Cargando…

The Prevalence of Diabetes among Hypertensive Polish in Relation to Sex-Difference in Body Mass Index, Waist Circumference, Body Fat Percentage and Age

Background: Little is known about sex differences in the risk of type 2 diabetes (DM2) development related to body fat depot. The main aim of this study was to assess sex-specific differences in the prevalence of diabetes in the relation to body mass, body mass index (BMI), waist circumference (WC),...

Descripción completa

Detalles Bibliográficos
Autores principales: Bednarek, Anna Maria, Owczarek, Aleksander Jerzy, Chudek, Anna, Almgren-Rachtan, Agnieszka, Wieczorowska-Tobis, Katarzyna, Olszanecka-Glinianowicz, Magdalena, Chudek, Jerzy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9367793/
https://www.ncbi.nlm.nih.gov/pubmed/35954813
http://dx.doi.org/10.3390/ijerph19159458
_version_ 1784765918774034432
author Bednarek, Anna Maria
Owczarek, Aleksander Jerzy
Chudek, Anna
Almgren-Rachtan, Agnieszka
Wieczorowska-Tobis, Katarzyna
Olszanecka-Glinianowicz, Magdalena
Chudek, Jerzy
author_facet Bednarek, Anna Maria
Owczarek, Aleksander Jerzy
Chudek, Anna
Almgren-Rachtan, Agnieszka
Wieczorowska-Tobis, Katarzyna
Olszanecka-Glinianowicz, Magdalena
Chudek, Jerzy
author_sort Bednarek, Anna Maria
collection PubMed
description Background: Little is known about sex differences in the risk of type 2 diabetes (DM2) development related to body fat depot. The main aim of this study was to assess sex-specific differences in the prevalence of diabetes in the relation to body mass, body mass index (BMI), waist circumference (WC), and calculated body fat percentage (BF), adjusted by physical activity, in younger and older hypertensive adults. Subjects/Methods: The survey enrolled 12,289 adult hypertensive outpatients with body weight, height, and WC reported by their physicians across Poland. Prevalence of diabetes was plotted against body mass, BMI, WC, and calculated BF and adjusted by the self-reported level of physical activity. Results: In our cohort, younger women (<60 years) with BMI < 25.0 kg/m(2) had lower adjusted prevalence of diabetes than corresponding men (3.4% vs. 6.5%), while among older (≥60 years) with BMI < 25.0 kg/m(2), the prevalence of diabetes was greater in women than in men (19.4% vs. 11.2%). A 25% probability of diabetes was observed for younger women with lower BMI than younger men (32.1 kg/m(2) and 35.3 kg/m(2), respectively) and WC (100.7 cm and 116.1 cm, respectively) but greater BF (45.5% and 38.9%, respectively). The corresponding differences in BMI and WC in older ones were much smaller (27.6 kg/m(2) and 27.2 kg/m(2), respectively; 83.7 cm and 85.6 cm, respectively), but not for BF (40.7% and 30.1%, respectively). A doubling of diabetes probability (from 25% to 50%), adjusted by physical activity, was attributable to the lower increase in BMI and WC and BF in women than in men (6.3 vs. 9.8 kg/m(2), 25.0 vs. 36.1 cm, and 6.5 vs. 10.8%, for younger, and 8.1 vs. 11.3 kg/m(2), 26.2 vs. 73.2 cm and 8.8 vs. 13.3%, for older). Conclusions: This study shows a lower probability of diabetes in younger women than younger men with normal weight BMI ranges, adjusted to physical activity. This probability is greater for hypertensive women, regardless of age, due to the increase in BMI/WC and BF values adjusted for physical activity.
format Online
Article
Text
id pubmed-9367793
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-93677932022-08-12 The Prevalence of Diabetes among Hypertensive Polish in Relation to Sex-Difference in Body Mass Index, Waist Circumference, Body Fat Percentage and Age Bednarek, Anna Maria Owczarek, Aleksander Jerzy Chudek, Anna Almgren-Rachtan, Agnieszka Wieczorowska-Tobis, Katarzyna Olszanecka-Glinianowicz, Magdalena Chudek, Jerzy Int J Environ Res Public Health Article Background: Little is known about sex differences in the risk of type 2 diabetes (DM2) development related to body fat depot. The main aim of this study was to assess sex-specific differences in the prevalence of diabetes in the relation to body mass, body mass index (BMI), waist circumference (WC), and calculated body fat percentage (BF), adjusted by physical activity, in younger and older hypertensive adults. Subjects/Methods: The survey enrolled 12,289 adult hypertensive outpatients with body weight, height, and WC reported by their physicians across Poland. Prevalence of diabetes was plotted against body mass, BMI, WC, and calculated BF and adjusted by the self-reported level of physical activity. Results: In our cohort, younger women (<60 years) with BMI < 25.0 kg/m(2) had lower adjusted prevalence of diabetes than corresponding men (3.4% vs. 6.5%), while among older (≥60 years) with BMI < 25.0 kg/m(2), the prevalence of diabetes was greater in women than in men (19.4% vs. 11.2%). A 25% probability of diabetes was observed for younger women with lower BMI than younger men (32.1 kg/m(2) and 35.3 kg/m(2), respectively) and WC (100.7 cm and 116.1 cm, respectively) but greater BF (45.5% and 38.9%, respectively). The corresponding differences in BMI and WC in older ones were much smaller (27.6 kg/m(2) and 27.2 kg/m(2), respectively; 83.7 cm and 85.6 cm, respectively), but not for BF (40.7% and 30.1%, respectively). A doubling of diabetes probability (from 25% to 50%), adjusted by physical activity, was attributable to the lower increase in BMI and WC and BF in women than in men (6.3 vs. 9.8 kg/m(2), 25.0 vs. 36.1 cm, and 6.5 vs. 10.8%, for younger, and 8.1 vs. 11.3 kg/m(2), 26.2 vs. 73.2 cm and 8.8 vs. 13.3%, for older). Conclusions: This study shows a lower probability of diabetes in younger women than younger men with normal weight BMI ranges, adjusted to physical activity. This probability is greater for hypertensive women, regardless of age, due to the increase in BMI/WC and BF values adjusted for physical activity. MDPI 2022-08-02 /pmc/articles/PMC9367793/ /pubmed/35954813 http://dx.doi.org/10.3390/ijerph19159458 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bednarek, Anna Maria
Owczarek, Aleksander Jerzy
Chudek, Anna
Almgren-Rachtan, Agnieszka
Wieczorowska-Tobis, Katarzyna
Olszanecka-Glinianowicz, Magdalena
Chudek, Jerzy
The Prevalence of Diabetes among Hypertensive Polish in Relation to Sex-Difference in Body Mass Index, Waist Circumference, Body Fat Percentage and Age
title The Prevalence of Diabetes among Hypertensive Polish in Relation to Sex-Difference in Body Mass Index, Waist Circumference, Body Fat Percentage and Age
title_full The Prevalence of Diabetes among Hypertensive Polish in Relation to Sex-Difference in Body Mass Index, Waist Circumference, Body Fat Percentage and Age
title_fullStr The Prevalence of Diabetes among Hypertensive Polish in Relation to Sex-Difference in Body Mass Index, Waist Circumference, Body Fat Percentage and Age
title_full_unstemmed The Prevalence of Diabetes among Hypertensive Polish in Relation to Sex-Difference in Body Mass Index, Waist Circumference, Body Fat Percentage and Age
title_short The Prevalence of Diabetes among Hypertensive Polish in Relation to Sex-Difference in Body Mass Index, Waist Circumference, Body Fat Percentage and Age
title_sort prevalence of diabetes among hypertensive polish in relation to sex-difference in body mass index, waist circumference, body fat percentage and age
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9367793/
https://www.ncbi.nlm.nih.gov/pubmed/35954813
http://dx.doi.org/10.3390/ijerph19159458
work_keys_str_mv AT bednarekannamaria theprevalenceofdiabetesamonghypertensivepolishinrelationtosexdifferenceinbodymassindexwaistcircumferencebodyfatpercentageandage
AT owczarekaleksanderjerzy theprevalenceofdiabetesamonghypertensivepolishinrelationtosexdifferenceinbodymassindexwaistcircumferencebodyfatpercentageandage
AT chudekanna theprevalenceofdiabetesamonghypertensivepolishinrelationtosexdifferenceinbodymassindexwaistcircumferencebodyfatpercentageandage
AT almgrenrachtanagnieszka theprevalenceofdiabetesamonghypertensivepolishinrelationtosexdifferenceinbodymassindexwaistcircumferencebodyfatpercentageandage
AT wieczorowskatobiskatarzyna theprevalenceofdiabetesamonghypertensivepolishinrelationtosexdifferenceinbodymassindexwaistcircumferencebodyfatpercentageandage
AT olszaneckaglinianowiczmagdalena theprevalenceofdiabetesamonghypertensivepolishinrelationtosexdifferenceinbodymassindexwaistcircumferencebodyfatpercentageandage
AT chudekjerzy theprevalenceofdiabetesamonghypertensivepolishinrelationtosexdifferenceinbodymassindexwaistcircumferencebodyfatpercentageandage
AT bednarekannamaria prevalenceofdiabetesamonghypertensivepolishinrelationtosexdifferenceinbodymassindexwaistcircumferencebodyfatpercentageandage
AT owczarekaleksanderjerzy prevalenceofdiabetesamonghypertensivepolishinrelationtosexdifferenceinbodymassindexwaistcircumferencebodyfatpercentageandage
AT chudekanna prevalenceofdiabetesamonghypertensivepolishinrelationtosexdifferenceinbodymassindexwaistcircumferencebodyfatpercentageandage
AT almgrenrachtanagnieszka prevalenceofdiabetesamonghypertensivepolishinrelationtosexdifferenceinbodymassindexwaistcircumferencebodyfatpercentageandage
AT wieczorowskatobiskatarzyna prevalenceofdiabetesamonghypertensivepolishinrelationtosexdifferenceinbodymassindexwaistcircumferencebodyfatpercentageandage
AT olszaneckaglinianowiczmagdalena prevalenceofdiabetesamonghypertensivepolishinrelationtosexdifferenceinbodymassindexwaistcircumferencebodyfatpercentageandage
AT chudekjerzy prevalenceofdiabetesamonghypertensivepolishinrelationtosexdifferenceinbodymassindexwaistcircumferencebodyfatpercentageandage