title: The association of waist/hip ratio with diabetes complications in an adult IDDM population.
abstract: Cross-sectional data from the Epidemiology of Diabetes Complications Study were used to examine the relationships between waist to hip circumference ratio (WHR) and the presence of diabetes complications in IDDM adults ages 18-45 years (N = 586). Significantly higher WHRs were observed among both genders with proliferative retinopathy or peripheral vascular disease and only among males with either neuropathy or nephropathy compared to those free of these complications. Logistic regression to determine the strength of association between WHR and each complication demonstrated that although WHR was significantly related to each complication (except nephropathy among females), WHR was only independently related to neuropathy in males and PVD in females in the final model when hypertension, LDL- and HDL-cholesterol and fibrinogen were included. These findings suggest that WHR acts as a marker of risk for diabetes complications mainly through an influence on other complication risk factors.
authors.affiliation: Department of Allied Health, College of Health and Human Services, Slippery Rock University of Pennsylvania 16057-1326, USA.
authors.forename: W L
authors.initials: WL
authors.lastname: Stuhldreher
authors.forename: D J
authors.initials: DJ
authors.lastname: Becker
authors.forename: A L
authors.initials: AL
authors.lastname: Drash
authors.forename: D
authors.initials: D
authors.lastname: Ellis
authors.forename: L H
authors.initials: LH
authors.lastname: Kuller
authors.forename: S K
authors.initials: SK
authors.lastname: Wolfson
authors.forename: T J
authors.initials: TJ
authors.lastname: Orchard
mesh_terms: D000293:Adolescent; D000328:Adult; D001824:Body Constitution; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D003925:Diabetic Angiopathies; D003928:Diabetic Nephropathies; D003929:Diabetic Neuropathies; D003930:Diabetic Retinopathy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged