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Evaluation of Eight Anthropometric Indices for Identification of Metabolic Syndrome in Adults with Diabetes

Authors Guo X, Ding Q, Liang M

Received 23 December 2020

Accepted for publication 3 March 2021

Published 30 March 2021 Volume 2021:14 Pages 1431—1443

DOI https://doi.org/10.2147/DMSO.S294244

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Prof. Dr. Juei-Tang Cheng


Xintong Guo,1 Qinpei Ding,1 Min Liang2

1Guangxi Medical University, Nanning, Guangxi Province, People’s Republic of China; 2Department of Endocrinology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Province, People’s Republic of China

Correspondence: Min Liang
Department of Endocrinology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People’s Republic of China
Tel +138-7883-8907
Email [email protected]

Purpose: Several previous reports have highlighted the association between adiposity and risk of metabolic syndrome (MetS). Although it is necessary to identify which adiposity indices are best suited to identify MetS, no such study has been completed in diabetic patients. The aim of this study was to evaluate the ability of eight anthropometric indices to identify MetS in diabetic, middle-aged and elderly Chinese patients.
Patients and Methods: A cross-sectional study was conducted in 906 type 2 diabetic patients in Guangxi.
Results: The highest odds ratios for the identification of MetS were identified with CUN-BAE (OR = 28.306). The largest areas under the curve (AUCs) were observed for WHtR and BRI in men aged 40– 59; CUN-BAE in men aged 60 and over; WHtR, BRI, and TyG in women aged 40– 59; and BMI for women aged 60 and over. The weakest indicator for the screening of MetS in type 2 diabetes was the ABSI.
Conclusion: The most effective anthropometric indicator for the identification of MetS varied across sex and age subgroups.

Keywords: metabolic syndrome, anthropometric indices, diabetes

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