Waist-to-thigh ratio and diabetes among US adults: The Third National Health and Nutrition Examination Survey

被引：26
作者：
Li, Chaoyang [1 ]
Ford, Earl S. [1 ]
Zhao, Guixiang [1 ]
Kahn, Henry S. [2 ]
Mokdad, Ali H. [3 ]
机构：
[1] Ctr Dis Control & Prevent, Div Adult & Community Hlth, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA
[2] Ctr Dis Control & Prevent, Div Diabet Translat, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA
[3] Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98195 USA
来源：
DIABETES RESEARCH AND CLINICAL PRACTICE | 2010年 / 89卷 / 01期
关键词：
Diabetes; Anthropometric; Waist circumference; Thigh circumference; Hip circumference; Body mass index; SUBCUTANEOUS ABDOMINAL FAT; BODY-MASS INDEX; ANTHROPOMETRIC MEASUREMENTS; CARDIOVASCULAR-DISEASE; GLUCOSE-TOLERANCE; SEX-DIFFERENCES; CIRCUMFERENCE; OBESITY; RISK; MUSCLE;
D O I：
10.1016/j.diabres.2010.02.014
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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. Published by Elsevier Ireland Ltd.
引用
收藏
页码：79 / 87
页数：9
相关论文
共 42 条
[11]   Subcutaneous abdominal fat and thigh muscle composition predict insulin sensitivity independently of visceral fat [J].
Goodpaster, BH ;
Thaete, FL ;
Simoneau, JA ;
Kelley, DE .
DIABETES, 1997, 46 (10) :1579-1585
[12]   THE MEANING AND USE OF THE AREA UNDER A RECEIVER OPERATING CHARACTERISTIC (ROC) CURVE [J].
HANLEY, JA ;
MCNEIL, BJ .
RADIOLOGY, 1982, 143 (01) :29-36
[13]   Prevalence of diabetes, impaired fasting glucose, and impaired glucose tolerance in US adults - The Third National Health and Nutrition Examination Survey, 1988-1994 [J].
Harris, MI ;
Flegal, KM ;
Cowie, CC ;
Eberhardt, MS ;
Goldstein, DE ;
Little, RR ;
Wiedmeyer, HM ;
Byrd-Holt, DD .
DIABETES CARE, 1998, 21 (04) :518-524
[14]   Altered body composition in type 2 diabetes mellitus [J].
Heshka, S. ;
Ruggiero, A. ;
Bray, G. A. ;
Foreyt, J. ;
Kahn, S. E. ;
Lewis, C. E. ;
Saad, M. ;
Schwartz, A. V. .
INTERNATIONAL JOURNAL OF OBESITY, 2008, 32 (05) :780-787
[15]  
Hosmer D.W., 1989, Applied Logistic regression
[16]  
IZRAEL D, 2002, P 27 ANN SAS US GROU
[17]   Is the reduction of lower-body subcutaneous adipose tissue associated with elevations in risk factors for diabetes and cardiovascular disease? [J].
Janiszewski, P. M. ;
Kuk, J. L. ;
Ross, R. .
DIABETOLOGIA, 2008, 51 (08) :1475-1482
[18]   Simple anthropometric indices associated with ischemic heart disease [J].
Kahn, HS ;
Austin, H ;
Williamson, DF ;
Arensberg, D .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1996, 49 (09) :1017-1024
[19]   CHOOSING AN INDEX FOR ABDOMINAL OBESITY - AN OPPORTUNITY FOR EPIDEMIOLOGIC CLARIFICATION [J].
KAHN, HS .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1993, 46 (05) :491-494
[20]   WAIST CIRCUMFERENCE AS A MEASURE FOR INDICATING NEED FOR WEIGHT MANAGEMENT [J].
LEAN, MEJ ;
HAN, TS ;
MORRISON, CE .
BRITISH MEDICAL JOURNAL, 1995, 311 (6998) :158-161
12345