Waist Circumference Thresholds Provide an Accurate and Widely Applicable Method for the Discrimination of Diabetes  

Oleh:

Obesity in Asia Collaboration

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Diabetes Care vol. 30 no. 12 (Dec. 2007), page 3116.

Ketersediaan

Perpustakaan FK Nomor Panggil: D05.K.2007.04 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

INTRODUCTION Excess weight, particularly central obesity, is recognized to be a major determinant of diabetes risk in all populations, with the magnitude of the association reported as being stronger in Asians than whites (1–3). Consequently, indicators of overweight have been incorporated into several guidelines for the early identification of individuals with type 2 diabetes (4). However, the anthropometric cut points for different ethnic groups have been determined in various ways, leading to uncertainty about their applicability to diabetes screening. Here, we clarify current uncertainty regarding ethnic differences in the relationship between overweight and diabetes and whether there is a single measure of overweight that can be determined routinely and applied universally in clinical practice to facilitate earlier detection of diabetes in the general population. RESEARCH DESIGN AND METHODS Eligibility criteria for studies in the Obesity in Asia Collaboration Studies were eligible if they contained the following information: age, sex, weight, height, waist circumference, hip circumference, fasting plasma glucose, blood pressure, and smoking status (5). Diabetes was defined as fasting plasma glucose 7 mmol/l. Individuals with a history of diabetes or on diabetic medication were excluded. Logistic regression models, stratified by sex and study and adjusted for age (and subsequently by smoking and blood pressure), were used to estimate the odds ratio (OR) and 95% CI for prevalent diabetes associated with a 0.5-SD increment in each of the measures. To assess the ability of each anthropometric variable . . .

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