Anthropometric cut-offs to identify hyperglycemia in an Afro-Caribbean population: a cross-sectional population-based study from Barbados.


Journal

BMJ open diabetes research & care
ISSN: 2052-4897
Titre abrégé: BMJ Open Diabetes Res Care
Pays: England
ID NLM: 101641391

Informations de publication

Date de publication:
08 2021
Historique:
received: 28 02 2021
accepted: 27 07 2021
entrez: 17 8 2021
pubmed: 18 8 2021
medline: 13 10 2021
Statut: ppublish

Résumé

Body mass index (BMI) and waist circumference (WC) cut-offs associated with hyperglycemia may differ by ethnicity. We investigated the optimal BMI and WC cut-offs for identifying hyperglycemia in the predominantly Afro-Caribbean population of Barbados. A cross-sectional study of 865 individuals aged ≥25 years without known diabetes or cardiovascular disease was conducted. Hyperglycemia was defined as fasting plasma glucose ≥5.6 mmol/L or hemoglobin A The prevalence of hyperglycemia was 58.9% (95% CI 54.7% to 63.0%). In women, optimal BMI and WC cut-offs (27 kg/m While BMI and WC cut-offs in Afro-Caribbean women approximate international standards, our findings, consistent with other studies, suggest lowering cut-offs in men may be warranted to improve detection of hyperglycemia. Our findings do, however, require replication in a new data set.

Identifiants

pubmed: 34400464
pii: 9/1/e002246
doi: 10.1136/bmjdrc-2021-002246
pmc: PMC8370513
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : FIC NIH HHS
ID : K43 TW010698
Pays : United States

Informations de copyright

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Alisha N Wade (AN)

MRC/Wits Rural Public Health and Health Transitions Research Unit, School of Public Health, University of the Witwatersrand Faculty of Health Sciences, Johannesburg, South Africa.

Ian R Hambleton (IR)

The University of the West Indies George Alleyne Chronic Disease Research Centre, Bridgetown, Barbados.

Anselm J M Hennis (AJM)

The University of the West Indies George Alleyne Chronic Disease Research Centre, Bridgetown, Barbados.

Christina Howitt (C)

The University of the West Indies George Alleyne Chronic Disease Research Centre, Bridgetown, Barbados.

Selvi M Jeyaseelan (SM)

Faculty of Medical Sciences, The University of the West Indies Cave Hill Campus, Bridgetown, Barbados.

Nkemcho O Ojeh (NO)

Faculty of Medical Sciences, The University of the West Indies Cave Hill Campus, Bridgetown, Barbados.

Angela M C Rose (AMC)

The University of the West Indies George Alleyne Chronic Disease Research Centre, Bridgetown, Barbados.
Epidemiology Department, Epiconcept SAS, Paris, France.

Nigel Unwin (N)

The University of the West Indies George Alleyne Chronic Disease Research Centre, Bridgetown, Barbados n.unwin2@exeter.ac.uk.
European Centre for Environment and Human Health, University of Exeter Medical School, Exeter, UK.
MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK.

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