Stronger Associations of Body Mass Index and Waist Circumference with Diabetes than Waist-Height Ratio and Triglyceride Glucose Index in the Middle-Aged and Elderly Population: A Retrospective Cohort Study
Background. It remains controversial whether body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR), or triglyceride glucose (TyG) index has a stronger association with diabetes. The aims of the study were to compare the magnitude of associations of four indicators with diabet...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2022/9982390 |
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| author | Kun He Wenli Zhang Xueqi Hu Hao Zhao Rui Song Kaizhi Bai Wenlong Shi Songhe Shi Zhan Shi Mingshu Yan |
| author_facet | Kun He Wenli Zhang Xueqi Hu Hao Zhao Rui Song Kaizhi Bai Wenlong Shi Songhe Shi Zhan Shi Mingshu Yan |
| author_sort | Kun He |
| collection | DOAJ |
| description | Background. It remains controversial whether body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR), or triglyceride glucose (TyG) index has a stronger association with diabetes. The aims of the study were to compare the magnitude of associations of four indicators with diabetes risk. Methods. Data collected from annual health examination dataset in the Xinzheng during 2011 and 2019. A total of 41,242 participants aged ≥ 45 years were included in this study. Cox proportional hazard regression models were used to examine associations between the four indicators and diabetes risk. Results. After 205,770 person-years of follow up, diabetes developed in 2,472 subjects. Multivariable-adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) of diabetes (highest vs reference group) were 1.92 (1.71–2.16) for BMI, 1.99 (1.78–2.23) for WC, 1.65 (1.47–1.86) for WHtR, and 1.66 (1.47–1.87) for TyG, respectively. In addition, the risk of diabetes increased with baseline BMI (HR: 1.30; 95% CI: 1.25, 1.35) and TyG (HR: 1.25; 95% CI: 1.20, 1.30), but the lowest HR was 0.78 (95% CI 0.65–0.92) when WC was approximately 72 cm, and 0.85 (95% CI 0.72–0.99) when WHtR was approximately 0.47 in women. In joint analyses, the highest risk was observed in participants with a high BMI combined with a high WC (HR: 2.26; 95% CI: 1.98, 2.58). Conclusions. In middle-aged and elderly Chinese population, BMI and WC were more strongly associated with diabetes than WHtR or TyG, especially the combined effect of BMI and WC. |
| format | Article |
| id | doaj-art-e40c7d3b1c9a4a14801ca8b02e9ee663 |
| institution | OA Journals |
| issn | 2314-6753 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-e40c7d3b1c9a4a14801ca8b02e9ee6632025-08-20T02:21:34ZengWileyJournal of Diabetes Research2314-67532022-01-01202210.1155/2022/9982390Stronger Associations of Body Mass Index and Waist Circumference with Diabetes than Waist-Height Ratio and Triglyceride Glucose Index in the Middle-Aged and Elderly Population: A Retrospective Cohort StudyKun He0Wenli Zhang1Xueqi Hu2Hao Zhao3Rui Song4Kaizhi Bai5Wenlong Shi6Songhe Shi7Zhan Shi8Mingshu Yan9Department of Epidemiology and Health StatisticsDepartment of Epidemiology and Health StatisticsDepartment of Epidemiology and Health StatisticsDepartment of Epidemiology and Health StatisticsDepartment of Epidemiology and Health StatisticsDepartment of Epidemiology and Health StatisticsDepartment of Epidemiology and Health StatisticsDepartment of Epidemiology and Health StatisticsDepartment of PharmacyCollege of Nursing and HealthBackground. It remains controversial whether body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR), or triglyceride glucose (TyG) index has a stronger association with diabetes. The aims of the study were to compare the magnitude of associations of four indicators with diabetes risk. Methods. Data collected from annual health examination dataset in the Xinzheng during 2011 and 2019. A total of 41,242 participants aged ≥ 45 years were included in this study. Cox proportional hazard regression models were used to examine associations between the four indicators and diabetes risk. Results. After 205,770 person-years of follow up, diabetes developed in 2,472 subjects. Multivariable-adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) of diabetes (highest vs reference group) were 1.92 (1.71–2.16) for BMI, 1.99 (1.78–2.23) for WC, 1.65 (1.47–1.86) for WHtR, and 1.66 (1.47–1.87) for TyG, respectively. In addition, the risk of diabetes increased with baseline BMI (HR: 1.30; 95% CI: 1.25, 1.35) and TyG (HR: 1.25; 95% CI: 1.20, 1.30), but the lowest HR was 0.78 (95% CI 0.65–0.92) when WC was approximately 72 cm, and 0.85 (95% CI 0.72–0.99) when WHtR was approximately 0.47 in women. In joint analyses, the highest risk was observed in participants with a high BMI combined with a high WC (HR: 2.26; 95% CI: 1.98, 2.58). Conclusions. In middle-aged and elderly Chinese population, BMI and WC were more strongly associated with diabetes than WHtR or TyG, especially the combined effect of BMI and WC.http://dx.doi.org/10.1155/2022/9982390 |
| spellingShingle | Kun He Wenli Zhang Xueqi Hu Hao Zhao Rui Song Kaizhi Bai Wenlong Shi Songhe Shi Zhan Shi Mingshu Yan Stronger Associations of Body Mass Index and Waist Circumference with Diabetes than Waist-Height Ratio and Triglyceride Glucose Index in the Middle-Aged and Elderly Population: A Retrospective Cohort Study Journal of Diabetes Research |
| title | Stronger Associations of Body Mass Index and Waist Circumference with Diabetes than Waist-Height Ratio and Triglyceride Glucose Index in the Middle-Aged and Elderly Population: A Retrospective Cohort Study |
| title_full | Stronger Associations of Body Mass Index and Waist Circumference with Diabetes than Waist-Height Ratio and Triglyceride Glucose Index in the Middle-Aged and Elderly Population: A Retrospective Cohort Study |
| title_fullStr | Stronger Associations of Body Mass Index and Waist Circumference with Diabetes than Waist-Height Ratio and Triglyceride Glucose Index in the Middle-Aged and Elderly Population: A Retrospective Cohort Study |
| title_full_unstemmed | Stronger Associations of Body Mass Index and Waist Circumference with Diabetes than Waist-Height Ratio and Triglyceride Glucose Index in the Middle-Aged and Elderly Population: A Retrospective Cohort Study |
| title_short | Stronger Associations of Body Mass Index and Waist Circumference with Diabetes than Waist-Height Ratio and Triglyceride Glucose Index in the Middle-Aged and Elderly Population: A Retrospective Cohort Study |
| title_sort | stronger associations of body mass index and waist circumference with diabetes than waist height ratio and triglyceride glucose index in the middle aged and elderly population a retrospective cohort study |
| url | http://dx.doi.org/10.1155/2022/9982390 |
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