Association between the Hypertriglyceridemic Waist Phenotype, Prediabetes, and Diabetes Mellitus in Rural Chinese Population: A Cross-Sectional Study

Shuang Chen, Xiaofan Guo, Shasha Yu, Guozhe Sun, Zhao Li and Yingxian Sun
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Shuang Chen: Department of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China
Xiaofan Guo: Department of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China
Shasha Yu: Department of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China
Guozhe Sun: Department of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China
Zhao Li: Department of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China
Yingxian Sun: Department of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China

IJERPH, 2016, vol. 13, issue 4, 1-9

Abstract: Background : The objective was to evaluate the association of the hypertriglyceridemic waist (HTGW) phenotype with prediabetes and diabetes (DM) in rural Chinese population. Methods : In a cross-sectional study, 11,579 adults (5361 men and 6218 women) aged 35 years or older were recruited from rural areas of China. Anthropometric measurements, laboratory examinations and self-reported information were collected by trained personnel. The HTGW phenotype was defined as elevated triglycerides and elevated waist circumference. We used logistic regression analysis to evaluate the associations of interest. Results : Adults with the HTGW phenotype had a significantly higher prevalence of prediabetes and diabetes than those without the HTGW phenotype. Compared with the normal waist-normal triglycerides (NWNT) group, those in the HTGW group had a higher adjusted odds ratio of diabetes (OR: 2.10; 95% CI: 1.62–2.73). The association for diabetes was stronger for men (OR: 2.27; 95% CI: 1.52–3.40) than for women (OR: 1.86; 95% CI: 1.32–2.63). However, multivariate analysis indicated that the HTGW phenotype was not associated with prediabetes. Conclusions : This study demonstrated that the HTGW phenotype was associated with diabetes in a large rural Chinese population, and suggested this phenotype as a simple screening tool to identify adults with cardiometabolic conditions.

Keywords: hypertriglyceridemic waist phenotype; prediabetes; diabetes; the rural area of China (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
References: View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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