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Journal of Diabetes Research
Volume 2018, Article ID 1838162, 11 pages
Research Article

Association of Wrist Circumference and Waist-to-Height Ratio with Cardiometabolic Risk Factors among Type II Diabetics in a Ghanaian Population

1Department of Molecular Medicine, School of Medical Sciences, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, Ghana
2Department of Nursing, Faculty of Health and Allied Sciences, Garden City University College (GCUC), Kenyasi, Kumasi, Ghana
3School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia
4Diagnostic Unit, Dansoman Polyclinic, Ghana Health Service, Accra, Ghana
5Department of Medical Laboratory Technology, Faculty of Allied Health Sciences, KNUST, Kumasi, Ghana

Correspondence should be addressed to Emmanuel Acheampong; moc.oohay@0991aehcaleunamme

Received 27 July 2017; Revised 24 November 2017; Accepted 27 December 2017; Published 19 February 2018

Academic Editor: Rajesh Vedanthan

Copyright © 2018 Christian Obirikorang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The study determined the association of wrist circumference (WrC) and waist-to-height ratio (WHtR) with cardiometabolic risk factors among diabetics in a Ghanaian population. This cross-sectional study involved 384 diabetic patients at Begoro District Hospital, Ghana. Blood pressure, anthropometrics, and biochemical indices were measured. The overall prevalence of dyslipidaemia, metabolic syndrome (MetS), and hypertension was 42.4%, 76.3%, and 39.8%, respectively. The optimum cut-off range of WrC to identify individuals at increased cardiometabolic risk was 17.5 to –17.8 cm for men and 16.0 to 16.7 cm for women while that of WHtR was 0.52 to 0.61 for men and 0.53 to 0.59 for women. WrC for women was a significant independent predictor for MetS [aOR = 3.0 (1.39–6.72), ] and systolic blood pressure [aOR = 2.08 (1.17–3.68), ]. WHtR was a significant positive predictor for triglycerides [aOR = 3.23 (0.10–3.82), ] for women. Using Framingham risk scores, 61% of the subjects had elevated 10-year risk of developing cardiovascular diseases (CVDs), with no significant difference in gender prevalence. WrC [aOR = 6.13 (0.34–111.4), ] and WHtR [aOR = 2.52 (0.42–15.02), ] were associated with statistically insignificant increased odds of moderate-to-high risk of developing CVDs in 10 years. The use of gender-specific cut-offs for WrC and WHtR may offer putative markers for early identification of CRFs.