Objective: To investigate the relationship between body mass index (BMI), waist circumference (WC), hip circumference (HC), waist-to-hip ratio (WHR), total body fat, visceral fat (VF), and Non-alcoholic fatty liver disease (NAFLD) in individuals with Type II Diabetes Mellitus (T2DM).
Methodology: This cross-sectional study included 153 T2DM patients aged 40-65yrs recruited from the Tertiary Hospitals, Karachi. Data pertaining to anthropometric measurements (BMI, WC, HC, WHR, and VF) and glycosylated hemoglobin (HgA1c) were recorded along with ultrasound scan findings of NAFLD.
Results: In this study, 129 patients had T2DM with NAFLD. Among them, 66 were obese, 41 were overweight, and 22 patients had normal BMI. The remaining 24 were non-diabetic-NAFLD patients, out of which 18 were obese and 6 were overweight. The mean HbA1c, WC, WHR, and VF were 9.0g/dl, 88.94cm, 1.051cm, and 12.81cm, respectively. Among various anthropometric indicators, WHR (p=0.040) and VF (p=0.042) showed a significant association with NAFLD in T2DM, while BMI (p=0.91), HbA1c (p=0.857), and WC (p=0.268) did not show a significant association.
Conclusion: The indicators of visceral adiposity like WHR and VF were more significantly associated with NAFLD in T2DM than WC and BMI.
Key words: Adiposity markers, body mass index, Hip circumference, Metabolic dysfunction, Nonalcoholic fatty liver disease, Type II diabetes.
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