Endocrine Abstracts

Increased waist circumference is a cardiovascular risk factor, currently we have the cutoff value of International Diabetes Federation (IDF) or by Latin-American standards; in Colombia has not studies where showing the relationship between increased waist circumference and the risk of diabetes. This study aims to show the relationship between increased waist circumference by IDF criteria or Latin-American criteria and the risk of diabetes.

Methodology: Cross-sectional study where multivariate analysis was performed using two models: waist circumference increased by IDF criteria and waist circumference by Latin-American criteria and risk of diabetes; adjusted for age, sex, HDL cholesterol, and body mass index (relevant variables in univariate analysis).

Results: A total of 2200 patients were included: 30.45% (670 patients) with type 2 diabetes, of which 90.72% had increased waist circumference by IDF criteria; 76.65% by Latin-American criteria. In model 1 was found as independent factors associated with diabetes: Male gender OR=1.30 (95%CI 1.05–1.6, P=0.014) and increased waist circumference by IDF criteria OR=1.44 (95%CI 1.02–2.04, P=0.038); as a protective factor HDL cholesterol OR=0.97 (95%CI 0.96–0.98, P<0.001).

In model 2 were found: Male gender OR=1.31 (95%CI 1.06–1.61, P=0.01) and increased waist circumference by Latin-American criteria OR=1.42 (95%CI 1.12–1.79; P=0.003); as a protective factor HDL cholesterol OR=0.97 (95%CI 0.96–0.98, P<0.001).

Conclusion: Increased waist circunference by IDF or Latin-American criteria may be associated independently to the risk of diabetes in Colombian population.