Relationship between body composition indicators and risk of type 2 diabetes mellitus in Chinese adults
Abstract Background Body composition is a crucial factor associated with the incidence of type 2 diabetes mellitus. However, no study on this relationship has been performed in the Chinese population. This study aimed to investigate the relationship between body composition indicators and risk of ty...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-04-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12889-020-08552-5 |
| _version_ | 1818096098096447488 |
|---|---|
| author | Yongchun Chen Dongliang He Tingting Yang Hao Zhou Siyun Xiang Lijun Shen Jing Wen Shengcai Chen Songxu Peng Yong Gan |
| author_facet | Yongchun Chen Dongliang He Tingting Yang Hao Zhou Siyun Xiang Lijun Shen Jing Wen Shengcai Chen Songxu Peng Yong Gan |
| author_sort | Yongchun Chen |
| collection | DOAJ |
| description | Abstract Background Body composition is a crucial factor associated with the incidence of type 2 diabetes mellitus. However, no study on this relationship has been performed in the Chinese population. This study aimed to investigate the relationship between body composition indicators and risk of type 2 diabetes mellitus among Chinese adults undergoing medical examination. Methods Between January 2018 and July 2018, a retrospective cross-sectional study was performed on 3367 (2307 male and 1060 female) participants aged ≥18 years undergoing medical examination in Zhengzhou. Logistic regression analysis was performed to explore the relationship between body composition indicators and risk of type 2 diabetes mellitus. A receiver operating characteristic curve was used to calculate cutoff points and the predictive power of each indicator. Results Among the 3367 participants, 12.53% were diagnosed with type 2 diabetes mellitus. Multivariate logistic analysis indicated that male participants (odds ratio [OR] = 1.68, 95% confidence interval [CI]: 1.29–2.19), older participants (OR = 1.05, 95% CI: 1.04–1.06), participants with a waist-to-hip ratio above the reference value (OR = 1.56, 95% CI: 1.18–2.07), participants with body fat percentage above the reference value (OR = 1.62, 95% CI: 1.01–2.68), and participant with a large visceral fat area (OR = 1.01, 95% CI: 1.01–1.02) had a high risk of type 2 diabetes mellitus. Waist-to-hip ratio, body fat percentage, and visceral fat area were the best indicators of type 2 diabetes mellitus (P < 0.001) with cutoff values of 0.90, 25.02%, and 92.00 cm2, respectively. Conclusion This study suggests a predictive relationship between type 2 diabetes mellitus and body composition indicators of waist-to-hip ratio, body fat percentage, and visceral fat area, which are valuable for screening diabetes and providing effective health education and behavioral intervention for high-risk populations. |
| first_indexed | 2024-12-10T22:59:13Z |
| format | Article |
| id | doaj.art-0497f31e23c749c4b3961010a2861009 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-10T22:59:13Z |
| publishDate | 2020-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-0497f31e23c749c4b3961010a28610092022-12-22T01:30:10ZengBMCBMC Public Health1471-24582020-04-012011610.1186/s12889-020-08552-5Relationship between body composition indicators and risk of type 2 diabetes mellitus in Chinese adultsYongchun Chen0Dongliang He1Tingting Yang2Hao Zhou3Siyun Xiang4Lijun Shen5Jing Wen6Shengcai Chen7Songxu Peng8Yong Gan9Department of Nutrition, Henan Provincial People’s Hospital and Zhengzhou University People’s HospitalDepartment of Nutrition, Hengyang Central HospitalDepartment of Nutrition, Henan Provincial People’s Hospital and Zhengzhou University People’s HospitalDepartment of Medical Record, Fuwai Central China Cardiovascular HospitalDepartment of Nutrition, Henan Provincial People’s Hospital and Zhengzhou University People’s HospitalDepartment of Research and Discipline Development, Henan Provincial People’s Hospital and Zhengzhou University People’s HospitalDepartment of Nutrition, Henan Provincial People’s Hospital and Zhengzhou University People’s HospitalDepartment of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Maternal and Child Health, Xiangya School of Public Health, Central South UniversityDepartment of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Background Body composition is a crucial factor associated with the incidence of type 2 diabetes mellitus. However, no study on this relationship has been performed in the Chinese population. This study aimed to investigate the relationship between body composition indicators and risk of type 2 diabetes mellitus among Chinese adults undergoing medical examination. Methods Between January 2018 and July 2018, a retrospective cross-sectional study was performed on 3367 (2307 male and 1060 female) participants aged ≥18 years undergoing medical examination in Zhengzhou. Logistic regression analysis was performed to explore the relationship between body composition indicators and risk of type 2 diabetes mellitus. A receiver operating characteristic curve was used to calculate cutoff points and the predictive power of each indicator. Results Among the 3367 participants, 12.53% were diagnosed with type 2 diabetes mellitus. Multivariate logistic analysis indicated that male participants (odds ratio [OR] = 1.68, 95% confidence interval [CI]: 1.29–2.19), older participants (OR = 1.05, 95% CI: 1.04–1.06), participants with a waist-to-hip ratio above the reference value (OR = 1.56, 95% CI: 1.18–2.07), participants with body fat percentage above the reference value (OR = 1.62, 95% CI: 1.01–2.68), and participant with a large visceral fat area (OR = 1.01, 95% CI: 1.01–1.02) had a high risk of type 2 diabetes mellitus. Waist-to-hip ratio, body fat percentage, and visceral fat area were the best indicators of type 2 diabetes mellitus (P < 0.001) with cutoff values of 0.90, 25.02%, and 92.00 cm2, respectively. Conclusion This study suggests a predictive relationship between type 2 diabetes mellitus and body composition indicators of waist-to-hip ratio, body fat percentage, and visceral fat area, which are valuable for screening diabetes and providing effective health education and behavioral intervention for high-risk populations.http://link.springer.com/article/10.1186/s12889-020-08552-5Body compositionType 2 diabetes mellitusPredictive valueIndicatorsVisceral fat area |
| spellingShingle | Yongchun Chen Dongliang He Tingting Yang Hao Zhou Siyun Xiang Lijun Shen Jing Wen Shengcai Chen Songxu Peng Yong Gan Relationship between body composition indicators and risk of type 2 diabetes mellitus in Chinese adults BMC Public Health Body composition Type 2 diabetes mellitus Predictive value Indicators Visceral fat area |
| title | Relationship between body composition indicators and risk of type 2 diabetes mellitus in Chinese adults |
| title_full | Relationship between body composition indicators and risk of type 2 diabetes mellitus in Chinese adults |
| title_fullStr | Relationship between body composition indicators and risk of type 2 diabetes mellitus in Chinese adults |
| title_full_unstemmed | Relationship between body composition indicators and risk of type 2 diabetes mellitus in Chinese adults |
| title_short | Relationship between body composition indicators and risk of type 2 diabetes mellitus in Chinese adults |
| title_sort | relationship between body composition indicators and risk of type 2 diabetes mellitus in chinese adults |
| topic | Body composition Type 2 diabetes mellitus Predictive value Indicators Visceral fat area |
| url | http://link.springer.com/article/10.1186/s12889-020-08552-5 |
| work_keys_str_mv | AT yongchunchen relationshipbetweenbodycompositionindicatorsandriskoftype2diabetesmellitusinchineseadults AT donglianghe relationshipbetweenbodycompositionindicatorsandriskoftype2diabetesmellitusinchineseadults AT tingtingyang relationshipbetweenbodycompositionindicatorsandriskoftype2diabetesmellitusinchineseadults AT haozhou relationshipbetweenbodycompositionindicatorsandriskoftype2diabetesmellitusinchineseadults AT siyunxiang relationshipbetweenbodycompositionindicatorsandriskoftype2diabetesmellitusinchineseadults AT lijunshen relationshipbetweenbodycompositionindicatorsandriskoftype2diabetesmellitusinchineseadults AT jingwen relationshipbetweenbodycompositionindicatorsandriskoftype2diabetesmellitusinchineseadults AT shengcaichen relationshipbetweenbodycompositionindicatorsandriskoftype2diabetesmellitusinchineseadults AT songxupeng relationshipbetweenbodycompositionindicatorsandriskoftype2diabetesmellitusinchineseadults AT yonggan relationshipbetweenbodycompositionindicatorsandriskoftype2diabetesmellitusinchineseadults |