title: Obesity index and the risk of diabetes among Chinese women with prior gestational diabetes.
abstract: OBJECTIVE
  There is some confusion regarding which anthropometric measurement of adiposity should be used to indicate diabetes, especially for Asians. The present study was to evaluate different indicators of adiposity (BMI, waist circumference and body fat) with Type 2 diabetes risk among women with prior gestational diabetes mellitus.
  
  
  METHODS
  We performed a cross-sectional survey in 1263 women with gestational diabetes at 1-5 years after delivery. Logistic regression models were used to estimate the association of BMI, waist circumference and body fat with Type 2 diabetes risk.
  
  
  RESULTS
  BMI, waist circumference and body fat were all associated with an increased risk of Type 2 diabetes among women with prior gestational diabetes (all P(trend) < 0.001). After adjustment for waist circumference and body fat, the positive association of BMI with Type 2 diabetes risk became non-significant and reversed. There was a significantly positive association of waist circumference with Type 2 diabetes risk after adjustment for BMI, and a significantly positive association of body fat with Type 2 diabetes risk after adjustment for both BMI and waist circumference. When the joint effects were examined, the significantly positive associations of waist circumference or body fat with Type 2 diabetes risk were consistent among women with different levels of BMI, and the positive association of BMI and Type 2 diabetes risk was significant among women with gestational diabetes with a waist circumference of ≥ 50% or body fat ≥ 50%.
  
  
  CONCLUSIONS
  BMI, waist circumference and body fat were all associated with an increased risk of Type 2 diabetes, and waist circumference and body fat were better indicators than BMI for Type 2 diabetes risk among Chinese women with prior gestational diabetes.
authors: Tianjin Women's and Children's Health Center, China.
authors: L
authors: L
authors: Wang
authors: H
authors: H
authors: Liu
authors: S
authors: S
authors: Zhang
authors: J
authors: J
authors: Leng
authors: G
authors: G
authors: Liu
authors: C
authors: C
authors: Zhang
authors: W Q
authors: WQ
authors: Li
authors: N
authors: N
authors: Li
authors: W
authors: W
authors: Li
authors: Y
authors: Y
authors: Li
authors: S
authors: S
authors: Sun
authors: Z
authors: Z
authors: Yu
authors: X
authors: X
authors: Yang
authors: G
authors: G
authors: Hu
mesh_terms: D050154:Adiposity / Q000208:ethnology; D000328:Adult; D015992:Body Mass Index; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000453:epidemiology / Q000208:ethnology / Q000209:etiology*; D016640:Diabetes, Gestational / Q000208:ethnology / Q000503:physiopathology*; D005260:Female; D005500:Follow-Up Studies; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D009765:Obesity / Q000150:complications* / Q000208:ethnology; D050177:Overweight / Q000150:complications* / Q000208:ethnology; D049590:Postpartum Period; D011236:Prediabetic State / Q000150:complications / Q000453:epidemiology / Q000208:ethnology / Q000209:etiology*; D011247:Pregnancy; D015995:Prevalence; D012307:Risk Factors; D014504:Urban Health / Q000208:ethnology; D055105:Waist Circumference / Q000208:ethnology