Waist-to-height ratio has a stronger association with cardiovascular risks than waist circumference, waist-hip ratio and body mass index in type 2 diabetes
Diabetes Research and Clinical Practice Dec 04, 2021
Ke JF, Wang JW, Lu JX, et al. - Among patients suffering from T2DM, a stronger association of waist-to-height ratio (WHtR) with cardio-cerebrovascular events (CCBVEs) was revealed relative to waist circumference (WC), waist-hip-ratio (WHR) and body mass index (BMI). WHtR could afford a better indicator compared with other anthropometric measurements for assessing cardiovascular risks in T2DM.
This study included 3,108 Chinese T2DM patients to compare the links between four anthropometric indices [including WHtR, WC, WHR and BMI] and CCBVEs.
Significant increase in the prevalence of CCBVEs and MetS was noted across the WHtR, WC, WHR and BMI quartiles in T2DM patients, respectively, post-controlling for age, gender and diabetes duration.
When controlling for these four anthropometric measurements collectively, a close link of four anthropometric measures with MetS prevalence was evident, but only WHtR quartile was significantly related to CCBVEs prevalence (6.5%, 13.8%, 16.9% and 21.3%).
Only WHtR was found to be independently and positively linked with the presence of CCBVEs, post-adjustment for multiple confounders including four anthropometric parameters.
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