Key result
Female gender was associated with a significantly higher prevalence of central obesity compared to males among patients with diabetes mellitus (89.6% vs 51.6%; adjusted OR 2.76).
Why the study?
Recent reports suggested a gradual reversal of the trend that central obesity is more common in men than women, prompting an evaluation in patients with diabetes mellitus.
Is female sex associated with a higher prevalence of central obesity compared to male sex in patients with diabetes mellitus?
Cross-Sectional (n=1,040)
Yes
Is female sex associated with a higher prevalence of central obesity compared to male sex in patients with diabetes mellitus?
In patients with diabetes mellitus in North-Central Nigeria, central obesity is significantly more prevalent among women than men, challenging the traditional view of male preponderance.
Answers are grounded in this paper and cite their sources.
Alerts clinicians to sex differences in diabetic obesity risk; leaves open causal mechanisms and intervention trials.
Background: Contrary to the old dictum that central obesity is more common among men than women, recent reports have shown a gradual reversal of this trend, as suggested by some studies. Objective: To compare the prevalence of central obesity among men and women with Diabetes mellitus in North-Central Nigeria. Methods: This multi-centred, cross-sectional study was conducted across 20 hospitals in Abuja, Nasarawa State, and Niger State, involving 1040 participants. Some obesity indices (body mass index, waist circumference and waist-to-height ratio) were measured. Results: The prevalence of central obesity (waist circumference criterion) was significantly higher in the females compared to male participants (89.6% vs 51.6%, χ2 = 1231.37, p<0.001), similar to the prevalence determined by waist-height ratio criterion (female vs male, 88.8% vs 71.5%, χ2 = 58.83, p<0.001). Following correction for age, duration of diabetes mellitus, blood pressure, blood glucose, and glycated haemoglobin using logistic regression, female gender remained a significant determinant of central obesity (OR = 2.76, 95% CI 1.81-3.83, p = 0.004). Conclusion: The prevalence of central obesity was higher among women than men in a cross-section of patients with diabetes mellitus in North-Central Nigeria.
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Mshelia-Reng et al. (2023) conducted a cross-sectional in Diabetes mellitus (n=1,040). Female gender vs. Male gender was evaluated on Central obesity (waist circumference criterion) (OR 2.76, 95% CI 1.81-3.83, p=0.004). Female gender was associated with a significantly higher prevalence of central obesity compared to males among patients with diabetes mellitus (89.6% vs 51.6%; adjusted OR 2.76).
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