Association of Wrist Circumference and Waist-to-Height Ratio with Cardiometabolic Risk Factors among Type II Diabetics in a Ghanaian Population
The study determined the association of wrist circumference (WrC) and waist-to-height ratio (WHtR) with cardiometabolic risk factors among diabetics in a Ghanaian population. This cross-sectional study involved 384 diabetic patients at Begoro District Hospital, Ghana. Blood pressure, anthropometrics...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2018/1838162 |
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| _version_ | 1832556893773496320 |
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| author | Christian Obirikorang Yaa Obirikorang Emmanuel Acheampong Enoch Odame Anto Emmanuel Toboh Evans Adu Asamoah Bright Amakwaa Emmanuella Nsenbah Batu Peter Brenya |
| author_facet | Christian Obirikorang Yaa Obirikorang Emmanuel Acheampong Enoch Odame Anto Emmanuel Toboh Evans Adu Asamoah Bright Amakwaa Emmanuella Nsenbah Batu Peter Brenya |
| author_sort | Christian Obirikorang |
| collection | DOAJ |
| description | The study determined the association of wrist circumference (WrC) and waist-to-height ratio (WHtR) with cardiometabolic risk factors among diabetics in a Ghanaian population. This cross-sectional study involved 384 diabetic patients at Begoro District Hospital, Ghana. Blood pressure, anthropometrics, and biochemical indices were measured. The overall prevalence of dyslipidaemia, metabolic syndrome (MetS), and hypertension was 42.4%, 76.3%, and 39.8%, respectively. The optimum cut-off range of WrC to identify individuals at increased cardiometabolic risk was 17.5 to –17.8 cm for men and 16.0 to 16.7 cm for women while that of WHtR was 0.52 to 0.61 for men and 0.53 to 0.59 for women. WrC for women was a significant independent predictor for MetS [aOR = 3.0 (1.39–6.72), p=0.005] and systolic blood pressure [aOR = 2.08 (1.17–3.68), p=0.012]. WHtR was a significant positive predictor for triglycerides [aOR = 3.23 (0.10–3.82), p=0.001] for women. Using Framingham risk scores, 61% of the subjects had elevated 10-year risk of developing cardiovascular diseases (CVDs), with no significant difference in gender prevalence. WrC [aOR = 6.13 (0.34–111.4), p=0.107] and WHtR [aOR = 2.52 (0.42–15.02), p=0.309] were associated with statistically insignificant increased odds of moderate-to-high risk of developing CVDs in 10 years. The use of gender-specific cut-offs for WrC and WHtR may offer putative markers for early identification of CRFs. |
| format | Article |
| id | doaj-art-679d3afc6cf144728a42c3363e6f7b50 |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-679d3afc6cf144728a42c3363e6f7b502025-02-03T05:44:13ZengWileyJournal of Diabetes Research2314-67452314-67532018-01-01201810.1155/2018/18381621838162Association of Wrist Circumference and Waist-to-Height Ratio with Cardiometabolic Risk Factors among Type II Diabetics in a Ghanaian PopulationChristian Obirikorang0Yaa Obirikorang1Emmanuel Acheampong2Enoch Odame Anto3Emmanuel Toboh4Evans Adu Asamoah5Bright Amakwaa6Emmanuella Nsenbah Batu7Peter Brenya8Department of Molecular Medicine, School of Medical Sciences, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, GhanaDepartment of Nursing, Faculty of Health and Allied Sciences, Garden City University College (GCUC), Kenyasi, Kumasi, GhanaDepartment of Molecular Medicine, School of Medical Sciences, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, GhanaDepartment of Molecular Medicine, School of Medical Sciences, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, GhanaDiagnostic Unit, Dansoman Polyclinic, Ghana Health Service, Accra, GhanaDepartment of Medical Laboratory Technology, Faculty of Allied Health Sciences, KNUST, Kumasi, GhanaDepartment of Molecular Medicine, School of Medical Sciences, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, GhanaDepartment of Molecular Medicine, School of Medical Sciences, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, GhanaDepartment of Molecular Medicine, School of Medical Sciences, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, GhanaThe study determined the association of wrist circumference (WrC) and waist-to-height ratio (WHtR) with cardiometabolic risk factors among diabetics in a Ghanaian population. This cross-sectional study involved 384 diabetic patients at Begoro District Hospital, Ghana. Blood pressure, anthropometrics, and biochemical indices were measured. The overall prevalence of dyslipidaemia, metabolic syndrome (MetS), and hypertension was 42.4%, 76.3%, and 39.8%, respectively. The optimum cut-off range of WrC to identify individuals at increased cardiometabolic risk was 17.5 to –17.8 cm for men and 16.0 to 16.7 cm for women while that of WHtR was 0.52 to 0.61 for men and 0.53 to 0.59 for women. WrC for women was a significant independent predictor for MetS [aOR = 3.0 (1.39–6.72), p=0.005] and systolic blood pressure [aOR = 2.08 (1.17–3.68), p=0.012]. WHtR was a significant positive predictor for triglycerides [aOR = 3.23 (0.10–3.82), p=0.001] for women. Using Framingham risk scores, 61% of the subjects had elevated 10-year risk of developing cardiovascular diseases (CVDs), with no significant difference in gender prevalence. WrC [aOR = 6.13 (0.34–111.4), p=0.107] and WHtR [aOR = 2.52 (0.42–15.02), p=0.309] were associated with statistically insignificant increased odds of moderate-to-high risk of developing CVDs in 10 years. The use of gender-specific cut-offs for WrC and WHtR may offer putative markers for early identification of CRFs.http://dx.doi.org/10.1155/2018/1838162 |
| spellingShingle | Christian Obirikorang Yaa Obirikorang Emmanuel Acheampong Enoch Odame Anto Emmanuel Toboh Evans Adu Asamoah Bright Amakwaa Emmanuella Nsenbah Batu Peter Brenya Association of Wrist Circumference and Waist-to-Height Ratio with Cardiometabolic Risk Factors among Type II Diabetics in a Ghanaian Population Journal of Diabetes Research |
| title | Association of Wrist Circumference and Waist-to-Height Ratio with Cardiometabolic Risk Factors among Type II Diabetics in a Ghanaian Population |
| title_full | Association of Wrist Circumference and Waist-to-Height Ratio with Cardiometabolic Risk Factors among Type II Diabetics in a Ghanaian Population |
| title_fullStr | Association of Wrist Circumference and Waist-to-Height Ratio with Cardiometabolic Risk Factors among Type II Diabetics in a Ghanaian Population |
| title_full_unstemmed | Association of Wrist Circumference and Waist-to-Height Ratio with Cardiometabolic Risk Factors among Type II Diabetics in a Ghanaian Population |
| title_short | Association of Wrist Circumference and Waist-to-Height Ratio with Cardiometabolic Risk Factors among Type II Diabetics in a Ghanaian Population |
| title_sort | association of wrist circumference and waist to height ratio with cardiometabolic risk factors among type ii diabetics in a ghanaian population |
| url | http://dx.doi.org/10.1155/2018/1838162 |
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