title: Association of general and central obesity with diabetes and prediabetes in rural Bangladeshi population.
abstract: OBJECTIVE
  Recent data shown that both general and central obesity indices are significantly associated with diabetes (T2DM) and prediabetes (impaired glucose tolerance [IGT] and impaired fasting glucose [IFG]). Data regarding association of obesity with T2DM and prediabetes in rural Bangladeshi population is scarce. This study aims to observe the association of general and central obesity with diabetes (T2DM) and prediabetes in rural Bangladeshi population.
  
  
  METHODS
  A total of 2293 rural Bangladeshi adults aged ≥20 years were randomly selected in a population-based, cross-sectional survey which was conducted in 2009. The association of general (defined by body mass index [BMI]) and central obesity (defined by waist circumference [WC] and waist hip ratio [WHR]) with T2DM and prediabetes was assessed by using receiver operating characteristic curve analysis and logistic regression.
  
  
  RESULTS
  Subjects with T2DM, IGT and IFG had a higher rate of general and central obesity than normal subjects. WHR was more closely associated with T2DM than WC and BMI. However, all three obesity indices were significantly associated with IGT and IFG.
  
  
  CONCLUSIONS
  In rural Bangladeshi population, both general and central obesity showed good association with T2DM and prediabetes.
authors: Department of International Health, University of Oslo, P.O. Box 1130 Blindern, 0318 Oslo, Norway.
authors: Tasnima
authors: T
authors: Siddiquee
authors: Department of International Health, University of Oslo, P.O. Box 1130 Blindern, 0318 Oslo, Norway. Electronic address: doctorbiplob@yahoo.com.
authors: Bishwajit
authors: B
authors: Bhowmik
authors: Mother and Child Health Project, Diabetic Association of Bangladesh, Dhaka 1200, Bangladesh.
authors: Rajat Kanti
authors: RK
authors: Karmaker
authors: Mother and Child Health Project, Diabetic Association of Bangladesh, Dhaka 1200, Bangladesh.
authors: Abhijit
authors: A
authors: Chowdhury
authors: Department of Endocrinology, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka 1200, Bangladesh.
authors: Hajera
authors: H
authors: Mahtab
authors: Department of Endocrinology, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka 1200, Bangladesh.
authors: A K
authors: AK
authors: Azad Khan
authors: Department of International Health, University of Oslo, P.O. Box 1130 Blindern, 0318 Oslo, Norway.
authors: Akhtar
authors: A
authors: Hussain
mesh_terms: D000328:Adult; D001459:Bangladesh / Q000453:epidemiology; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology*; D005260:Female; D005500:Follow-Up Studies; D018149:Glucose Intolerance / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000503:physiopathology*; D011236:Prediabetic State / Q000503:physiopathology*; D011379:Prognosis; D012372:ROC Curve; D012307:Risk Factors; D012424:Rural Population; D055105:Waist Circumference
keywords: Bangladesh; Diabetes; Obesity; Prediabetes