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Journal Article Epublish 3 citations

PubMed: 38917085 DOI: 10.1371/journal.pone.0305604

The characteristics and risk of obesity central and concomitant impaired fasting glucose: Findings from a cross-sectional study.

PLoS One 19(6):e0305604

Authors: Iche Andriyani Liberty, Indri Seta Septadina, Mariana, Emma Novita, Resi Amalia, Esti Sri Ananingsih, Hamzah Hasyim, Laily Hanifah

Affiliations

  • Department of Public Health and Community Medicine, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia.
  • Department of Anatomy, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia.
  • Faculty of Medicine, Universitas Muhammadiyah, Palembang, Indonesia.
  • Health Ministry Polytechnic, Palembang, Indonesia.
  • Faculty of Public Health, Universitas Sriwijaya, Palembang, Indonesia.
  • Universitas Pembangunan Nasional Veteran Jakarta, Jakarta, Indonesia.

Abstract

INTRODUCTION

Obesity is associated with concomitant chronic conditions. An early metabolic consequence of obesity is disruption of glucose and insulin homeostasis. One of the consequences is impaired fasting glucose (IFG). Visceral fat is metabolically more harmful than subcutaneous fat, but few information is available regarding the association between the risk of abnormal glucose in increased waist circumference.

METHODS

This study is based on a cross sectional of 1,381 population-based from Palembang, Indonesia. The eligibility requirements subject were to be older than 18 and consent to taking fasting glucose and lipid profile tests as well as physical exams measuring their body weight, height, blood pressure, abdominal circumference, and waist circumference.

RESULTS

The number of subjects consisting of 798 noncentral obesity with normoglycemia, 376 central obesity with normoglycemia, and 207 central obesity with concomitant IFG. The prevalence central obesity with concomitant IFG was 35.51%. In subjects with central obesity, there were significant differences in proportions based on sex, age, marital status, education, and occupation. In multivariate analysis show that the risk factors that contribute to having a significant association with central obesity with concomitant IFG are sex (female), age (>40 years), blood pressure (hypertension), and HDL-C <50 mg/dL (p<0.001). The analysis also founded that there was a significant difference in the dietary pattern of sweet foods (p = 0.018), sweet drinks (p = 0.002), soft drinks (p = 0.001) and smoking habit (p<0.001) between subjects with obesity central and concomitant IFG compared to subjects with noncentral obesity. The majority of subjects with obesity central and concomitant IFG had consuming these risky foods >6 times/week.

CONCLUSION

The prevalence of central obesity with IFG is quite high. There are significant differences in the characteristics, lipid profile, blood pressure, dietary pattern, and smoking habit of central obesity with concomitant IFG was confirmed in this population-based observational study.

MeSH

Fasting, Cross-Sectional Studies, Blood, Blood Pressure, Food, Prevalence, Obesity, Sex, Obesity, Abdominal, Waist Circumference, Smoking, Dietary Patterns