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KMID : 0388120130220030148
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Journal of Korean Society for the Study of Obesity
2013 Volume.22 No. 3 p.148 ~ p.154
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Relationship Between Obesity Indices and Cardiovascular Risk Score in Korean Type 2 Diabetes Patients
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Yoo So-Yeon
Kim Mi-Yeon
Kim Su-Hee
Kim Sung-Hyun
Ko Seong-Joo
Beom Jong-Wook
Kim Ji-Young
Jo Jae-Min
Kim Yung-Uck
Heo Da-Hee
Moon Jae-Cheol
Moon Shin-Hang
Lim Young-Hyup
Lee Sang-Ah
Lee Dae-Ho
Lim Dong-Mee
Park Keun-Young
Kim Byung-Joon
Koh Gwan-Pyo
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Abstract
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Background: We aimed to determine which index of obesity is the best discriminator of cardiovascular (CV) risk in Korean type 2 diabetes (T2DM) patients.
Methods: This is a cross-sectional study involving 1,111 T2DM patients from two university hospitals. We measured body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), and biochemical CV risk factors in all subjects. The 10-year coronary heart disease risk was calculated with the Framingham Risk Score
Results: BMI showed significant correlation with SBP (systolic blood pressure), DBP (diastolic blood pressure), TC (total cholesterol), TG (triglyceride), HDL-C, and LDL-C. WC showed significant correlation to SBP, DBP, homocysteine, TG and HDL-C. WHR was significantly associated with SBP, DBP, TG, HDL and microalbuminuria. WHtR was significantly correlated to SBP, TG, HDL-C and LDL-C. WC (P ≤ 0.001, P for trend ≤ 0.001), WHR (P = 0.002, P for trend ≤ 0.001) and WHtR (P = 0.001, P for trend ≤ 0.001), except for BMI (P = 0.628, P for trend = 0.258), showed significant differences according to increasing quintiles of Framingham Risk Score.
Conclusion: WC, WHR and WHtR were more closely related to CV risk score than BMI in Korean T2DM patients.
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KEYWORD
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Type 2 diabetes, Body mass index, Waist circumference, Waist-to-hip ratio, Waist-to-height ratio, Framingham risk score
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