2020, Number 1
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Rev Salud Publica Nutr 2020; 19 (1)
Body mass index, waist circumference and diabetes in adults of the State of Mexico
Lozano KD, Gaxiola RLSC
Language: Spanish
References: 64
Page: 10-22
PDF size: 349.47 Kb.
ABSTRACT
Introduction: Diabetes and obesity are important public health problems in the State of Mexico.
Objective: To determine the
diagnostic accuracy and optimal cut-off points of the body mass index and waist circumference on diabetes, as well as to know
the association of both indicators with the disease according to the defined cut-off points.
Material and method: The data
are from the National Health and Nutrition Survey 2012 for adults in the State of Mexico. 969 observations of adults with
complete data in the analysis variables were analyzed. ROC curves were calculated to determine the diagnostic accuracy and
the cut-off value of the body mass index and waist circumference over diabetes. Once the cut-off points were defined, logistic
regressions were estimated for both indicators, adjusting for various variables.
Results: Higher sensitivity and specificity
values for waist circumference were obtained: a waist circumference ≥94,950 in men and ≥91,050 in women increases the
propensity to diabetes between 2.4 and 2.6 times.
Conclusions: In the analyzed sample, waist circumference is a better
predictor of diabetes than the body mass index.
REFERENCES
Albrecht, S. S., Barquera, S. y Popkin, B. M. (2014). Exploring secular changes in the association between BMI and waist circumference in Mexican-origin and white women: A comparison of Mexico and the United States. American Journal of Human Biology, 26, 627-634. DOI: 10.1002/ajhb.22573
Al-Goblan, A. S., Al-Alfi, M. A. y Khan, M. Z. (2014). Mechanism linking diabetes mellitus and obesity. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 7, 587-591. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC 4259868/
American Diabetes Association. (2020a). Introduction: Standards of medical care in diabetes-2020. Diabetes Care, 43(S1), S1-S2. https://doi.org/10.2337/dc20-SINT
American Diabetes Association. (2020b). Classification and diagnosis of diabetes: Standards of medical care in diabetes-2020. Diabetes Care, 43(S1), S14-S31. https://doi.org/10.2337/dc20-S002
Aucott, L. S. (2008). Influences of weight lost son long-term diabetes outcomes. Proceedings of the Nutrition Society, 67, 54-59. https://doi.org/10.1017/S0029665108006022
Barquera, S., Campos-Nonato, I., Hernández- Barrera, L., Pedroza-Tobías, A. y Rivera- Dommarco, J. A. (2013). Prevalencia de obesidad en adultos mexicanos, ENSANUT 2012. Salud Pública de México, 55(sup. 2), S151-S160.
Beltrán-Sánchez, H., Drumond-Andrade, F. C. y Riosmena, F. (2015). Contribution of socioeconomic factors and health care access to the awareness and treatment of diabetes and hypertension among older Mexican adults. Salud Pública de México, 57(1), 317-322. http://dx.doi.org/10.21149/spm.v57s1.7584
Bush, T., Lovejoy, J. C., Deprey, M. y Carpenter, K. M. (2016). The effect of tobacco cessation on weight gain, obesity, and diabetes risk. Obesity, 24, 1834-1841. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC 5004778/
Cederberg, H., Stancakova, A., Kuusisto, J., Laakso, M. y Smith, U. (2015). Family history of type 2 diabetes increases the risk of both obesity and its complications: Is type 2 diabetes a disease of inappropriate lipid storage? Journal of Internal Medicine, 277(5), 540-551. https://doi.org/10.1111/joim.12289
Cerhan, J. R., Moore, S. C., Jacobs, E. J., Kitahara, C. M., Rosenberg, P.S., Adami, H-O., Ebbert, J. O… Berrington de Gonzalez, A. (2014). A pooled analysis of waist circumference and mortality in 650,000 adults. Mayo Clinic Proceedings, 89(3), 335-345. https://doi.org/10.1016/j.mayocp.2013.11.011
Chen, C-C., Wang, W-S., Chang, H-Y., Liu, J-S. y Chen, Y-J. (2009). Heterogeneity of body mass index, waist circumference, and waist-to-hip ratio in predicting obesity-related metabolic disorders for Taiwanese aged 35. Clinical Nutrition, 28, 543-548. https://linkinghub.elsevier.com/retrieve/pii/S026 1-5614(09)00091-0
Chooi, Y. C., Ding, C. y Magkos, F. (2019). The epidemiology of obesity. Metabolism, 92, 6-10. https://pubmed.ncbi.nlm.nih.gov/30253139-theepidemiology- of-obesity/
Cleves, M. (2002). From the help desk: Comparing areas under receiver operating characteristic curves from two or more probit or logit models. The Stata Journal, 2(3), 301-313. https://www.statajournal. com/sjpdf.html?articlenum=st0023
Cohen, A. K., Rai, M., Rehkopf, D. H. y Abrams, B. (2013). Educational attainment and obesity; a systematic review. Obesity Reviews, 14(12), 989- 1005. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC 3902051/
Consejo Nacional de Población. (2018). Proyecciones de población de México y de entidades federativas 2016-2050. Disponible en: Instituto Nacional de Estadística y Geografía. (2020). Encuesta Intercensal. Tabulados. Disponible en: https://www.inegi.org.mx/programas/intercensal /2015/#
den Braver, N. R., Lakerveld, J., Rutters, F., Schoonmade, L. J., Brug, J. y Beulesn, J. W. (2018). Built environmental characteristics and diabetes: A systematic review and meta-analysis. Diabetes: Prevention, management and treatment, 16(1), 12-37. https://doi.org/10.1186/s12916-017-0997.
Estampador, A. C. y Franks, P. W. (2018). Precision medicine in obesity and type 2 diabetes: the relevance of early-life exposures. Clinical Chemistry, 64, 1-12. DOI: 10.1373/clinchem.2017.273540
Feller, S., Boeing, H. y Pischon, T. (2010). Body mass index, waist circumference, and the risk of Type 2 diabetes mellitus. Implications for Routine Clinical Practice. Deutsches Arzbeteblatt International, 107(26), 470-476. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC 2905837/
Gatineau, M., Hancock, C., Holman, N., Outhwaite, H., Oldridge, L., Christie, A. y Ells, L. (2014). Adult obesity and type 2 diabetes. Public Health England. Disponible en: https://www.google.com/url?sa=t&rct=j&q=&es rc=s&source=web&cd=3&ved=2ahUKEwjs64_ ciKDnAhVQRa0KHVi7Ck0QFjACegQIDBAE &url=https%3A%2F%2Fassets.publishing.servi ce.gov.uk%2Fgovernment%2Fuploads%2Fsyste m%2Fuploads%2Fattachment_data%2Ffile%2F 338934%2FAdult_obesity_and_type_2_diabetes _.pdf&usg=AOvVaw06-YRVDAqismY2epXqM_ 8
Gómez-Ambrosi, J., Silva, C., Galofré, J., Escalada, J., Santos, S., Gil, M., Valenti, V… Frühbeck, G. (2011). Body adiposity and type 2 diabetes: Increased risk with a high body fat percentage even having a normal BMI. Obesity, 19(7), 1439- 1444. González-Villalpando, C., Dávila-Cervantes, C. A., Zamora-Macorra, M., Trejo-Valdivia, B. y
González-Villalpando, M. E. (2014). Risk factors associated to diabetes in Mexican population and phenotype of the individuals who will convert to diabetes. Salud Pública de México, 56(4), 317- 322. http://dx.doi.org/10.21149/spm.v56i4.7351
Gutiérrez, J. P., Rivera-Dommarco, J., Shamah- Levy, T., Villalpando-Hernández, S., Franco, A., Cuevas-Nasu, L., Romero-Martínez, M. y Hernández-Ávila, M. (2012). Encuesta Nacional de Salud y Nutrición 2012: Resultados nacionales. Cuernavaca, México: Instituto Nacional de Salud Pública. Disponible en https://ensanut.insp.mx/encuestas/ensanut2012/i nformes.php
Haffner, S. (1998). Epidemiology of type 2 diabetes: Risk factors. Diabetes Care, 21(3), 3-6. http://dx.doi.org/10.2337/diacare.21.3.c3
Hernández-Ávila, M., Gutiérrez, J. y Reynoso- Noverón, N. (2013). Diabetes mellitus en México: El estado de la epidemia. Salud Pública de México, 55(2), 129-136. http://dx.doi.org/10.21149/spm.v55s2.5108
Hilding, A., Eriksson, A-K., Agardh, E. E., Grill, V., Ahlbom, A., Efendic, S. y Östenson, C-G. (2006). The impact of family history of diabetes and lifestyle factors on abnormal glucose regulation in middle-aged Swedish men and women. Diabetologia, 49(11), 2589-2598. https://doi.org/10.1007/s00125-006-0402-5
Huebschmann, A. G., Huxley, R. R., Kohrt, W. M., Zeitler, P., Regensteiner, J. G. y Reusch, J. E. B. (2019). Sex differences in the burden of type 2 diabetes and cardiovascular risk across the life course. Diabetologia, 62(10), 1761-1772. https://link.springer.com/article/10.1007%2Fs00 125-019-4939-5
Instituto Nacional de Salud Pública. (2013). Encuesta Nacional de Salud y Nutrición 2012: Resultados por entidad federativa, Estado de México. Cuernavaca, México: Instituto Nacional de Salud Pública. Disponible en https://ensanut.insp.mx/encuestas/ensanut2012/i nformes.php
Instituto Nacional de Salud Pública. (2016). Encuesta Nacional de Salud y Nutrición de Medio Camino 2016: Informe final de resultados. Cuernavaca, México: Instituto Nacional de Salud Pública. Disponible en https://www.gob.mx/cms/uploads/attachment/fil e/209093/ENSANUT.pdf
Instituto Nacional de Salud Pública. (2019a). Encuesta Nacional de Salud y Nutrición 2018. Presentación de resultados. Cuernavaca, México: Instituto Nacional de Salud Pública. Disponible en https://ensanut.insp.mx/encuestas/ensanut2018/i nformes.php
Instituto Nacional de Salud Pública. (2019b). Encuesta Nacional de Salud y Nutrición 2018. Diseño Muestral. Cuernavaca, México: Instituto Nacional de Salud Pública. Disponible en https://ensanut.insp.mx/encuestas/ensanut2018/i nformes.php
Janssen, I., Katzmarzyk, P. T. y Ross, R. (2004). Waist circumference and not body mass index explains obesity-related health risk. The American Journal of Clinical Nutrition, 79(3), 379-384.
Jarolimova, J., Tagoni, J. y Stern, T. (2013). Obesity: Its epidemiology, comorbidities, and management. Primary Care Companion for CNS Disorders, 15(5), 1475. http://dx.doi.org/10.4088/PCC.12f01475
Kahn, S. E., Hull, R. L. y Utzschneider, K. M. (2006). Mechanisms linking obesity to insulin resistance and type 2 diabetes. Nature, 444(7121), 840-846. DOI: 10.1038/nature05482
Kanter, R. y Caballero, B. (2012). Global gender disparities in obesity: a review. Advances in Nutrition, 3(4), 491-498. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC 3649717/
Katzmarzyk, P. T., Bray, G. A., Greenway, F. L., Johnsson, W. D., Newton, R. L., Ravussin, E… Bouchard, C. (2011). Ethnic-specific BMI and waist circumference thresholds. Obesity, 19(6), 1272-1278.
Kim, Y-H., Kim, S. M., Han, K-D., Jung., J-H., Lee, S-S., Oh, S. W., Park, H. S… Yoo, S. J. (2019). Waist Circumference and All-Cause Mortality Independent of Body Mass Index in Korean Population from the National Health Insurance Health Checkup 2009–2015. Journal of Clinical Medicine, 8, 72-82. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC 6352259/
Kirkman, M. S., Briscoe, V. J., Clark, N., Florez, H., Haas, L. B., Halter, J. B… Swift, C. (2012). Diabetes in older adults. Diabetes Care, 35(12), 2650-2665. https://doi.org/10.2337/dc12-1801
Kutbi, H. A., Mosli, H. H., Alhasan, A. H. y Mosli, R. H. (2018). Diabetes knowledge and its association with the weight status among residents of Jeddah City, Saudi Arabia. Nutrition & Diabetes, 8, 48-56. https://doi.org/10.1038/s41387-018-0055-8
Liu, Y., Tong, G., Tong, W., Lu, L. y Qin, X. (2011). Can body mass index, waist circumference, waist-hip ratio and waist-height ratio predict the presence of multiple metabolic risk factors in Chinese subjects? BMC Public Health, 11, 35-45. http://www.biomedcentral.com/1471- 2458/11/35
Liu, X. (2012). Classification accuracy and cut point selection. Statistics in Medicine, 31(23), 2676- 2686.
Min, T. y Stephens, J. W. (2015). Targeting abdominal obesity in diabetes. Diabetes Management, 5(4), 301-309. Doi: 10.2217/DMT.15.14
Ng, C. (2019). Biases in self-reported height and weight measurements and their effects on modeling health outcomes. SSM – Population Health, 7, 1-11. https://www.sciencedirect.com/science/article/pi i/S235282731830346X
Olaiz-Fernández, G., Rojas, R., Aguilar-Salinas, C. A., Rauda, J. y Villalpando, S. (2007). Diabetes mellitus en adultos mexicanos: Resultados de la Encuesta Nacional de Salud 2000. Salud Pública de México, 49(3), 331-337.
Organización Mundial de la Salud [OMS] (2000). Obesity: Preventing and managing the global epidemic of obesity. Report of a WHO Consultation (WHO Technical Report Series 894). Disponible en: https://www.who.int/nutrition/publications/obesi ty/WHO_TRS_894/en/
Organización Mundial de la Salud [OMS] (2018). Diabetes. Disponible en: https://www.who.int/news-room/factsheets/ detail/diabetes
Pinto, G. y Beltrán-Sánchez, H. (2015). Prospective study of the link between overweight/obesity and diabetes incidence among Mexican older adults: 2001-2012. Salud Pública de México, 57(1), 15- 21. http://dx.doi.org/10.21149/spm.v57s1.7585
Qiao, Q. y Nyamdorj, R. (2010). Is the Association of type II diabetes with waist circumference or waist-to-hip ratio stronger tan that with body mass index? European Journal of Clinical Nutrition, 64, 30-34. doi:10.1038/ejcn.2009.93
Rojas-Martínez, R., Aguilar-Salinas, C. A. y Jiménez-Corona, A. (2012). Optimal cut-off points fir the detection of undiagnosed type 2 diabetes, hypertension and metabolic síndrome in Mexican adults. Salud Pública de México, 54(1), 13-19.
Rojas-Martínez, R., Aguilar-Salinas, C., Zárate- Rojas, E., Villalpando, S. y Barrientos-Gutiérrez, T. (2018). Prevalencia de diabetes por diagnóstico médico previo en México. Salud Pública de México, 60(3), 224-232. https://doi.org/10.21149/8566
Romero-Martínez, M., Shamah-Levy, T., Franco- Nuñez, A., Villalpando, S., Cuevas-Nasú, L., Gutiérrez, S. y Rivera-Dommarco, J. (2013). Encuesta Nacional de Salud y Nutrición 2012: Diseño y cobertura. Salud Pública de México, 55(2), 332-340.
Romero-Martínez, M., Shamah-Levy, T., Cuevas- Nasú, L., Méndez Gómez-Humarán, I., Gaona- Pineda, B., Gómez-Acosta, L. (2017). Diseño metodológico de la Encuesta Nacional de Salud y Nutrición de Medio Camino 2016. Salud Pública de México, 59, 299-305. http://doi.org/10.21149/8593
Rull, J. A., Aguilar-Salinas, C. A., Rojas, R., Ríos- Torres, J. M., Gómez-Pérez, F. J. y Olaiz, G. (2005). Epidemiology of type 2 diabetes in Mexico. Archives of Medical Research, 36(1), 188-196. http://doi.org/10.1016/j.arcmed.2005.01.006
Salinas, J. J. (2015). Preventive health screening utilization in older Mexicans before and after healthcare reform. Salud Pública de México, 57(1), S70-S78. http://dx.doi.org/10.21149/spm.v57s1.7592 Secretaria de Salud. (2005). Menor circunferencia abdominal, mejor salud. Reporte 740. México:
Secretaría de Salud. Disponible en: http://www.salud.gob.mx/ssa_app/noticias/datos /2005-12-31_1914.html
Secretaría de Salud. (2020). Anuarios de morbilidad. 20 principales causas de enfermedad estatal por grupo de edad. Disponible en http://www.epidemiologia.salud.gob.mx/anuario /html/principales_estatal_grupo.html
Shang, X., Li, J., Tao, Q., Li, J., Li, X., Zhang, L., Liu, X… Yang, Y. (2013). Educational level, obesity and incidence of diabetes among Chinese adult men and women aged 18–59 years old: an 11-year follow-up study. PLoS ONE, 8(6), e66479. https://doi.org/10.1371/journal.pone.0066479
Sistema Nacional de Vigilancia Epidemiológica / Dirección General de Epidemiología/Secretaría de Salud [SINAVE/DGE/SALUD]. (2020). Defunciones por año de registro. Disponible en: http://sinaiscap.salud.gob.mx:8080/DGIS/
Sosenko, J. M., Kato, M., Soto, R. y Goldberg, R. B. (1993). A comparison of adiposity measures for screening non-insulin dependent diabetes mellitus. International Journal of Obesity and Related Metabolic Disorders, 17(8), 441-444.
StataCorp. (2016). Stata statistical software: Release 14. College Station, Texas: StataCorp LLC.
Steele, C. J., Schöttker, B., Marshall, A. H., Kouvonen, A., O´Doherty, M. G., Mons, U., Saum, K-U… Kee, F. 82017). Education achievement and type 2 diabetes—what mediates the relationship in older adults? Data from the ESTHER study: a population-based cohort Study. BMJ Open, 7, e013569. doi:10.1136/bmjopen-2016-013569
Vázquez, G., Duval, S., Jacobs, D. R. y Silventoinen, K. (2007). Comparison of body mass index, waist circumference, and waist/hip ratio in predicting incident diabetes: a meta-analysis. Epidemiologic Reviews, 29, 115-128.
Ye, J. (2013). Mechanisms of insulin resistance in obesity. Frontiers of Medicine, 7(1), 14-24. doi: 10.1007/s11684-013-0262-6
Yuan, X., Liu, T., Wu, L., Zou, Z. Y. y Li, C. (2015). Validity of self-reported diabetes among middleaged and older Chinese adults: The China Health and Retirement Longitudinal Study. BMJ Open, 5, e006633. http://dx.doi.org/10.1136/bmjopen- 2014-006633
Yusuf, S., Hawken, S., Ounpuu, S., Bautista, L., Franzosi, M. G., Commerford, P., Lang, C. C… Anand, S. S. (2005). Obesity and the risk of myocardial infarction in 27000 participants from 52 countries: a case-control study. Lancet, 366, 1640-1649.