Obesity Indices for Identifying Metabolic Syndrome Among Type Two Diabetes Patients Attending Their Follow-Up in Dessie Referral Hospital, North east Ethiopia

Aregash Abebayehu Zerga,1 Afework Mulugeta Bezabih,2 Amaha Kahsay Adhanu,2 Sisay Eshete Tadesse1 1School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 2Department of Nutrition and Dietetics, College of Health Sciences, Mekelle University, Mekelle, Eth...

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Autores principales:	Zerga AA, Bezabih AM, Adhanu AK, Tadesse SE
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	metabolic syndrome type 2 diabetes dessie referral hospital obesity indices Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/3c24a95be2dc4952a97a04cb1db3a95c
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spelling	oai:doaj.org-article:3c24a95be2dc4952a97a04cb1db3a95c2021-12-02T12:33:26ZObesity Indices for Identifying Metabolic Syndrome Among Type Two Diabetes Patients Attending Their Follow-Up in Dessie Referral Hospital, North east Ethiopia1178-7007https://doaj.org/article/3c24a95be2dc4952a97a04cb1db3a95c2020-04-01T00:00:00Zhttps://www.dovepress.com/obesity-indices-for-identifying-metabolic-syndrome-among-type-two-diab-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Aregash Abebayehu Zerga,1 Afework Mulugeta Bezabih,2 Amaha Kahsay Adhanu,2 Sisay Eshete Tadesse1 1School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 2Department of Nutrition and Dietetics, College of Health Sciences, Mekelle University, Mekelle, EthiopiaCorrespondence: Aregash Abebayehu Zerga Email Aregusina@gmail.comIntroduction: Worldwide, metabolic syndrome is a common problem among T2DM patients. Even though the International Diabetes Federation recommended waist circumference as a diagnostic tool for metabolic syndrome, the appropriate indices and cut-off point remain controversial.Objective: To assess obesity indices in identifying metabolic syndrome among type 2 diabetes mellitus patients in Dessie Referral Hospital, North east Ethiopia.Methods: A hospital-based cross-sectional study was conducted among 363 consecutively selected T2DM in Dessie Referral Hospital from February to March 2017. Data were collected by interviewer-administered questionnaire. Height, weight, waist circumference, hip circumference, lipid profile, blood glucose levels and blood pressure were taken. Descriptive statistics were computed. Receiver operator characteristic curve analysis with a 95% confidence interval and p-value < 0.05 was used to identify the discriminate ability of each index, while the optimal cut point of each index was determined by Youden’s index.Results: A total of 330 study participants were included in the study. Based on ATP III definition, the magnitude of metabolic syndrome among T2DM patients was 59.4% (53.6– 64.5%). Waist to height ratio (optimal cut point=0.54, AUC=0.85) and waist circumference (optimal cut point= 83 cm, AUC=0.75) were the best predictor of metabolic syndrome for women and men, respectively. For the entire study participant, waist to height ratio (optimal cut point=0.51, AUC=0.79) was the best predictor of metabolic syndrome among type 2 diabetes patients.Conclusion and Recommendation: Waist to height ratio and waist circumference was the best predictor of metabolic syndrome for women and men, respectively. So, appropriate indices optimal cut-off point should be included to diagnose metabolic syndrome among T2DM.Keywords: metabolic syndrome, type 2 diabetes, Dessie Referral Hospital, obesity indicesZerga AABezabih AMAdhanu AKTadesse SEDove Medical Pressarticlemetabolic syndrometype 2 diabetesdessie referral hospitalobesity indicesSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 1297-1304 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	metabolic syndrome type 2 diabetes dessie referral hospital obesity indices Specialties of internal medicine RC581-951
spellingShingle	metabolic syndrome type 2 diabetes dessie referral hospital obesity indices Specialties of internal medicine RC581-951 Zerga AA Bezabih AM Adhanu AK Tadesse SE Obesity Indices for Identifying Metabolic Syndrome Among Type Two Diabetes Patients Attending Their Follow-Up in Dessie Referral Hospital, North east Ethiopia
description	Aregash Abebayehu Zerga,1 Afework Mulugeta Bezabih,2 Amaha Kahsay Adhanu,2 Sisay Eshete Tadesse1 1School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 2Department of Nutrition and Dietetics, College of Health Sciences, Mekelle University, Mekelle, EthiopiaCorrespondence: Aregash Abebayehu Zerga Email Aregusina@gmail.comIntroduction: Worldwide, metabolic syndrome is a common problem among T2DM patients. Even though the International Diabetes Federation recommended waist circumference as a diagnostic tool for metabolic syndrome, the appropriate indices and cut-off point remain controversial.Objective: To assess obesity indices in identifying metabolic syndrome among type 2 diabetes mellitus patients in Dessie Referral Hospital, North east Ethiopia.Methods: A hospital-based cross-sectional study was conducted among 363 consecutively selected T2DM in Dessie Referral Hospital from February to March 2017. Data were collected by interviewer-administered questionnaire. Height, weight, waist circumference, hip circumference, lipid profile, blood glucose levels and blood pressure were taken. Descriptive statistics were computed. Receiver operator characteristic curve analysis with a 95% confidence interval and p-value < 0.05 was used to identify the discriminate ability of each index, while the optimal cut point of each index was determined by Youden’s index.Results: A total of 330 study participants were included in the study. Based on ATP III definition, the magnitude of metabolic syndrome among T2DM patients was 59.4% (53.6– 64.5%). Waist to height ratio (optimal cut point=0.54, AUC=0.85) and waist circumference (optimal cut point= 83 cm, AUC=0.75) were the best predictor of metabolic syndrome for women and men, respectively. For the entire study participant, waist to height ratio (optimal cut point=0.51, AUC=0.79) was the best predictor of metabolic syndrome among type 2 diabetes patients.Conclusion and Recommendation: Waist to height ratio and waist circumference was the best predictor of metabolic syndrome for women and men, respectively. So, appropriate indices optimal cut-off point should be included to diagnose metabolic syndrome among T2DM.Keywords: metabolic syndrome, type 2 diabetes, Dessie Referral Hospital, obesity indices
format	article
author	Zerga AA Bezabih AM Adhanu AK Tadesse SE
author_facet	Zerga AA Bezabih AM Adhanu AK Tadesse SE
author_sort	Zerga AA
title	Obesity Indices for Identifying Metabolic Syndrome Among Type Two Diabetes Patients Attending Their Follow-Up in Dessie Referral Hospital, North east Ethiopia
title_short	Obesity Indices for Identifying Metabolic Syndrome Among Type Two Diabetes Patients Attending Their Follow-Up in Dessie Referral Hospital, North east Ethiopia
title_full	Obesity Indices for Identifying Metabolic Syndrome Among Type Two Diabetes Patients Attending Their Follow-Up in Dessie Referral Hospital, North east Ethiopia
title_fullStr	Obesity Indices for Identifying Metabolic Syndrome Among Type Two Diabetes Patients Attending Their Follow-Up in Dessie Referral Hospital, North east Ethiopia
title_full_unstemmed	Obesity Indices for Identifying Metabolic Syndrome Among Type Two Diabetes Patients Attending Their Follow-Up in Dessie Referral Hospital, North east Ethiopia
title_sort	obesity indices for identifying metabolic syndrome among type two diabetes patients attending their follow-up in dessie referral hospital, north east ethiopia
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/3c24a95be2dc4952a97a04cb1db3a95c
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Obesity Indices for Identifying Metabolic Syndrome Among Type Two Diabetes Patients Attending Their Follow-Up in Dessie Referral Hospital, North east Ethiopia

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