Increases in waist circumference and weight as predictors of type 2 diabetes in individuals with impaired fasting glucose: influence of baseline BMI: data from the DESIR study

TitreIncreases in waist circumference and weight as predictors of type 2 diabetes in individuals with impaired fasting glucose: influence of baseline BMI: data from the DESIR study
Type de publicationArticle de revue
AuteurGautier, Alain, Roussel, Ronan, Ducluzeau-Fieloux, Pierre-Henri
1, 2
, Lange, Céline, Vol, Sylviane, Balkau, Beverley, Bonnet, Fabrice, DESIR Study Group,
PaysEtats-Unis
EditeurAmerican Diabetes Association
TypeArticle scientifique dans une revue à comité de lecture
Année2010
LangueAnglais
DateAoût 2010
Numéro8
Pagination1850-1852
Volume33
Titre de la revueDiabetes care
ISSN1935-5548
Mots-clésAdult, Blood Glucose, Body Mass Index, Body Weight, Diabetes Mellitus, Type 2, Fasting, Female, Humans, Male, Middle Aged, Odds Ratio, Risk Factors, Waist Circumference
Résumé en anglais

OBJECTIVE

To evaluate in impaired fasting glucose (IFG) the relative importance of increases in waist circumference and weight on progression to type 2 diabetes.

RESEARCH DESIGN AND METHODS

The 9-year incidence of diabetes was studied in 979 men and women with baseline IFG, from the Data from an Epidemiological Study on the Insulin Resistance Syndrome (DESIR) cohort.

RESULTS

Increases in both waist circumference and weight were significantly associated with diabetes incidence. Standardized odds ratios (95% CI) were 1.79 (1.45–2.21) and 1.86 (1.51–2.30), respectively, after controlling for baseline risk factors. The impact of waist circumference increase was greater for BMI <25 kg/m2 (2.40 [1.63–3.52]) than for BMI ≥25 kg/m2 (1.66 [1.28–2.16]) and persisted after adjusting for concurrent changes in either insulinemia or the homeostasis model assessment of insulin resistance index. Weight change had a similar impact in both BMI groups.

CONCLUSIONS

In individuals with IFG, it is important to monitor and prevent increases in waist circumference, in particular for those with BMI <25 kg/m2.

Notes

Erratum in Diabetes Care, Oct. 2010; 33(10): 2294.

URL de la noticehttp://okina.univ-angers.fr/publications/ua282
DOI10.2337/dc10-0368
Lien vers le document

http://dx.doi.org/10.2337/dc10-0368

Titre abrégéIncreases in waist circumference and weight as predictors of type 2 diabetes in individuals with impaired fasting glucose