¹Larissa Albuquerque, ²Liana Andrade Oliveira

Objective:
To evaluate the association of new anthropometric indicators with glycemic control in overweight patients with type II diabetes.
Methods:
The sample consisted of 164 type II diabetic patients selected for convenience. Demographic, socioeconomic variables and time since diabetes diagnosis were collected using a structured questionnaire. Anthropometric measurements of weight, height, waist circumference (WC) and hip circumference were taken. The Body Mass Index (BMI), BodyShape Index (ABSI), BodyShapeRoundness Index (BRI) and Body Adipose Index (BAI) indicators were calculated. The 12-hour fasting blood samples were collected by means of digital puncture by a trained professional. Patients were classified into two groups: controlled (≤ 130 mg/dL) and altered (> 130 mg/dL) glycemia. To evaluate models adjusted for glycemic control (dependent variable) and new indicators (independent variables), logistic regression was used.
Results:
There was a correlation of the new anthropometric indicators with the body mass index. It was observed that there were no differences in the means of BMI, WC and the new indicators (ABSI, BRI, IAC) between glycemic control status. The new anthropometric indicators were not associated with glycemic control in type II diabetics, only ABSI in women was associated with altered glycemia (OR=3.81; p=0.040). Conclusion: We conclude that the ABSI anthropometric method in women is associated with glycemic control in patients with type 2 diabetes mellitus.

Diabetes; Overweight; Anthropometry

1) Rathmann W, Giani G. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes care. 2004: 27(10), 2568-2569.

2) Sociedade brasileira de diabetes – SBD. Diretrizes da Sociedade Brasileira de Diabetes: 2015-2016. São Paulo: AC Farmacêutica, 2016.

3) Rezende, FAC. Capacidade preditiva e associação de indicadores antropométricos com diabetes mellitus, hipertensão arterial e comprometimento da capacidade funcional em idosos. Universidade Federal de Viçosa. Teste de doutorando, 2016.

4) Maessen MF, Eijsvogels TM, Verheggen RJ, Hopman MT, Verbeek AL, de Vegt F. Entering a new era of body indices: the feasibility of a body shape index and body roundness index to identify cardiovascular health status. PLoSOne, 2014: 9(9), e107212.

5) Carneiro IBP, Sampaio HADC, Carioca AAF, Pinto FJM, Damasceno NRT. Oldand new anthropometricindices as insulinresistancepredictors in adolescents. Arquivos Brasileiros de Endocrinologia & Metabologia,2014: 58(8), 838-843.

6) Malerbi DA, Franco LJ. Multicenter study of the prevalence of diabetes mellitus and impaired glucose tolerance in the urban Brazilian population aged 30–69 yr. Diabetes care, 1992: 15(11), 1509-1516.

7) Krakauer NY,Krakauer JC. A new body shape index predicts mortality hazard independently of body mass index. PloS one, 2012: 7(7), e39504.

8) Cheung, Y. B. “A Body Shape Index” in middle-age and older Indonesian population: scaling exponents and association with incident hypertension. PloS one, 2014: 9(1), e85421.

9) Thomas DM, Bredlau C, Bosy-Westphal A, Mueller M, Shen W, et al. Relationships between body roundness with body fat and visceral adipose tissueemerging from a new geometrical model. Obesity (Silver Spring), 2013: 21(11): 2264–2271.

10) Bergman RN,Stefanovski D, Buchanan TA., Sumner AE, Reynolds JC, Sebring NG, Watanabe RM. A better index of body adiposity. Obesity, 2011: 19(5), 1083-1089.

11) World health organization – WHO. Obesity: Preventing and managing the global epidemic. Report of a WHO consultation of obesity.Genova, 1998.

12) Lipschitz DA. Screening for nutritional status in the elderly. Primary care, 1994: 21(1), 55.

13) World health organization – WHO. Technical Report Series 894. Obesity: preventing and managing the global epidemic. World Health Organization, Geneva, 2000.

14) American Diabetes Association. Standards of medical care in diabetes—2016 abridged for primary care providers. Clinical diabetes: a publication of the American Diabetes Association, 2016: 34(1), 3.

15) Chang Y, Guo X, Chen Y, Guo L, Li Z, Yu S et al. A Body Shape Index and Body Roundness Index: Two new body indices to identify diabetes mellitus among rural populations in northeast China. Journal of the American College of Cardiology. 2015;66(16):C114.

16) Thomas D, Bredlau C, Bosy-Westphal A, Mueller M, Shen W, Gallagher D et al. Relationships between body roundness with body fat and visceral adipose tissue emerging from a new geometrical model. Obesity. 2013;21(11):2264-2271.

17) Park J, Lim Y, Lee H, Kim T, Choi Y, Min Y et al. Comparison of anthropometric measurements associated with the risk of endoscopic erosive esophagitis: A cross-sectional study. Obesity Research & Clinical Practice. 2017.

18) Schulze M, Thorand B, Fritsche A, Häring H, Schick F, Zierer A et al. Body adiposity index, body fat content and incidence of type 2 diabetes. Diabetologia. 2012;55(6):1660-1667.

19) Ramírez R, González K. Bodyadiposity index in Colombian elite athletes: A comparisonbetweenthebodymass index andothermeasures. Revista Colombiana de Cardiología. 2015;22(1):22-26.

Volume 05 Issue 02 February 2022