Comparison of different obesity indices associated with type 2 diabetes mellitus among different sex and age groups in Nantong, China: a cross-section study

BMC Geriatrics

Hao Huang¹  Zhengcheng Xu¹  Xiaoyang Duan¹  Qiwei Ge¹  Min Li¹  Yuxin Cao¹  Xun Zhuang¹  Huiyan Zheng²  Zhigang Qi² 

[1] Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, No 9 Seyuan Road, 226019, Nantong, Jiangsu, China;Nantong Chongchuan District Center for Disease Control and Prevention, 226000, Nantong, Jiangsu, China;

关键词: Obesity;    Anthropometric indices;    Type 2 diabetes mellitus;    Chinese;   

DOI  :  10.1186/s12877-021-02713-w

来源: Springer

【 摘 要 】

BackgroundObesity is associated with type 2 diabetes mellitus (T2DM). However, the obesity index that is most closely related to type 2 diabetes remains controversial. Therefore, the aim of this study was to compare the associations of five anthropometric indices (body mass index [BMI], body adiposity index, waist circumference [WC], waist-to-hip ratio, and waist-to-height ratio [WHtR]) with T2DM among Chinese adults divided into four groups according to sex and age.MethodsA total of 4007 adult participants (1669 men and 2338 women) were included in the study. Odds ratios (ORs) and 95% confidence intervals were used with binary logistic regression models to estimate the risk of T2DM for each obesity index. Furthermore, we compared the area under the receiver operating characteristic curve (AUC) of each obesity index for the criterion of T2DM under the influence of risk factors.ResultsWC had the highest OR (3.211 and 1.452) and AUC (0.783 and 0.614) in both age groups of men. However, WHtR (OR = 2.366, AUC = 0.771) and BMI (OR = 1.596, AUC = 0.647) were the optimal criteria for predicting T2DM among females in the 18–59 and ≥ 60 years age groups, respectively.ConclusionsThis study suggests that there is a positive association between obesity-related anthropometric indices and T2DM in different sex and age groups. WC appears to be the optimal anthropometric index for predicting T2DM in men. The optimal obesity indices related to T2DM were WHtR and BMI for women aged 18–59 and ≥ 60 years, respectively.

【 授权许可】

CC BY