PREDICTIVE VALUE OF ANTHROPOMETRIC INDICES FOR POOR GLYCEMIC CONTROL IN OVERWEIGHT AND OBESE PATIENTS WITH TYPE 2 DIABETES MELLITUS
Main Article Content
Abstract
Objective: To evaluate the predictive value of BMI, waist circumference (WC), WHR, WHtR, and BRI for poor glycemic control in overweight/obese patients with type 2 diabetes mellitus (T2DM). Methods: A cross-sectional descriptive study was conducted on 78 T2DM patients with BMI ≥ 23.0 kg/m² at Military Hospital 103 from January 2024 to December 2025. Anthropometric indices were compared between HbA1c-controlled and uncontrolled groups; predictive values were assessed by logistic regression and ROC curve analysis. Results: The prevalence of poor glycemic control (HbA1c ≥ 7.0%) was 59.0%. All five anthropometric indices were significantly higher in the uncontrolled group. After multivariate adjustment, WHtR (OR = 2.19; 95%CI: 1.33-3.61) and BRI (OR = 2.27; 95%CI: 1.35-3.80) showed the strongest associations. ROC analysis demonstrated that BRI (AUC = 0.789) and WHtR (AUC = 0.782) outperformed BMI (AUC = 0.671) in predicting HbA1c ≥ 7.0%. Conclusion: BRI and WHtR are superior anthropometric predictors of poor glycemic control in overweight/obese T2DM patients.
Article Details
Keywords
type 2 diabetes mellitus, anthropometric indices, glycemic control, BRI, WHtR, obesity.
References
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