Anthropometric criteria of type-2 diabetics attending national institute of diabetes and endocrinology [NIDE]

ABSTRACT

Egyptian people have a body shape and cardiovascular risk profiles different from that of other ethnic populations. This study aimed at assessment of anthropometric indices of type-2 diabetics attending National Institute of Diabetes and Endocrinology [NIDE] and to examine the association of these anthropometric indices with hypertension, dyslipidemia, and uncontrolled DM among type-2 diabetics. Besides, to determine which indices can best predict these individual risk factors among these patients. A total of 500 type-2 diabetic patients [79.2% females and 20.8% males], of which 79.6% were obese and 20.4% non obese were enrolled in this work. Their mean age was 51.2 +/- 6.36 year and their mean duration of DM was 11.5 +/- 6.26 year. The anthropometric indices [BMI, WC, WHR and WHTR] of our type-2 diabetics were measured. The history taking, a thorough physical examination and blood sampling for fasting plasma glucose, lipid profile, glycated hemoglobin and creatinine were done for every patient. The prevalence of obesity, central obesity, hypertension, dyslipidemia and uncontrolled DM among our patients were of 79.6%, 89.6, 49.9%, 93.0% and 87.0%, respectively. Most of anthropometric indices [all except WHR] were associated with blood pressure [systolic and diastolic] but all of them were associated with some types of blood lipids. Binary logistic regression revealed that WC was the only anthropometric predictor of hypertension and dyslipidemia among our type-2 diabetics. Both obesity and central obesity are very common among our type-2 diabetics particularly in females. Although most of anthropometric indices are associated with high blood pressure and blood lipids levels, waist circumference is the only anthropometric predictor of hypertension and dyslipidemia among our type-2 diabetics