Normal-weight central obesity: implications for diabetes mellitus

BackgroundCurrent guidelines for obesity prevention and control focus on body mass index (BMI) and rarely address central obesity. Few studies have been conducted on the association between normal-weight central obesity and the risk of diabetes mellitus (DM).Methods26,825 participants from the Natio...

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Main Authors: Xueshan Jin, Jiajun Liu, Qiuyu Cao, Jiehua Lin, Guangfu Wu, Longhui Liu, Shan Jiang, Xin Zhou, Zhiqiang Li, Aicheng Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2023.1239493/full
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author Xueshan Jin
Jiajun Liu
Qiuyu Cao
Jiehua Lin
Guangfu Wu
Longhui Liu
Shan Jiang
Xin Zhou
Zhiqiang Li
Aicheng Yang
author_facet Xueshan Jin
Jiajun Liu
Qiuyu Cao
Jiehua Lin
Guangfu Wu
Longhui Liu
Shan Jiang
Xin Zhou
Zhiqiang Li
Aicheng Yang
author_sort Xueshan Jin
collection DOAJ
description BackgroundCurrent guidelines for obesity prevention and control focus on body mass index (BMI) and rarely address central obesity. Few studies have been conducted on the association between normal-weight central obesity and the risk of diabetes mellitus (DM).Methods26,825 participants from the National Health and Nutrition Examination Survey (NHANES) were included in our study. A weighted multivariate logistic regression model was used to analyze the relationship between different obesity patterns and the risk of DM.ResultsOur results suggest that normal-weight central obesity is associated with an increased risk of DM (OR: 2.37, 95% CI: 1.75–3.23) compared with normal-weight participants without central obesity. When stratified by sex, men with normal-weight central obesity, obesity and central obesity were found to have a similar risk of DM (OR: 3.83, 95% CI: 2.10–5.97; OR: 4.20, 95% CI: 3.48–5.08, respectively) and a higher risk than all other types of obesity, including men who were overweight with no central obesity (OR: 1.21, 95% CI: 0.96–1.51) and obese with no central obesity (OR: 0.53, 95% CI: 0.30–0.91).ConclusionOur results highlight the need for more attention in people with central obesity, even if they have a normal BMI.
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spelling doaj.art-a7f10f250a5e43d3b2bd3cc6e9cc6db32023-09-22T10:06:32ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-09-011010.3389/fnut.2023.12394931239493Normal-weight central obesity: implications for diabetes mellitusXueshan Jin0Jiajun Liu1Qiuyu Cao2Jiehua Lin3Guangfu Wu4Longhui Liu5Shan Jiang6Xin Zhou7Zhiqiang Li8Aicheng Yang9Nephropathy Center, The Affiliated Jiangmen TCM Hospital of Jinan University, Jiangmen, ChinaFirst Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, ChinaNephropathy Center, The Affiliated Jiangmen TCM Hospital of Jinan University, Jiangmen, ChinaNephropathy Center, The Affiliated Jiangmen TCM Hospital of Jinan University, Jiangmen, ChinaNephropathy Center, The Affiliated Jiangmen TCM Hospital of Jinan University, Jiangmen, ChinaNephropathy Center, The Affiliated Jiangmen TCM Hospital of Jinan University, Jiangmen, ChinaNephropathy Center, The Affiliated Jiangmen TCM Hospital of Jinan University, Jiangmen, ChinaNephropathy Center, The Affiliated Jiangmen TCM Hospital of Jinan University, Jiangmen, ChinaNephropathy Center, The Affiliated Jiangmen TCM Hospital of Jinan University, Jiangmen, ChinaNephropathy Center, The Affiliated Jiangmen TCM Hospital of Jinan University, Jiangmen, ChinaBackgroundCurrent guidelines for obesity prevention and control focus on body mass index (BMI) and rarely address central obesity. Few studies have been conducted on the association between normal-weight central obesity and the risk of diabetes mellitus (DM).Methods26,825 participants from the National Health and Nutrition Examination Survey (NHANES) were included in our study. A weighted multivariate logistic regression model was used to analyze the relationship between different obesity patterns and the risk of DM.ResultsOur results suggest that normal-weight central obesity is associated with an increased risk of DM (OR: 2.37, 95% CI: 1.75–3.23) compared with normal-weight participants without central obesity. When stratified by sex, men with normal-weight central obesity, obesity and central obesity were found to have a similar risk of DM (OR: 3.83, 95% CI: 2.10–5.97; OR: 4.20, 95% CI: 3.48–5.08, respectively) and a higher risk than all other types of obesity, including men who were overweight with no central obesity (OR: 1.21, 95% CI: 0.96–1.51) and obese with no central obesity (OR: 0.53, 95% CI: 0.30–0.91).ConclusionOur results highlight the need for more attention in people with central obesity, even if they have a normal BMI.https://www.frontiersin.org/articles/10.3389/fnut.2023.1239493/fullnormal-weight central obesitybody mass indexwaist circumferencediabetes mellitusNational Health and Nutrition Examination Survey
spellingShingle Xueshan Jin
Jiajun Liu
Qiuyu Cao
Jiehua Lin
Guangfu Wu
Longhui Liu
Shan Jiang
Xin Zhou
Zhiqiang Li
Aicheng Yang
Normal-weight central obesity: implications for diabetes mellitus
Frontiers in Nutrition
normal-weight central obesity
body mass index
waist circumference
diabetes mellitus
National Health and Nutrition Examination Survey
title Normal-weight central obesity: implications for diabetes mellitus
title_full Normal-weight central obesity: implications for diabetes mellitus
title_fullStr Normal-weight central obesity: implications for diabetes mellitus
title_full_unstemmed Normal-weight central obesity: implications for diabetes mellitus
title_short Normal-weight central obesity: implications for diabetes mellitus
title_sort normal weight central obesity implications for diabetes mellitus
topic normal-weight central obesity
body mass index
waist circumference
diabetes mellitus
National Health and Nutrition Examination Survey
url https://www.frontiersin.org/articles/10.3389/fnut.2023.1239493/full
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