Comparative Evaluation of Body Mass Index, Waist Circumference and Waist-To-Hip Ratio as Correlates of Glucose Intolerance among Rural Dwellers in Nigeria

This research investigates the comparative efficacy of Body Mass Index (BMI), Waist Circumference (WC), and Waist-to-Hip Ratio (WHR) as correlates of glucose intolerance among rural dwellers in Nigeria. Conducted as a descriptive cross-sectional study in Oyo State, Nigeria, the research involved adults aged 18 years and above. The study employed a multi-stage cluster sampling technique, selecting participants from rural communities. Exclusion criteria included pregnant women and those with known diabetes or medications affecting glucose metabolism. Anthro-pometric indices and blood glucose levels were determined using Hanson's weighing scale, a meter rule, and biochemical auto-analyzers. The BMI, WC, and WHR were utilized to assess obesity and abdominal adiposity. Blood glucose levels were measured for fasting and 2-hour post-prandial samples. Data analysis involved descriptive statistics and chi-square tests using SPSS version 26. Results from the study revealed demographic characteristics and medical history of participants. Findings indicated a significant association between anthropometric parameters and gender. Notably, WHR exhibited a strong correlation with glucose intolerance, emphasizing its potential as a predictor. The study also presented the correlation of BMI, WC, and WHR with blood glucose levels, categorizing participants into different risk groups based on these indices. This research contributes valuable insights into the effectiveness of BMI, WC, and WHR in predicting glucose intolerance among rural dwellers in Nigeria. The findings underscore the importance of tailored interventions for specific populations, considering regional variations in health determinants. Future research can build upon these results to develop targeted strategies for diabetes prevention and management in rural communities.