Diabetes, Metabolic Syndrome and Obesity (Apr 2020)
Obesity Indices for Identifying Metabolic Syndrome Among Type Two Diabetes Patients Attending Their Follow-Up in Dessie Referral Hospital, North east Ethiopia
Abstract
Aregash Abebayehu Zerga,1 Afework Mulugeta Bezabih,2 Amaha Kahsay Adhanu,2 Sisay Eshete Tadesse1 1School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 2Department of Nutrition and Dietetics, College of Health Sciences, Mekelle University, Mekelle, EthiopiaCorrespondence: Aregash Abebayehu Zerga Email [email protected]: Worldwide, metabolic syndrome is a common problem among T2DM patients. Even though the International Diabetes Federation recommended waist circumference as a diagnostic tool for metabolic syndrome, the appropriate indices and cut-off point remain controversial.Objective: To assess obesity indices in identifying metabolic syndrome among type 2 diabetes mellitus patients in Dessie Referral Hospital, North east Ethiopia.Methods: A hospital-based cross-sectional study was conducted among 363 consecutively selected T2DM in Dessie Referral Hospital from February to March 2017. Data were collected by interviewer-administered questionnaire. Height, weight, waist circumference, hip circumference, lipid profile, blood glucose levels and blood pressure were taken. Descriptive statistics were computed. Receiver operator characteristic curve analysis with a 95% confidence interval and p-value < 0.05 was used to identify the discriminate ability of each index, while the optimal cut point of each index was determined by Youden’s index.Results: A total of 330 study participants were included in the study. Based on ATP III definition, the magnitude of metabolic syndrome among T2DM patients was 59.4% (53.6– 64.5%). Waist to height ratio (optimal cut point=0.54, AUC=0.85) and waist circumference (optimal cut point= 83 cm, AUC=0.75) were the best predictor of metabolic syndrome for women and men, respectively. For the entire study participant, waist to height ratio (optimal cut point=0.51, AUC=0.79) was the best predictor of metabolic syndrome among type 2 diabetes patients.Conclusion and Recommendation: Waist to height ratio and waist circumference was the best predictor of metabolic syndrome for women and men, respectively. So, appropriate indices optimal cut-off point should be included to diagnose metabolic syndrome among T2DM.Keywords: metabolic syndrome, type 2 diabetes, Dessie Referral Hospital, obesity indices
