PMID- 29028482 OWN - NLM STAT- MEDLINE DCOM- 20180626 LR - 20180626 IS - 1879-1484 (Electronic) IS - 0021-9150 (Linking) VI - 266 DP - 2017 Nov TI - Adiposity phenotypes are associated with type-2 diabetes: LAP index, body adiposity index, and neck circumference. PG - 145-150 LID - S0021-9150(17)31293-5 [pii] LID - 10.1016/j.atherosclerosis.2017.09.022 [doi] AB - BACKGROUND AND AIMS: Adiposity phenotypes can be detected by anthropometric indexes associated with type-2 diabetes mellitus (T2DM). Besides body mass index (BMI) and waist circumference (WC), new indices seem to be able to identify T2DM. This study aimed to evaluate independent associations of T2DM with lipid accumulation product (LAP index), neck circumference (NC) and body adiposity index (BAI) in patients with hypertension. METHODS: A cross-sectional study was carried out among 430 patients with hypertension. The T2DM diagnosed was standardized. WC and NC (cm) were measured and BMI was calculated. LAP index was calculated separately for men [(WC-65) x TG] and women [(WC-58) x TG]; BAI was evaluated in percentiles according to hip (cm)/[height (m)(1.5)]-18. RESULTS: Participants were aged 58.3 +/- 11.7 years, had systolic blood pressure (SBP) 154.2 +/- 24.9 mmHg, diastolic blood pressure (DBP) 89.0 +/- 14.7 mmHg, and BMI 30.1 +/- 6.0 kg/m(2). There was 145 men and 285 women, and 142 participants had T2DM. Analyses carried out separately by gender showed that among men, BAI at the 75th percentile increased about 60% the risk of T2DM, while among women, those in the upper quartile of LAP and NC had increased risk of T2DM (prevalence ratio (PR): 2.93; 95%CI: 1.62-5.28 and 3.30; 95%IC: 1.78-6.14, respectively), after adjustment for potential confounders. CONCLUSIONS: Adiposity phenotypes such as LAP index and neck circumference were independently associated with T2DM in hypertensive women, and BAI was associated with T2DM in men. CI - Copyright (c) 2017 Elsevier B.V. All rights reserved. FAU - Marcadenti, Aline AU - Marcadenti A AD - Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil; Department of Nutrition, Universidade Federal de Ciencias da Saude de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil. FAU - Fuchs, Flavio D AU - Fuchs FD AD - Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil; Division of Cardiology, Hospital de Clinicas de Porto Alegre, Porto Alegre, RS, Brazil. FAU - Moreira, Leila B AU - Moreira LB AD - Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil. FAU - Gus, Miguel AU - Gus M AD - Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil; Division of Cardiology, Hospital de Clinicas de Porto Alegre, Porto Alegre, RS, Brazil. FAU - Fuchs, Sandra C AU - Fuchs SC AD - Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil; Postgraduate Studies Program in Epidemiology, School of Medicine, Universidade Federal do Rio Grande do Sul, R. Ramiro Barcelos 2600, CEP 90035-003, Porto Alegre, RS, Brazil. Electronic address: scfuchs@terra.com.br. LA - eng PT - Journal Article DEP - 20170922 PL - Ireland TA - Atherosclerosis JT - Atherosclerosis JID - 0242543 SB - IM MH - *Adiposity MH - Adult MH - Aged MH - Area Under Curve MH - Body Mass Index MH - Brazil/epidemiology MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*diagnosis/epidemiology/pathology/physiopathology MH - Female MH - Humans MH - Hypertension/*diagnosis/epidemiology/pathology/physiopathology MH - *Lipid Accumulation Product MH - Male MH - Middle Aged MH - Neck/*pathology MH - Obesity/*diagnosis/epidemiology/pathology/physiopathology MH - Phenotype MH - Predictive Value of Tests MH - Prevalence MH - ROC Curve MH - Risk Factors MH - Waist Circumference OTO - NOTNLM OT - Abdominal obesity OT - Body adiposity index OT - Diabetes mellitus OT - Hypertension OT - Lipid accumulation product OT - Neck circumference OT - Waist circumference EDAT- 2017/10/14 06:00 MHDA- 2018/06/27 06:00 CRDT- 2017/10/14 06:00 PHST- 2017/06/10 00:00 [received] PHST- 2017/08/25 00:00 [revised] PHST- 2017/09/19 00:00 [accepted] PHST- 2017/10/14 06:00 [pubmed] PHST- 2018/06/27 06:00 [medline] PHST- 2017/10/14 06:00 [entrez] AID - S0021-9150(17)31293-5 [pii] AID - 10.1016/j.atherosclerosis.2017.09.022 [doi] PST - ppublish SO - Atherosclerosis. 2017 Nov;266:145-150. doi: 10.1016/j.atherosclerosis.2017.09.022. Epub 2017 Sep 22.