Evidence map›Paper›PMID 40404050›Full record

ArticleDiabetes research and clinical practice2025

Which adiposity index is best? Comparison of five indicators and their ability to identify type 2 diabetes risk in a population study.

Cunrong Huang, Andre Lopes, Annie Britton

Abstract readComparative Study
In one paragraph

Article in Diabetes research and clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Cunrong HuangResearch Department of Epidemiology and Public Health, University College London, United Kingdom. Electronic address: huang_cunrong@163.com.
Andre LopesCancer Research UK & Cancer Trials Centre, University College London, United Kingdom.
Annie BrittonResearch Department of Epidemiology and Public Health, University College London, United Kingdom.

Funding

Education, socioeconomic status and Aging: transitions from multimorbidity to functional limitations and mortalityR01AG056477 · NIA · UNIVERSITY COLLEGE LONDON · PI KIVIMAKI, MIKA J, SINGH-MANOUX, ARCHANA · 2018 to 2022
$2.8M
Role of mid- and late-life risk factors in social inequalities in Alzheimer's Disease and Related DementiasRF1AG062553 · NIA · INSERM PARIS 5 · PI KIVIMAKI, MIKA J, SINGH-MANOUX, ARCHANA · 2019 to 2019
$1.5M
NIA NIH HHS R01 AG056477NIA NIH HHS RF1 AG062553Wellcome Trust
6 · The paper itself

Abstract

aimsWe compared ability of five adiposity indicators [body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR), waist-by-height

methodsBaseline data were from 7,979 participants of UK Whitehall II study, of whom 7,488 diabetes-free participants were followed-up (median = 16.0 years) for incident diabetes (n = 940). According to five indices' cut-points, participants were separately classified into low-value groups and high-value groups. We cross-sectionally investigated ability of the indicators to identify existing diabetes by receiver operating characteristic curve analysis, and explored prospective associations between elevated indices and diabetes using Cox regression analysis.

resultsWaist-based indicators were superior to BMI in identifying diabetes. High WHtR (≥0.5) demonstrated the highest multivariable-adjusted HR [2.64 (95 % CI 2.29, 3.03)]. Across all indicators, associations between elevated indicators and diabetes were stronger in younger participants. In combined analyses, "low BMI but high WHtR" had higher risk for diabetes [2.20 (95 % CI 1.65, 2.95)] than "high BMI but low WHtR" [1.34 (95 % CI 1.05, 1.70)].

conclusionWaist-based indicators are more strongly associated with diabetes than BMI. WHtR, an easy-to-calculate, waist-based index with a sex- and race-independent cut-point, may be useful for diabetes prevention.

Indexed as

AdiposityDiabetes Mellitus, Type 2AdultAgedBody Mass IndexCross-Sectional StudiesFemaleHumansMaleMiddle AgedProspective StudiesRisk FactorsWaist CircumferenceWaist-Height RatioAdiposity indexBody mass indexObesityType 2 diabetesWaist-to-height ratio

Identifiers

PMID40404050
PMCPMC13408304

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.