Hashim Uddin Azam, Salim-ur Rahman, Misbah Manzoor, Bakht Babar.
Is apple sweeter than a pear? abdominal adiposity vs high BMI in association with type ii diabetes.
J Med Sci Jun ;23(3):163-5.

Objective: To find out the frequency of association of central abdominal obesity (Apple shape) versus generalized body obesity as measured by body mass index (Pear shape) in patients with type II Diabetes. Material and Methods: This was a cross sectional observational study conducted on patients with type II diabetes presenting to the department of medicine at Khyber Teaching Hospital from September 2014 to November 2014. Patients had their abdominal girth measured and BMI calculated. Various demographic data were collected using a standardized questionner and results were tabulated. Results: Of the 329 type II diabetics who were studied, 224 (68.08%) had an above normal abdominal girth. Out of these 62.95% were females, while 205 (62.31%) had a BMI of ≥23 out of which 127 (61.95%) were females. Abdominal obesity was much more closely associated with type II diabetes especially in females.

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