oral glucose tolerance test\u2010derived indices that were validated by hyperinsulinaemic\u2010euglycaemic and hyperglycaemic clamps.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 30.4% of the subjects had a family history of diabetes in a first\u2010degree relative. The proportions of subjects with a father, mother or sibling with diabetes were 7.5, 11.9 and 5.5%, respectively. The prevalence rates of diabetes in subjects with sibling history, maternal history or paternal history of diabetes were 39.3, 38.3 and 36.4%, respectively. Sibling history was a strong risk factor for diabetes (odds ratio 1.53, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.27\u20131.84; <jats:italic>P<\/jats:italic> &lt; 0.05). Insulin secretion was significantly lower in those with a maternal or sibling history of diabetes; however, insulin sensitivity was not significantly different among subjects with a family history of diabetes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Sibling history of diabetes was more strongly associated with diabetes risk than parental history among high\u2010risk subjects. Subjects with a sibling or maternal history of diabetes had significantly lower insulin secretion. Sibling history is an important and independent risk factor for diabetes even among multi\u2010risk populations. Those with a sibling history of diabetes warrant intensive care and follow\u2010up screening.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.13013","type":"journal-article","created":{"date-parts":[[2015,10,29]],"date-time":"2015-10-29T08:56:50Z","timestamp":1446109010000},"page":"1705-1711","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Prevalence and risk of diabetes based on family history in the Shanghai High\u2010Risk Diabetic Screen (<scp>SH<\/scp>i<scp>DS<\/scp>) study"],"prefix":"10.1111","volume":"33","author":[{"given":"Y.","family":"Zhang","sequence":"first","affiliation":[{"name":"Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Key Laboratory of Diabetes Shanghai China"},{"name":"Center for Translational Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai China"},{"name":"The Metabolic Diseases Biobank, Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Chen","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Key Laboratory of Diabetes Shanghai China"},{"name":"Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Clinical Medical Center of Diabetes, Shanghai Key Clinical Centre of Diabetes, Shanghai Diabetes Institute Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Lu","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Key Laboratory of Diabetes Shanghai China"},{"name":"The Metabolic Diseases Biobank, Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Shen","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Key Laboratory of Diabetes Shanghai China"},{"name":"The Metabolic Diseases Biobank, Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Chen","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Key Laboratory of Diabetes Shanghai China"},{"name":"The Metabolic Diseases Biobank, Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Fang","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Key Laboratory of Diabetes Shanghai China"},{"name":"The Metabolic Diseases Biobank, Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"X.","family":"Du","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Key Laboratory of Diabetes Shanghai China"},{"name":"The Metabolic Diseases Biobank, Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Bao","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Key Laboratory of Diabetes Shanghai China"},{"name":"The Metabolic Diseases Biobank, Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Wang","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Key Laboratory of Diabetes Shanghai China"},{"name":"The Metabolic Diseases Biobank, Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Jia","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Key Laboratory of Diabetes Shanghai China"},{"name":"The Metabolic Diseases Biobank, Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai China"},{"name":"Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Clinical Medical Center of Diabetes, Shanghai Key Clinical Centre of Diabetes, Shanghai Diabetes Institute Shanghai 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