title: Indexes of abdominal adiposity in patients with type 2 diabetes.
abstract: 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.
authors.affiliation: Department of Critical Care, University of Florence, Florence, Italy. edmannu@tin.it
authors.forename: E
authors.initials: E
authors.lastname: Mannucci
authors.forename: S Spila
authors.initials: SS
authors.lastname: Alegiani
authors.forename: M
authors.initials: M
authors.lastname: Monami
authors.forename: E
authors.initials: E
authors.lastname: Sarli
authors.forename: A
authors.initials: A
authors.lastname: Avogaro
mesh_terms: 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
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