Title: A study of anthropometric measurements and different vascular complications in obese type 2 diabetes mellitus patients from central India
Authors: Dr Archana Verma, Dr Dharshan Gowda, Dr Dharmendra Jhavar, Dr Umesh Kumar Chandra, Dr Bharat Kumar Parmar
DOI: https://dx.doi.org/10.18535/jmscr/v7i11.89
Abstract
Introduction: India is experiencing an epidemic of Type-2 Diabetes mellitus and related disorders. With an estimated 50.8 million diabetic people, India has the world’s largest diabetes population. Individual with Type 2 DM are at particular risk of the adverse consequences of obesity. The interaction of both disorders with other components of the metabolic syndrome culminates in an increase in macro-vascular and micro-vascular complications and associated reduction in quality of life.
Materials and Methods: Present work was conducted in department of medicine, MGM Medical College, Indore, from October 2012 to September 2013. 100 cases with type 2 diabetes mellitus having associated obesity were taken for present work.
Results: Out of 70 female cases, 61% female cases had BMI between 25-29.9%. Only 5% female cases had BMI >or=40. Out of 30 male cases, 70% of male cases had BMI Between 25-29.9. In our study none of male case had BMI >or=40. In female patients, 11%, 22%, and 67% patients had Waist Hip Ratio (WHR) <0.81, 0.81-85, and >0.85% respectively. 46% of male cases had<or= 0.95 WHR. 30% male cases had >1.0 WHR.
Conclusions: Basic anthropometrics measurements (BMI+WHR) are simple clinical parameters to evaluate obese DM type 2 cases for CVS complications. Obese DM type 2 cases with abnormal WHR and BMI may have abnormalities in ECG & 2D ECHO DOPPLER. Hence ECG & 2D ECHO DOPPLER study may help for proper evaluation of obese DM type 2 cases.
Keywords: BMI, Diabetes Mellitus, Obesity, Waist hip ratio.
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