Normal-weight central obesity: implications for diabetes mellitus

Frontiers in Nutrition

Nutrition

Jiajun Liu¹  Shan Jiang²  Zhiqiang Li²  Longhui Liu²  Xueshan Jin²  Aicheng Yang²  Xin Zhou²  Qiuyu Cao²  Jiehua Lin²  Guangfu Wu² 

[1] First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China;Nephropathy Center, The Affiliated Jiangmen TCM Hospital of Jinan University, Jiangmen, China;

关键词: normal-weight central obesity;    body mass index;    waist circumference;    diabetes mellitus;    National Health and Nutrition Examination Survey;   

DOI  :  10.3389/fnut.2023.1239493

 received in 2023-06-13, accepted in 2023-09-11,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundCurrent guidelines for obesity prevention and control focus on body mass index (BMI) and rarely address central obesity. Few studies have been conducted on the association between normal-weight central obesity and the risk of diabetes mellitus (DM).Methods26,825 participants from the National Health and Nutrition Examination Survey (NHANES) were included in our study. A weighted multivariate logistic regression model was used to analyze the relationship between different obesity patterns and the risk of DM.ResultsOur results suggest that normal-weight central obesity is associated with an increased risk of DM (OR: 2.37, 95% CI: 1.75–3.23) compared with normal-weight participants without central obesity. When stratified by sex, men with normal-weight central obesity, obesity and central obesity were found to have a similar risk of DM (OR: 3.83, 95% CI: 2.10–5.97; OR: 4.20, 95% CI: 3.48–5.08, respectively) and a higher risk than all other types of obesity, including men who were overweight with no central obesity (OR: 1.21, 95% CI: 0.96–1.51) and obese with no central obesity (OR: 0.53, 95% CI: 0.30–0.91).ConclusionOur results highlight the need for more attention in people with central obesity, even if they have a normal BMI.

【 授权许可】

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Copyright © 2023 Jin, Liu, Cao, Lin, Wu, Liu, Jiang, Zhou, Li and Yang.