[Body fat distribution and blood pressure according to anthropometric change in Korean patients with non-insulin dependent diabetes mellitus (NIDDM)].
OBJECTIVE
This study was done to identify fat distribution and blood pressure according to anthropometric change patterns between NIDDM patients and control subjects.


METHODS
Cross-sectionally 167 NIDDM patients and 87 controls were studied. Previous maximal body weight and acute weight loss was obtained. Current height, body weight, BMI, waist-hip ratio (WHR), skinfold thicknesses(abdomen, subscapular and triceps), and blood pressure was measured. Three anthropometric change patterns were categorized by BMI changes from the maximum lifetime's BMI to the current time (obese-obese, obese-nonobese and nonobese-nonobese: obese: BMI > or =25 kg/m2, nonobese: BMI<25 kg/m2). The data was analyzed by Chi2, t-test, age adjusted ANCOVA and Least Squares Means (LSM) for multiple comparison.


RESULTS
Acute body weight loss (p=0.01), anthropometric change types (p=0.001), WHR (P=0.05), and skinfold thickness (p=0.002) of NIDDM were significantly higher than those of the controls. The mean arterial pressure, WHR and skinfold thicknesses were greater in both obese-obese and obese-nonobese NIDDM and control subjects compared with both nonobese-nonobese NIDDM and control subjects. (all p's<0.05).


CONCLUSIONS
NIDDM patients had more central and upper body adiposicity. Also both obese-obese and obese-nonobese NIDDM and control subjects had higher mean arterial pressures and central body obesity.
Park
Hye-Ja
HJ
Department of Nursing, Medical College, Pochon CHA University, 222, Yatap-dong, Bundang-gu, Seong Nam, Gyeunggi 463-836, Korea. clara@cha.ac.kr
Kim
Sehyun
S
Kim
Eun-Jeong
EJ
D000328:Adult; D000886:Anthropometry; D001794:Blood Pressure; D050218:Body Fat Distribution; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006801:Humans; D007723:Korea; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009765:Obesity; D049629:Waist-Hip Ratio