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KMID : 0381019930260020164
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Korean Journal of Nutrition
1993 Volume.26 No. 2 p.164 ~ p.173
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Relation of Body Fat Distribution to Calorie Intake, Blood Glucose, and Exercies in Female Diabetics
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Abstract
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This study was aimed to investigate whether abdominal obesity is associated with non-insulin dependent diabetes. The distribution of body fat patterns was observed in 181 female patients with diabetes, aged 33 to 83 years, living in the Taegu
area,
Korea. The following anthropometric measurements were made on all participants from October 1 to November 25, 1991 : weight, height : waist and hip circumferences in standing position. The waist hip circumference ratio was used as an index of
abdominal
obesity.
@ES The results were as follows:
@EN 1) The mean fasting blood glucose of diabetic subjects was 145±50.3mg/dl and the mean duration of diabetes was 4.7±7.5 years.
2) Obese subjects above the ideal body weight of 120% in the investigation are presently 52%, but 63% of subjects were reported to be obese in the past. The mean BMI of the subjects is 24.57±3.15 and the past mean BMI was 27.13±3.26.
One year after reaching their highest body weight, 47% of the subjects developed diabetes. Two years after reaching their peak body weight, 74% of diabetic subjects developed diabetes.
3) Using the waist-hip circumference ratio, subjects beloing to the upper body obesity(WHR>0.84) were 65.5%.
4) The average daily energy intake did not differ between the obese and non-obese diabetic subjects, whether they were assessed with BMI or with RBW.
5) The average daily energy intake was higher in in the upper body obesity subjects than in the lower body obesity subjects.
6) Diabetics within the regular exercise group had lower fasting blood glucose levels than the non-regular exercise group. Exercise did not effect the RBW, BMI, and WHR.
7) The waist-to-hip circumference ratio correlated significantly in positive with waist-circumference, but did not correlated with hip-circumference. Therefore, WHR may depended on the increased accumulation of abdominal fat in female diabetics.
In conclusion, these findings suggest that caloric intake is more associated with abdominal fat accumulation in diabetic women. Blood glucose concentration is independently effected by exercise, and exercise does not affect the WHR. Therefore,
control
of caloric intake and development of spcific exercises to change the WHR seems important for controling diabetes in female subjects .
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