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Publication Title : Relationship between Body Mass Index, Waist-to-hip Ratio and Glycaemic control status of Adult Diabetics in Makurdi, Nigeria
Author(s) : Akwaras, A. Nndunno1, Abah Jonah O1, Omokhua Osarieme E2, Atabo Amodu1, Daniel D. Aondona1, Ochiefa N Mathew, Tor-Ayiin JK1, Nwaeze Chukwuemeka1, Swende L Terrumun1, Eru Emmanuel3, Ibu John3.
Abstract : Background: Diabetes mellitus is a metabolic disorder that affects carbohydrate, protein and fat metabolism. Body mass index (BMI) and waist-to-hip ratio (WHR) are known anthropometric measurements used to access body fat. Good glycaemic control among diabetics has been found to be difficult to achieve. Several factors including increased body fat has been found to affect glycaemic control. Aim: This study aimed to assess the relationship between the anthropometric indices (BMI and WHR) and glycaemic control among adult diabetics attending the general out-patient clinic (GOPC) of Federal Medical Centre Makurdi (FMC) Makurdi. Materials and methods: This was a cross-sectional study of 359 diabetic patients aged between 18 to 77 years. Selected by systematic sampling technique. Data was collected by interviewer-administered questionnaire. Clinical measurements undertaken included body mass index, waist-to-hip ratio and blood pressure. Fasting blood glucose assay was done for all respondents. Data was analysed with the Statistical Package for Social Sciences (SPSS) version 18. Results: The proportion of those with good glycaemic control was 58%. The mean body mass index (BMI) was 27.49 ± 4.20 kg/m2, Thirty six point two percent (36.2%) of the participants had normal BMI, 0.6 % were underweight, 34.8 % were overweight and 28.4% were obese. The mean waist-to-hip ratio (WHR) was 0.93±0.90 cm and 62.1% had abnormal WHR. The respondents' BMI and WHR had statistically significant association with glycaemic control. Multiple logistic regression showed that, normal body mass index (aOR= 3.46, CI=1.63-7.35, p=0.01) and normal waistto- hip ratio (aOR = 2.56, CI= 1.38 – 4.77, p = 0.03), were independent predictors of good glycaemic control. Conclusion: Primary care physicians should increase effort at counseling type-2 diabetics on the importance of optimizing body weight.
DOI : 10.51658/ABMS.202011.6
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