Abstract
Introduction: Diabetes is one of the major public health problems in Nepal. Very few studies on correlation between waist hip ratio and random blood sugar have been done in remote areas of Nepal particularly in minor ethnic groups like Thami. This study attempted to compare waist hip ratio and blood sugar level in Thami community of Nepal.Methods: This cross sectional study was conducted in sub-health post of Lapilang village of Dolakha district of Nepal. A total of 243 local inhabitants from Thami Tribe participated in the study. Waist hip ratio was calculated after taking measurements of waist and hip using flexible measuring tape; and, blood glucose level was measured by glucometer.Results: The mean age of the participants was 46.02 years; among participants 126(51.9%) were males and 117(48.1%) were females. Mean waist hip ratio was 0.87, mean blood sugar level was 124.5mg%.Increase in Waist hip ratio correlated significantly with increase in random blood sugar level both in males(p=0.008) and females(p=0.007).Conclusions: Increase in waist hip ratio is associated with increase in random blood sugar level. Therefore, there is a need of public awareness program to reduce waist circumference thus reducing weight of people to prevent development of diabetes mellitus in long run.Keywords: blood sugar level; diabetes; Thami community; waist hip ratio
Highlights
Diabetes is one of the major public health problems in Nepal
Paired samples correlation table was constructed to assess the correlation of waist hip ratio with random blood sugar level in both sexes; it was observed that statistical significance was observed both in males (p =0.008) and females (p=0.007) (Table 4, 5)
We found significant association between Waist hip ratio (WHR) with random blood sugar level in the community
Summary
Diabetes is one of the major public health problems in Nepal. Very few studies on correlation between waist hip ratio and random blood sugar have been done in remote areas of Nepal in minor ethnic groups like Thami. This study attempted to compare waist hip ratio and blood sugar level in Thami community. Prevalence of Diabetes in Nepal is (3.58%).[1] Mean diabetes related expenditure per person with diabetes in Nepal is 43.89 US dollar, a quite expensive figure.[1] In Rural areas of Nepal 191,010 diabetes cases were reported in 2012.1 Few researches were conducted to measure Diabetes prevalence and its association with waist hip ratio. Waist hip ratio has been a significant tool to find people at risk of diabetes. People having high blood sugar level and high waist hip ratio are more prone to diabetes mellitus than people with normal value of blood sugar and waist hip ratio.[4,5] There is substantial evidence that achieving a healthy body weight and moderate physical activity can help prevent the development of type 2
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