Correlations between multiple obesity diagnostic criteria and fracture risk as well as cardiovascular diseases in patients with diabetes mellitus - Report - MDSpire

Associations of Various Obesity Assessment Methods with Fracture Risk and Cardiovascular Disease in Diabetic Patients

  • By

  • Zhenrun Zhan

  • Ke Zheng

  • Yalong Tu

  • Chao Lan

  • Lifeng Zheng

  • July 21, 2026

Share

Clinical Report: Associations of Various Obesity Assessment Methods with Fracture Risk

Overview

This study evaluates the associations between different obesity diagnostic criteria and the risks of cardiovascular disease (CVD) and fractures in diabetic patients.

Background

Obesity is a growing global health concern, particularly among individuals with diabetes, who face increased risks of complications such as cardiovascular disease and fractures.

Data Highlights

MetricChange
High BMI in China (1990-2021)Increased by 146.22%
Global High BMI IncreaseIncreased by 70.89%
WHtR and CVD Risk (Highest vs. Lowest Tertile)OR = 1.14 (95% CI: 1.04–1.25)
WHtR and Hip Fracture Risk (Highest vs. Lowest Tertile)OR = 1.83 (95% CI: 1.41–2.62)

Key Findings

  • The age-standardized rate of high BMI in China increased by 146.22% from 1990 to 2021.
  • EASO criteria showed significant associations with cardiovascular disease in the diabetic cohort.
  • WHtR was a significant risk factor for both cardiovascular disease and hip fractures across all models.
  • Higher WHtR tertiles were associated with increased risks of CVD and hip fractures, indicating a dose-response relationship.
  • Restricted cubic spline models confirmed that risk increases with rising WHtR.

Clinical Implications

This study presents findings related to waist-to-height ratio in the context of obesity-related comorbidities in diabetic patients.

Conclusion

The rising burden of high BMI, particularly in China, is highlighted in this study.

Related Resources & Content

  1. American Diabetes Association, Standards of Care in Overweight and Obesity—2026
  2. The Journal of Clinical Endocrinology & Metabolism, Identifying Fracture Risk Factors in Middle-Aged and Older Individuals with Type 2 Diabetes and Excess Weight
  3. Frontiers in Endocrinology, Correction: Fracture and mortality outcomes by osteoporosis treatment route in patients with type 2 diabetes and obesity
  4. The Journal of Clinical Endocrinology & Metabolism, F2-Isoprostanes Are Associated With Increased Fracture Risk in Type 2 Diabetes
  5. Association between weight-adjusted waist index and cardiovascular disease: a systematic review and meta-analysis
  6. The Journal of Clinical Endocrinology & Metabolism — Bone Microstructure in Elderly Men with Type 2 Diabetes: Significance of Bone Dimensions
  7. Screening, Diagnosis, Evaluation, and Staging of Obesity in Adults
  8. Predictors of Fracture in Middle-Aged and Older Adults With Type 2 Diabetes and Overweight or Obesity
  9. Association between weight-adjusted waist index and cardiovascular disease: a systematic review and meta-analysis - PubMed

Original Source(s)

Related Content