scholarly journals Who is getting screened for diabetes according to body mass index and waist circumference categories in Peru? a pooled analysis of national surveys between 2015 and 2019

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256809
Author(s):  
Rodrigo M. Carrillo-Larco ◽  
Wilmer Cristobal Guzman-Vilca ◽  
Antonio Bernabe-Ortiz
Keyword(s):  
Body Mass Index ◽  
Waist Circumference ◽  
Body Mass ◽  
National Level ◽  
Pooled Analysis ◽  
Normal Weight ◽  
Screening Tests ◽  
Diabetes Screening ◽  
National Surveys ◽  
Glucose Test

Background At the population level we would expect that people with obesity undergo diabetes screening tests more often than people with overweight and much more often than people with normal weight. We described the trends of diabetes screening according to body mass index (BMI) and waist circumference (WC) in Peru. Methods Pooled analysis of health national surveys (2015–2019); men and women aged 35–70 years. We used relative frequencies to study: among those who have had a glucose test in the last year, how many there were in each BMI and WC category. We fitted a Poisson model to study whether people with high BMI or WC were more likely to have had a glucose test. Results People with overweight (PR = 1.34; 95% CI: 1.29–1.38), obesity (PR = 1.57; 95% CI: 1.51–1.63) and central obesity (PR = 1.63; 95% CI: 1.35–1.96) were more likely to have had a glucose test. At the sub-national level, there was one (of twenty-five) region in which men with obesity were more often screened for diabetes than men with overweight and much more than men with normal weight. There were seven regions in which women with obesity were the most often screened for diabetes. Conclusions Consistent with a risk-based prevention approach, people with obesity would be screened for diabetes more often than those with overweight and those with normal weight. This ideal profile was only observed in few regions. Diabetes screening strategies should be strengthened and homogenised, so that they reach those at high risk of diabetes.

scholarly journals Body Mass Index, Waist Circumference, Body Fat, Fasting Blood Glucose in a Sample of Moroccan Adolescents Aged 11–17 Years

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Slimane Mehdad ◽  
Abdeslam Hamrani ◽  
Khalid El Kari ◽  
Asmaa El Hamdouchi ◽  
Amina Barakat ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Blood Glucose ◽  
Waist Circumference ◽  
Body Mass ◽  
Body Fat ◽  
Significant Relationship ◽  
Weight Status ◽  
Fasting Blood Glucose ◽  
Normal Weight ◽  
Screening Tools

Objectives. The study aimed to assess the relationship between body fat and each of body mass index (BMI) and waist circumference (WC), and to test the effectiveness of fat mass (FM), percent of body fat (PBF), BMI, and WC in predicting high levels of fasting blood glucose (FBG).Methods. A total of 167 adolescents aged 11–17 years were recruited from Rabat region. BMI and WC were determined using standard equipments. FM and PBF were derived from isotope dilution technique. FBG was determined by the hexokinase method.Results. Regardless of the weight status, BMI showed a strong positive correlation with FM and PBF in both genders. WC was significantly correlated with FM in boys and girls, and with PBF in different groups of girls and boys of the study sample. However, there was no significant relationship between WC and PBF in normal weight and overweight-obese groups of boys. FBG was highly correlated with FM and PBF in girls of the study sample and in overweight-obese girls. Similar significant relationship between FBG and both BMI and WC was observed in overweight-obese girls, while there was no significant association between FBG and other variables in boys and normal-weight girls.Conclusion. BMI and WC were closely associated with FM and PBF, respectively. However, the degree of these associations depends on gender and weight status. BMI may provide a better proxy estimate of overall adiposity than WC; nevertheless, both of them would appear to be a reasonable surrogate for FM and PBF as screening tools to identify adolescents at risk of developing excess body fat and high level of FBG.

scholarly journals Relación entre coordinación motora con indicadores de adiposidad corporal en niños (Relationship between motor coordination and body adiposity indicators in children)

Retos ◽  
2020 ◽  
pp. 125-128
Author(s):  
María José Herlitz ◽  
Jose Rodriguez ◽  
Gonzalo David ◽  
Salustio Carrasco-Lopez ◽  
Rossana Gomez-Campos ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Waist Circumference ◽  
Body Mass ◽  
Body Fat ◽  
Motor Coordination ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
Obese Children ◽  
Body Adiposity ◽  
The Relationship

  Objetivo: Determinar la relación entre los indicadores de adiposidad corporal con la coordinación motora (CM) en niños de ambos sexos entre 8 a 11 años de edad. Metodología: Se efectuó un estudio descriptivo (correlacional). Se estudió a 82 escolares (36 niñas y 46 niños) entre 8 a 11 años de edad. Se evaluó el peso, estatura y circunferencia de la cintura. Se calculó el Índice de Masa Corporal IMC. Se evaluó la prueba de coordinación motora CM de Körper koordinations test Für Kinder (KTK). Se determinó tres categorías por IMC (Normopeso, sobrepeso y obesidad). Resultados: Se observó correlaciones negativas entre los valores del cociente del KTK con el IMC y CC. En las niñas (r= -0.24 a -0.28) y en los niños (r= -0.46 a -0.48). Los niños clasificados como normopeso presentaron mayor cociente de KTK (121.4±29.2puntos) que los clasificados con sobrepeso (102.3±26.3puntos) y obesidad (89.2±21.3puntos) (p<0.05). Conclusión: La CM se relacionó inversamente con la adiposidad corporal en niños de ambos sexos. Además, los niños clasificados como normopesos evidenciaron un mejor rendimiento en la CM que los niños con sobrepeso y obesos. Abstract. Objective: To determine the relationship between indicators of body fat and motor coordination (MC) in children of both sexes aged 8 to 11 years old. Methodology: A descriptive (correlational) study was carried out. A total of 82 schoolchildren (36 girls and 46 boys) aged 8 to 11 years old were studied. Weight, height, and waist circumference (WC) were evaluated. Body Mass Index (BMI) was calculated. The Körper koordinations test Für Kinder (KTK) for MC was evaluated. Three BMI categories were determined (normal weight, overweight, and obesity). Results: Negative correlations were observed between the KTK ratio values, BMI, and WC, both in girls (r = -0.24 to -0.28) and in boys (r = -0.46 to -0.48). Children classified as normal weight had higher KTK ratio (121.4 ± 29.2 points) than those classified as overweight (102.3 ± 26.3 points) and obesity (89.2 ± 21.3 points) (p <0.05). Conclusion: MC was inversely related to body fat in children of both sexes. Furthermore, children classified as normal weight showed better performance in MC than overweight and obese children.

scholarly journals Sex-specific associations between body mass index, waist circumference and the risk of Barrett's oesophagus: a pooled analysis from the international BEACON consortium

Gut ◽  
2013 ◽  
Vol 62 (12) ◽  
pp. 1684-1691 ◽  
Author(s):  
Ai Kubo ◽  
Michael Blaise Cook ◽  
Nicholas J Shaheen ◽  
Thomas L Vaughan ◽  
David C Whiteman ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Waist Circumference ◽  
Body Mass ◽  
Pooled Analysis ◽  
Barrett’S Oesophagus ◽  
Barrett's Oesophagus

scholarly journals Variation in the Association of Body Types to Decreased High-Density Lipoprotein in Older Adults (NHANES 2005-2014)

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 213-213
Author(s):  
Queendaleen Chukwurah
Keyword(s):  
Older Adults ◽  
Body Mass Index ◽  
Waist Circumference ◽  
High Density Lipoprotein ◽  
Body Mass ◽  
Disease Risk ◽  
Density Lipoprotein ◽  
Normal Weight ◽  
High Density ◽  
Sample Population

Abstract General obesity and central obesity represent cardiovascular disease risk factors and are known to be related to dyslipidemia. I examine the variation in the association of combined body mass index/waist circumference classification to decreased high-density lipoprotein cholesterol (HDL-C). Body mass index /waist circumference (WC) cut off values were used to create six body types: normal weight with normal WC (NWT-NWC), overweight with normal WC (OWT-NWC), obese with normal WC (O-NWC), normal weight with high WC (NWT-HWC), overweight with high WC (OWT-HWC), and obese with high WC (O-HWC). HDL-C was defined as decreased if &lt; 40 mg/dl for men or &lt; 50 mg/dl for women and normal if ≥ 40 mg/dL for men or ≥ 50 mg/dL for women. Sample population included 5,772 participants of the National Health and Nutrition Examination Survey (NHANES 2005-2014) aged 50 years and older. The mean (SD) age was 61.8 (0.2), and 50.5% were females, while 10% were minority. The prevalence of decreased HDL-C was 29.1%. Analysis involved weighted multivariable logistic regression adjusted for age, race-ethnicity, gender, education, poverty-income-ratio, smoking, and alcohol intake. Regression reveals a higher likelihood of decreased HDL-C for OWT-NWC (aOR 2.12 95% CI 1.43,3.15 ), NWT-HWC (aOR 2.57 95% CI 1.59,4.16 ), OWT-HWC(aOR 3.09 95% CI 2.29,4.15 ), and O-HWC (aOR 5.30 95% CI 4.01,6.86 ) when compared to NWT-NWC. These associations are important to public health practice and policies as it demonstrates the implications of the parallel use of anthropometric measures for all body weights in health-risk assessments of older adults.

scholarly journals Waist Circumference and All-Cause Mortality Independent of Body Mass Index in Korean Population from the National Health Insurance Health Checkup 2009–2015

2019 ◽  
Vol 8 (1) ◽  
pp. 72 ◽  
Author(s):  
Yang-Hyun Kim ◽  
Seon Kim ◽  
Kyung-Do Han ◽  
Jin-Hyung Jung ◽  
Seong-Su Lee ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Health Insurance ◽  
Waist Circumference ◽  
Body Mass ◽  
National Health Insurance ◽  
National Health ◽  
Normal Weight ◽  
Health Checkup ◽  
All Cause Mortality ◽  
Level 3

Background: Waist circumference (WC) is an index of abdominal obesity and associated with co-morbidities and mortality. Higher WC is positively associated with increased mortality; therefore, we examined the relationship between WC and mortality in Korean populations with the interaction of body mass index (BMI) and WC for mortality. Methods: A total of 23,263,878 subjects (men = 11,813,850 and women = 11,450,028) who were older than 20 years and underwent the National Health Insurance Service health checkup were included. WC was divided into six categories by 5 cm increments and level 3 (85–90 cm in men and 80–85 cm in women) was referenced. Multivariable Cox proportional hazard models were used to obtain the hazard ratios (HRs) and 95% confidence intervals for all-cause mortality according to the six levels of WC. Results: WC in 5 cm increments showed a positively increased all-cause mortality after adjusting for all covariates including BMI. Men showed higher HRs for mortality than women as WC increased, and the HRs were higher in the lower WC levels, but lower in the higher WC levels among the subjects aged 65–85 years than subjects aged 40–65 years. Even in subjects with normal weight and overweight, increased WC (levels 4, 5, and 6) showed increased HRs for mortality (HRs = 1.156, 1.412, and 1.614 in normal BMI and 1.145, 1.401, and 1.909 in overweight, respectively). Conclusion: There was a linear association between WC and all-cause mortality across all BMI categories even in the subjects with normal or overweight BMI. Physicians should check WC routinely even in the subjects with normal weight or overweight.

scholarly journals The Relation of CUN-BAE Index with Body Mass Index and Waist Circumference in Adults Aged 50 to 85 Years: The MCC-Spain Study

Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 996
Author(s):  
Veronica Davila-Batista ◽  
Antonio J. Molina ◽  
Tania Fernández-Villa ◽  
Dora Romaguera ◽  
Beatriz Pérez-Gómez ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Waist Circumference ◽  
Body Mass ◽  
Gold Standard ◽  
The Elderly ◽  
Clinical Applications ◽  
Normal Weight ◽  
Kappa Index ◽  
Cross Sectional ◽  
Body Adiposity

Backgound: Traditional anthropometrics such as body mass index (BMI) or waist circumference (WC) do not fully capture the complex biology of body fat (BF) in the elderly. The Clinica Universidad de Navarra-Body Adiposity Estimator (CUN-BAE) index, based on BMI, is proposed as a better indicator of BF. However, its relation with BMI is not clear. The aim was to compare the agreement between CUN-BAE, BMI, and WC in those aged ≥50 years. Methods: A cross-sectional sample of 3153 Caucasian healthy adults was taken from the MCC-Spain study. The Pearson’s correlation and its 95% confidence interval (CI), adiposity distribution, and Kappa Index (95%CI) were calculated. Results: The correlation of CUN-BAE with WC is 0.18 (95%CI 0.14–0.21) and that with BMI is moderate (r 0.58; 95%CI 0.55–0.60), but both increased strongly by sex. Agreement (normal weight/overweight/obesity) of CUN-BAE with BMI is 7% and with WC is 18%. Conclusions: The correlation and the degree of agreement of CUN-BAE with BMI and WC are low in individuals aged over 50, but it is higher by sex. Thus, this different criterion of obesity may have clinical applications. More studies with a gold standard are needed to evaluate the CUN-BAE in elderly adults.

Abstract P064: Reducing Diabetes Disparities: Diabetes Screening In Asian Americans Should Begin At A Lower Body Mass Index Threshold

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Rahul Aggarwal ◽  
Kirsten Bibbins-domingo ◽  
Nicholas Chiu ◽  
Rishi Wadhera ◽  
Robert W Yeh ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Asian Americans ◽  
Universal Screening ◽  
Prevalence Ratio ◽  
Normal Weight ◽  
Undiagnosed Diabetes ◽  
Lower Sensitivity ◽  
Diabetes Screening ◽  
Increased Risk

Introduction: Current guidelines recommend diabetes screening in all US adults 40 to 70 years of age who have a body mass index (BMI) ≥25kg/m 2 . Asian Americans are at increased risk of developing diabetes at lower BMIs compared with non-Hispanic Whites, yet the optimal BMI threshold for diabetes screening in Asian Americans is undetermined. Hypothesis: Asian Americans aged 40 to 70 years should be screened for diabetes starting at a BMI threshold of lower than 25 kg/m 2 . Methods: Using 2013-2018 cycles of NHANES data, we determine the prevalence of diabetes in normal-weight individuals, stratified by race/ethnicity (n = 8,496). Diabetes was diagnosed based on A1c or a health-care diagnosis. We then evaluate the proportion of individuals with diabetes that would be identified by universal screening at different BMI thresholds (sensitivity) and proportion of individuals without diabetes who would be tested based on universal screening at or above a BMI threshold. Analyses were done accounting for complex survey weights to determine national projections. Results: Compared with non-Hispanic Whites, normal-weight Asian Americans were more likely to have diabetes (15.3% vs 3.4%, prevalence ratio (PR): 4.5 [95% CI: 2.8-7.4], p<0.001) and undiagnosed diabetes (24.1% vs 11.9%, PR: 2.02 [1.34-3.05], p = 0.002). Universal screening for diabetes in U.S. adults with BMI ≥25 kg/m 2 has a sensitivity of 94.2% [95% CI: 92.8%-95.5%] in non-Hispanic Whites but lower sensitivity of 62.3% (59.0%-65.7%) among Asian Americans (p<0.001). Diabetes screening in Asian Americans with a BMI ≥22 kg/m 2 would have a sensitivity of 91.2% (89.3%-93.1%) and would subject 70.4% (68.2%-72.5%) of adults without diabetes to screening, which is comparable to the performance of the BMI ≥25kg/m 2 threshold in non-Hispanic Whites. Conclusions: Lowering the diabetes screening threshold in Asian Americans aged 40 to 70 years from BMI ≥25 kg/m 2 to BMI ≥22 kg/m 2 would provide screening parity between Asian Americans and non-Hispanic Whites.

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