Chaoyang Li1, Earl S Ford, Guixiang Zhao, Henry S Kahn, Ali H Mokdad. 1. Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. cli@cdc.gov
Abstract
AIMS: We sought to examine whether waist-to-thigh ratio (WTR) performed better than waist-to-height ratio (WHtR), waist-to-hip ratio (WHpR), waist circumference (WC), or body mass index (BMI) in relation to diabetes among US adults. METHODS: Data of 6277 men and nonpregnant women 20 years or older from the Third National Health and Nutrition Examination Survey (1988-1994) were analyzed. RESULTS: In men, AUC of WTR (0.83) was larger than that of WHtR (0.78) (P=0.003), WHpR (0.79) (P<0.001), WC (0.76) (P<0.001), and BMI (0.72) (P<0.001) for diabetes. In women, the AUC of WTR (0.80) was similar to that of WHtR (0.80) (P=0.89), WHpR (0.79) (P=0.55), and WC (0.78) (P=0.36), but larger than that of BMI (0.73) (P=0.03) for diabetes. After adjustment for potential confounders, WTR had the strongest association with diabetes in men (OR, 2.13; 95% CI, 1.57-2.88; per 1 SD increment), whereas WHpR had the strongest association with diabetes in women (OR, 1.94; 95% CI, 1.60-2.35). CONCLUSIONS: WTR performed better than other four indices in men and WTR performed similarly to WHtR, WHpR, and waist circumference, but better than BMI in women for the association with diabetes.
AIMS: We sought to examine whether waist-to-thigh ratio (WTR) performed better than waist-to-height ratio (WHtR), waist-to-hip ratio (WHpR), waist circumference (WC), or body mass index (BMI) in relation to diabetes among US adults. METHODS: Data of 6277 men and nonpregnant women 20 years or older from the Third National Health and Nutrition Examination Survey (1988-1994) were analyzed. RESULTS: In men, AUC of WTR (0.83) was larger than that of WHtR (0.78) (P=0.003), WHpR (0.79) (P<0.001), WC (0.76) (P<0.001), and BMI (0.72) (P<0.001) for diabetes. In women, the AUC of WTR (0.80) was similar to that of WHtR (0.80) (P=0.89), WHpR (0.79) (P=0.55), and WC (0.78) (P=0.36), but larger than that of BMI (0.73) (P=0.03) for diabetes. After adjustment for potential confounders, WTR had the strongest association with diabetes in men (OR, 2.13; 95% CI, 1.57-2.88; per 1 SD increment), whereas WHpR had the strongest association with diabetes in women (OR, 1.94; 95% CI, 1.60-2.35). CONCLUSIONS: WTR performed better than other four indices in men and WTR performed similarly to WHtR, WHpR, and waist circumference, but better than BMI in women for the association with diabetes.
Authors: Marco Alessandro Minetto; Angelo Pietrobelli; Chiara Busso; Jonathan P Bennett; Andrea Ferraris; John A Shepherd; Steven B Heymsfield Journal: J Pers Med Date: 2022-05-30
Authors: Anastasi Kosmadopoulos; Laura Kervezee; Philippe Boudreau; Fernando Gonzales-Aste; Nina Vujovic; Frank A J L Scheer; Diane B Boivin Journal: Nutrients Date: 2020-04-04 Impact factor: 5.717