Inability of waist-to-height ratio to predict new onset diabetes mellitus among older adults in Taiwan: a five-year observational cohort study

Archives of Gerontology and Geriatrics
Ren-Jieh KuoLiang-Kung Chen

Abstract

Abdominal obesity plays a significant role in cardiometabolic health. Due to the difficulties to quantify abdominal obesity, a number of proxy indicators have been developed, including waist circumference (WC), waist-to-hip (WTH) ratio, and waist-to-height (WHtR) ratio. The main purpose of this study was to evaluate the ability of WHtR predicting new onset diabetes mellitus (NOD) among older adults in rural Taiwan. In 2000, 372 subjects (mean age=61.8±11.3 years, 57.8% females) living in the Tou-Cheng Township of I-Lan County participated in the study and 250 of them (6 deceased, mean age of survivors=67.1±10.7 years, 58.9% females) were successfully followed in 2005. The mean BMI of the primary cohort was 25.0±3.6 kg/m(2); the proportion of obesity and overweight was 47.8% and 21.0%, respectively. The mean WHtR was 0.57±0.07, and the prevalence of high WHtR (>0.5) was 83.9%. The prevalence of diabetes mellitus (DM) and impaired fasting glucose (IFG) was 18.5% and 19.6%, respectively. Comparisons between subjects with high WHtR (>0.5) and low WHtR (<0.5) showed significant cardiovascular risk factor clustering in high WHtR group, but serum cholesterol and high-density lipoprotein cholesterol similar in both groups. In 2005, the...Continue Reading

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