PMID- 27810975
OWN - NLM
STAT- MEDLINE
DCOM- 20171120
LR  - 20220409
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 6
IP  - 11
DP  - 2016 Nov 3
TI  - Association between obesity indices and type 2 diabetes mellitus among 
      middle-aged and elderly people in Jinan, China: a cross-sectional study.
PG  - e012742
LID - 10.1136/bmjopen-2016-012742 [doi]
LID - e012742
AB  - BACKGROUND: The relationship between obesity and type 2 diabetes mellitus (T2DM) 
      varies with geographical area and race. OBJECTIVES: To investigate the prevalence 
      of T2DM and the proportion of subjects with undiagnosed T2DM. In addition, to 
      compare the associations between different obesity indices and T2DM for 
      middle-aged and elderly people from six communities in Jinan, China. SETTING: A 
      cross-sectional study was designed and the study subjects were chosen from blocks 
      which were randomly selected in the 6 communities of Jinan, China in 2011-2012. 
      PARTICIPANTS: A total of 3277 residents aged >/=50 years were eligible for this 
      study, but 1563 people were excluded because they did not provide anthropometric 
      data such as height, weight, waist circumference (WC), hip circumference, 
      systolic blood pressure, diastolic blood pressure, fasting plasma glucose, 
      triglyceride (TG), total cholesterol (TC) or information about their current 
      medication use. Hence, 1714 participants were included in the final data 
      analysis. RESULTS: The prevalence of T2DM among people aged >/=50 years was 16.6% 
      (19.3% for men and 15.3% for women) and the proportion of patients with 
      undiagnosed T2DM was 32.7%. Compared with the lowest levels of body mass index 
      (BMI), WC, waist-to-hip ratio or waist-to-stature ratio (WSR), the ORs and 95% 
      CIs of the highest levels for men, after adjusting for age, smoking, alcohol 
      drinking, regular exercise, hypertension, TG and TC, were 1.607 (0.804 to 3.210), 
      2.189 (1.118 to 4.285), 1.873 (0.968 to 3.623) and 2.572 (1.301 to 5.083), 
      respectively, and for women, 2.764 (1.622 to 4.712), 2.407 (1.455 to 3.985), 
      2.500 (1.484 to 4.211) and 2.452 (1.447 to 4.155), respectively. CONCLUSIONS: 
      Among adults aged >/=50 years in Jinan, China, the best indicator of the 
      relationship between obesity and T2DM is WSR for men and BMI for women, 
      respectively.
CI  - Published by the BMJ Publishing Group Limited. For permission to use (where not 
      already granted under a licence) please go to 
      http://www.bmj.com/company/products-services/rights-and-licensing/.
FAU - Wang, Shukang
AU  - Wang S
AD  - Department of Biostatistics, School of Public Health, Shandong University, Jinan, 
      China.
FAU - Ma, Wei
AU  - Ma W
AD  - Department of Epidemiology, School of Public Health, Shandong University, Jinan, 
      China.
FAU - Yuan, Zhongshang
AU  - Yuan Z
AD  - Department of Biostatistics, School of Public Health, Shandong University, Jinan, 
      China.
FAU - Wang, Shu-Mei
AU  - Wang SM
AD  - Department of Epidemiology, School of Public Health, Shandong University, Jinan, 
      China.
FAU - Yi, Xiangren
AU  - Yi X
AD  - The College of Physical Education, Shandong University, Jinan, China.
FAU - Jia, Hongying
AU  - Jia H
AD  - The Second Hospital of Shandong University, Jinan, China.
FAU - Xue, Fuzhong
AU  - Xue F
AD  - Department of Biostatistics, School of Public Health, Shandong University, Jinan, 
      China.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20161103
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
RN  - 0 (Blood Glucose)
RN  - 0 (Lipids)
SB  - IM
MH  - Aged
MH  - Anthropometry
MH  - Blood Glucose/metabolism
MH  - Blood Pressure
MH  - *Body Mass Index
MH  - China/epidemiology
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus, Type 2/blood/*epidemiology/etiology
MH  - Female
MH  - Humans
MH  - Lipids/blood
MH  - Male
MH  - Middle Aged
MH  - Obesity/blood/*complications
MH  - Residence Characteristics
MH  - Risk Factors
MH  - *Waist Circumference
MH  - *Waist-Height Ratio
MH  - Waist-Hip Ratio
PMC - PMC5129047
OTO - NOTNLM
OT  - Chinese population
OT  - cross-sectional study
OT  - obesity indices
OT  - type 2 diabetes mellitus (T2DM)
COIS- Conflicts of Interest: None declared.
EDAT- 2016/11/05 06:00
MHDA- 2017/11/29 06:00
PMCR- 2016/11/03
CRDT- 2016/11/05 06:00
PHST- 2016/11/05 06:00 [pubmed]
PHST- 2017/11/29 06:00 [medline]
PHST- 2016/11/05 06:00 [entrez]
PHST- 2016/11/03 00:00 [pmc-release]
AID - bmjopen-2016-012742 [pii]
AID - 10.1136/bmjopen-2016-012742 [doi]
PST - epublish
SO  - BMJ Open. 2016 Nov 3;6(11):e012742. doi: 10.1136/bmjopen-2016-012742.