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Main Article Content
Significance of anthropometric parameters in the prevalence of type 2 diabetes- a case study of selected hospitals in western Uganda
Abstract
Background: Diabetes is a group of metabolic disorders characterized and identified by the presence of hyperglycaemia in the absence of treatment. Despite the increasing awareness of T2DM in the world and strict association of its increasing prevalence with overweight and obesity relating to skinfold and body circumferences, incidence of T2DM and its various devastating complications continues to be on the increase because of lack of self-explored techniques for its early prediction. The purpose of this study was to determine variation in the anthropometric parameters using the mean value of the body circumferences, skinfolds, epicondylar breadth of the femur and epicondylar breadth of the humerus amongst T2DM patients at two selected tertiary hospitals and non-diabetic persons in Western Uganda.
Methods: The study was composed of 202 adults. 101 Type 2 diabetic adult (T2DM) and 101 non-diabetic adults. Body (chest, neck, waist, hip, upper arm, thigh and calf) circumferences, skinfolds (abdominal, supraspinale, midaxillary, pectoralis, subscapularis, mid-thigh, medial calf and triceps) and bony epicondylar breadth was measured following the standard procedure for The International Society for the Advancement of Kinanthropometry (ISAK).
Results: Significantly higher (<0.001) mean (triceps (21.581-12.331mm), subscapularis (21.547-12.093), supraspinale (20.573-8.240mm), pectoralis (14.792-6.726mm), mid-axillary (17.118-8.026mm), abdominal (24.648- 13.643mm), calf (23.217-13.171), mid-thigh (28.288-16.414) skinfold and upper arm (33.231-27.482cm), neck (36.045-33.045cm), calf (40.100-34.417cm), chest (99.009-85.199cm), hip (113.176-94.265cm), waist (94.738-74.607cm), thigh (60.939-50.543cm) circumference as well as humeral (65.203-62.059) and femoral (98.556-92.292) epicondylar breadth was observed amongst the T2DM participant as compared to the non-T2DM subjects.
Conclusion: Our findings indicate a strong association between T2DM and anthropometric parameters (skinfolds and body circumferences), thus, a risk factor in T2DM onset and its early prediction.
French title: Importance des paramètres anthropométriques dans la prévalence du diabète de type 2-une étude de cas d'hôpitaux sélectionnés dans l'ouest de l'Ouganda
Le diabète est un groupe de troubles métaboliques caractérisés et identifiés par la présence d'une hyperglycémie en l'absence de
traitement. Malgré la prise de conscience croissante du DT2 dans le monde et l'association stricte de sa prévalence croissante avec le surpoids et l'obésité liés aux plis cutanés et à la circonférence du corps, l'incidence du DT2 et de ses diverses complications dévastatrices continue d'augmenter en raison du manque de techniques auto-explorées pour le traiter, sa première prédiction. Le but de cette étude était de déterminer la variation des paramètres anthropométriques en utilisant la valeur moyenne des circonférences corporelles, des plis cutanés, de la largeur épicondylienne du fémur et de la largeur épicondylienne de l'humérus chez les patients atteints de DT2 dans deux hôpitaux tertiaires sélectionnés et chez les personnes non diabétiques en occident. Ouganda.
Méthode de l'étude : L'étude était composée de 202 adultes. 101 adultes diabétiques de type 2 (DT2) et 101 adultes non diabétiques. La circonférence du corps (poitrine, cou, taille, hanche, haut du bras, cuisse et mollet), les plis cutanés (abdominaux, supraspinaux, médio-axillaires, pectoraux, sous- scapulaires, mi-cuisse, médial du mollet et triceps) et la largeur épicondylienne osseuse ont été mesurés selon la procédure standard pour la Société internationale pour l'avancement de la kinanthropométrie. (ISAK)
Résultats de l'étude : Moyenne significativement plus élevée (<0,001) (triceps (21,581-12,331 mm), sous-scapulaire (21,547- 12,093), supraspinale (20,573-8,240 mm), pectoral (14,792-6,726 mm), axillaire moyen (17,118-8,026 mm), abdominal (24,648- 13,643 mm), mollet (23,217-13,171), mi-cuisse (28,288-16,414), pli cutané et haut du bras (33,231-27,482 cm), cou (36,045- 33,045 cm), mollet (40,100-34,417 cm), poitrine. (99,009-85,199 cm), de la hanche (113,176-94,265 cm), de la taille (94,738- 74,607 cm), de la cuisse (60,939-50,543 cm) ainsi que de la largeur épicondylienne humérale (65,203-62,059) et fémorale (98,556-92,292) a été observé chez les participants DT2 par rapport aux sujets non DT2.
Conclusion : Nos résultats indiquent une forte association entre le DT2 et les paramètres anthropométriques (plis cutanés et circonférences corporelles), donc un facteur de risque dans l'apparition du DT2 et sa prédiction précoce.
