Published: 2019-08-27

Correlation of wrist circumference with waist circumference and body mass index in adults with early-onset type 2 diabetes mellitus

Ajithkumar P. V., Manju L., Deepa M.


Background: Recent studies have shown that wrist circumference is correlated with insulin resistance, obesity and new onset diabetes. Being easy to measure, it may be useful in identifying individuals at risk for cardio- metabolic disorders.

Methods: 112 consecutive subjects with new onset type 2 diabetes in the age group 18-44 years were included in the study. Socio demographic characteristics, anthropometric and biochemical measurements were carried out using standard techniques. Pearson product movement Correlation Coefficient was used to find out correlation with other measures of obesity and ROC curve to determine its cut off values.

Results: Wrist circumference showed moderate positive correlation with BMI (r+0.389) and waist circumference (r+0.443). The cut off value of wrist circumference when compared with BMI in defining obesity was 16.5cm in male and 15.7 cm in female. The cut off value of wrist circumference with waist circumference in male was 16.2cm.

Conclusions: Measurement of wrist circumference may supplement in assessing obesity especially when other measures of obesity like BMI or Waist circumference measurements are difficult or not feasible.


Body mass index, Correlation, Early onset, Type 2 diabetes, Waist circumference, Wrist circumference

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Hillier TA, Pedula KL. Characteristics of an adult population with newly diagnosed type 2 diabetes: the relation of obesity and age of onset. Diabetes care. 2001 Sep 1;24(9):1522-7.

Mokdad AH, Ford ES, Bowman BA, Nelson DE, Engelgau MM, Vinicor F, Marks JS. Diabetes trends in the US: 1990-1998. Diabetes care. 2000 Sep 1;23(9):1278-83.

Fukumoto S, Martin TJ. Bone as an endocrine organ. Trends Endocrinol Metab. 2009 Jul;20(5):230-6.

Lee NK, Sowa H, Hinoi E, Ferron M, Ahn JD, Confavreux C, et al. Endocrine regulation of energy metabolism by the skeleton. Cell. 2007 Aug 10;130(3):456-69.

Grant JP, Custer PB, Thurlow J. Current techniques of nutritional assessment. Surg Clin North Am. 1981 Jun 1;61(3):437-63.

Freedman DS, Rimm AA. The relation of body fat distribution, as assessed by six girth measurements, to diabetes mellitus in women. Am J Public Health. 1989 Jun;79(6):715-20.

Blaak E. Sex differences in the control of glucose homeostasis. Curr Opin Clin Nutr Metab Care. 2008 Jul;11(4):500-4.

Callewaert F, Sinnesael M, Gielen E, Boonen S, Vanderschueren D. Skeletal Sexual Dimorphism: Relative Contribution of Sex Steroids, Growth Hormone–Insulin-Like Growth Factor-I (GH-IGF-I) and Mechanical Loading. J Endocrinol. 2010;207(2):127-34.

Noudeh YJ, Hadaegh F, Vatankhah N, Momenan AA, Saadat N, Khalili D, et al. Wrist Circumference as a Novel Predictor of Diabetes and Prediabetes: Results of Cross-Sectional and 8.8-Year Follow-up Studies. J Clin Endocrinol Metab. 2013;98(2):777-84.

Capizzi M, Leto G, Petrone A, Zampetti S, Papa RE, Osimani M, et al. Wrist circumference is a clinical marker of insulin resistance in overweight and obese children and adolescents. Circulation. 2011 Apr 26;123(16):1757-62.

Freedman DS, Rimm AA. The relation of body fat distribution, as assessed by six girth measurements, to diabetes mellitus in women. Am J Public Health. 1989 Jun;79(6):715-20.

Paisey RB, Paisey RM, Thomson MP, Bower L, Maffei P, Shield JP, et al. Protection from clinical peripheral sensory neuropathy in Alström syndrome in contrast to early-onset type 2 diabetes. Diabetes care. 2009 Mar 1;32(3):462-4.

Kinjo M, Setoguchi S, Solomon DH. Bone mineral density in adults with the metabolic syndrome: analysis in a population-based US sample. The J Clin Endocrinol Metab. 2007 Nov 1;92(11):4161-4.

Ferron M, Wei J, Yoshizawa T, Del Fattore A, DePinho RA, Teti A, et al. Insulin signaling in osteoblasts integrates bone remodeling and energy metabolism. Cell. 2010 Jul 23;142(2):296-308.

Campagna G, Zampetti S, Gallozzi A, Giansanti S, Chiesa C, Pacifico L, et al. Excellent intra and inter-observer reproducibility of wrist circumference measurements in obese children and adolescents. PloS One. 2016 Jun 13;11(6):e0156646.

Hazani R, Engineer NJ, Cooney D, Wilhelmi BJ. Anatomic landmarks for the first dorsal compartment. Eplasty .2008;8: e53.

Reddy RS, Compson J. (i) Examination of the wrist-surface anatomy of the carpal bones. Cur Orthopaed. 2005 Jun 1;19(3):171-9.

Amini A, Soltanian N, Iraj B, Askari G, Ebneyamin S, Ghias M, et al. Association of Wrist Circumference with Cardio Metabolic Risk Factors. J Pak Med Assoc.2012; 62(3):S346.

Mohebi R, Mohebi A, Sheikholeslami F, Azizi F, Hadaegh F. Wrist circumference as a novel predictor of hypertension and cardiovascular disease: results of a decade follow up in a West Asian cohort. J Am Soc Hypert. 2014 Nov 1;8(11):800-7.

Hajsadeghi S, Firouzi A, Bahadoran P, Hassanzadeh M. The value of wrist circumference for predicting the presence of coronary artery disease and metabolic syndrome. Ind Heart J. 2016 Dec 1;68:S5-9.

Obirikorang C, Obirikorang Y, Acheampong E, Anto EO, Toboh E, Asamoah EA, et al. Association of Wrist Circumference and Waist-to-Height Ratio with Cardiometabolic Risk Factors among Type II Diabetics in a Ghanaian Population. J Diab Res. 2018;2018(3):1-11.

Karki BB, Bhattarai MD, Bajracharya MR, Karki S, Devkota AR. Correlation of neck and wrist circumference with waist circumference. J Adv Internal Med. 2014;3(2):47-51.

Shafiee G, Qorbani M, Heshmat R, Djalalinia S, Motlagh ME, Arefirad T, et al. Wrist circumference as a novel predictor of obesity in children and adolescents: the CASPIAN-IV study. J Pediatr Endocr Metab. 2018 Jul 26;31(7):717-25.

Wills SD, Bhopal RS. The challenges of accurate waist and hip measurement over clothing: Pilot data. Obes Res Clin Prac. 2010 Jul 1;4(3):e239-44.

Mitrea A, Soare A, Popa SG, Tudor MN, Mota M, Pozzilli P. Wrist circumference: an independent predictor of both insulin resistance and chronic kidney disease in an elderly population. Romanian J Diab Nutr Metab Dis. 2013 Sep 1;20(3):323-9.