Identifying obesity indicators which best correlate with type 2 diabetes in a Chinese population

Obesity has been shown to be a prognostic indicator of type 2 diabetes (T2D); however, the power of different obesity indicators in the detection of T2D remains controversial. This study evaluates the detecting power of body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR) and wa...

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Bibliographic Details
Published in:BMC public health 2012-09, Vol.12 (1), p.732-732, Article 732
Main Authors: Xin, Zhong, Liu, Chang, Niu, Wen-Yan, Feng, Jian-Ping, Zhao, Lei, Ma, Ya-Hong, Hua, Lin, Yang, Jin-Kui
Format: Article
Language:English
Subjects:
Abdomen
Adult
Aged
Analysis
Blood sugar
BMI
Body Mass Index
Central obesity
China - epidemiology
Complications and side effects
Diabetes
Diabetes Mellitus, Type 2 - diagnosis
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - etiology
Diagnosis
Disease
Epidemiology
Female
Glucose Tolerance Test
Glucose tolerance tests
Hospitals
Humans
Male
Middle Aged
Obesity
Obesity - complications
Obesity - physiopathology
Population Surveillance
Prediabetic state
Risk factors
ROC Curve
Studies
Type 2 diabetes
Waist circumference
Waist Circumference - physiology
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Summary:Obesity has been shown to be a prognostic indicator of type 2 diabetes (T2D); however, the power of different obesity indicators in the detection of T2D remains controversial. This study evaluates the detecting power of body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR) and waist-to-height ratio (WHTR) for the presence of T2D in undiagnosed diabetics among the Chinese population. Individuals were selected from an ongoing large-scale population-based Beijing Community Pre-Diabetes (BCPD) study cohort. The oral glucose tolerance tests (OGTT) were performed to diagnose diabetes. A total of 220 new cases of T2D and 1,868 normal blood glucose subjects were analyzed. ROC curve analyses were used to compare the association of different obesity indicators with T2D and determine the optimal cut-off points of the best predictor for identifying T2D in men and women. All indicators positively correlated with presence of T2D in both men and women. In women, WC, WHR and WHTR were similar, but were better in identifying T2D when compared to BMI (P 
ISSN:1471-2458
1471-2458
DOI:10.1186/1471-2458-12-732