Related Experiment Videos
Indexes of abdominal adiposity in patients with type 2 diabetes
E Mannucci1, S Spila Alegiani, M Monami
1Department of Critical Care, University of Florence, Florence, Italy. edmannu@tin.it
Objective:
To assess the relationship of waist circumference and weight/height ratio with height, and their association with components of the metabolic syndrome, in Type 2 diabetic patients.
Design:
multicenter cross-sectional survey on a cohort enrolled in a prospective observational study.
Subjects:
13,232 patients (6816 women and 6416 men) with Type 2 diabetes, not currently affected by macrovascular complications.
Measurements:
height, weight, waist and hip circumference, waist/hip and waist/height ratios.
Results:
waist circumference was significantly correlated with height after adjustment for potential confounders (adjusted r=0.19 and 0.23 in women and men, respectively), while waist/height ratio showed an inverse correlation with height (r=-0.14 and -0.15, respectively). Elevated waist/height ratio was more predictive of hypertension and hypertriglyceridemia, than waist circumference or waist/hip ratio.
Conclusions:
Waist circumference is correlated with height; thresholds for waist circumference could need adjustment for height. Waist/height ratio, although inversely correlated with height, could be a better predictor of abnormalities associated with abdominal adiposity than waist circumference alone.
Related Concept Videos
Diabetes Mellitus: Type 2 and Gestational
Type II Diabetes I: Introduction
Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis
Carbohydrate Metabolism
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in the...
Type II Diabetes II: Pathophysiology
Diabetes: Symptoms, Diagnosis, and Complications