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Comparison of body composition using body mass index, body fat percentage (bioimpedance), waist circumference, hip circumference, and somatotyping across complete glycemic spectrum

Rajathi Rajendran, Vivek Kumar Sharma, Ramesh Ananthakrishnan, Vinod Vishwanath Kolar, Nandeesha Hanumanthappa, Senthil Kumar Subramanian.




Abstract

Background: The association between adiposity and diabetes has been widely assessed using body mass index (BMI), waist circumference (WC), and waist-hip ratio (WHR), whereas these variables are inadequate to differentiate between muscle mass, fat mass, and bone mass.

Aims and Objectives: The objective of the present study is to assess the somatotype pattern (subcutaneous fat mass distribution) and body fat percentage (%) in complete glycemic spectrum.

Materials and Methods: Skinfold thickness, BMI, WC, hip circumference (HC), and WHR were measured in normoglycemic non-first-degree relatives of diabetes (Group 1), normoglycemic first-degree relatives of diabetes (Group 2), prediabetes (Group 3), and type 2 diabetes patients (Group 4).

Results: The groups are comparable based on gender distribution, age, height, weight, physical activity, BMI, WC, HC, WHR, and somatotyping. Body fat percentage is significantly high in first-degree relatives of diabetes, prediabetes, and diabetes group as compared to control, in while all other groups are comparable among themselves.

Conclusion: Body fat percentage can be considered as a better indicator of metabolic derangement than BMI, WC, HC, WHR, and somatotyping in the complete glycemic spectrum.

Key words: Adiposity; Diabetes; Somatotyping






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