title: Various adiposity measures show similar positive associations with type 2 diabetes in Caucasians, native Hawaiians, and Japanese Americans: the multiethnic cohort.
abstract: The authors evaluated the association of body mass index (BMI), waist circumference (WC) and hip circumference (HC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) with diabetes in Caucasians, Native Hawaiians, and Japanese Americans aged 45 to 75 years in the Multiethnic Cohort. Diabetes cases were obtained from self-reports and by linkages with health insurance plans. The authors estimated adjusted prevalence odds ratios (PORs) and compared the area under the receiver operating characteristic curves (AUC). All measures were positively associated with diabetes prevalence; the PORs were 1.25 to 1.64 in men and 1.52 to 1.83 in women. In all 3 ethnic groups, the AUCs in men were greater for BMI than for the other measures, whereas in women, the AUCs were greater for combined models than for BMI alone, but the differences were small and not clinically significant. It does not appear that one anthropometric measure best reflects diabetes prevalence or performs better in one ethnic group than in another.
authors.affiliation: University of Hawaii Cancer Center, Honolulu, HI, USA.
authors.forename: Astrid
authors.initials: A
authors.lastname: Steinbrecher
authors.affiliation: University of Hawaii Cancer Center, Honolulu, HI, USA.
authors.forename: Sreang
authors.initials: S
authors.lastname: Heak
authors.affiliation: University of Hawaii Cancer Center, Honolulu, HI, USA.
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Morimoto
authors.affiliation: University of Hawaii, Honolulu, HI, USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Grandinetti
authors.affiliation: University of Hawaii Cancer Center, Honolulu, HI, USA.
authors.forename: Larry N
authors.initials: LN
authors.lastname: Kolonel
authors.affiliation: University of Hawaii Cancer Center, Honolulu, HI, USA gertraud@cc.hawaii.edu.
authors.forename: Gertraud
authors.initials: G
authors.lastname: Maskarinec
mesh_terms: D050154:Adiposity / Q000208:ethnology* / Q000502:physiology*; D000368:Aged; D000886:Anthropometry; D001213:Asian; D015992:Body Mass Index; D003924:Diabetes Mellitus, Type 2; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D044468:Native Hawaiian or Pacific Islander; D009765:Obesity; D015995:Prevalence; D057566:Self Report; D055105:Waist Circumference; D049629:Waist-Hip Ratio; D044465:White People