Detecting Incident Type 2 Diabetes Mellitus in South Eastern Nigeria: The Role of Adiposity Indices in Relation to Gender | Chapter 16 | Emerging Research in Medical Sciences Vol. 1
Aim:
The aim of the present study was to assess the predicting powers of different
adiposity indices on incident type 2 diabetes mellitus (T2DM) among adult men
and women in Uyo Metropolis, Nigeria.
Methodology: Three thousand five
hundred adult civil servants (1532 men and 1968 women), aged 18 - 60 years,
were assessed for incident T2DM using 2011 Expert Committee Revised criteria
for the diagnosis of T2DM.
Results: Incident T2DM was found in
180 (5.4%) participants, 73 men (4.8%) and 116 women (5.9%). Results of
comparison between diabetic men and women showed that body mass index (BMI) and
mid arm circumference (MAC) did not differ significantly between groups. Waist
circumference (WC) and waist-hip ratios (WHR) of women with T2DM were
significantly higher than those of men with T2DM (WC: P =0.001 and WHR:
P=0.034). BMI and MAC had equal predicting powers in both genders with odds
ratios (OR) and 95% confidence intervals (CI) as follows: BMI (OR=2.41, C.I=1.728
- 7.01 for men and 2.02, 1.51 - 6.402 for women); MAC (OR =1.624, C.I=1.824 -
7.051 for men and 1.51, 1.62 - 6.59 for women); WHR and WC were predictive of
T2DM only in women. OR and C.I were as follows: - WHR (OR=2.435, 0.951- 6.413
for women and 0.729, 0.547 - 1.14 for men); WC: (2.834, 1.270 - 5.421 for women
and 1.21, 0.695 -1.845 for men) respectively.
Conclusion: All adiposity indices
measured were significantly associated with incident T2DM in women, with only
BMI and MAC showing significant association with T2DM in men.
Author(s) Details
Christopher E. Ekpenyong
Department of Human
Physiology, Faculty of Basic Medical Sciences, University of Uyo, Nigeria.
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