Association of Anthropometric Measurements with Angiographic findings among Diabetic Patients with Coronary Artery Disease

Abstract

Introduction: Obesity is one of the modifiable risk factors of diabetes mellitus (DM) and its complications viz. coronary artery disease (CAD). Scientific evidence indicates a stronger association of angiographic severity with obesity. This study aimed to compare the association of different anthropometric measurements with angiographic severity among diabetic patients with CAD and evaluate its usefulness. Methods:A cross-sectional study was conducted among 78 consecutive diabetic patients who underwent coronary angiography for suspected or known CAD of both sex aged between 35 and 65 years, with significant angiographic findings of >50% diameter stenosis. Grouping was done based on body mass index (BMI): Group I -18 to 24.9 kg/m 2 and group II -≥ 25 kg/m 2 . WC (waist circumference) > 90 cm in males and > 80 cm in females was considered as abnormal (central obesity). The anthropometric measurements included height, weight, BMI, WC, and visceral adiposity index . The Gensini scoring system was used for the assessment of the severity of CAD.Results: Among the 78 patients 57 (73%) and 21(27%) were males and females, respectively. Forty-three percent of the patients had (n=33) high BMI ≥ 25 kg/m 2 but 69.2% had abnormal WC. Gensini score was 34.9 SE 4.5640 and 36.09 SE 5.77 among group I and group II, respectively. We found a statistically significant association of WC with the number of vessels involved (P = 0.019). Conclusion:There was a significant positive association of WC with the number of vessels involved among diabetic patients with CAD.