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Body mass index and waist circumference as risk factors of diabetes in Nauru
Author(s) -
Khambalia Amina,
Phongsavan Philayrath,
Smith Ben,
Keke Kieren,
Dan Li,
Fitzhardinge Andrew,
Bauman Adrian
Publication year - 2011
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.25.1_supplement.780.16
Objective To examine the association between body mass index (BMI) and waist circumference (WC) with diabetes, adjusting for multiple risk factors in Nauru. Methods The Nauru Stepwise Non‐communicable Diseases Prevalence and Risk Factor Survey was a nation‐wide representative survey of people aged 15 to 64 years old. Anthropometric indices were objectively measured using standardized methods. Diabetes was defined as fasting plasma glucose ¡Ý7.0 mmol/l. Results Fasting glucose levels were analyzed for 1592 participants (800 men and 792 women). The prevalence (95% CI) of diabetes was 13.7% (12.0, 15.4). Compared to non‐diabetics, diabetics had significantly higher mean (¡ÀSD) BMI (33.0 ¡À7.8 vs. 35.1 ¡À6.4, p<0.0001) and WC (97.2 ¡À 16.3 vs. 104.5 ¡À12.6, p<0.0001), respectively. In multivariable analyses, diabetes was associated with increasing WC (OR: 1.04, 95% CI: 1.02, 1.07) and decreasing BMI (OR: 0.94, 95% CI: 0.90, 0.99). Conclusions The relationship between BMI and diabetes in Nauru is an unexpected and interesting finding. Further analyses exploring this finding will be completed.