Which is a Better Anthropometric Indicator of Cardiovascular Risk Factors in Type 2 Diabetes Mellitus Patients? Waist Hip Ratio or Body Mass Index?
- Author:
Koo HC
;
Daniel Robert S
;
Hamid Jan JM
- Publication Type:Journal Article
- Keywords:
Adiposity, body mass index, lipid profiles,macronutrient intakes, type 2 diabetes mellitus, waist hip ratio
- From:
Malaysian Journal of Nutrition
2013;19(2):163-172
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: The increasing prevalence of adiposity is associated with the
development of type 2 diabetes mellitus (T2DM). The two most popular methods
to measure adiposity are body mass index (BMI) and waist-hip-ratio (WHR),
which measure the overall and abdominal adiposity, respectively. The aim of
this study was to determine whether BMI or WHR was more strongly associated
with macronutrient intakes and lipid profiles in T2DM patients. Methods: In this
cross-sectional study, a total of 210 T2DM patients, mean age of 56.73(SD 10.23)
years, were recruited from Penang. Information on socio-demographic, body
measurements (height, weight, waist circumference and hip circumference)and
macronutrient intakes (three 24-hour dietary recalls) were recorded. Routine
laboratory tests (fasting blood glucose, HbA1c, LDL, HDL, triglyceride and total
cholesterol) were performed according to standard procedure. Results:Among
the respondents, 84% had abdominal and 63% had overall adiposity
respectively.There was a significant correlation between WHR and the total
calorie(r=0.27; p<0.001), carbohydrate (r=0.30; p<0.001) and protein intakes(r=0.18;
p=0.009). WHR was significantly associated with serum triglycerides(r=0.18;
p=0.011) and the HDL levels (r=-0.20; p=0.003). On the other hand, neither lipid
profiles nor dietary intakes showed significant correlation with BMI. Conclusion:
In T2DM, WHR is more strongly associated with macronutrient intakes, HDL
and triglyceride compared with BMI. Hence, WHR is a better anthropometric
indicator of plasma lipids in T2DM.
- Full text:W020150716516309362996.pdf
