Document Detail


Waist-to-hip ratio is a better anthropometric index than body mass index for predicting the risk of type 2 diabetes in Taiwanese population.
MedLine Citation:
PMID:  20934599     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Body mass index (BMI) has been reported to be related to the risk of type 2 diabetes and hypertension. However, waist circumference or waist-to-hip ratio (WHR) can better reflect the accumulation of intra-abdominal fat and might be a better predictor than BMI of the risk of type 2 diabetes and hypertension. We hypothesized that other anthropometric indices rather than BMI could more accurately predict the risk of type 2 diabetes and hypertension. The purpose of this study was to determine which anthropometric index can be a better predictor for forecasting the risk of type 2 diabetes and hypertension in the Taiwanese population. We conducted a cross-sectional study and reviewed data derived from the Nutrition and Health Survey in Taiwan, 1993-1996. The subjects were 2545 men and 2562 women, aged 18 to 96 years. Receiver operating characteristic curve analysis was used to measure the predictive diabetic and hypertensive performance of each anthropometric measurement based on the area under the curve (AUC). Among 5 anthropometric indices, WHR had a significantly adjusted odds ratio (OR) and the highest AUC (0.72 for men and 0.80 for women) to predict the risk of type 2 diabetes. Although BMI had a significantly adjusted OR, the AUC was not the highest among the 5 anthropometric indices used to predict the risk of hypertension. Our findings suggested that WHR is a better anthropometric index for predicting the risk of type 2 diabetes, and the optimal cutoff values of WHR are considered as 0.89 for men and 0.82 for women in the Taiwanese population.
Authors:
Chien-Hsiang Cheng; Chien-Chang Ho; Chin-Feng Yang; Yi-Chia Huang; Cheng-Hsiu Lai; Yung-Po Liaw
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Nutrition research (New York, N.Y.)     Volume:  30     ISSN:  1879-0739     ISO Abbreviation:  Nutr Res     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-10-11     Completed Date:  2011-01-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8303331     Medline TA:  Nutr Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  585-93     Citation Subset:  IM    
Copyright Information:
Copyright © 2010. Published by Elsevier Inc. All rights reserved.
Affiliation:
Critical Care and Respiratory Therapy, Taichung Veterans General Hospital, Taichung 407, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Anthropometry / methods*
Area Under Curve
Asian Continental Ancestry Group*
Biological Markers
Body Mass Index*
Cross-Sectional Studies
Diabetes Mellitus, Type 2 / ethnology*,  etiology
Female
Humans
Hypertension / ethnology*,  etiology
Male
Middle Aged
Odds Ratio
ROC Curve
Risk Factors
Taiwan
Waist-Hip Ratio*
Chemical
Reg. No./Substance:
0/Biological Markers

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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