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Abdominal circumference as a screening measure for Type 2 Diabetes
1Department of Anthropology, Visva-Bharati University, Santiniketan, West Bengal, India.
Kathmandu University Medical Journal (KUMJ)
|April 12, 2013
Summary
Abdominal circumference is the best measure for assessing Type 2 Diabetes risk in Indian men. This central adiposity measure showed the strongest association with diabetes prevalence and prediction accuracy.
Area of Science:
- Endocrinology
- Metabolic disorders
- Public health
Background:
- Type 2 Diabetes (T2D) poses a significant health burden in India.
- No prior Indian studies have compared anthropometric adiposity measures for T2D association.
- Understanding optimal measures is crucial for early T2D risk assessment.
Purpose of the Study:
- To investigate the association between various anthropometric adiposity measures and T2D in Indian adult males.
- To identify the most effective adiposity measure for T2D assessment in this population.
Main Methods:
- A cross-sectional study involving 187 adult males (aged 25-67 years).
- Measurements included height, weight, hip circumference, abdominal circumference, and minimum waist circumference.
- Calculated indices: Waist-hip ratio, Body Mass Index (BMI), waist-height ratio, and conicity index.
- Fasting and postload glucose levels were assessed to determine T2D status.
Main Results:
- The prevalence of T2D was 12.3% in the study cohort.
- Abdominal circumference demonstrated the highest odds ratio (OR 2.75) for T2D.
- Waist-height ratio (OR 1.86) and minimum waist circumference (OR 1.83) also showed significant associations.
- Abdominal circumference yielded the largest area under the ROC curve (68%), indicating superior predictive ability.
Conclusions:
- Abdominal circumference, measured at the maximal anterior abdominal extension, is the most effective central adiposity indicator for T2D prediction.
- This finding provides valuable insights for T2D screening and management strategies in India.
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