Azmat Ali, Awais Saeed Abbasi, Shafaq Mushtaq, Saad Azim, Mazhar Jamil.
A Comparative Study of Waist Circumference, WaistHip Ratio and BMI in Diabetics and Non-Diabetics.
Ann Pak Inst Med Sci Jan ;13(1):27-34.

Objective: To determine the pattern of fat distribution in Diabetics as compared to Non-Diabetics. Study Design: Descriptive cross-sectional comparative study. Place and Duration: This study was conducted at Khan Research Laboratory (KRL) Hospital, Islamabad from September to November 2016. Methodology: Present study consisted of 200 candidates out of which half were Diabetics and half were Non-Diabetics. This was a Descriptive cross-sectional comparative study. All statistical analysis was done using statistical package for social sciences (SPSS version 17). Result: Significant association exists between BMI & Waist circumference and Waist circumference & WHR in male and female Diabetics (pvalue <0.05), no association exists between BMI and Waist-hip ratio (WHR) among male and female Diabetics (p-value >0.05). Significant association was found among male and female Non-Diabetics in terms of BMI, Waist circumference and WHR. Cut off values for BMI in Diabetics was found to be 22.72 kg/m2 and 23.05 kg/m2 in males and females respectively. Cut off values for Waist circumference in Diabetics was found to be 34.5 inch and 34.5 inch in males and females respectively. Cut off values for WHR in Diabetics was found to be 0.89 and 0.87 in males and females respectively. Conclusion: Cut off values for BMI, Waist circumference and Waist-hip ratio need to be revised in Pakistani population. In Diabetics distribution of fat is central as well as peripheral with an increment of BMI while in Non-Diabetics, with rising BMI, fat distribution becomes more central.

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