Correlation of Blood Sugar with Waist Circumference and Body Mass Index in an Indian Population

The objective of the study was to assess the correlation of blood sugar with waist circumference and body mass index in an Indian population. 204 patients were examined for Body Mass Index (BMI), waist circumference,Waist: Hip ratio and fasting blood sugar. The study showed a positive statistically significant correlation between fasting blood glucose and BMI (p 30 kg/m for obesity. The Health central obesity, and decrease in physical activity. Ministry, India has reduced the diagnostic cut-offs for There has been a rapid increase in the prevalence body mass index (BMI) and the standard waist of diabetes and cardiovascular disease in India, circumference to fight the battle against obesity as in association with rapid changes in diet and India will become the global diabetes capital by 2050. life style. In adults the prevalence of diabetes is 2-3 The standards have been set for the first time in the folds greater in urban than in rural population. Ministry's consensus guidelines for Prevention and In the past two decades the prevalence of diabetes Management of Obesity and Metabolic Syndrome. has almost doubled in rural areas of India and has The guidelines were released jointly by the Health increased threefold in urban areas. National surveys Ministry, the Diabetes Foundation of India, the All-India conducted during the past 15 years in 10 states Institute of Medical Sciences (AIIMS), Indian Council of of India showed that there has been a marked Medical Research, the National Institute of Nutrition and decrease in under nutrition and significant increase 20 other health organizations (19, 20). in the prevalence of overweight and obesity, An Indian with a body mass index of 23 kg/m will more specifically among the urban populations of now be considered overweight and below that as one with India (1-4). The greater prevalence of diabetes, normal BMI—unlike the cut-off limit of 25 kg/m earlier. cardiovascular risk, insulin sensitivity, glucose Those with BMI of 25 kg/m will be clinically termed obese intolerance and coronary mortality observed among (as opposed to 30 kg/m at the international level). people of Indian origin in developed countries has According to guidelines, cut-offs for waist circumstances been explained as being caused by central obesity and will now be 90 cm for Indian men (as opposed to 102 cm an insulin resistance syndrome resulting from genetic globally) and 80 cm for Indian women (as opposed to 88 predisposition (3-10). This study was designed to assess cm globally). As per the consensus, the currently the incidence of overweight and obesity in Indian recommended cut-offs of BMI recommended include subjects and to assess the correlation of fasting blood 18 - 22.9 kg/m for normal, 23.0 - 24.9 kg/m for overweight sugar with BMI and waist circumference.