Association between type 2 diabetes mellitus and anthropometric measurements - A case control study in South India

A. Awasthi, Chythra R. Rao, D. S. Hegde, K. Rao N

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Introduction. Obesity is a major risk factor for type 2 diabetes mellitus (T2DM). Clinical evidence indicates a stronger association of diabetes with central obesity than general obesity. The present study aimed to compare the association between type 2 diabetes mellitus and different anthropometric measurements and evaluate the usefulness of these measurements in clinical practice. Methods. A case-control study was done among 102 individuals; of whom 51 cases included diagnosed T2DM (≥ 20 years age) patients attending the Medicine out-patient consultation of a tertiary care hospital and 51 controls who were screen negative for T2DM and recruited from the local community. Various anthropometric measurements were used according to standard World Health Organization (WHO) protocols. Data was entered and analyzed using Statistical Package for Social Sciences (SPSS) version 15. Results. The proportion of cases with Body Mass Index (BMI) ≥ 25 kg/m2 was 55% as compared to 22% of controls and this association was statistically significant (p < 0.05). The proportion of cases with high waist circumference cut-offs (WC) was 74.5% as compared to 45.1% healthy individuals and this association was also statistically significant (p < 0.05, OR = 3.56). A Receiver Operating Characteristic (ROC) curve for both gender revealed highest area under the curve for body mass index (area = 0.787). Body mass index had the best discriminatory power. Waist to hip ratio was not a sensitive marker especially for females. Conclusions. A strong association between obesity indices and diabetes was identified. BMI and WC could be used in clinical practice for suggesting life style modifications.

Original languageEnglish
Pages (from-to)E56-E62
JournalJournal of Preventive Medicine and Hygiene
Volume58
Issue number1
DOIs
Publication statusPublished - 01-01-2017

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Type 2 Diabetes Mellitus
Case-Control Studies
India
Body Mass Index
Obesity
Waist Circumference
Waist-Hip Ratio
Abdominal Obesity
Social Sciences
Tertiary Healthcare
Tertiary Care Centers
ROC Curve
Area Under Curve
Life Style
Outpatients
Referral and Consultation
Medicine

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

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title = "Association between type 2 diabetes mellitus and anthropometric measurements - A case control study in South India",
abstract = "Introduction. Obesity is a major risk factor for type 2 diabetes mellitus (T2DM). Clinical evidence indicates a stronger association of diabetes with central obesity than general obesity. The present study aimed to compare the association between type 2 diabetes mellitus and different anthropometric measurements and evaluate the usefulness of these measurements in clinical practice. Methods. A case-control study was done among 102 individuals; of whom 51 cases included diagnosed T2DM (≥ 20 years age) patients attending the Medicine out-patient consultation of a tertiary care hospital and 51 controls who were screen negative for T2DM and recruited from the local community. Various anthropometric measurements were used according to standard World Health Organization (WHO) protocols. Data was entered and analyzed using Statistical Package for Social Sciences (SPSS) version 15. Results. The proportion of cases with Body Mass Index (BMI) ≥ 25 kg/m2 was 55{\%} as compared to 22{\%} of controls and this association was statistically significant (p < 0.05). The proportion of cases with high waist circumference cut-offs (WC) was 74.5{\%} as compared to 45.1{\%} healthy individuals and this association was also statistically significant (p < 0.05, OR = 3.56). A Receiver Operating Characteristic (ROC) curve for both gender revealed highest area under the curve for body mass index (area = 0.787). Body mass index had the best discriminatory power. Waist to hip ratio was not a sensitive marker especially for females. Conclusions. A strong association between obesity indices and diabetes was identified. BMI and WC could be used in clinical practice for suggesting life style modifications.",
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Association between type 2 diabetes mellitus and anthropometric measurements - A case control study in South India. / Awasthi, A.; Rao, Chythra R.; Hegde, D. S.; Rao N, K.

In: Journal of Preventive Medicine and Hygiene, Vol. 58, No. 1, 01.01.2017, p. E56-E62.

Research output: Contribution to journalArticle

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N2 - Introduction. Obesity is a major risk factor for type 2 diabetes mellitus (T2DM). Clinical evidence indicates a stronger association of diabetes with central obesity than general obesity. The present study aimed to compare the association between type 2 diabetes mellitus and different anthropometric measurements and evaluate the usefulness of these measurements in clinical practice. Methods. A case-control study was done among 102 individuals; of whom 51 cases included diagnosed T2DM (≥ 20 years age) patients attending the Medicine out-patient consultation of a tertiary care hospital and 51 controls who were screen negative for T2DM and recruited from the local community. Various anthropometric measurements were used according to standard World Health Organization (WHO) protocols. Data was entered and analyzed using Statistical Package for Social Sciences (SPSS) version 15. Results. The proportion of cases with Body Mass Index (BMI) ≥ 25 kg/m2 was 55% as compared to 22% of controls and this association was statistically significant (p < 0.05). The proportion of cases with high waist circumference cut-offs (WC) was 74.5% as compared to 45.1% healthy individuals and this association was also statistically significant (p < 0.05, OR = 3.56). A Receiver Operating Characteristic (ROC) curve for both gender revealed highest area under the curve for body mass index (area = 0.787). Body mass index had the best discriminatory power. Waist to hip ratio was not a sensitive marker especially for females. Conclusions. A strong association between obesity indices and diabetes was identified. BMI and WC could be used in clinical practice for suggesting life style modifications.

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