Lower body mass index is not of more benefit for diabetic complications. Issue 5 (5th February 2019)

• Record Type: Journal Article
• Authors: Zhang, Yongze; Guo, Yangyang; Shen, Ximei; Zhao, Fengying; Yan, Sunjie
• Is Part Of: Journal of diabetes investigation. Volume 10:Issue 5(2019)
• Page Start: 1307
• Page End: 1317
• Publication Date: 2019-02-05
• Subjects: Body mass index -- Type 2 diabetes mellitus -- Vascular complications; Diabetes -- Periodicals; Diabetes -- Research -- Periodicals; Diabetes Mellitus -- Periodicals; 616.462005
• DOI: 10.1111/jdi.13003
• Languages: English
• ISSNs: 2040-1116

Abstract

Abstract: Aims/Introduction: To investigate the relationship between different body mass index (BMI) levels and vascular complications in type 2 diabetes mellitus patients. Materials and Methods: Data were collected from 3, 224 individuals with type 2 diabetes mellitus (male/female: 1, 635/1, 589; age 61.31 ± 11.45 years), using a retrospective case study design. The association of BMI quintiles and diabetes mellitus vascular complications was assessed using multiple logistic regression models adjusting for age, sex, diabetes duration, smoking status, drinking and other confounders, using those with the lowest quintile of BMI as the reference group. Results: With increasing BMI, the detection rate of diabetic peripheral neuropathy and peripheral arterial disease initially decreased and then it increased, whereas the detection rate of diabetic kidney disease and carotid atherosclerotic plaques showed an upward trend; however, diabetic retinopathy was irregular. The odds ratios of diabetic peripheral neuropathy decreased as BMI increased from the 21st percentile to the 80th percentile initially, and increased when BMI was in >80th percentile. The same result was shown in peripheral arterial disease. BMI >80th percentile showed a 1.426‐fold risk of diabetic kidney disease and a 1.336 ‐fold risk of carotid atherosclerotic plaque. Conclusions: In patients with type 2 diabetes mellitus, the relationship between different BMIs and vascular complications varies. A U‐shaped relationship was observed between BMI and diabetic peripheral neuropathy, as well as BMI and peripheral arterial disease. BMI is positively correlated with diabetic kidney disease and carotid atherosclerotic plaque; however, it is not correlated with diabetic retinopathy. Abstract : In patients with T2DM, the relationships between different BMIs and vascular complications are not the same. A U‐shaped relationship is observed between BMI and DPN as well as BMI and PAD. BMI is positively correlated with DKD and carotid atherosclerotic plaque; however, it is not correlated with DR.