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Association between the Hypertriglyceridemic Waist Phenotype, Prediabetes, and Diabetes Mellitus in Rural Chinese Population: A Cross-Sectional Study

Author

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  • Shuang Chen

    (Department of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China)

  • Xiaofan Guo

    (Department of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China)

  • Shasha Yu

    (Department of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China)

  • Guozhe Sun

    (Department of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China)

  • Zhao Li

    (Department of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China)

  • Yingxian Sun

    (Department of Cardiology, the First Affiliated Hospital of China Medical University, Shenyang 110000, China)

Abstract

Background : The objective was to evaluate the association of the hypertriglyceridemic waist (HTGW) phenotype with prediabetes and diabetes (DM) in rural Chinese population. Methods : In a cross-sectional study, 11,579 adults (5361 men and 6218 women) aged 35 years or older were recruited from rural areas of China. Anthropometric measurements, laboratory examinations and self-reported information were collected by trained personnel. The HTGW phenotype was defined as elevated triglycerides and elevated waist circumference. We used logistic regression analysis to evaluate the associations of interest. Results : Adults with the HTGW phenotype had a significantly higher prevalence of prediabetes and diabetes than those without the HTGW phenotype. Compared with the normal waist-normal triglycerides (NWNT) group, those in the HTGW group had a higher adjusted odds ratio of diabetes (OR: 2.10; 95% CI: 1.62–2.73). The association for diabetes was stronger for men (OR: 2.27; 95% CI: 1.52–3.40) than for women (OR: 1.86; 95% CI: 1.32–2.63). However, multivariate analysis indicated that the HTGW phenotype was not associated with prediabetes. Conclusions : This study demonstrated that the HTGW phenotype was associated with diabetes in a large rural Chinese population, and suggested this phenotype as a simple screening tool to identify adults with cardiometabolic conditions.

Suggested Citation

  • Shuang Chen & Xiaofan Guo & Shasha Yu & Guozhe Sun & Zhao Li & Yingxian Sun, 2016. "Association between the Hypertriglyceridemic Waist Phenotype, Prediabetes, and Diabetes Mellitus in Rural Chinese Population: A Cross-Sectional Study," IJERPH, MDPI, vol. 13(4), pages 1-9, March.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:4:p:368-:d:66525
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    Cited by:

    1. Ge Chen & Qian Yi & Leying Hou & Shenghan Peng & Mengya Fan & Peige Song & Yimin Zhu, 2021. "Transition of Hypertriglyceridemic-Waist Phenotypes and the Risk of Type 2 Diabetes Mellitus among Middle-Aged and Older Chinese: A National Cohort Study," IJERPH, MDPI, vol. 18(7), pages 1-12, April.
    2. Dezhong Chen & Ziyun Liang & Huimin Sun & Ciyong Lu & Weiqing Chen & Harry H. X. Wang & Vivian Yawei Guo, 2021. "Association between Hypertriglyceridemic-Waist Phenotype and Risk of Type 2 Diabetes Mellitus in Middle-Aged and Older Chinese Population: A Longitudinal Cohort Study," IJERPH, MDPI, vol. 18(18), pages 1-9, September.
    3. Jing Zeng & Miao Liu & Lei Wu & Jianhua Wang & Shanshan Yang & Yiyan Wang & Yao Yao & Bin Jiang & Yao He, 2016. "The Association of Hypertriglyceridemic Waist Phenotype with Chronic Kidney Disease and Its Sex Difference: A Cross-Sectional Study in an Urban Chinese Elderly Population," IJERPH, MDPI, vol. 13(12), pages 1-10, December.

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