Publication: Abdominal Circumference as a Screening Measure for Type 2 Diabetes
Date
2012
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
No comparative study has been conducted in India considering different
anthropometrically derived adiposity measures to study the association with Type
2 Diabetes.
Objective
This study aims to examine the association of different adiposity measures and to
find out the best adiposity measure in assessing Type 2 Diabetes.
Method
On 187 adult males aged 25-67 years, fasting and two hours postload glucose levels
were assessed. Height, weight, hip circumference, and waist circumference at two
anatomical sites, one at the level of the greatest anterior extension of the abdomen
i.e. abdominal circumference and the other one at the narrowest part of the torso
i.e. minimum waist circumference were measured. Waist hip ratio, body mass
index, waist height ratio and conicity index were calculated subsequently.
Results
The prevalence of Type 2 Diabetes was 12.3%. Abdominal circumference revealed
the highest odds ratio (OR 2.75; 95% CI 1.45 - 5.23) for Type 2 Diabetes, followed by
waist height ratio (OR 1.86; 95% CI 1.05 - 3.32) and minimum waist circumference
(OR 1.83; 95%CI 1.03 - 3.26). The area under the receiver operating characteristic
curve of abdominal circumference was also larger (68%; 95%CI: 0.57 - 0.79)
compared to other adiposity measures in assessing Type 2 Diabetes.
Conclusion
Waist circumference measured at the level of greatest anterior extension of the
abdomen was the best central adiposity measurement in predicting and assessing
Type 2 Diabetes.
KEY WORDS
Abdominal circumference, central adiposity, Type 2 Diabetes, waist circumference
Description
Ghosh JR,1 Bandyopadhyay AR2
1Department of Anthropology
Visva-Bharati University, Santiniketan West Bengal, India
2University of Calcutta, Kolkata West Bengal, India