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Waistline better indicator of diabetes than BMI

Men's girth more accurately predicts risk, researchers say

The Associated Press

March 21, 2005

BALTIMORE - s Hopkins scientists reviewed data from 27,270 men

tracked over 13 years and put them into five groups according to their

waist size; 884 of the men had diabetes.

Compared to those in the group with the smallest waists, 29-34 inches,

men with larger waist sizes were at least twice as likely to have

diabetes. Those with the largest waist size — 40 inches and above —

were up to 12 times more likely to have Type 2 diabetes, the kind

associated with obesity.

When the men were divided into groups based on their body-mass index —

a formula based on weight and height — or waist-hip ratio, the level

of risk wasn't as pronounced.

The study's lead author, Youfa Wang, an assistant professor with the

Center for Human Nutrition at the s Hopkins Bloomberg School of

Public Health, said waist size can indicate a strong risk for diabetes

whether or not a man's BMI indicates he's overweight or obese.

'A better predictor'

" It's a better predictor for the risk of Type 2 diabetes, " Wang said.

" When we look at the association it's much stronger. "

Wang also said the findings show the commonly used 40-inch waist

circumference benchmark for diabetes risk should be lowered. Exactly

how much has not been determined. " That's something we don't feel very

comfortable about giving a concrete recommendation, " Wang said.

Other studies have suggested about 37½ inches, he said.

Alan Cherrington, president of the American Diabetes Association, said

the results support previous research that has found waistline fat " is

worse for you than other kinds of fat. "

Researchers believe fat cells in that area may affect the liver

differently, or there are signaling molecules in that type of fat cell

that may affect diabetes, said Cherrington, who is also the chairman

of the Department of Molecular Physiology and Biophysics at Vanderbilt

University.

Cherrington said the results appear to show your waistline is a better

predictor of diabetes risk and " if you combine BMI and waist

circumference, you're getting the best of both worlds. "

The findings are in the March issue of the American Journal of

Clinical Nutrition.

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>>>

Compared to those in the group with the smallest waists, 29-34 inches,

men with larger waist sizes were at least twice as likely to have

diabetes. Those with the largest waist size - 40 inches and above -

were up to 12 times more likely to have Type 2 diabetes, the kind

associated with obesity.

>>>

I was thinking further about the above article.

Assuming that the average American is 5'10 " , a 40-inch waist

circumference corresponds to a Waist-to-Height ratio of 0.57.

In the past, we discussed that WC/H > 0.5 is associated with increased

risk of CVD.

So, American males of average height with a waist size over 35 inches

would have increased risk of CVD, and as the waist gets bigger into

the 40-inch range they are likely to get diabetes.

The following charts are interesting because they show height

decreasing with age, which implies that our BMIs will get higher as we

age if our weight remains constant.

Tony

====

Men's average height chart

http://www.halls.md/chart/men-height-w.htm

Women's average height chart

http://www.halls.md/chart/women-height-w.htm

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Hi Tony:

Mean heights in inches, for the US by age, can be found on page 10

here (pdf):

http://snipurl.com/dkvw

They range between 68.6 " and 69.6 " .

Rodney.

>

> >>>

> Compared to those in the group with the smallest waists, 29-34

inches,

> men with larger waist sizes were at least twice as likely to have

> diabetes. Those with the largest waist size - 40 inches and above -

> were up to 12 times more likely to have Type 2 diabetes, the kind

> associated with obesity.

> >>>

>

> I was thinking further about the above article.

>

> Assuming that the average American is 5'10 " , a 40-inch waist

> circumference corresponds to a Waist-to-Height ratio of 0.57.

> In the past, we discussed that WC/H > 0.5 is associated with

increased

> risk of CVD.

>

> So, American males of average height with a waist size over 35

inches

> would have increased risk of CVD, and as the waist gets bigger into

> the 40-inch range they are likely to get diabetes.

>

> The following charts are interesting because they show height

> decreasing with age, which implies that our BMIs will get higher as

we

> age if our weight remains constant.

>

> Tony

> ====

>

> Men's average height chart

> http://www.halls.md/chart/men-height-w.htm

>

> Women's average height chart

> http://www.halls.md/chart/women-height-w.htm

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........ and mean BMIs can be found on page 12 of the same link.

Rodney.

--- In , " Rodney " <perspect1111@y...>

wrote:

>

> Hi Tony:

>

> Mean heights in inches, for the US by age, can be found on page 10

> here (pdf):

>

> http://snipurl.com/dkvw

>

> They range between 68.6 " and 69.6 " .

>

> Rodney.

>

> --- In , " citpeks " <citpeks@y...>

wrote:

> >

> > >>>

> > Compared to those in the group with the smallest waists, 29-34

> inches,

> > men with larger waist sizes were at least twice as likely to have

> > diabetes. Those with the largest waist size - 40 inches and

above -

> > were up to 12 times more likely to have Type 2 diabetes, the kind

> > associated with obesity.

> > >>>

> >

> > I was thinking further about the above article.

> >

> > Assuming that the average American is 5'10 " , a 40-inch waist

> > circumference corresponds to a Waist-to-Height ratio of 0.57.

> > In the past, we discussed that WC/H > 0.5 is associated with

> increased

> > risk of CVD.

> >

> > So, American males of average height with a waist size over 35

> inches

> > would have increased risk of CVD, and as the waist gets bigger

into

> > the 40-inch range they are likely to get diabetes.

> >

> > The following charts are interesting because they show height

> > decreasing with age, which implies that our BMIs will get higher

as

> we

> > age if our weight remains constant.

> >

> > Tony

> > ====

> >

> > Men's average height chart

> > http://www.halls.md/chart/men-height-w.htm

> >

> > Women's average height chart

> > http://www.halls.md/chart/women-height-w.htm

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