Comparison of Central Obesity with Overall Obesity in Predicting the Risk of Type 2 Diabetes Mellitus

  • Bishal Joshi Universal College of Medical Sciences, Bhairahawa, Nepal
  • Laxmi Shrestha Universal College of Medical Sciences, Bhairahawa, Nepal
  • Kushal Bhattarai College of Medical Sciences, Bharatpur, Chitwan, Nepal
  • Nilu Manandhar College of Medical Sciences, Bharatpur, Chitwan, Nepal
  • Narayan Bahadur Mahotra Maharajgunj Medicine Campus, IOM, TU, Kathmandu, Nepal
Keywords: Type 2 diabetes mellitus, body mass index, waist hip ratio, waist circumference

Abstract

INTRODUCTION: Many studies have shown the association of waist circumference, waist hip ratio and body mass index with type 2 diabetes mellitus. Waist circumference and waist hip ratio have been used as measures of central obesity and body mass index has been used as a measure of general obesity. Objective of this study is to find out which type of obesity is better for prediction of risk of type 2 diabetes mellitus.

 MATERIAL AND METHODS:Total 100 participants with confirmed diagnosis of type 2 DM with age group 35-80 years were selected for the study. Anthropometric measurements like height, weight, waist circumference (WC) and hip circumference were measured and body mass index (BMI) and waist hip ratio (WHR) were calculated. Area under receiver operating characteristic (ROC) curve was used for correlating the parameters with type 2 diabetes mellitus in both male and female patients.

 RESULTS: Area under ROC curve, a measure of performance of the indices in predicting diabetes in total subjects, was found to be highest for waist hip ratio (0.840) followed by waist circumference (0.688) and BMI (0.608). Similarly, area under ROC curve was found maximum for waist hip ratio followed by waist circumference and body mass index in case of male and female patients.

 CONCLUSION: The present study concludes that anthropometric indicators of central obesity (WHR and WC) are more predictive for type 2 DM than anthropometric indicator of general obesity (BMI).

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Author Biographies

Bishal Joshi, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Physiology

Laxmi Shrestha, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Pharmacology

Kushal Bhattarai, College of Medical Sciences, Bharatpur, Chitwan, Nepal

Department of Biochemistry

Nilu Manandhar, College of Medical Sciences, Bharatpur, Chitwan, Nepal

Department of Physiology

Narayan Bahadur Mahotra, Maharajgunj Medicine Campus, IOM, TU, Kathmandu, Nepal

Department of Clinical Physiology

Published
2019-06-30
How to Cite
Joshi, B., Shrestha, L., Bhattarai, K., Manandhar, N., & Mahotra, N. (2019). Comparison of Central Obesity with Overall Obesity in Predicting the Risk of Type 2 Diabetes Mellitus. Journal of Universal College of Medical Sciences, 7(1), 17-21. https://doi.org/10.3126/jucms.v7i1.24680
Section
Original Articles