ISSN 2756-3332
African Journal of Nursing and Midwifery ISSN: 2756-3332 Vol. 10 (7), pp. 001-006, July, 2022. © International Scholars Journals
Full Length Research Paper
Detecting strength of adiposity indices for onset of type 2 diabetes mellitus among adult males and females in Uyo Metropolis, Nigeria
Ekpenyong C. E.*, Akpan U. P, Nyebuk E. Daniel and John O. Ibu
Department of Physiology, College of Health Science, University of Uyo, Akwa Ibom State, Nigeria.
Accepted 14 May, 2022
Abstract
This work assessed the predicting power of different adiposity indices on incident type 2 diabetes mellitus among adult males and females in Uyo Metropolis, Nigeria. A cross-sectional survey of 3500 adult civil servants (1532 men and 1968 women), aged 18 to 60 years, selected by multi-steps random sampling technique were assessed using 2011 Expert Committee Revised criteria for diagnosing diabetes. Overall cases of incident type 2 diabetes mellitus was 180 (5.4%), 73 men (4.8%) and 116 women (5.9%). Result of comparison between diabetic males and females using independent sample t-test showed that body mass index (BMI) and mid arm circumference (MAC) of the two groups did not differ significantly (P= 0.948, 0.648 respectively). Waist circumference (WC) and waist-hip ratio (WHR) of diabetic females were significantly higher than that of the males counterpart (WC: P =0.001 and WHR: P=0.034). Body mass index (BMI) and mid arm circumference (MAC) had equal predicting powers in both sexes with odd ratio (OR) and 95% confidence interval (CI) as follows: BMI (OR=2.41, C.I=1.728 to 7.01 for male and 2.02, 1.51 to 6.402 for females); MAC (OR =1.624, C.I=1.824 to 7.051 for males and 1.51, 1.62 to 6.59 for females); waist hip ratio (WHR) and waist circumference (WC) were predictive only in women and not in men with OR and C.I as follows: - WHR (OR=2.435, 0.951to 6.413 for women and 0.729, 0.547 to 1.14 for men); WC: (2.834, 1.270 to 5.421 for women and 1.21, 0.695 to 1.845 for men) respectively. All adiposity indices measured were significantly associated with incident type 2 diabetes mellitus in females, with only BMI and MAC showing a consistent significant association in males.
Key words: Adiposity indices, diabetes mellitus, gender, Nigeria.