ArticleInternational journal of preventive medicine2015
Is waist circumference a better predictor of diabetes than body mass index or waist-to-height ratio in Iranian adults?
Article in International journal of preventive medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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36 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.
- Optimal BMI cut-offs associated with cardiometabolic risks in Arab and Middle Eastern populations: a systematic review and meta-analysis.International journal of obesity (2005) · 2026Pooled it
- Body mass index impact on health care utilization among people with diabetes in Jeddah, Saudi Arabia.Frontiers in public health · 2026Article
- Development and evaluation of methods of clinical utility-based cut-point selection of diagnostic biomarkers: an analysis based on population-level parametric distributions of test results with application of clinical diagnostic data.BMC medical research methodology · 2025Article
- Prevalence and associated factors of prediabetes among primary health care attendees in the West bank of Palestine: a cross-sectional study.BMC public health · 2025Article
- Evaluating the discriminatory capacity of traditional and novel anthropometric indices in cardiovascular disease risk factors, considering sex differences.Journal of health, population, and nutrition · 2025Article
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- Anthropometric Indices and Diabetes Disease: Based on the Rafsanjan Cohort Study.International journal of preventive medicine · 2025Article
- The association between waist-to-hip ratio (WHR) with diabetes in the PERSIAN Guilan cohort study population.BMC endocrine disorders · 2024Article
- Novel anthropometric indices for predicting type 2 diabetes mellitus.BMC public health · 2024Article
- Risk prediction and interaction analysis using polygenic risk score of type 2 diabetes in a Korean population.Scientific reports · 2024Article
- Metabolic Syndrome and Menopause: The Impact of Menopause Duration on Risk Factors and Components.International journal of women's health · 2024Article
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- Accuracy of novel anthropometric indices for assessing the risk for progression of prediabetes to diabetes; 13 years of results from Isfahan Cohort Study.Archives of endocrinology and metabolism · 2024Article
- Diagnostic Performance of the Measurement of Skinfold Thickness for Abdominal and Overall Obesity in the Peruvian Population: A 5-Year Cohort Analysis.International journal of environmental research and public health · 2023Article
- Cardiovascular risk in diabetes mellitus: epidemiology, assessment and prevention.Nature reviews. Cardiology · 2023Review
- Detection of high risk people for diabetes by American diabetes association risk score in PERSIAN Guilan cohort study.BMC endocrine disorders · 2023Article
- Pictogram Is a Valid Instrument to Classify At-Risk Adult Population Based on Abdominal Obesity: Results from Pars Cohort Study.Archives of Iranian medicine · 2022Article
- Accuracy of obesity indices alone or in combination for prediction of diabetes: A novel risk score by linear combination of general and abdominal measures of obesity.Caspian journal of internal medicine · 2022Article
- Lipidomic Signatures of Changes in Adiposity: A Large Prospective Study of 5849 Adults from the Australian Diabetes, Obesity and Lifestyle Study.Metabolites · 2021Article
- A 16-year prospective cohort study to evaluate effects of long-term fluctuations in obesity indices of prediabetics on the incidence of future diabetes.Scientific reports · 2021Article
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2 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral measures of adiposity have been used for predicting diabetes. The results of studies regarding superiority of waist circumference (WC) to body mass index (BMI) are inconsistent. This study designed to compare the ability of different anthropometric measures in predicting diabetes and to determine their optimal cut-off values.
methodsA population-based cross-sectional study was conducted with 1,000 representative sample among adults aged 20-80 years in Babol, the Northern Iran. The demographic data were collected in a household survey, and the anthropometric measures of weight, height, waist, and hip circumference were measured with a standard method. Fasting blood sugar (FBS) ≥126 mg/dl was considered as diabetes. receiver operating characteristic analysis was used to estimate the predictive ability of different anthropometric indexes and their optimal cut-off values for high FBS.
resultsThe overall prevalence rate of diabetes was 14.0% (14.4% in men vs. 13.5% in women, P = 0.65). The prevalence rate was significantly higher in older age (>60 years), low educated and obese (P = 0.001). The mean of BMI, WC, waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) were significantly higher among diabetic in both sexes (P = 0.001). Among men, WC (area under the ROC curve [AUC] =0.64) and WHtR (AUC = 0.63) have slightly higher accuracy index compared with BMI (AUC = 0.62) or WHR (AUC = 0.60). In contrast, among women, WHtR (AUC = 0.69) and WC (AUC = 0.68) yielded slightly better predictive than BMI (AUC = 0.67). The optimal cut-off values obtained for BMI and WHtR were similar between two sexes (BMI = 24.95 kg/m(2) for men and BMI = 25.2 kg/m(2) for women, WHtR = 0.51 for both sexes) whereas the optimal cut-off value for WC was higher in men than women (98.5 cm men vs. 89.5 cm women).
conclusionsOverall WC and WHtR exhibited a slightly better discriminate performance than BMI for diabetes in both sexes, particularly in women.
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