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Prevalence of obesity in a Canarian community. Association with type 2 diabetes mellitus: the Guía Study.

P L De Pablos-Velasco1, F J Martínez-Martín, F Rodríguez-Pérez

  • 1Department of Endocrinology, Hospital Dr Negrín, Las Palmas de Gran Canaria, Spain. depablos@correo.hpino.rcanaria.es

European Journal of Clinical Nutrition
|May 29, 2002
PubMed
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Obesity and central obesity are highly prevalent in Guía, linked to high rates of type 2 diabetes. Central obesity, measured by waist circumference, independently predicts diabetes risk.

Area of Science:

  • Epidemiology
  • Public Health
  • Metabolic Diseases

Background:

  • High prevalence of obesity and type 2 diabetes mellitus (T2DM) poses a significant public health challenge.
  • Understanding the specific risk factors for T2DM in diverse populations is crucial for targeted interventions.

Purpose of the Study:

  • To determine the prevalence of obesity and central obesity in the Canarian community of Guía.
  • To investigate the association between obesity, central obesity, and T2DM in this population.

Main Methods:

  • A population-based study involving a random sample of 691 adults over 30 years old.
  • Data collected included anthropometric measurements (height, weight, waist circumference) and oral glucose tolerance tests.
  • Statistical analyses, including bivariate and multivariate models, were used to assess associations.

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Main Results:

  • Prevalence of obesity was 36.5% in women and 23.6% in men; central obesity was 66.5% in women and 32.0% in men.
  • Diabetes prevalence was 21.0% in women and 18.4% in men, among the highest in Europe.
  • Waist circumference, but not body mass index, was an independent predictor of diabetes in multivariate analysis (P<0.001).

Conclusions:

  • The Canarian community of Guía exhibits extremely high rates of obesity, central obesity, and diabetes.
  • Central obesity is a stronger predictor of type 2 diabetes mellitus than general obesity (measured by BMI).
  • Findings highlight the importance of monitoring central obesity for diabetes risk assessment in this population.