Relationship of body mass index, waist circumference and waist-to-hip ratio with diabetes mellitus in community residents aged 15 years old and above in Pudong new district, Shanghai
10.3760/cma.j.issn.0254-6450.2020.03.009
- VernacularTitle:上海市浦东新区15岁及以上居民体质指数、腰围、腰臀比与糖尿病患病的关系
- Author:
Zhitao LI
1
;
Xiaonan WANG
;
Xiaolin LIU
;
Juzhong KE
;
Xiaonan RUAN
;
Hua QIU
;
Siyu YU
;
Kang WU
;
Yi YANG
Author Information
1. 上海市浦东新区疾病预防控制中心 复旦大学浦东预防医学研究院 200136
- Keywords:
Diabetes;
Body mass index;
Obesity
- From:
Chinese Journal of Epidemiology
2020;41(3):326-330
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the relationship of body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR) with diabetes mellitus in community residents aged ≥15 years in Pudong new district of Shanghai, and provide evidence for the prevention and treatment of diabetes mellitus.Methods:Using multi-stage stratified cluster sampling method, a total of 7 194 community residents aged ≥15 years were surveyed by using questionnaire, physical examination and laboratory tests in 2016. The relationship of BMI, waist circumference and waist-hip ratio with diabetes mellitus was analyzed by χ2 test, single factor linear correlation and logistic regression analyses. Results:In 2016, the crude prevalence rate of diabetes mellitus in Pudong was 27.37 %, which was 12.75 % after standardization. The prevalence rate of diabetes mellitus was slightly higher in men than in women and was increased with age. The levels of FPG, 2 h plasma glucose and HbA1c were positively correlated with BMI, WC and WHR. After adjusting the confounding factors, multiple logistic regression analysis showed that obesity ( OR=1.351, P<0.01), excessive waist circumference ( OR=1.255, P<0.01) and high WHR ( OR=1.291, P<0.01) were risk factors for diabetes mellitus. Conclusions:The increase of obesity, WC and WHR will increase the risk for diabetes mellitus. It is important to maintain healthy weight, especially the control of WC and WHR, reduce the accumulation of abdominal fat to reduce the risk for diabetes mellitus.
