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Body mass index and waist circumference as determinants of coronary artery disease in Taiwanese adults with type 2 diabetes mellitus

International Journal of Obesity volume 30, pages 816–821 (2006)Cite this article

Abstract

Objective:

This study examined the association between body mass index (BMI) and waist circumference (WC) and coronary artery disease (CAD) in Taiwanese type 2 diabetic patients.

Methods:

A total of 1183 (558 men and 625 women) patients aged 62.4±11.6 years were studied. CAD was diagnosed by history or an electrocardiogram by Minnesota codes.

Results:

The respective cutoffs of BMI and WC as determined by the receiver operating characteristic curves were 24.5 kg/m2 and 90 cm for men, and 25 kg/m2 and 80 cm for women. Distributions of CAD prevalence and multivariate-adjusted odds ratio (MAOR) for BMI cutoffs of 24.5 and 25 kg/m2 were quite similar in men. MAOR for WC above the respective cutoffs for men and women was 1.832 (1.267–2.648) and 1.450 (0.956–2.200, 0.05<P<0.1), and for BMI⩾25 kg/m2 was 1.759 (1.213–2.551) and 1.471 (1.052–2.058) for men and women, respectively. Patients with BMI⩾25 kg/m2 and WC⩾90 cm for men or ⩾80 cm for women had the highest risk of CAD when compared to those without either risk factor, with respective MAOR of 2.053 (1.352–3.118) and 1.698 (1.071–2.691).

Conclusion:

The recommended BMI and WC cutoffs for obesity for Asian adults are associated with CAD in Taiwanese T2DM.

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Acknowledgements

This study was supported by grants from the Department of Health (DOH89-TD-1035) and the National Science Council (NSC-90-2320-B-002-197, NSC-92-2320-B-002-156 and NSC-93-2320-B-002-071), Taiwan.

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Authors and Affiliations

  1. Division of Endocrinology and Metabolism, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan

    C-H Tseng

  2. National Taiwan University College of Medicine, Taipei, Taiwan

    C-H Tseng

  3. School of Public Health, Taipei Medical University, Taipei, Taiwan

    C-H Tseng

  4. Division of Environmental Health and Occupational Medicine of the National Health Research Institutes, Taipei, Taiwan

    C-H Tseng

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  1. C-H Tseng
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Correspondence to C-H Tseng.

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Tseng, CH. Body mass index and waist circumference as determinants of coronary artery disease in Taiwanese adults with type 2 diabetes mellitus. Int J Obes 30, 816–821 (2006). https://doi.org/10.1038/sj.ijo.0803218

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