Effectiveness of Anthropometric Measurements for Identifying Diabetes and Prediabetes among Civil Servants in a Regional City of Northern Ethiopia: A Cross-Sectional Study

Autor: Ataklti Gebertsadik Woldegebriel, Kiros Ajemu Fenta, Asfawosen Berhe Aregay, Abraham Desta Aregay, Nega Bezabih Mamo, Tewolde Woldearegay Wubayehu, Alemayehu Bayray, Afework Mulugeta
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Nutrition and Metabolism, Vol 2020 (2020)
Druh dokumentu: article
ISSN: 2090-0724
2090-0732
DOI: 10.1155/2020/8425912
Popis: Back ground. Diabetes mellitus is an emerging noncommunicable disease in Ethiopia. Overlooking an appropriate tool for identifying diabetes and prediabetes would have significant impact for future diabetes and prediabetes projections and its management. Therefore, the study aims to examine the effectiveness of anthropometric measurements for identifying prediabetes and diabetes in Mekelle city, Tigray, Northern Ethiopia. Methods. The study involved a cross-sectional survey carried out from October 2015 to February 2016 among 1504 subjects aged from 18 to 75 years of age. Receiver operating characteristic (ROC) was used to select the most effective anthropometric cut-off point among waist circumference, waist-to-hip ratio, waist-to-height ratio, and BMI for identifying prediabetic and diabetes. Statistical significance was declared at p value of ≤0.05. Results. Waist circumference was found better for identifying diabetes (AUC = 0.69) and prediabetes (AUC = 0.63) in women, respectively. Waist-to-hip ratio was better identifying diabetes (AUC = 0.67) while waist circumference-to-height ratio was better identifying prediabetes (AUC = 0.63) in men compared to body mass index. The optimal cut-off point with maximum sensitivity and specificity of waist circumference for identifying diabetes and prediabetes was 83.5 cm and 82.9 cm in women, respectively. The optimal ut-off point with maximum sensitivity and specificity of waist-to-hip ratio for identifying diabetes and prediabetes was 0.97 and 0.82 in men, respectively. Conclusion. Waist circumference and waist-to-hip ratio exhibited better discriminate performance than BMI for identifying prediabetes and diabetes in women and men, respectively.
Databáze: Directory of Open Access Journals
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