Waist-to-height ratio better predictor of Cardiovascular risk in type 2 Diabetes patients

Written By : MD Editorial Team |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2021-12-17T11:30:54+05:30 | Updated On 17 Dec 2021 11:39 AM IST

According to a new study, waist-to-height ratio (WHtR) had a greater connection with cardio-cerebrovascular events (CCBVEs) in type 2 Diabetes Mellitus participants than waist circumference (WC), waist-hip-ratio (WHR), and Body Mass Index (BMI). For assessing cardiovascular risks in T2DM, WHtR may be a better signal than other anthropometric parameters.

This study was conducted by Jiang-Feng Ke and team & the findings were published in Diabetes Research and Clinical Practice.

BMI, WHR and WHtR have all been considered as risk factors for incident hypertension. However, whether one of these indicators is preferable to another in terms of predicting hypertension in diabetes individuals has been debated.

For this study, in 3108 T2DM patients were recruited and the relationships of four anthropometric variables with CCBVEs and metabolic syndrome (MetS) were examined using a multiple regression model. A history of myocardial infarction, angina, angioplasty, coronary artery bypass surgery, transient ischemic attack, ischemic or hemorrhagic stroke was considered CCBVEs.

The key findings of this study are:

1. After correcting for age, gender, and diabetes duration, the prevalence of CCBVEs and MetS in T2DM patients rose substantially across the WHtR, WC, WHR, and BMI quartiles, respectively.

2. Although four anthropometric measurements were closely associated with MetS prevalence, only the WHtR quartile (6.5%, 13.8%, 16.9%, and 21.3%, p 0.001 for trend) was significantly associated with CCBVEs prevalence (6.5%, 13.8%, 16.9%, and 21.3%, p 0.001 for trend).

3. A regression analysis demonstrated that, after controlling for several confounders, including four anthropometric measures, only WHtR was independently and positively linked with the existence of CCBVEs (p = 0.029).

In conclusion, in type 2 diabetes patients, WHtR was a more reliable predictor of cardiovascular risks than WHR and BMI.

Reference:

Ke, J.-F., Wang, J.-W., Lu, J.-X., Zhang, Z.-H., Liu, Y., & Li, L.-X. (2022). Waist-to-height ratio has a stronger association with cardiovascular risks than waist circumference, waist-hip ratio and body mass index in type 2 diabetes. In Diabetes Research and Clinical Practice (Vol. 183, p. 109151). Elsevier BV. https://doi.org/10.1016/j.diabres.2021.109151

Diabetes Research and Clinical Practiceanthropometric measurementsdiabetes

Source : Diabetes Research and Clinical Practice

MD Editorial Team

Medical Dialogues consists of a team of passionate medical/scientific writers, led by doctors and healthcare researchers. Our team efforts to bring you updated and timely news about the important happenings of the medical and healthcare sector. Our editorial team can be reached at editorial@medicaldialogues.in.

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751