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Hypertriglyceridemic waist and newly-diagnosed diabetes among remote-dwelling Indigenous Australians

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dc.contributor.authorDaniel, M.
dc.contributor.authorPaquet, C.
dc.contributor.authorKelly, S.J.
dc.contributor.authorZang, G.
dc.contributor.authorRowley, K.
dc.contributor.authorMcDermott, R.A.
dc.contributor.authorO'Dea, K.
dc.date.issued2013
dc.description.abstractAims: Hypertriglyceridemic waist (HTgW) is predictive of cardiovascular disease. The HTgW relationship with diabetes is little studied. Conclusions: HTgW has a high prevalence and is associated with newly-diagnosed diabetes in Indigenous people, particularly those with BMI <22 kg/m2, whom clinicians might not normally consider for screening. Methods: This study analysed data from diabetes and cardiovascular risk factor screening programmes in remote Indigenous Australian settlements. Elevated waist girth (EW) was defined as ≥90 cm for men (n = 1134) or ≥80 cm for women (n = 1313). Hypertriglyceridemia (ETg) was defined as ≥1.7 mmol/L. Diabetes was defined as fasting plasma glucose ≥7.0 mmol/L. Body mass index (BMI) was categorised as <22, 22-24.9 and >25.0 kg/m2. Logistic regression was used to analyse the odds of newly-diagnosed diabetes for individuals with either HTgW, ETg or EW, relative to individuals with values below cut-offs. Results: The prevalence of HTgW was 33.2% for men and 34.8% for women. Accounting for age-group and gender, newly-diagnosed diabetes was associated (odds ratio (OR) (95% confidence interval)) with HTgW: 9.6 (6.6, 13.8). The relationship remained strong after accounting for the covariates BMI and smoking (OR = 4.9 (2.7, 8.8)). In BMI-stratified analyses the strongest odds were observed for the lowest category (<22 kg/m2: OR = 12.9 (4.0, 41.7)).
dc.identifier.citationAnnals of Human Biology, 2013; 40(6):496-504
dc.identifier.doi10.3109/03014460.2013.806588
dc.identifier.issn0301-4460
dc.identifier.issn1464-5033
dc.identifier.urihttps://hdl.handle.net/1959.8/153200
dc.language.isoen
dc.publisherInforma Healthcare
dc.rightsCopyright 2013 Informa Healthcare
dc.source.urihttps://doi.org/10.3109/03014460.2013.806588
dc.subjectAustralia
dc.subjectdiabetes
dc.subjecthypertriglyceridemic waist
dc.subjectIndigenous people
dc.subjectHumans
dc.subjectDiabetes Mellitus, Type 2
dc.subjectBody Mass Index
dc.subjectBody Height
dc.subjectPrevalence
dc.subjectAdolescent
dc.subjectAdult
dc.subjectMiddle Aged
dc.subjectOceanic Ancestry Group
dc.subjectWaist Circumference
dc.subjectYoung Adult
dc.titleHypertriglyceridemic waist and newly-diagnosed diabetes among remote-dwelling Indigenous Australians
dc.typeJournal article
pubs.publication-statusPublished
ror.mmsid9915909872501831

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