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Association between obesity and diabetes mellitus in veterans with spinal cord injuries and disorders.

Abstract：

OBJECTIVES:To examine the association between body mass index (BMI) and clinically diagnosed diabetes in veterans with spinal cord injuries and disorders. We also sought to determine whether there is evidence to support a 10% reduction in BMI cut points, which would lower the upper limit of normal BMI from 24.99 to 22.49 kg/m, for persons with spinal cord injuries and disorders. DESIGN:Cross-sectional analysis using clinical data on 1938 male veterans. Prevalence ratios (95% confidence intervals) were calculated using a generalized linear model and adjusted for age, race, tobacco use, and paraplegia/tetraplegia status. RESULTS:Compared with the National Heart Lung Blood Institute normal BMI category (18.5-24.99 kg/m), the prevalence of diabetes was 50% higher (adjusted prevalence ratio: 1.50, 95% CI: 1.11-2.01) in the overweight category (25-29.99 kg/m) and approximately 3-fold higher (for obese classes 1-3, adjusted prevalence ratio: 2.74-3.03) in the obese category (BMI >or= 30 kg/m). Compared with the World Health Organization low-normal category (BMI, 18.5-22.99 kg/m), there was no significant difference in the prevalence of diabetes for those in the high normal weight (BMI, 23-24.99 kg/m) or low overweight (BMI, 25-27.49 kg/m) categories. However, the prevalence of diabetes was 2-fold higher among those in the high overweight category (BMI, 27.5-29.99 kg/m; adjusted prevalence ratio: 2.00, 95% CI: 1.33-2.99). CONCLUSIONS:BMI >or=25 kg/m was associated with significantly higher diabetes prevalence in male veterans with spinal cord injuries and disorders, and this risk was especially pronounced at BMI >or=27.5 kg/m. These findings do not support the need to create spinal cord injuries and disorder-specific BMI definitions of overweight for purposes of determining diabetes risk.

journal_name

Am J Phys Med Rehabil

journal_title

American journal of physical medicine & rehabilitation

authors

Rajan S,McNeely MJ,Hammond M,Goldstein B,Weaver F

doi

10.1097/PHM.0b013e3181d896b9

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

353-61

issue

eissn

0894-9115

issn

1537-7385

pii

00002060-201005000-00001

journal_volume

pub_type

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Association between obesity and diabetes mellitus in veterans with spinal cord injuries and disorders.