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Cited by 7Diabetes, Cardiovascular Risks, and LipoproteinsObesity, Physical Activity, DietCancer Risks and Factors

Impact of adiposity indices changes across the lifespan on risk of diabetes in women: trajectory modeling approach

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Mousavi, Maryam, Saei Ghare Naz, Marzieh, Firouzi, Faegheh, Azizi, Fereidoun, Ramezani Tehrani, Fahimeh·2024·BMC Public Health
DOI 10.1186/s12889-024-19996-4PMC PMC11378475
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Abstract

AIMS: The impact of life-course different adiposity indices on diabetes mellitus (DM) is poorly understood. We aimed to do trajectory analysis with repeated measurements of adiposity indices in the development of DM among women across the lifespan. METHODS: This study prospectively investigated the 1,681 population of Tehran Lipid and Glucose Study. At baseline, all individuals were free of diabetes. Trajectory analysis was used to identify homogeneous distinct clusters of adiposity indices trajectories and assign individuals to unique clusters. RESULTS: Of the 1681 healthy women, 320 progressed to the DM. Three distinct body mass index (BMI) trajectories and 2 distinct trajectories of other adiposity indices (waist circumstance (WC), conicity index (C-index), and body roundness index (BRI)) were chosen as the best fitting of the latent class growth mixture model. In the adjusted model, total participants [HR (CI 95%): 2.83 (2.05, 3.91); p < 0.001], and menopause [1.35 (1.10, 2.11); p = 0.001] and reproductive-age women [2.93 (1.80, 4.78); p = 0.003] of the high BMI trajectory compared to the ones in the low trajectory of BMI were more likely to develop DM. The high BRI in menopause had a significantly higher risk of DM compared to the low trajectory. In menopause (1.80 (1.26, 2.58)) and reproductive-age women (4.32 (2.49, 7.47)) with high trajectory of C-index, the DM risk decreased after adjustment. CONCLUSIONS: The risk of DM was greater for high BMI, WC, C-index, and BRI trajectories than for lower trajectories. Hence, the development of general, abdominal, and visceral obesity trajectories in the prevention of DM should be considered by clinicians.

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  • Mousavi et al. reported that during reproductive age, both BMI and BRI were significantly higher in female with diabetes than in those without, whereas after menopause, only BRI remained significantly different.

    “Mousavi et al. [27], in a study of diabetes risk across the female life cycle, compared premenopausal and postmenopausal female and reported that during reproductive age, both BMI and BRI were significantly higher in female with diabetes than in those without, whereas after menopause, only BRI remained significantly different.”

    From The discriminatory ability of the body roundness index and body mass index for metabolic diseases in Korean adults: a comparative study (2025) · cites this paper as [27]

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Cited by

Sorted by citations

Authors
Mousavi, M., Saei Ghare Naz, M., Firouzi, F., Azizi, F., & Ramezani Tehrani, F.
Affiliations
  • Research Institute for Endocrine Sciences (IR)
  • Islamic Azad University, Tehran (IR)
ORCID
Venue
BMC Public Health
Publisher
Springer Science and Business Media LLC
Published
2024-09-06
Volume
24
Issue
1
Pages
2429-2429
ISSN
1471-2458 (ISSN-L)
DOI
10.1186/s12889-024-19996-4
PMC
PMC11378475
OpenAlex
W4402313931
Cited by
7
References
4
Citations by year
2026: 2 · 2025: 5
FWCI
2.31
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Public Health (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
  • Shahid Beheshti University of Medical Sciences
  • Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Oncology › Cancer Risks and Factors
Keywords
diabetes mellitus, adiposity indices, body mass index trajectories, waist circumference, conicity index, body roundness index, abdominal obesity, visceral obesity, menopause, women of reproductive age, women, diabetes risk
MeSH terms
Adult, Aged, Diabetes Mellitus, Female, Humans, Iran, Middle Aged, Prospective Studies, Risk Factors, Body Mass Index, Adiposity

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