Association Between Anthropometric Parameters and Glycemic Control in Type 2 Diabetics
DOI:
https://doi.org/10.24950/rspmi/original/80/1/2019Keywords:
Body Constitution, Body Mass Index, Diabetes Mellitus, Type 2, Glycemic Index, Waist Circumference, Waist-Height RatioAbstract
Introduction: Body measurements are attractive tools, due to
their low cost and easy applicability. The aim of this study is
to characterize the anthropometric measures of a diabetic
population and to analyze the relationship with hemoglobin
A1c (HbA1c).
Material and Methods: A prospective, observational study included patients followed in a Diabetology consultation. Statistical analysis was performed using the SPSS program, 23.0.
Results: Four hundred and fourteen (414) patients (50% men,
mean age 68.77 years) were included. In this sample 76.5%
were under insulin therapy. Lipodystrophy was present in
21% diabetics, who were older and had higher waist circumference (WC) (p < 0.05). The mean HbA1c was 7.61% and it
was higher in women (p < 0.05). The mean body mass index
(BMI) was 30.41 kg/m2. Grade 2 obesity and morbid obesity
was higher in women (p < 0.05). The mean WC was 107.24
cm and was lower in patients with HbA1c between 7.1% and
7.5% (p < 0.05). The mean waist-to-height ratio (WHtR) was
0,67. This value was higher in women, older patients and
more obese (p < 0.05). The patients treated with insulin had
higher HbA1c, WC and WHtR values.
Discussion and Conclusion: In this study women have worse
glycemic and metabolic control. WC was associated with
poor control of HbA1c and lipodystrophy. Integrating these
parameters into the assessment and guidance of diabetics
may be a useful tool.
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