Resumo

COSTA, Ana F. et al. Association Between Anthropometric Parameters and Glycemic Control in Type 2 Diabetics. Medicina Interna [online]. 2019, vol.26, n.1, pp.21-27. ISSN 0872-671X.  https://doi.org/10.24950/rspmi/original/80/1/2019.

Introduction: Body measurements are attractive tools, due to their low cost and easy applicability. The aim of this study is to characterize the anthropometric measures of a diabetic population and to analyze the relationship with hemoglobin A1c (HbA1c). Material and Methods: A prospective, observational study included patients followed in a Diabetology consultation. Statistical analysis was performed using the SPSS program, 23.0. Results: Four hundred and fourteen (414) patients (50% men, mean age 68.77 years) were included. In this sample 76.5% were under insulin therapy. Lipodystrophy was present in 21% diabetics, who were older and had higher waist circumference (WC) (p < 0.05). The mean HbA1c was 7.61% and it was higher in women (p < 0.05). The mean body mass index (BMI) was 30.41 kg/m2. Grade 2 obesity and morbid obesity was higher in women (p < 0.05). The mean WC was 107.24 cm and was lower in patients with HbA1c between 7.1% and 7.5% (p < 0.05). The mean waist-to-height ratio (WHtR) was 0,67. This value was higher in women, older patients and more obese (p < 0.05). The patients treated with insulin had higher HbA1c, WC and WHtR values. Discussion and Conclusion:In this study women have worse glycemic and metabolic control. WC was associated with poor control of HbA1c and lipodystrophy. Integrating these parameters into the assessment and guidance of diabetics may be a useful tool

Palavras-chave : Body Constitution; Body Mass Index; Diabetes Mellitus, Type 2; Glycemic Index; Waist Circumference; Waist-Height Ratio.

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