不同肥胖指标与老年人糖尿病患病风险的调查研究

doi:10.3969/j.issn.1003-9198.2024.09.018

Abstract

Abstract: Objective To analyze the relationship between obesity indexes such as BMI, waist circumference (WC), lipid accumulation product (LAP), Chinese visceral adiposity index (CVAI), body roundness index (BRI), and diabetes in the elderly, and to explore the predictive effects of these indexes for diabetes in the elderly. Methods A stratified random cluster sampling method was employed, covering 10 streets in Jiangning District, Nanjing.A total of 56 410 elderly individuals who met the criteria and participated physical examinations in the community health service centers from January to December 2021 were enrolled in this study. The data of physical examination and laboratory indexes were collected. The elderly were divided into the diabetes group and the non-diabetes group based on whether they presented with diabetes, and the differences in the indexes between the two groups were compared.Logistic regression analysis was used to explore the correlation between various obesity indexes and diabetes, and receiver operating characteristic (ROC) curve analysis was used to assess the predictive value of these indexes for diabetes. Results Compared with the non-diabetes group, there were statistically significant differences in gender, age, education level, marital status, smoking status, alcohol consumption, hypertension, dyslipidemia, and the levels of BMI, WC, LAP, CVAI and BRI in the diabetes group (P<0.05). The area under the curve (AUC) of BMI, WC, LAP, CVAI, BRI, and the combination of these five indexes in predicting diabetes in the elderly was 0.593, 0.590, 0.599, 0.618, 0.590 and 0.620, respectively. Conclusions BMI, WC, LAP, CVAI and BRI are risk factors for diabetes. The combination of these five indexes shows better predictive value for diabetes than those alone.

Key words: aged, diabetes mellitus, obesity index, ROC curve

CLC Number:

R587.1

ZHANG Xingxing, ZHANG Haiyang, HE Xiaojing, LU Xiang. Investigation on the relationship between different physical indexes and the risk of diabetes mellitus in the elderly[J]. Practical Geriatrics, 2024, 38(9): 940-943.

References

[1] 牟严艳, 叶中慧, 林梅珍, 等.糖尿病流行病学研究进展[J]. 糖尿病新世界, 2019, 22(4): 196-198.
[2] LI Y, TENG D, SHI X, et al. Prevalence of diabetes recorded in mainland China using 2018 diagnostic criteria from the American Diabetes Association: national cross sectional study[J]. BMJ, 2020, 369: m997.
[3] AL-GOBLAN A S, AL-ALFI M A, KHAN M Z.Mechanism linking diabetes mellitus and obesity[J]. Diabetes Metab Syndr Obes, 2014, 7: 587-591.
[4] 潘磊磊, 卢春明, 吴明, 等.辽宁省35～75岁居民糖尿病患病率及影响因素[J]. 中华疾病控制杂志, 2020, 24(6): 670-675.
[5] 马艺琳, 柯蒋风, 王俊薇, 等.肥胖与2型糖尿病患者发生蛋白尿的关系研究[J]. 中国全科医学, 2022, 25(20): 2457-2461.
[6] CARBONE S, DEL BUONO M G, OZEMEK C, et al. Obesity, risk of diabetes and role of physical activity, exercise training and cardiorespiratory fitness[J]. Prog Cardiovasc Dis, 2019, 62(4): 327-333.
[7] HS K.The “lipid accumulation product” performs better than the body mass index for recognizing cardiovascular risk: a population-based comparison[J]. BMC Cardiovascular Disorders, 2005, 5:26.
[8] HAN M, QIN P, LI Q, et al. Chinese visceral adiposity index: A reliable index of visceral fat function associated with risk of type 2 diabetes[J]. Diabetes Metab Res Rev, 2021, 37(2): e3370.
[9] THOMAS D M, BREDLAU C, BOSY-WESTPHAL A, et al. Relationships between body roundness with body fat and visceral adipose tissue emerging from a new geometrical model[J]. Obesity, 2013, 21(11): 2264-2271.
[10] KAHN S E, HULL R L, UTZSCHNEIDER K M.Mechanisms linking obesity to insulin resistance and type 2 diabetes[J]. Nature, 2006, 444(7121): 840-846.
[11] 李晓晨, 陈佩.BMI、WC、WHtR和BF%诊断老年肥胖的一致性研究[J]. 哈尔滨体育学院学报, 2022, 40(1): 81-88.
[12] FAN Y, WANG R, DING L, et al. Waist circumference and its changes are more strongly associated with the risk of type 2 diabetes than body mass index and changes in body weight in Chinese adults[J]. J Nutr, 2020, 150(5): 1259-1265.
[13] ZHANG X, WANG Y, LI Y, et al. Optimal obesity-and lipid-related indices for predicting type 2 diabetes in middle-aged and elderly Chinese[J]. Sci Rep, 2024, 14(1): 10901.
[14] LIU P J, MA F, LOU H P, et al. Visceral adiposity index is associated with pre-diabetes and type 2 diabetes mellitus in Chinese adults aged 20-50[J]. Ann Nutr Metab, 2016, 68(4): 235-243.
[15] CHANG Y, GUO X, CHEN Y, et al. A body shape index and body roundness index: two new body indices to identify diabetes mellitus among rural populations in northeast China[J]. BMC Public Health, 2015, 15(1): 794.

Investigation on the relationship between different physical indexes and the risk of diabetes mellitus in the elderly

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Recommended 10

[1]	LI Jiang, QIU Yan, WANG Ting, WANG Dan, YU Yifan, PU Lingli, BU Ling. Correlation between preoperative SII/ALB and clinicopathologic features in elderly patients with lung adenocarcinoma [J]. Practical Geriatrics, 2024, 38(9): 893-896.
[2]	GAO Yuan, CHEN Hua, CHEN Ke, HUANG Wenlong. Relationship of bone mineral density and fracture risk with type 2 diabetes mellitus-related factors in elderly patients [J]. Practical Geriatrics, 2024, 38(9): 911-915.
[3]	DAI Jing, CUI Yan. Correlation between glycosylated hemoglobin variability and cognitive dysfunction in elderly patients with type 2 diabetes mellitus [J]. Practical Geriatrics, 2024, 38(9): 931-935.
[4]	ZHENG Hong, QI Zhenbo, XU Peng, XU Jie, YU Xinyu, ZANG Yanan, ZHANG Zhaoyan. Effects of hypnotics on cognition function and daytime sleepiness in the elderly [J]. Practical Geriatrics, 2024, 38(9): 936-939.
[5]	NI Hongyan, CHEN Yun, ZHANG Qibing, MA Yiming, XIE Chenglan. Effects of electroacupuncture on cognitive function and inflammatory factors in elderly patients undergoing lower limb orthopedic surgery during the perioperative period [J]. Practical Geriatrics, 2024, 38(9): 944-947.
[6]	LI Xiaomin, LI Xiaolin, LI Jie, WU Lei, HAO Ranran. Efficiency influencing factors of transanal double-balloon enteroscopy in elderly patients [J]. Practical Geriatrics, 2024, 38(9): 958-961.
[7]	CAI Huicui, CHEN Yan, WANG Yan, YE Jinjun, ZHU Yuying. Effects of diversified health education model with simple respiratory function exercise on cancer-related fatigue and compliance behavior in elderly patients with lung cancer receiving radiotherapy [J]. Practical Geriatrics, 2024, 38(9): 968-972.
[8]	WANG Xiaojiao, WANG Ning, CUI Hong, YE Tong, WANG Xiaoming. Influence of exercise rehabilitation in elderly patients with mild to moderate chronic heart failure [J]. Practical Geriatrics, 2024, 38(8): 775-778.
[9]	SHEN Chenjun, WANG Xiaoqing, TANG Degang, NING Ping. Correlation between standardized uric acid and renal function in elderly patients with chronic kidney disease aged 90 and over [J]. Practical Geriatrics, 2024, 38(8): 779-782.
[10]	HAO Shijie, ZOU Jianpeng, WEI Chen, LIU Qingjiang. Effect of comprehensive respiratory training on hypokinetic dysarthria in elderly patients with Parkinson’s disease [J]. Practical Geriatrics, 2024, 38(8): 783-787.
[11]	XIANG Chao, LUO Caidong. Analysis of the diagnostic value of T wave change of avL lead for the degree of coronary artery stenosis in elderly patients with coronary heart disease [J]. Practical Geriatrics, 2024, 38(8): 788-791.
[12]	LI Huiying, CAI Lili, ZHU Qiwei. Predictive value of plasma N-terminal pro-brain natriuretic peptide for prognosis in patients aged ≥80 years old with left ventricular hypertrophy [J]. Practical Geriatrics, 2024, 38(8): 797-801.
[13]	WANG Xinping, XIE Baimei, WEI Guo, YE Xiaoli, ZHAO Yayun, TAN Xiaotian. Expression levels and clinical significance of serum S100A9 and sCD163 in elderly patients with idiopathic interstitial pneumonia [J]. Practical Geriatrics, 2024, 38(8): 802-807.
[14]	LIU Meijuan, WANG Ning, WANG Dong, LU Fangzhou, LIU Juan. Effect of low-dose lidocaine combined with propofol on motor evoked potential in elderly patients undergoing intracranial tumor resection [J]. Practical Geriatrics, 2024, 38(8): 808-811.
[15]	LI Jingbing, WANG Huijun, WANG Shaoying, ZHAO Can, WANG Lidi, CAO Yujiao. Impacts of pentoxifylline combined with lipoic acid intervention on physical function and quality of life in elderly patients with frailty syndrome [J]. Practical Geriatrics, 2024, 38(8): 812-815.