Indexes of abdominal adiposity in patients with type 2 diabetes.
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.


METHODS
multicenter cross-sectional survey on a cohort enrolled in a prospective observational study.


METHODS
13,232 patients (6816 women and 6416 men) with Type 2 diabetes, not currently affected by macrovascular complications.


METHODS
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.
Mannucci
E
E
Department of Critical Care, University of Florence, Florence, Italy. edmannu@tin.it
Alegiani
S Spila
SS
Monami
M
M
Sarli
E
E
Avogaro
A
A
D000273:Adipose Tissue; D000368:Aged; D001827:Body Height; D002318:Cardiovascular Diseases / Q000209:etiology; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011446:Prospective Studies; D049629:Waist-Hip Ratio
Diabetes. 1987 Jan;36(1):43-51
3792664
Diabet Med. 1998 Jul;15(7):539-53
9686693
Int J Obes Relat Metab Disord. 1999 Apr;23(4):395-402
10340818
Int J Obes Relat Metab Disord. 1993 Feb;17(2):77-82
8384168
Am J Clin Nutr. 1997 Dec;66(6):1345-51
9394685
JAMA. 1993 Jan 27;269(4):483-7
8419667
Ann Ist Super Sanita. 2001;37(2):289-96
11758287
Int J Obes Relat Metab Disord. 1997 Feb;21(2):127-34
9043967
BMJ. 1993 Nov 27;307(6916):1385-8
8274890
Int J Obes Relat Metab Disord. 1998 May;22(5):432-9
9622340
Ann Epidemiol. 1993 Jan;3(1):35-41
8287154
Intern Med. 1995 Dec;34(12):1147-52
8929639
Indian Heart J. 1994 Jul-Aug;46(4):145-8
7875700
Int J Obes Relat Metab Disord. 1992 Jun;16(6):417-23
1322867
Am J Cardiol. 1994 Mar 1;73(7):460-8
8141087
Int J Obes Relat Metab Disord. 1997 Nov;21(11):995-1001
9368822
J Clin Epidemiol. 1991;44(2):183-90
1995775
Int J Obes Relat Metab Disord. 1995 Aug;19(8):585-9
7489031
J Intern Med. 1994 Nov;236(5):521-7
7964428
J Am Diet Assoc. 1995 Jan;95(1):60-4
7798582
Ann Epidemiol. 1995 May;5(3):192-200
7606308