АNTHROPOMETRIC RISK FACTORS FOR TYPE 2 DIABETES MELLITUS

  • O. Lanovenko
Keywords: type 2 diabetes mellitus, obesity, anthropometric indices, hypertension

Abstract

The article presents the results of determining the anthropometric risk factors for type 2 diabetes mellitus (T2DM). Studies have confirmed that obesity is an important risk factor for detecting T2DM and found that the highest degree of association with the disease, regardless of gender, adjusted for age, has an index of the ratio of the waist circumference and height (WC/H), which turned out to be a more sensitive marker for diabetes the second type,
hypertension and cardiovascular disease. The increase in the incidence of type 2 diabetes among therapeutic patients is due to a sharp increase in the incidence of a combination of this disease with obesity and hypertension. It was found that in men, the gradient of increased risk of T2DM was observed with an increase in the waist circumference, while in women, with an increase in the body mass index. Anthropometric measurements among women found a relationship between an increase in body mass index (BMI), abdominal circumference, hips, and belonging to the group of patients with type 2 diabetes. A peculiarity of the prevalence of type 2 diabetes among
residents of the region is the tendency to increase incidence after 39 years of age with maximum values of 51-60 years and a subsequent decrease in frequency. Regarding gender differences, it was found that after 65 years of age, the frequency of the disease in women decreases, and among men, on the contrary, it continues to grow, which can be explained by a milder course of the disease among men and higher mortality of sick women in old age. Waist circumference is a more reliable predictor of the development of cardiovascular complications and mortality than BMI. The prospect of further research is the confirmation and refinement of data obtained with large sample sizes. There is a need to search for new and test known risk factors for the disease to create an effective program for the early diagnosis and prevention of type 2 diabetes.

References

1. Tymchenko AM, Misyura KV, Podoroha OI, Chernyavsʹka NI, Mykhayletsʹ VM. Osnovni zakonomirnosti poshyrennya tsukrovoho diabetu sered naselennya (dani rehionalʹnykh reyestriv). Mezhdunarodnyy ndokrynolohycheskyy zhurnal, 2008; 4(16): 28-34. [In Ukrainian]
2. Gezawa ID. Puepet FH., Mubi BM., Uloko AE., Bakki В, Talle МА, Haliru І. Socio-demographic and anthropometric risk factors for Type 2 diabetes in Maiduguri, North-Eastern Nigeria. Sahel.Medical Journal. 2015;18:1-7. DOI: 10.4103/1118-8561.149495.
3. IDF Promoting diabetes care, prevention and a cure worldwide. Country Report UKRAINE, 2010 http://www.idf.org/webdata/ docs/idfeurope/Country%20report%20Ukraine%20pub.pdf (last retrived 15/05/2012).
4. Awasthi A, Rao CR, Hegde DS, Rao N. Association between type 2 diabetes mellitus and anthropometric measurements – a case control study in South India. Journal of Preventive Medicine and Hydiene. 2017;58(1):E56-E62.
5. Khalanhot MD, Kravchenko VI, Pysarenko YuM, Okhrimenko NV, Lerman NH, Kovtun VA. Doslidzhennya poshyrenosti tsukrovoho diabetu, porushenoyi rehulyatsiyi hlyukozy ta antropometrychni faktory ryzyku yikh rozvytku v meshkantsiv litnʹoho viku silʹsʹkoyi mistsevosti Ukrayiny. Poperedni dani. Endokrynolohiya. 2014;19(2):119-125. [In Ukrainian]
Published
2020-07-15
Pages
103-109
Issue
Section
Статті