Association between phase angle, body mass index and insulin resistance in patients with type 2 diabetes mellitus: a cross-sectional study

Background: The purpose of this analysis was to investigate the associations between phase angle (PhA), body mass index (BMI) and insulin resistance (IR) in patients with type 2 diabetes mellitus (T2DM). Methods: The retrospective cross-sectional study included 200 T2DM patients treated during 2018...

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Main Authors: Yezi Hu, Hui Jin
Format: Article
Language:English
Published: PeerJ Inc. 2025-01-01
Series:PeerJ
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Online Access:https://peerj.com/articles/18815.pdf
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author Yezi Hu
Hui Jin
author_facet Yezi Hu
Hui Jin
author_sort Yezi Hu
collection DOAJ
description Background: The purpose of this analysis was to investigate the associations between phase angle (PhA), body mass index (BMI) and insulin resistance (IR) in patients with type 2 diabetes mellitus (T2DM). Methods: The retrospective cross-sectional study included 200 T2DM patients treated during 2018 to 2019 in Zhongda Hospital Southeast University. PhA and other body composition indicators were measured by bioelectrical impedance analysis (BIA). Subjects were classified into four groups based on body composition: low phase angle and low body mass index (LPLB), low phase angle and high body mass index (LPHB), high phase angle and low body mass index (HPLB) and high phase angle and high body mass index (HPHB). Results: Overall, in the unadjusted model and minor, all adjusted models (unadjusted model, models 1–4), homeostasis model assessment of insulin resistance (HOMA-IR) was higher in the LPHB group than in the LPLB group (P = 0.034). In the unadjusted model, Model 1 (adjustment for age), Model 2 (adjust for age+duration), Model 3 (adjust for age+duration+sex+UA+TG+TC) and Model 4 (adjust for age+duration+sex+UA+TG+TC+HDL+HbA1c), the adjusted ORs for participants were 4.4 (95% CI [1.72–11.24]), 4.41 (95% CI [1.73–11.27]), 4.75 (95% CI [1.83–12.32]), 2.93 (95% CI [1.04–8.23]) and 3.1 (95% CI [1.09–8.86]) respectively, compared to LPHB group. Conclusions: T2DM patients with the body composition of low phase angle and high body mass index exhibited the most severe degree and the highest risk of insulin resistance.
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spelling doaj-art-9a611b9e06de45a69e122b678939a2162025-01-18T15:05:16ZengPeerJ Inc.PeerJ2167-83592025-01-0113e1881510.7717/peerj.18815Association between phase angle, body mass index and insulin resistance in patients with type 2 diabetes mellitus: a cross-sectional studyYezi HuHui JinBackground: The purpose of this analysis was to investigate the associations between phase angle (PhA), body mass index (BMI) and insulin resistance (IR) in patients with type 2 diabetes mellitus (T2DM). Methods: The retrospective cross-sectional study included 200 T2DM patients treated during 2018 to 2019 in Zhongda Hospital Southeast University. PhA and other body composition indicators were measured by bioelectrical impedance analysis (BIA). Subjects were classified into four groups based on body composition: low phase angle and low body mass index (LPLB), low phase angle and high body mass index (LPHB), high phase angle and low body mass index (HPLB) and high phase angle and high body mass index (HPHB). Results: Overall, in the unadjusted model and minor, all adjusted models (unadjusted model, models 1–4), homeostasis model assessment of insulin resistance (HOMA-IR) was higher in the LPHB group than in the LPLB group (P = 0.034). In the unadjusted model, Model 1 (adjustment for age), Model 2 (adjust for age+duration), Model 3 (adjust for age+duration+sex+UA+TG+TC) and Model 4 (adjust for age+duration+sex+UA+TG+TC+HDL+HbA1c), the adjusted ORs for participants were 4.4 (95% CI [1.72–11.24]), 4.41 (95% CI [1.73–11.27]), 4.75 (95% CI [1.83–12.32]), 2.93 (95% CI [1.04–8.23]) and 3.1 (95% CI [1.09–8.86]) respectively, compared to LPHB group. Conclusions: T2DM patients with the body composition of low phase angle and high body mass index exhibited the most severe degree and the highest risk of insulin resistance.https://peerj.com/articles/18815.pdfInsulin resistancePhase angleBody mass indexType 2 diabetes mellitusBody composition
spellingShingle Yezi Hu
Hui Jin
Association between phase angle, body mass index and insulin resistance in patients with type 2 diabetes mellitus: a cross-sectional study
PeerJ
Insulin resistance
Phase angle
Body mass index
Type 2 diabetes mellitus
Body composition
title Association between phase angle, body mass index and insulin resistance in patients with type 2 diabetes mellitus: a cross-sectional study
title_full Association between phase angle, body mass index and insulin resistance in patients with type 2 diabetes mellitus: a cross-sectional study
title_fullStr Association between phase angle, body mass index and insulin resistance in patients with type 2 diabetes mellitus: a cross-sectional study
title_full_unstemmed Association between phase angle, body mass index and insulin resistance in patients with type 2 diabetes mellitus: a cross-sectional study
title_short Association between phase angle, body mass index and insulin resistance in patients with type 2 diabetes mellitus: a cross-sectional study
title_sort association between phase angle body mass index and insulin resistance in patients with type 2 diabetes mellitus a cross sectional study
topic Insulin resistance
Phase angle
Body mass index
Type 2 diabetes mellitus
Body composition
url https://peerj.com/articles/18815.pdf
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AT huijin associationbetweenphaseanglebodymassindexandinsulinresistanceinpatientswithtype2diabetesmellitusacrosssectionalstudy