Comparisons of the Strength of Associations With Future Type 2 Diabetes Risk Among Anthropometric Obesity Indicators, Including Waist-to-Height Ratio: A Meta-Analysis

Kodama, Satoru; Horikawa, Chika; Fujihara, Kazuya; Heianza, Yoriko; Hirasawa, Reiko; Yachi, Yoko; Sugawara, Akiko; Tanaka, Shiro; Shimano, Hitoshi; Iida, Kaoruko; Saito, Kazumi; Sone, Hirohito

doi:10.1093/aje/kws172

Cited by 196 publications

(184 citation statements)

References 42 publications

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“…It appears not linked to gender, to aging of the population or consecutive to overweight/obesity which are factors that often emerge as independent determinants of the prevalence of hypertension. [8,21,[26][27][28][29][30] No cohort of the community population has been longitudinally followed-up in the present work. We instead husked two random samples, each representative of the population during the period.…”

Section: Discussionmentioning

confidence: 99%

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Trends in prevalence of obesity and hypertension in an urban Congolese community

Mp¹,

M'buyamba-Kayamba²,

Ng³

et al. 2018

JER

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Objective: We assessed change in the prevalence of overweight/obesity and hypertension among adult Congolese people at two different periods. Methods: In 2007-8 the prevalence of overweight/obesity and high blood pressure was assessed among 1,292 subjects (56.6% women) representing a random sample of the inhabitants of an urban Congolese community. The data were compared to previous observations in 424 participants (55.2% women) obtained in a 1983-4 survey of the same community. Age structure of the two samples was different. We therefore directly standardized the prevalence of overweight/obesity and hypertension for gender and age. We modeled the risk of hypertension in a multivariable logistic regression analysis and compared the rates of awareness and control of hypertension during both periods. Results: Crude prevalence of overweight/obesity (26.7 vs. 42.3%; P < .0001) and hypertension (21.5 vs. 30.9%; P = .0002) was higher in 2007-8. Overweight/obesity predominated among women at both periods, hypertension among men in 1983-4. Genderage directly standardized prevalence remained higher in 2007-8 for overweight/obesity [28.4(24.1-32.7)% vs. 41.3(38.8-43.7)%] and was borderline for hypertension [24.9(20-28.9)% vs. 29.7(27.4-31.9)%]. The 1983-4/2007-8 risk ratio was 0.69 for overweight/obesity (P < .0001), 0.84 for hypertension (P = .054). Awareness, treatment and control of hypertension tended to be better in 2007-8, especially among women. The risk of hypertension in multivariable logistic analysis, was greater for male gender (OR: 1.47[95% CI:1.14-1.88]; P = .0029), and increased with age (5.62[4.37-7.23]; P < .0001), overweight/obesity (2.27[1.77-2.91]; P < .0001) and pulse rate (for each 10 beats/min: 1.20[1.08-1.32]; P = .0005); the risk was 35% higher in 2007-8 (1.35;[1.01-1.80]; P = .0416). Conclusion: Our data indicate the prevalence of overweight/obesity and hypertension has increased among adult urban Congolese people; they suggest that prevention of cardiovascular diseases might require appropriate control of these conditions.

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Section: Discussionmentioning

confidence: 99%

“…[27] They suggest that strategies aimed at reducing obesity especially among women, might be promoted as key measures to curb the incidence of hypertension and prevent cardiovascular diseases in sub-Saharan Africa.…”

Section: Discussionmentioning

confidence: 99%

Trends in prevalence of obesity and hypertension in an urban Congolese community

Mp¹,

M'buyamba-Kayamba²,

Ng³

et al. 2018

JER

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“…Candidate mechanisms include hyperglycemia leading to joint tissue changes, particularly in collagen [27], and obesity leading to (1) increased mechanical load to the joint [31]; and/or (2) nonbiomechanical factors such as metabolism from increased fat [8,14,20,22]. Obesity is a risk factor for diabetes [1,15,17,19,30] and osteoarthritis [8,13,20,22,26], and both factors are increasing rapidly in the US population [6,10]. Unfortunately, data that might further explore these potential hypotheses are unavailable in our data set (BMI, HbA1c, adipokine biomarkers).…”

Section: Discussionmentioning

confidence: 99%

Veterans With Diabetes Receive Arthroplasty More Frequently and at a Younger Age

King

Findley

Williams

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background A future increase in total joint arthroplasties in patients with diabetes seems likely considering the prevalence of osteoarthritis and diabetes mellitus are increasing. However, the rates of arthroplasty in the population of patients with diabetes are unclear. Questions/purposes We sought to determine whether lower extremity arthroplasties in a veteran population with diabetes is different from a similar population without diabetes. The following specific questions were asked: (1) Is the rate of TKA in veterans with diabetes higher than in those without diabetes? (2) Is the rate of THA in veterans with diabetes higher than in those without diabetes? (3) Are arthroplasty revision rates greater in veterans with diabetes than in veterans without diabetes?Methods The US Department of Veterans Affairs Health administrative data from fiscal year 2000 was used to identify persons with primary or secondary TKA or THA. The rate of surgeries among a diabetic population was compared with that among a nondiabetic population. Results The diabetic cohort received total joint arthroplasties at a higher rate than the nondiabetic cohort at all ages younger than 66 years, with a range of odd ratios from 1.3 to 3.4. In answer to our specific questions, (1) the rate of TKA (95% CI, 2.1-3.7), (2) the rate of THA (95% CI, 1.0-2.6), and (3) the rates of arthroplasty revision (95% CI, 0.9-5.8 TKA and 0.7-6.8 THA) were higher in veterans with diabetes. Furthermore, those with diabetes in the youngest age group studied received total joint arthroplasties and revision surgeries at approximately double the rates of those without diabetes.

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“…The prevalence of obesity, which is associated with the development of type 2 diabetes mellitus [9], has reached approximately 35.6% in the KSA, increasing in parallel with the increase in the prevalence of diabetes [10][11][12]. Moreover, approximately 45-65% of patients with type 2 diabetes mellitus in the United States are obese [13].…”

Section: Int J Adv Res 5(5) 1140-1145mentioning

confidence: 99%

Body Mass Index According to Insulin and Oral Hypoglycemic Drug Usage in Patients With Type 2 Diabetes.

Balkheyour¹,

Ashour²,

Abualhamael³

et al. 2017

IJAR

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Comparisons of the Strength of Associations With Future Type 2 Diabetes Risk Among Anthropometric Obesity Indicators, Including Waist-to-Height Ratio: A Meta-Analysis

Cited by 196 publications

References 42 publications

Trends in prevalence of obesity and hypertension in an urban Congolese community

Trends in prevalence of obesity and hypertension in an urban Congolese community

Veterans With Diabetes Receive Arthroplasty More Frequently and at a Younger Age

Body Mass Index According to Insulin and Oral Hypoglycemic Drug Usage in Patients With Type 2 Diabetes.

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