Yonsei Med J.  2010 Nov;51(6):850-856. 10.3349/ymj.2010.51.6.850.

Sex Difference of Type 2 Diabetes Affected by Abdominal Obesity versus Overall Obesity

• Paek KW
• Chun KH

• KMID: 1779630
• DOI: http://doi.org/10.3349/ymj.2010.51.6.850

Abstract

PURPOSE
This research compares the predictive value of the abdominal obesity indicator, waist circumference (WC), and the overall obesity indicator, body mass index (BMI), among men and women with regard to type 2 diabetes.
MATERIALS AND METHODS
This study used data collected from 4,400 households selected by a stratified multistage probability sampling method during the 2001 Korea National Health and Nutrition Examination Survey (KNHANES). The final study sample included 4,684 subjects over 30 years of age who had completed the health examination required for the analysis of the health interview and health behavior surveys.
RESULTS
Both men and women showed significant differences in fasting blood glucose (FBG) or HbA1c levels based on abdominal obesity irrespective of BMI. However, the presence of overall obesity among men with abdominal obesity was not significantly correlated with FBG or HbA1c levels, while the presence of overall obesity among women with abdominal obesity was significantly different in regard to FBG or HbA1c levels.
CONCLUSION
Both WC and BMI emerged as a measures of risk factors for type 2 diabetes among women while only WC emerged as a risk factor for diabetes among men.

Keyword

Abdominal obesity; obesity; type 2 diabetes

MeSH Terms

Adult
Blood Glucose/*analysis
Body Mass Index
Diabetes Mellitus, Type 2/*drug therapy
Female
Health Behavior
Hemoglobin A, Glycosylated/metabolism
Humans
Insulin/*administration & dosage/*therapeutic use
Male
Middle Aged
Nutrition Surveys
Obesity/blood/*complications
Obesity, Abdominal/blood/*complications
ROC Curve
Republic of Korea

Figure

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  Fig. 1 Comparison of the ROCs for WC and BMI by predictive value for diabetes according to sex. WC, waist circumference; BMI, body mass index; ROCs, receiver operating characteristics.

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  Fig. 2 Comparison of FBG levels in abdominal and overall obesity by presence of overall and abdominal obesity. WC, waist circumference; BMI, body mass index; FBG, fasting blood glucose.

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  Fig. 3 Comparison of Hb1Ac levels in abdominal and overall obesity by presence of overall and abdominal obesity. WC, waist circumference; BMI, body mass index.

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