| dc.description.abstract | The incidence of DM has dramatically increased
within the past few decades. It has become a
personal, national and global problem which
affected on individuals clinically as well as
financially, while having an effect on low
productivity of the country. Hence, early detection
plays a vital role on the prevention of the
condition and its complications. HbA1c is the best
worldwide laboratory investigation which is used
to diagnose DM. It is an expensive investigation
and may not be able to be performed frequently on
poor people and people in developing countries.
This study was done to determine the association
of BMI and WC with HbA1c level because BMI and
WC are simple and non-invasive anthropometric
measurements that can be used to gain an idea
of HbA1c level of an individual. A descriptive
cross sectional quantitative study was conducted
using a pre tested structural questionnaire, with
diagnosed type II DM patients. Patients with type
I DM and red blood cells disorders and pregnant
mothers were excluded. Patients who were not
with normal Hb levels were also excluded from
the sample population. All participants were
included to the age limit of “Elders” (18- 80).
Among 331 participants, there was a considerable
difference of sensitivity between BMI and WC
in both genders. 68.3% males and 65.6% females
were with high risk of WC and 37.7% males
and 37.1% females were with high risk of BMI
values. 84.2% participants with middle and high
WC values showed excellent HbA1c control,
while 23.8% participants with low WC values
showed poor HbA1c control. 53.1% participants
with normal BMI showed poor HbA1c control
while 45% of participants with unhealthy BMI
showed excellent HbA1c control. There was no
any significant association between gender and
HbA1c level (p= 0.001). This study has concluded
that the association between WC and HbA1c is
stronger than the association between BMI and
HbA1c. Recommendation is that WC is better
than BMI to assess the risk of DM. | en_US |
