Abdominal obesity and the prevalence of diabetes and intermediate hyperglycaemia in Chinese adults

To assess the association of indicators of general and abdominal obesity with the prevalence of type 2 diabetes (T2DM) and intermediate hyperglycaemia (IHG) in the Chinese population. We used data of 50 905 adults aged 18-79 years in the 2002 China National Nutrition and Health Survey. Recommended C...

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Published in:Public health nutrition Vol. 12; no. 8; pp. 1078 - 1084
Main Authors: He, Yuna, Zhai, Fengying, Ma, Guansheng, Feskens, Edith JM, Zhang, Jian, Fu, Ping, Van’t Veer, Pieter, Yang, Xiaoguang
Format: Journal Article
Language:English
Published: Cambridge, UK Cambridge University Press 01.08.2009
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ISSN:1368-9800, 1475-2727, 1475-2727
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Abstract To assess the association of indicators of general and abdominal obesity with the prevalence of type 2 diabetes (T2DM) and intermediate hyperglycaemia (IHG) in the Chinese population. We used data of 50 905 adults aged 18-79 years in the 2002 China National Nutrition and Health Survey. Recommended Chinese cut-off values were used for BMI (24 kg/m2) and waist circumference (WC; 85 cm in men, 80 cm in women). Optimal cut-offs for waist:height ratio (WHtR) were determined from analyses of receiver-operating characteristic (ROC) curves. The prevalence of T2DM and IHG was 2.6 % and 1.9 % respectively. ROC curve analyses indicated 0.5 as the optimal cut-off value for WHtR in both sexes. High BMI, WC and WHtR were all associated with the prevalence of glucose tolerance abnormalities, with the highest prevalence ratio (PR) for high WHtR (men: PR = 2.85, 95 % CI 2.54, 3.21; women: PR = 3.10, 95 % CI 2.74, 3.51). When combining BMI and WHtR, in men either a high BMI or a high WHtR alone was associated with increased risk. Among women, a high BMI without a concomitant high WHtR was not associated with increased glucose tolerance abnormalities risk, whereas a high WHtR was associated with risk irrespective of BMI. Among the Chinese adult population measures of central obesity are better predictors of glucose tolerance abnormalities prevalence than BMI. A WHtR cut-off point of 0.5 for both men and women can be considered as optimum for predicting (pre-) diabetes and may be a useful tool for screening and health education.
AbstractList Abstract Objective To assess the association of indicators of general and abdominal obesity with the prevalence of type 2 diabetes (T2DM) and intermediate hyperglycaemia (IHG) in the Chinese population. Methods We used data of 50 905 adults aged 18-79 years in the 2002 China National Nutrition and Health Survey. Recommended Chinese cut-off values were used for BMI (24 kg/m2) and waist circumference (WC; 85 cm in men, 80 cm in women). Optimal cut-offs for waist:height ratio (WHtR) were determined from analyses of receiver-operating characteristic (ROC) curves. Results The prevalence of T2DM and IHG was 2·6 % and 1·9 % respectively. ROC curve analyses indicated 0·5 as the optimal cut-off value for WHtR in both sexes. High BMI, WC and WHtR were all associated with the prevalence of glucose tolerance abnormalities, with the highest prevalence ratio (PR) for high WHtR (men: PR = 2·85, 95 % CI 2·54, 3·21; women: PR = 3·10, 95 % CI 2·74, 3·51). When combining BMI and WHtR, in men either a high BMI or a high WHtR alone was associated with increased risk. Among women, a high BMI without a concomitant high WHtR was not associated with increased glucose tolerance abnormalities risk, whereas a high WHtR was associated with risk irrespective of BMI. Conclusions Among the Chinese adult population measures of central obesity are better predictors of glucose tolerance abnormalities prevalence than BMI. A WHtR cut-off point of 0·5 for both men and women can be considered as optimum for predicting (pre-) diabetes and may be a useful tool for screening and health education.
To assess the association of indicators of general and abdominal obesity with the prevalence of type 2 diabetes (T2DM) and intermediate hyperglycaemia (IHG) in the Chinese population.OBJECTIVETo assess the association of indicators of general and abdominal obesity with the prevalence of type 2 diabetes (T2DM) and intermediate hyperglycaemia (IHG) in the Chinese population.We used data of 50 905 adults aged 18-79 years in the 2002 China National Nutrition and Health Survey. Recommended Chinese cut-off values were used for BMI (24 kg/m2) and waist circumference (WC; 85 cm in men, 80 cm in women). Optimal cut-offs for waist:height ratio (WHtR) were determined from analyses of receiver-operating characteristic (ROC) curves.METHODSWe used data of 50 905 adults aged 18-79 years in the 2002 China National Nutrition and Health Survey. Recommended Chinese cut-off values were used for BMI (24 kg/m2) and waist circumference (WC; 85 cm in men, 80 cm in women). Optimal cut-offs for waist:height ratio (WHtR) were determined from analyses of receiver-operating characteristic (ROC) curves.The prevalence of T2DM and IHG was 2.6 % and 1.9 % respectively. ROC curve analyses indicated 0.5 as the optimal cut-off value for WHtR in both sexes. High BMI, WC and WHtR were all associated with the prevalence of glucose tolerance abnormalities, with the highest prevalence ratio (PR) for high WHtR (men: PR = 2.85, 95 % CI 2.54, 3.21; women: PR = 3.10, 95 % CI 2.74, 3.51). When combining BMI and WHtR, in men either a high BMI or a high WHtR alone was associated with increased risk. Among women, a high BMI without a concomitant high WHtR was not associated with increased glucose tolerance abnormalities risk, whereas a high WHtR was associated with risk irrespective of BMI.RESULTSThe prevalence of T2DM and IHG was 2.6 % and 1.9 % respectively. ROC curve analyses indicated 0.5 as the optimal cut-off value for WHtR in both sexes. High BMI, WC and WHtR were all associated with the prevalence of glucose tolerance abnormalities, with the highest prevalence ratio (PR) for high WHtR (men: PR = 2.85, 95 % CI 2.54, 3.21; women: PR = 3.10, 95 % CI 2.74, 3.51). When combining BMI and WHtR, in men either a high BMI or a high WHtR alone was associated with increased risk. Among women, a high BMI without a concomitant high WHtR was not associated with increased glucose tolerance abnormalities risk, whereas a high WHtR was associated with risk irrespective of BMI.Among the Chinese adult population measures of central obesity are better predictors of glucose tolerance abnormalities prevalence than BMI. A WHtR cut-off point of 0.5 for both men and women can be considered as optimum for predicting (pre-) diabetes and may be a useful tool for screening and health education.CONCLUSIONSAmong the Chinese adult population measures of central obesity are better predictors of glucose tolerance abnormalities prevalence than BMI. A WHtR cut-off point of 0.5 for both men and women can be considered as optimum for predicting (pre-) diabetes and may be a useful tool for screening and health education.
To assess the association of indicators of general and abdominal obesity with the prevalence of type 2 diabetes (T2DM) and intermediate hyperglycaemia (IHG) in the Chinese population. We used data of 50 905 adults aged 18-79 years in the 2002 China National Nutrition and Health Survey. Recommended Chinese cut-off values were used for BMI (24 kg/m2) and waist circumference (WC; 85 cm in men, 80 cm in women). Optimal cut-offs for waist:height ratio (WHtR) were determined from analyses of receiver-operating characteristic (ROC) curves. The prevalence of T2DM and IHG was 2.6 % and 1.9 % respectively. ROC curve analyses indicated 0.5 as the optimal cut-off value for WHtR in both sexes. High BMI, WC and WHtR were all associated with the prevalence of glucose tolerance abnormalities, with the highest prevalence ratio (PR) for high WHtR (men: PR = 2.85, 95 % CI 2.54, 3.21; women: PR = 3.10, 95 % CI 2.74, 3.51). When combining BMI and WHtR, in men either a high BMI or a high WHtR alone was associated with increased risk. Among women, a high BMI without a concomitant high WHtR was not associated with increased glucose tolerance abnormalities risk, whereas a high WHtR was associated with risk irrespective of BMI. Among the Chinese adult population measures of central obesity are better predictors of glucose tolerance abnormalities prevalence than BMI. A WHtR cut-off point of 0.5 for both men and women can be considered as optimum for predicting (pre-) diabetes and may be a useful tool for screening and health education.
To assess the association of indicators of general and abdominal obesity with the prevalence of type 2 diabetes (T2DM) and intermediate hyperglycaemia (IHG) in the Chinese population. We used data of 50 905 adults aged 18-79 years in the 2002 China National Nutrition and Health Survey. Recommended Chinese cut-off values were used for BMI (24 kg/m2) and waist circumference (WC; 85 cm in men, 80 cm in women). Optimal cut-offs for waist:height ratio (WHtR) were determined from analyses of receiver-operating characteristic (ROC) curves. The prevalence of T2DM and IHG was 2.6 % and 1.9 % respectively. ROC curve analyses indicated 0.5 as the optimal cut-off value for WHtR in both sexes. High BMI, WC and WHtR were all associated with the prevalence of glucose tolerance abnormalities, with the highest prevalence ratio (PR) for high WHtR (men: PR = 2.85, 95 % CI 2.54, 3.21; women: PR = 3.10, 95 % CI 2.74, 3.51). When combining BMI and WHtR, in men either a high BMI or a high WHtR alone was associated with increased risk. Among women, a high BMI without a concomitant high WHtR was not associated with increased glucose tolerance abnormalities risk, whereas a high WHtR was associated with risk irrespective of BMI. Among the Chinese adult population measures of central obesity are better predictors of glucose tolerance abnormalities prevalence than BMI. A WHtR cut-off point of 0.5 for both men and women can be considered as optimum for predicting (pre-) diabetes and may be a useful tool for screening and health education.
ObjectiveTo assess the association of indicators of general and abdominal obesity with the prevalence of type 2 diabetes (T2DM) and intermediate hyperglycaemia (IHG) in the Chinese population.MethodsWe used data of 50 905 adults aged 18–79 years in the 2002 China National Nutrition and Health Survey. Recommended Chinese cut-off values were used for BMI (24 kg/m2) and waist circumference (WC; 85 cm in men, 80 cm in women). Optimal cut-offs for waist:height ratio (WHtR) were determined from analyses of receiver-operating characteristic (ROC) curves.ResultsThe prevalence of T2DM and IHG was 2·6 % and 1·9 % respectively. ROC curve analyses indicated 0·5 as the optimal cut-off value for WHtR in both sexes. High BMI, WC and WHtR were all associated with the prevalence of glucose tolerance abnormalities, with the highest prevalence ratio (PR) for high WHtR (men: PR = 2·85, 95 % CI 2·54, 3·21; women: PR = 3·10, 95 % CI 2·74, 3·51). When combining BMI and WHtR, in men either a high BMI or a high WHtR alone was associated with increased risk. Among women, a high BMI without a concomitant high WHtR was not associated with increased glucose tolerance abnormalities risk, whereas a high WHtR was associated with risk irrespective of BMI.ConclusionsAmong the Chinese adult population measures of central obesity are better predictors of glucose tolerance abnormalities prevalence than BMI. A WHtR cut-off point of 0·5 for both men and women can be considered as optimum for predicting (pre-) diabetes and may be a useful tool for screening and health education.
Objective: To assess the association of indicators of general and abdominal obesity with the prevalence of type 2 diabetes (T2DM) and intermediate hyperglycaemia (IHG) in the Chinese population. Methods: We used data of 50 905 adults aged 18¿79 years in the 2002 China National Nutrition and Health Survey. Recommended Chinese cut-off values were used for BMI (24 kg/m2) and waist circumference (WC; 85 cm in men, 80 cm in women). Optimal cut-offs for waist:height ratio (WHtR) were determined from analyses of receiver-operating characteristic (ROC) curves. Results: The prevalence of T2DM and IHG was 2?6% and 1?9% respectively. ROC curve analyses indicated 0?5 as the optimal cut-off value for WHtR in both sexes. High BMI, WC and WHtR were all associated with the prevalence of glucose tolerance abnormalities, with the highest prevalence ratio (PR) for high WHtR (men: PR52?85, 95% CI 2?54, 3?21; women: PR53?10, 95% CI 2?74, 3?51). When combining BMI and WHtR, in men either a high BMI or a high WHtR alone was associated with increased risk. Among women, a high BMI without a concomitant high WHtR was not associated with increased glucose tolerance abnormalities risk, whereas a high WHtR was associated with risk irrespective of BMI. Conclusions: Among the Chinese adult population measures of central obesity are better predictors of glucose tolerance abnormalities prevalence than BMI. AWHtR cutoff point of 0?5 for both men and women can be considered as optimum for predicting (pre-) diabetes and may be a useful tool for screening and health education.
Author Van’t Veer, Pieter
Zhai, Fengying
Zhang, Jian
Ma, Guansheng
Yang, Xiaoguang
He, Yuna
Fu, Ping
Feskens, Edith JM
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  givenname: Xiaoguang
  surname: Yang
  fullname: Yang, Xiaoguang
  organization: 1National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, 29 Nanwei Road, Beijing 10050, People’s Republic of China
BackLink https://www.ncbi.nlm.nih.gov/pubmed/18986591$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright Copyright © The Authors 2008
Wageningen University & Research
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Issue 8
Keywords Type 2 diabetes
Abdominal adiposity
Obesity
Body mass index
Waist circumference
Waist:height ratio
China
Glucose tolerance abnormalities
Intermediate hyperglycaemia
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PublicationTitle Public health nutrition
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Snippet To assess the association of indicators of general and abdominal obesity with the prevalence of type 2 diabetes (T2DM) and intermediate hyperglycaemia (IHG) in...
Abstract Objective To assess the association of indicators of general and abdominal obesity with the prevalence of type 2 diabetes (T2DM) and intermediate...
ObjectiveTo assess the association of indicators of general and abdominal obesity with the prevalence of type 2 diabetes (T2DM) and intermediate hyperglycaemia...
Objective: To assess the association of indicators of general and abdominal obesity with the prevalence of type 2 diabetes (T2DM) and intermediate...
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SubjectTerms 2002 China National Nutrition and Health Survey
Abdomen
Abdominal adiposity
Abdominal Fat
Abnormalities
Adolescent
Adult
Adults
Body Height
Body Mass Index
cardiovascular-disease
China
China - epidemiology
Chinese people
Chromium
complications
cutoff points
Diabetes
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - etiology
dietary surveys
disease prevalence
epidemiology
etiology
fat distribution
Female
Glucose
Glucose Intolerance
Glucose Intolerance - epidemiology
Glucose Intolerance - etiology
Glucose tolerance
Glucose tolerance abnormalities
Humans
Hyperglycemia
Hyperglycemia - epidemiology
Hyperglycemia - etiology
Intermediate hyperglycaemia
Male
Men
Middle Aged
national-health
noninsulin-dependent diabetes mellitus
Nutrition
Obesity
Obesity - complications
Obesity - epidemiology
Optimization
Overweight
prediction
Prevalence
Public health
Quality control
Reference Values
Risk
risk assessment
Risk Factors
ROC Curve
Sex Factors
to-height ratio
Type 2 diabetes
type-2
Waist Circumference
Waist:height ratio
Women
Womens health
Young Adult
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