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Table 3 Proportion of subjects correctly classified by each index using clamp-derived M thirds as reference insulin sensitivity categories

From: Fasting insulin sensitivity indices are not better than routine clinical variables at predicting insulin sensitivity among Black Africans: a clamp study in sub-Saharan Africans

 

Men

Women

All subjects

Insulin sensitivity category

 Low

 Medium

 High

 Total

 Kappa (95% CI)

 Low

 Medium

 High

 Total

 Kappa (95% CI)

 Low

 Medium

 High

 Total

 Kappa (95% CI)

Using clamp as reference

N = 15

N = 16

N = 16

N = 47

 

N = 10

N = 11

N = 11

N = 32

 

N = 25

N = 27

N = 27

N = 79

 

Fasting plasma insulin

20%

44%

25%

14/47

−0.05 (−0.25 to 0.14)

30%

36%

9%

8/32

−0.13 (−0.33 to 0.10)

24%

41%

18%

22/79

−0.08 (−0.22 to 0.08)

Glucose/Insulin ratio

53%

56%

50%

25/47

0.30 (0.08 to 0.51)

50%

45%

45%

15/32

0.20 (−0.08 to 0.47)

52%

52%

48%

40/79

0.26 (0.09 to 0.42)

HOMA-IR

20%

37%

19%

12/47

−0.12 (−0.30 to 0.06)

20%

45%

18%

9/32

−0.08 (−0.31 to 0.15)

20%

41%

18%

21/79

−0.10 (−0.24 to 0.04)

FIRI

20%

37%

19%

12/47

−0.12 (−0.30 to 0.08)

20%

45%

18%

9/32

−0.08 (−0.30 to 0.16)

20%

41%

18%

21/79

−0.10 (−0.24 to 0.04)

QUICKI

53%

50%

50%

24/47

0.27 (0.05 to 0.46)

50%

36%

54%

15/32

0.20 (−0.04 to 0.47)

52%

44%

52%

39/79

0.24 (0.09 to 0.42)

Age

27%

9%

56%

15/47

−0.02 (−0.22 to 0.18)

10%

45%

27%

9/32

−0.08 (−0.32 to 0.16)

20%

26%

44%

24/79

−0.04 (−0.19 to 0.11)

BMI

53%

56%

62%

27/47

0.36 (0.14 to 0.58)

50%

27%

27%

11/32

0.01 (−0.23 to 0.25)

52%

44%

48%

38/79

0.22 (0.05 to 0.38)

Waist

53%

31%

56%

21/47

0.20 (−0.02 to 0.40)

50%

27%

18%

10/32

−0.03 (−0.26 to 0.22)

52%

30%

41%

32/79

0.11 (−0.06 to 0.27)

WHtR

53%

31%

62%

25/47

0.23 (0.01 to 0.43)

50%

36%

18%

11/32

0.01 (−0.22 to 0.25)

52%

33%

44%

34/79

0.14 (−0.02 to 0.31)

  1. HOMA-IR: Homeostasis Model Assessment for insulin resistance; FIRI: fasting insulin resistance index; QUICKI: quantitative insulin sensitivity check index;
  2. BMI: body mass index; WHtR: waist-to-height ratio.