Determination of SRPA and adiposity measures and its association with glycemic status in type 2 diabetics having high mean HbA1c in a private clinic of a city in west India.

Autor:	Solanki JD; Department of Physiology, Government Medical College, Bhavnagar, Gujarat, India., Vaghasiya R; Department of Medicine, Government Medical College, Bhavnagar, Gujarat, India., Sharma I; Department of Medicine, Government Medical College, Bhavnagar, Gujarat, India., Patel JB; Department of Medicine, Government Medical College, Bhavnagar, Gujarat, India.
Jazyk:	angličtina
Zdroj:	Journal of family medicine and primary care [J Family Med Prim Care] 2024 Sep; Vol. 13 (9), pp. 3897-3901. Date of Electronic Publication: 2024 Sep 11.
DOI:	10.4103/jfmpc.jfmpc_205_24
Abstrakt:	Introduction: Indian type 2 diabetics (T2D) is known for poor disease control on which self-reported physical activity (SRPA) and optimum body composition have positive impact. We determined prevalence of SRPA and general/visceral obesity and its impact on HbA1c-based glycemia. Methodology: By a cross-sectional study conducted on 200 T2Ds in a private clinic, HbA1c-based glycemic status, WHO questionnaire-based SRPA, BMI-based general obesity, and bipolar bioelectrical impedance-based visceral obesity were evaluated. SRPA and obesity were compared and associated with glycaemic status keeping mean HbA1c as cutoff. Result: Mean age, male%, mean duration of T2D, mean BMI, mean HbA1c, and SRPA prevalence were 54 years, 42.5%, 4.82 years, 25.49, 8.69%, and 61.5%, respectively. Comparison of groups based on either SRPA or BMI (cutoff 25) showed better HbA1c with the presence of SRPA and BMI <25. Physical inactivity imposed odds risk of 3.44 for visceral fat (VF) ≥10% and odds risk of 2.6 for more than mean HbA1c with statistical significances. VF ≥10% imposed odds risk of 4 for higher than mean HbA1c. Physical inactivity and visceral obesity together imposed ⅓rd prevalence of better glycaemic value, while physical activity and controlled visceral obesity yielded ¾th prevalence of good glycaemic value. Conclusion: In T2D with poor glycaemic status and moderately prevalent physical activity, we found strongly significant association of SRPA and controlled body adiposity with HbA1c-based glycaemic status. It reaffirms physical activity and control of central obesity as forerunners of better glycaemic status and calls for further studies having vertical follow-up. Competing Interests: There are no conflicts of interest. (Copyright: © 2024 Journal of Family Medicine and Primary Care.)
Databáze:	MEDLINE
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