The Best Obesity Indices to Discriminate Type 2 Diabetes Mellitus

Motamed, Nima; Rabiee, Behnam; Keyvani, Hossein; Hemasi, Gholam Reza; Khonsari, Mahmood Reza; Saeedian, Fatemeh Sima; Maadi, Mansooreh; Zamani, Farhad

doi:10.1089/met.2015.0133

Cited by 22 publications

(15 citation statements)

References 17 publications

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“…Waist-to-hip ratio, as a measure of obesity or health, has been shown to be a better predictor of cardiovascular disease [37], diabetes [38], and hypercholesterolemia [39] compared with body mass index and waist circumstance. Our finding is similar to studies that showed obesity to be a risk factor of overactive bladder and weight loss to be related to improvements in incontinence status [20, 40].…”

Section: Discussionmentioning

confidence: 99%

Toileting behaviors and overactive bladder in patients with type 2 diabetes: a cross-sectional study in China

Cheng

et al. 2017

BMC Urol

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BackgroundOveractive bladder is more prevalent in patients with type 2 diabetes than in those without diabetes. Unhealthy toileting behaviors may be associated with the development and worsening of overactive bladder symptoms. However, little is known about the relationships between toileting behaviors and overactive bladder in patients with diabetes. This study aimed to identify unhealthy toileting behaviors that patients with type 2 diabetes adopted to empty their bladders and investigate the relationships between toileting behaviors and overactive bladder.MethodsPatients with type 2 diabetes from the endocrinology outpatient department of a hospital in China were recruited. The Toileting Behaviors-Women’s Elimination Behavior and Overactive Bladder Symptom Score questionnaires were used to assess the patients’ toileting behaviors and overactive bladder symptoms. A multivariate logistic regression model was used to explore the relationships between toileting behaviors and overactive bladder.ResultsAlmost 14% of patients with diabetes had overactive bladder. The unhealthiest toileting behavior was premature voiding. In the multivariate logistic regression analysis, premature voiding (OR = 1.286, p = 0.016) and straining to void (OR = 1.243, p = 0.026) were associated with overactive bladder. There was a greater likelihood of having overactive bladder when patients engaged in unhealthy toileting behaviors (premature voiding and straining to void).ConclusionsOveractive bladder in patients with type 2 diabetes was more than twofold higher than that in the general population. Thus, overactive bladder is not just an inconsequential condition for patients with diabetes. Unhealthy toileting behaviors, e.g., premature voiding and straining to void, may contribute to the onset or worsening of overactive bladder in patients with diabetes. Identification and awareness of these modifiable behavioral factors during diabetes care is an essential component of primary prevention, alleviation, and management of overactive bladder symptoms.

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Section: Discussionmentioning

confidence: 99%

Toileting behaviors and overactive bladder in patients with type 2 diabetes: a cross-sectional study in China

Cheng

et al. 2017

BMC Urol

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“…It is reported that this index gives particularly a notion about being overweight or obese among adults. However, there are many studies performed on adults that do not recommend BMI, instead propose other obesity indices for various purposes such as prediction of hypertension, cardiovascular disease risk classification or as discriminators of in the diagnosis of metabolic syndrome (Chua, Zalilah, Haemamalar, Norhasmah, & Geeta, 2017;Patel et al, 2017;Motamed et al, 2016;Motamed et al, 2017;Fan et al, 2016). Besides, a very recent study has reported that LDL-cholesterol, which is found to be elevated in obese individuals and also known as a risk factor for CVDs is not associated with BMI or waist circumference (Oda, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…Obesity indices have recently been a point of interest during the investigation of obesity, risk factors of obesity and obesity-related diseases such as metabolic syndrome, coronary artery disease, acute myocardial infarction and type 2 diabetes (Motamed et al, 2016;Motamed et al, 2017;Mondal & Mishra, 2017;Chua, Zalilah, Haemamalar, Norhasmah, & Geeta, 2017;Patel et al, 2017;Abulmeaty et al, 2017;Tsioufis et al, 2016;Jelavic, Babic & Pintaric, 2017;Liu, Ma, Lou & Zhu, 2016;Tao et al, 2016;Oguoma et al, 2016). So far a great number of studies have been performed on adults with different obesity grades, however research performed on pediatric population ) is scarce.…”

Section: Scope Of the Problemmentioning

confidence: 99%

“…Some studies inform that body mass index (BMI) have no value to predict hypertension (Chua, Zalilah, Haemamalar, Norhasmah, & Geeta, 2017), the incidence of coronary artery disease in patients with essential hypertension (Tsioufis et al, 2016), the low maximal oxygen consumption-a measure of cardiorespiratory capacity (Mondal & Mishra, 2017), clinical severity and prognosis of acute ST-elevation myocardial infarction (Jelavic, Babic & Pintaric, 2017), to identify adults with cardiovascular risk factors (Patel et al, 2017), to determine the best usual discriminator index of obesity to diagnose diabetes mellitus (Motamed et al, 2016). In a similar manner, there are also reports informing waist circumference and waist-to-hip ratio have no predictive value for coronary artery disease with essential hypertension and for the identification of children with elevated blood pressure, respectively (Tsioufis et al, 2016;Ma et al, 2016).…”

Section: Scope Of the Problemmentioning

confidence: 99%

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The Importance of Some New Clinical Indices in the Evaluation of Childhood Obesity

Donma

2017

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Overlapping patterns were observed for overweight and obese children for waist circumference, waist-to-height, head-to-neck ratios, BMI and DONMA Index-I. However, DONMA Index-II showed a clear-cut separation between groups; normal weight-overweight and overweight-obese. This study revealed that body ratios and formulas based upon body fat are more valuable parameters than those based on weight for the evaluation of obesity in children.

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“…19-24 , Our study subjects were 18 years and older among whom 2859 (56.6%) were male and 2193 (43.4%) were female. Enrolment process is shown in figure 1.…”

Section: Methodsmentioning

confidence: 98%

The Prevalence of Non-alcoholic Fatty Liver Disease and Diabetes Mellitus in an Iranian Population

Rabiee¹,

Roozafzai²,

Hemasi³

et al. 2017

Middle East J Dig Dis

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BACKGROUND Type II diabetes mellitus (T2DM) and non-alcoholic fatty liver disease (NAFLD) are important causes of morbidity and mortality worldwide. We aimed to estimate the prevalence of DM in the context of NAFLD. METHODS In this cross-sectional study, we studied 5052 participants, aged 18 years and older, of a baseline population-based cohort in northern Iran (N=6143). The prevalence of DM was estimated in individuals with and without NAFLD. The association between NAFLD and T2DM was evaluated using logistic regression with the adjustment of confounding effects of age, sex, body mass index, lipid profiles, and fasting insulin. RESULTS In men, the prevalence (95% confidence interval) of T2DM was 5.34% (4.35%-6.34%) and 15.06% (13.12%-17.00%) in individuals without and with NAFLD, respectively (p <0.001). In women without NAFLD, the prevalence was 8.27% (6.83%-9.71%) while in the presence of NAFLD, the prevalence was 27.21% (24.59%-29.83%), (p <0.001). In univariate analysis, the chance of having T2DM was 3.700 (3.130-4.380) times more in patients with NAFLD compared with subjects without NAFLD (p<0.001). This chance was reduced (Odds Ratio=1.976, 95% CI: 1.593-2.451, p <0.001) after removing the effects of other variables. CONCLUSION The prevalence of T2DM is increased in the context of NAFLD. This condition may be considered as an independent predictor of T2DM.

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The Best Obesity Indices to Discriminate Type 2 Diabetes Mellitus

Abstract: While WHR had an appropriate discriminatory capability for T2DM in the population of northern Iran, BAI and BMI did not.

Cited by 22 publications

References 17 publications

Toileting behaviors and overactive bladder in patients with type 2 diabetes: a cross-sectional study in China

Toileting behaviors and overactive bladder in patients with type 2 diabetes: a cross-sectional study in China

The Importance of Some New Clinical Indices in the Evaluation of Childhood Obesity

The Prevalence of Non-alcoholic Fatty Liver Disease and Diabetes Mellitus in an Iranian Population

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