Various adiposity measures show similar positive associations with type 2 diabetes in Caucasians, native Hawaiians, and Japanese Americans: the multiethnic cohort.

Various adiposity measures show similar positive associations with type 2 diabetes in Caucasians, native Hawaiians, and Japanese Americans: the multiethnic cohort.
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DOI:
10.1177/1010539512440819
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发表时间:
2015-03
影响因子:
2.5
通讯作者:
Maskarinec G
Maskarinec G
中科院分区:
医学4区
文献类型:
--
作者:
Steinbrecher A;Heak S;Morimoto Y;Grandinetti A;Kolonel LN;Maskarinec G

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我们评估了多种族队列中45-75岁的高加索人、夏威夷土著人和日裔美国人的体重指数(BMI)、腰围(WC)和臀围(HC)、腰臀比(WHR)和腰高比(WHtR)与糖尿病的关系。糖尿病病例来自自我报告和与健康保险计划的联系。我们估计了调整后的患病率比值比(POR),并比较了受试者工作特征曲线下面积(AUC)。所有指标均与糖尿病患病率呈正相关;男性的PORs为1.24-1.64,女性为1.52-1.83。在所有3个种族组中,男性BMI的AUC均大于其他指标,而女性组合模型的AUC大于单独BMI,但差异较小且无临床意义。似乎没有一种人体测量方法能最好地反映糖尿病的患病率,或者在一个种族群体中比在另一个种族群体中表现得更好。
We evaluated the association of body mass index (BMI), waist (WC) and hip circumferences (HC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) with diabetes in Caucasians, Native Hawaiians, and Japanese Americans aged 45–75 years in the Multiethnic Cohort. Diabetes cases were obtained from self-reports and by linkages with health insurance plans. We estimated adjusted prevalence odds ratios (POR) and compared the area under the receiver operating characteristic curves (AUC). All measures were positively associated with diabetes prevalence; the PORs were 1.24–1.64 in men and 1.52–1.83 in women. In all 3 ethnic groups, the AUCs in men were greater for BMI than for the other measures, while in women the AUCs were greater for combined models than for BMI alone, but the differences were small and not clinically significant. It does not appear that one anthropometric measure best reflects diabetes prevalence or performs better in one ethnic group than in another.
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