Hypertriglyceridemic waist and newly-diagnosed diabetes among remote-dwelling indigenous Australians

Mark DANIEL, Catherine Paquet, Shona Kelly, Geng Zang, Kevin Rowley, Robyn McDermott, Kerin O'Dea

Research output: Contribution to journalArticle

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Abstract

Aims: Hypertriglyceridemic waist (HTgW) is predictive of cardiovascular disease. The HTgW relationship with diabetes is little studied. Methods: This study analysed data from diabetes and cardiovascular risk factor screening programmes in remote Indigenous Australian settlements. Elevated waist girth (EW) was defined as ≥90 cm for men (n = 1134) or ≥80 cm for women (n = 1313). Hypertriglyceridemia (ETg) was defined as ≥1.7 mmol/L. Diabetes was defined as fasting plasma glucose ≥7.0 mmol/L. Body mass index (BMI) was categorised as <22, 22–24.9 and >25.0 kg/m2. Logistic regression was used to analyse the odds of newly-diagnosed diabetes for individuals with either HTgW, ETg or EW, relative to individuals with values below cut-offs. Results: The prevalence of HTgW was 33.2% for men and 34.8% for women. Accounting for age-group and gender, newly-diagnosed diabetes was associated (odds ratio (OR) (95% confidence interval)) with HTgW: 9.6 (6.6, 13.8). The relationship remained strong after accounting for the covariates BMI and smoking (OR = 4.9 (2.7, 8.8)). In BMI-stratified analyses the strongest odds were observed for the lowest category (<22 kg/m2: OR = 12.9 (4.0, 41.7)). Conclusions: HTgW has a high prevalence and is associated with newly-diagnosed diabetes in Indigenous people, particularly those with BMI <22 kg/m2, whom clinicians might not normally consider for screening
Original languageEnglish
Pages (from-to)496-504
Number of pages9
JournalAnnals of Human Biology
Volume40
Issue number6
DOIs
Publication statusPublished - 2013
Externally publishedYes

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Hypertriglyceridemic Waist
Body Mass Index
Odds Ratio
Hypertriglyceridemia
Fasting
Cardiovascular Diseases
Age Groups
Logistic Models
Smoking
Confidence Intervals
Glucose

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DANIEL, Mark ; Paquet, Catherine ; Kelly, Shona ; Zang, Geng ; Rowley, Kevin ; McDermott, Robyn ; O'Dea, Kerin. / Hypertriglyceridemic waist and newly-diagnosed diabetes among remote-dwelling indigenous Australians. In: Annals of Human Biology. 2013 ; Vol. 40, No. 6. pp. 496-504.
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abstract = "Aims: Hypertriglyceridemic waist (HTgW) is predictive of cardiovascular disease. The HTgW relationship with diabetes is little studied. Methods: This study analysed data from diabetes and cardiovascular risk factor screening programmes in remote Indigenous Australian settlements. Elevated waist girth (EW) was defined as ≥90 cm for men (n = 1134) or ≥80 cm for women (n = 1313). Hypertriglyceridemia (ETg) was defined as ≥1.7 mmol/L. Diabetes was defined as fasting plasma glucose ≥7.0 mmol/L. Body mass index (BMI) was categorised as <22, 22–24.9 and >25.0 kg/m2. Logistic regression was used to analyse the odds of newly-diagnosed diabetes for individuals with either HTgW, ETg or EW, relative to individuals with values below cut-offs. Results: The prevalence of HTgW was 33.2{\%} for men and 34.8{\%} for women. Accounting for age-group and gender, newly-diagnosed diabetes was associated (odds ratio (OR) (95{\%} confidence interval)) with HTgW: 9.6 (6.6, 13.8). The relationship remained strong after accounting for the covariates BMI and smoking (OR = 4.9 (2.7, 8.8)). In BMI-stratified analyses the strongest odds were observed for the lowest category (<22 kg/m2: OR = 12.9 (4.0, 41.7)). Conclusions: HTgW has a high prevalence and is associated with newly-diagnosed diabetes in Indigenous people, particularly those with BMI <22 kg/m2, whom clinicians might not normally consider for screening",
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Hypertriglyceridemic waist and newly-diagnosed diabetes among remote-dwelling indigenous Australians. / DANIEL, Mark; Paquet, Catherine; Kelly, Shona; Zang, Geng; Rowley, Kevin; McDermott, Robyn; O'Dea, Kerin.

In: Annals of Human Biology, Vol. 40, No. 6, 2013, p. 496-504.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Hypertriglyceridemic waist and newly-diagnosed diabetes among remote-dwelling indigenous Australians

AU - DANIEL, Mark

AU - Paquet, Catherine

AU - Kelly, Shona

AU - Zang, Geng

AU - Rowley, Kevin

AU - McDermott, Robyn

AU - O'Dea, Kerin

PY - 2013

Y1 - 2013

N2 - Aims: Hypertriglyceridemic waist (HTgW) is predictive of cardiovascular disease. The HTgW relationship with diabetes is little studied. Methods: This study analysed data from diabetes and cardiovascular risk factor screening programmes in remote Indigenous Australian settlements. Elevated waist girth (EW) was defined as ≥90 cm for men (n = 1134) or ≥80 cm for women (n = 1313). Hypertriglyceridemia (ETg) was defined as ≥1.7 mmol/L. Diabetes was defined as fasting plasma glucose ≥7.0 mmol/L. Body mass index (BMI) was categorised as <22, 22–24.9 and >25.0 kg/m2. Logistic regression was used to analyse the odds of newly-diagnosed diabetes for individuals with either HTgW, ETg or EW, relative to individuals with values below cut-offs. Results: The prevalence of HTgW was 33.2% for men and 34.8% for women. Accounting for age-group and gender, newly-diagnosed diabetes was associated (odds ratio (OR) (95% confidence interval)) with HTgW: 9.6 (6.6, 13.8). The relationship remained strong after accounting for the covariates BMI and smoking (OR = 4.9 (2.7, 8.8)). In BMI-stratified analyses the strongest odds were observed for the lowest category (<22 kg/m2: OR = 12.9 (4.0, 41.7)). Conclusions: HTgW has a high prevalence and is associated with newly-diagnosed diabetes in Indigenous people, particularly those with BMI <22 kg/m2, whom clinicians might not normally consider for screening

AB - Aims: Hypertriglyceridemic waist (HTgW) is predictive of cardiovascular disease. The HTgW relationship with diabetes is little studied. Methods: This study analysed data from diabetes and cardiovascular risk factor screening programmes in remote Indigenous Australian settlements. Elevated waist girth (EW) was defined as ≥90 cm for men (n = 1134) or ≥80 cm for women (n = 1313). Hypertriglyceridemia (ETg) was defined as ≥1.7 mmol/L. Diabetes was defined as fasting plasma glucose ≥7.0 mmol/L. Body mass index (BMI) was categorised as <22, 22–24.9 and >25.0 kg/m2. Logistic regression was used to analyse the odds of newly-diagnosed diabetes for individuals with either HTgW, ETg or EW, relative to individuals with values below cut-offs. Results: The prevalence of HTgW was 33.2% for men and 34.8% for women. Accounting for age-group and gender, newly-diagnosed diabetes was associated (odds ratio (OR) (95% confidence interval)) with HTgW: 9.6 (6.6, 13.8). The relationship remained strong after accounting for the covariates BMI and smoking (OR = 4.9 (2.7, 8.8)). In BMI-stratified analyses the strongest odds were observed for the lowest category (<22 kg/m2: OR = 12.9 (4.0, 41.7)). Conclusions: HTgW has a high prevalence and is associated with newly-diagnosed diabetes in Indigenous people, particularly those with BMI <22 kg/m2, whom clinicians might not normally consider for screening

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DO - 10.3109/03014460.2013.806588

M3 - Article

VL - 40

SP - 496

EP - 504

JO - Annals of Human Biology

JF - Annals of Human Biology

SN - 0301-4460

IS - 6

ER -