Endocrine Abstracts (2006) 11 P390

Association among individual deprivation using the EPICES score and anthropometric factors linked to abdominal and metabolic markers

H Bihan1, G Nguyen3, R Cohen1, C Menu3, K Soufi2, G Reach1 & H LeClésiau2

1Hôpital Avicenne, Bobigny, France; 2CPSS, Bobigny, France; 3Gemba Life, Courbevoie, France.

The medical burden of deprived patients is high. In diabetes deprivation status is associated with poor metabolic control and more frequent complications. No data to date existed showing the association between individual deprivation in adults and anthropomorphic factors linked to abdominal obesity. We would determine whether individual index of deprivation were associated with anthropomorphometric dimensions, postures or body girths and metabolic parameters. We conducted a cross-sectional study in France, using in a general population of adults a 3 D body scanner consisted of 4 columns each including 2 CCD cameras. More than 50 body dimensions on lengths, circumferences and postures were recorded. Fasting glycaemia and lipid profile were performed. Individual deprivation was assessed by the EPICES score (11 questions validated in more than 500000 French subjects).

A total of 339 adults were enrolled (mean age of 42.89±14.63, 54.3% male). The prevalence of overweight and obese subjects was significantly higher in deprived individuals (respectively 33.8% vs 28.8% and 21.3 vs 13.0%, P=0.03) with higher BMI, weight, clinical waist circumference and waist/hip ratio. Fasting triglycerides (1.17±0.81 vs 85.36±13.18, P=0.03), glycaemia (5.56±1.79 vs 5.18±0.96, P=0.01) and HOMA index (2.47±3.14 vs 1.69±1.28, P=0.001) were significantly higher in deprived subjects. In women anthropometric girths determined by body scanner were significantly higher when associated with deprivation. Higher chest bust (96.83 vs 94.79 cm, P=0.04), waist (90.10 vs 84.86, P=0.03), high hip (100.68 vs 94.13, P=0.01), hip (106.12 vs 100.69, P=0.009) and abdomen (94.06 vs 87.72, P=0.02) girths were observed.

In deprived subjects clinical or measurements by optic body scanner were significantly higher with a gender effect. Prevalence of higher abdominal circumferences associated with higher triglycerides and glycaemia was higher in deprived women evoking the existence of early insulino-resistance status.

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