Diabetogia: A Comparative Study of Obesity Index and Type 2 Diabetes Mortality

The purpose of this prospective associated study was to compare the relationship between four obesity indices and the risk of death in people with type 2 diabetesthe relationship between BMI, waist circumference, WHR and body mass index (ABSI) and all-cause mortality was analysed among 1,282 participants in the Fremantle Diabetes Study, followed by a baseline assessment for up to 20 yearsThe model was adjusted according to age and other confounding factors; Sensitivity analysis was also carried out to minimize reverse causationwhen the index is evaluated as a continuous variable, there is a significant binary correlation with mortality: ABSI has a significant binary association in both male and female deaths (p 0.001); When assessed in a quartile, there was a significant double-variable association between absI and mortality in men and women (p .001), and only women's BMI (p s 0.002)In the Cox model of the time of death, the ABSI quintile showed a linear trend for both men (p - 0.003) and women (p - 0.035) adjusted for age, diabetes duration, race, and smokingMen in the ABSI quintile had an increased risk of mortality (HR(95% CI) compared to men in the first quintile, while female mortality risk in the fifth ABSI quintile increased, close to statistical significance (1.42 ,97, 2.08, p.08)Increased risk of male mortality in the fifth WHR quintile (1.47 (1.05, 2.06)There was no association between mortality and BMI or waist circumferenceresults show editing that ABSI is the obesity index most associated with all-cause mortality among people with type 2 diabetes in AustraliaThere is no evidence that the obesity paradox is associated with any of the indicatorsAbsI may be a better central obesity index than waist circumference, BMI or WHR when assessing the risk of death from type 2 diabetes