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Unravelling the obesity maze in diabetic patients: A comparative analysis of classification methods

Title: Unravelling the obesity maze in diabetic patients: A comparative analysis of classification methods
Authors: M Yogesh; Mansi Mody; Naresh Makwana; Samyak Shah; Jenish Patel; Samarth Rabadiya
Source: Journal of Family Medicine and Primary Care, Vol 13, Iss 6, Pp 2283-2288 (2024)
Publisher Information: Wolters Kluwer Medknow Publications
Publication Year: 2024
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: abdominal circumferences; bmi; body fat percentage; sensitivity; Medicine
Description: Background: Obesity is a significant health concern among individuals with type 2 diabetes mellitus (T2DM). Emerging evidence suggests that alternative measures, such as abdominal girth (AG) and body fat percentage (BF%), can provide a more accurate reflection of obesity-related metabolic risks in diabetic populations. This study aimed to compare the accuracy of different obesity classification methods, including BMI, AG, and BF%, among individuals with T2DM. Methodology: This was an observational cross-sectional study conducted among T2DM patients who came to the non-communicable diseases clinic of GG Govt Hospital, Jamnagar, Gujarat during the period of March–April 2023. Demographic and anthropometric information was collected. Body fat analysis was done using a validated Omron fat analyzer. Results: The study found the sensitivity of BMI in males and females as 41.6% and 45% against BF%, respectively. It also showed that the sensitivity of BMI in males and females was 38% and 40.7%, respectively, against AG. The present study also found a moderate positive correlation (r = 0.575) between AG and BF% in individuals with T2DM. Conclusion: The findings indicate that BF% and AG provide valuable insights into adiposity, surpassing the limitations of BMI as a measure of body composition. BF% is an indicator of body fat content, whereas AG serves as a proxy for central adiposity. The correlations between BF% and AG suggest that excess abdominal fat accumulation signifies increased body fat. By incorporating measures such as BF% and AG alongside BMI, clinicians can obtain a more comprehensive understanding of body composition and its relationship with metabolic abnormalities.
Document Type: article in journal/newspaper
Language: English
Relation: https://journals.lww.com/10.4103/jfmpc.jfmpc_1255_23; https://doaj.org/toc/2249-4863; https://doaj.org/toc/2278-7135; https://doaj.org/article/daa5b4626fc045a8a54671a3bd90cbd4
DOI: 10.4103/jfmpc.jfmpc_1255_23
Availability: https://doi.org/10.4103/jfmpc.jfmpc_1255_23; https://doaj.org/article/daa5b4626fc045a8a54671a3bd90cbd4
Accession Number: edsbas.5B0BB893
Database: BASE