Body mass index, waist-to-hip ratio and waist circumference are indicators for impaired glucose tolerance/type 2 diabetes mellitus in the elderly
- Author:
Dong-Ying QIU
1
Author Information
1. Department of Geriatrics
- Publication Type:Journal Article
- From:
Academic Journal of Second Military Medical University
2006;27(1):58-61
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To study the relationship between anthropometric indices and type 2 diabetes mellitus/impaired glucose tolerance (DM/IGT) in the elderly. Methods: This research included 537 people (416 males and 121 females, aged 65-85 years) undergoing medical examination in Shanghai in 2004. The body mass index (BMI), waist to hip ratio (WHR) and waist circumference (WC) were measured and their relationship with DM/IGT was analyzed. Logistic regression analysis and area under curve (AUC) of receiver-operating characteristic (ROC) were used to study the predictive value of BMI, WHR and WC. Results: Except for the WHR in females, BMI, WC and WHR were higher in all subjects with DM/IGT than those without DM/IGT. The prevalences of DM/IGT in all subjects with high BMI (≥.25 kg/m2), WC(≥90 cm) and WHR (≥0.9) were also significantly higher than those with low BMI, WC and WHR, except for that of the WHR in females. After adjusted by age, physical activity and the family history of DM, multiple logistic regression analysis indicated that WHR was the most important predictive factor for IGT/DM in males and the same was true for BMI in females. ROC analysis showed that the AUC of WHR was the highest in the males and of BMI in the females. Conclusion: Obesity is correlated with DM/IGT in the elderly. WHR and BMI are satisfactory predictive indicators and have higher predictive accuracy for DM/IGT in elderly males and females, respectively.
