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Current Trends in Science and Technology

an Open Access Publication ISSN: 0976-9730 | 0976-9498

Medical

Correlation between Body mass index and Random Blood Glucose levels in south Indian population – An observational Study

Dr. K. Sangeetha M.D
Associate Professor, Department of Biochemistry, Government Villupuram Medical College. Villupuram
Dr.A.S. Rajendren M.D
Professor, department of Internal Medicine Government Villupuram Medical College. Villupuram. Corresponding Author: Email id: internalmedicinegvmchvpm@gmail.com
Ms. A. Pavithra
II MBBS, Government Villupuram Medical College. Villupuram.
Online First: June 19, 2018
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Abstract

Background:


Obesity is a state of excess adipose tissue mass which is the leading public health challenge in India and across the world. It is independently associated with high risk of metabolic syndrome, cardiovascular disease, ischemic stroke and many other ailments. Type 2 Diabetes Mellitus is a multifactorial disease due to insulin resistance, obesity initiated by hyperglycaemia.  This study aimed to correlate BMI with Diabetes mellitus.


Materials and Methods:


This observational study was conducted in the Department of Biochemistry, Government Villupuram Medical College,Villupuram.   The total sample size of 376 people was divided in 5 groups categorized on the basis of Body Mass Index (BMI). They were classified as overweight, obese and normal according to BMI ≤ 18.50 –Underweight, 18.5 - 24.99 - Normal ,25.0-29.99- Overweight,  ≥30.0 -obese. After getting informed consent from the participants 3 ml venous sample obtained which was used for blood sugar measured by  glucose oxidase peroxidase method.


Results:


The total 376 patients[female 279, male 97] were  divided into 5 categories depending on their BMI levels.  The BMI spanned from 21.5 to 40 [25.1 ± 4.35]. The mean weight our study population was 60.24 kgs ± 12.35kgs. The glucose values ranged from 63.5 mg% to 548 mg%. From the results, it is quite clear that in Groups 2 & 3, more than 50% of the quartiles are having blood glucose values in the above normal range.


Conclusion:


This study shows a positive correlation between Random Blood Glucose and BMI. Further, it stressed the importance of early detection of obesity, so that prompt intervention measures can be started especially in patients with high BMI.

Keyword : Body Mass Index [BMI], Obesity, Diabetes Mellitus.

  Submitted
Jun 19, 2018
Published
Jun 19, 2018
Abstract Views
217
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71

References

1. Neelam Agrawal, Mukesh Kumar Agrawal, Tannu Kumari, Sunil Kumar :Correlation between Body Mass Index and Blood Glucose Levels in Jharkhand Population. International journel of contemporary medical research; Volume 4-Issue 8. 2. Zinah Abd Ulelah Abd Ali, Mahmood Shakir Al-Zaidi : The Association between Body Mass Index, Lipid profile and Serum Estradiol levels in sample of Iraqi diabetic premenopausal women.Oman Medical Journal 2011 Vol.26 No.4:263-266. 3. Rothangpui, Geeta Thiyam, AthuiGangmei : Correlation of blood sugar , serum lipid profile, blood pressure,duration of diabetes in a patient with diabetic cardiomyopathy – A hospital based study in Manipur. p-ISSN : 2279-0861,Volume 14,Issue 8(2015). 4. Yuji Shmizu,MioNakazaro,TakaharuSekita,Kiyoshi Aoyagi: Body mass index and triglyceride to HDL cholesterol ratio in relation to risk of diabetes: The Nagasaki islands study. Acta med:2013. 5. Nazia Farah, M.Syamala Devi , Asish Kumar Patnik :Correlation of adiposity with fasting blood glucose in young individuals. Sch,J. App.Med.Sci.,2015:3(3G):1534-1538. 6. Kelly T.YangW.ChenCS,Reynolds K, He J:Global burden of obesity in 2005 and projections to 030.Int J Obes (lond),200:32;1431-1437. 7. Riaz S, Alam SS, Razza M, HasnanianS,AktharMW.Obesity as risk factor and study of obesity related proteins in diabetes mellitus.Afr J Biotechnol 2009;8(5):737-744. 8. Kangduk Choi and Young Bum Kim: Molecular mechanism of insulin resistance in obesity and type 2 diabetes.DOI :10.39.4/kjim.2010.25.2.119. 9. Muhammad A.Abdul Ghani, Ralph A.DeFronzo: Pathogenesis of insulin resistance in skeletal muscle.doi:10.1155/2010/476279. 10. S.T. Heydari, A.R. Koshdel, B. Sabayan, F. Abtahi, M. Zamirian and S. Sedaghat, Iranian Cardiovascular Research Journal4 (1), 22-27 (2010). 11. Paul Farajian, EfthimiaRenti, Yannis Manios. Obesity indices in relation to cardiovascular diseases risk factors among young adult female students. British Journal of Nutrition 2008; 99: 918-24. 12. Haziz AS, Zaitun Y, Kandiah M, Chan SP. Glycemic control, lipid profile, blood pressure and body weight status among diabetics in rural Malaysia. International Medical Journal 2009; 8(2): 21-27. 13. Adeghate E: Molecular and cellular basis of the etiology and management of diabetic cardiomyopathy - A short review. Mol Cell Biochem. 261(1-2): 187-191, 2004. 14. Bertoni AG, Goff DC and Agosyino Ralph BD: Diabetic Cardiomyopathy and sub-clinical cardiovascular disease: The multi-ethnic study of atheroslerosis. Diabetic Care; 29, 588-594, 2006. 15. Zaman MM, Choudhury SR, Ahmed J, Talukder MH, Rahman AS. Blood glucose and cholesterol levels in adult population of Bangladesh: results from STEPS 2006 survey. Indian Heart J. 2016;68(1):52-6. 16. Innocent O, ThankGod OO, Sandra EO, Josiah IE. Correlation between body mass index and blood glucose levels among some Nigerian undergraduates. HOAJ Biol. 2013;2(1):4. 17. World Health Organization. Obesity and Overweight Facts. Available at: http://www.who.int/ hpr/NPH/docs/gs_obesity.pdf. Accessed on 4 May 2017. 18. American Diabetes Association. Available at: http://www.diabetes.org Accessed on 25 May 2017. 19. Henriksson J: Influence of exercise on insulin sensitivity. J Cardiovasc Risk. 1995;2:303-9. 20. Saiem Al-Dahr, M.H. and E.H. Jiffri, 2010. Increased adipose tissue expression of tumor necrosis and insulin resistance in obesepatients with coronary artery disease? subjects with type II diabetes. World J. Medical Sci.,9: 55-63. 5(2): 30-35.
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References

1. Neelam Agrawal, Mukesh Kumar Agrawal, Tannu Kumari, Sunil Kumar :Correlation between Body Mass Index and Blood Glucose Levels in Jharkhand Population. International journel of contemporary medical research; Volume 4-Issue 8.
2. Zinah Abd Ulelah Abd Ali, Mahmood Shakir Al-Zaidi : The Association between Body Mass Index, Lipid profile and Serum Estradiol levels in sample of Iraqi diabetic premenopausal women.Oman Medical Journal 2011 Vol.26 No.4:263-266.
3. Rothangpui, Geeta Thiyam, AthuiGangmei : Correlation of blood sugar , serum lipid profile, blood pressure,duration of diabetes in a patient with diabetic cardiomyopathy – A hospital based study in Manipur. p-ISSN : 2279-0861,Volume 14,Issue 8(2015).
4. Yuji Shmizu,MioNakazaro,TakaharuSekita,Kiyoshi Aoyagi: Body mass index and triglyceride to HDL cholesterol ratio in relation to risk of diabetes: The Nagasaki islands study. Acta med:2013.
5. Nazia Farah, M.Syamala Devi , Asish Kumar Patnik :Correlation of adiposity with fasting blood glucose in young individuals. Sch,J. App.Med.Sci.,2015:3(3G):1534-1538.
6. Kelly T.YangW.ChenCS,Reynolds K, He J:Global burden of obesity in 2005 and projections to 030.Int J Obes (lond),200:32;1431-1437.
7. Riaz S, Alam SS, Razza M, HasnanianS,AktharMW.Obesity as risk factor and study of obesity related proteins in diabetes mellitus.Afr J Biotechnol 2009;8(5):737-744.
8. Kangduk Choi and Young Bum Kim: Molecular mechanism of insulin resistance in obesity and type 2 diabetes.DOI :10.39.4/kjim.2010.25.2.119.
9. Muhammad A.Abdul Ghani, Ralph A.DeFronzo: Pathogenesis of insulin resistance in skeletal muscle.doi:10.1155/2010/476279.
10. S.T. Heydari, A.R. Koshdel, B. Sabayan, F. Abtahi, M. Zamirian and S. Sedaghat, Iranian Cardiovascular Research Journal4 (1), 22-27 (2010).
11. Paul Farajian, EfthimiaRenti, Yannis Manios. Obesity indices in relation to cardiovascular diseases risk factors among young adult female students. British Journal of Nutrition 2008; 99: 918-24.
12. Haziz AS, Zaitun Y, Kandiah M, Chan SP. Glycemic control, lipid profile, blood pressure and body weight status among diabetics in rural Malaysia. International Medical Journal 2009; 8(2): 21-27.
13. Adeghate E: Molecular and cellular basis of the etiology and management of diabetic cardiomyopathy - A short review. Mol Cell Biochem. 261(1-2): 187-191, 2004.
14. Bertoni AG, Goff DC and Agosyino Ralph BD: Diabetic Cardiomyopathy and sub-clinical cardiovascular disease: The multi-ethnic study of atheroslerosis. Diabetic Care; 29, 588-594, 2006.
15. Zaman MM, Choudhury SR, Ahmed J, Talukder MH, Rahman AS. Blood glucose and cholesterol levels in adult population of Bangladesh: results from STEPS 2006 survey. Indian Heart J. 2016;68(1):52-6.
16. Innocent O, ThankGod OO, Sandra EO, Josiah IE. Correlation between body mass index and blood glucose levels among some Nigerian undergraduates. HOAJ Biol. 2013;2(1):4.
17. World Health Organization. Obesity and Overweight Facts. Available at: http://www.who.int/ hpr/NPH/docs/gs_obesity.pdf. Accessed on 4 May 2017.
18. American Diabetes Association. Available at: http://www.diabetes.org Accessed on 25 May 2017.
19. Henriksson J: Influence of exercise on insulin sensitivity. J Cardiovasc Risk. 1995;2:303-9.
20. Saiem Al-Dahr, M.H. and E.H. Jiffri, 2010. Increased adipose tissue expression of tumor necrosis and insulin resistance in obesepatients with coronary artery disease? subjects with type II diabetes. World J. Medical Sci.,9: 55-63. 5(2): 30-35.
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