Association of general and central obesity with diabetes and prediabetes in rural Bangladeshi population

Tasnima Siddiquee; Bishwajit Bhowmik; Rajat Kanti Karmaker; Abhijit Chowdhury; Hajera Mahtab; A K Azad Khan; Akhtar Hussain

doi:10.1016/j.dsx.2015.02.002

Association of general and central obesity with diabetes and prediabetes in rural Bangladeshi population

Diabetes Metab Syndr. 2015 Oct-Dec;9(4):247-51. doi: 10.1016/j.dsx.2015.02.002. Epub 2015 Mar 5.

Authors

Tasnima Siddiquee¹, Bishwajit Bhowmik², Rajat Kanti Karmaker³, Abhijit Chowdhury³, Hajera Mahtab⁴, A K Azad Khan⁴, Akhtar Hussain¹

Affiliations

¹ Department of International Health, University of Oslo, P.O. Box 1130 Blindern, 0318 Oslo, Norway.
² Department of International Health, University of Oslo, P.O. Box 1130 Blindern, 0318 Oslo, Norway. Electronic address: doctorbiplob@yahoo.com.
³ Mother and Child Health Project, Diabetic Association of Bangladesh, Dhaka 1200, Bangladesh.
⁴ Department of Endocrinology, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka 1200, Bangladesh.

PMID: 25795165
DOI: 10.1016/j.dsx.2015.02.002

Abstract

Background and aims: Recent data shown that both general and central obesity indices are significantly associated with diabetes (T2DM) and prediabetes (impaired glucose tolerance [IGT] and impaired fasting glucose [IFG]). Data regarding association of obesity with T2DM and prediabetes in rural Bangladeshi population is scarce. This study aims to observe the association of general and central obesity with diabetes (T2DM) and prediabetes in rural Bangladeshi population.

Materials and methods: A total of 2293 rural Bangladeshi adults aged ≥20 years were randomly selected in a population-based, cross-sectional survey which was conducted in 2009. The association of general (defined by body mass index [BMI]) and central obesity (defined by waist circumference [WC] and waist hip ratio [WHR]) with T2DM and prediabetes was assessed by using receiver operating characteristic curve analysis and logistic regression.

Results: Subjects with T2DM, IGT and IFG had a higher rate of general and central obesity than normal subjects. WHR was more closely associated with T2DM than WC and BMI. However, all three obesity indices were significantly associated with IGT and IFG.

Conclusions: In rural Bangladeshi population, both general and central obesity showed good association with T2DM and prediabetes.

Keywords: Bangladesh; Diabetes; Obesity; Prediabetes.

Publication types

Randomized Controlled Trial

MeSH terms

Adult
Bangladesh / epidemiology
Body Mass Index
Cross-Sectional Studies
Diabetes Mellitus, Type 2 / epidemiology*
Female
Follow-Up Studies
Glucose Intolerance / physiopathology*
Humans
Male
Middle Aged
Obesity / physiopathology*
Prediabetic State / physiopathology*
Prognosis
ROC Curve
Risk Factors
Rural Population
Waist Circumference