Abdominal Circumference as A Predictor of Type II Diabetes Mellitus in Young Women


  • Siti Choirul Dwi Astuti Department of Midwifery, Politeknik Kesehatan Kementerian Kesehatan Gorontalo, Gorontalo City, Gorontalo Province, Indonesia
  • Yohana Putri Apryanti Department of Midwifery, Institut Kesehatan Sumatera Utara, Medan City, North Sumatera, Indonesia




Abdominal Circumference, Diabetes mellitus, Young Women


Obesity is becoming one of the main factors in the increase in non-communicable diseases globally. In Indonesia, the prevalence of central obesity at 15 years and over continues to increase. The increase in visceral fat is related to abnormal metabolisms, such as a decrease in glucose tolerance and insulin sensitivity, causing an increase in blood sugar levels, a risk factor for diabetes. To predict the incidence of type 2 diabetes mellitus, the abdominal circumference is a better predictor than BMI against type 2 diabetes mellitus. This study aims to determine the relationship between abdominal circumference to blood sugar levels in young women. This research is an observational analytical study using the cross-section method. Sampling in this study used a consecutive sample, which was taken based on inclusion and exclusion criteria in the population. The overall subjects of the study amounted to 70 respondents. The results showed a meaningful relationship between the abdominal circumference and fasting blood sugar levels (p = 0.000) with a moderate correlation (r = 0.440) and a significant relationship between abdominal circumference to blood sugar levels 2 hours after glucose loading (p = 0.030) with a weak correlation (r = 0.259). This study concluded that there is a relationship between abdominal circumference and blood sugar levels using an oral glucose tolerance test in young women. As a recommendation, young women should maintain their lifestyle and keep their abdominal circumference not exceeding 80 centimeters to prevent diabetes.     


Download data is not yet available.


Adnyana, A. A. N. K., Surudarma, W., Made Wihandani, D., Wayan, S. G., & Wande, N. (2021). Hubungan lingkar perut terhadap kadar gula darah menggunakan tes toleransi glukosa oral pada remaja akhir. J Med Udayana [Internet], 9(12), 14-20.

Alves, V. P., de Oliveira, R. C., & Gregori, D. (2021). Non-communicable chronic diseases: Mortality of older adult citizens in Brazil and Italy before the Covid-19 pandemic. Health Policy Open, 2(December), 100041. https://doi.org/10.1016/j.hpopen.2021.100041

Ametembun, M. G. (2017). Pancreas Ultrasound among Young Adult Diabetes Melitus Type II with Abdominal Tuberculosis. Ultrasound in Medicine & Biology, 43, S160–S161. https://doi.org/10.1016/j.ultrasmedbio.2017.08.1529

Angullo-Martínez, E., Carretero-Anibarro, E., Sánchez Barrancos, I. M., Cos Claramunt, X., Orozco Beltrán, D., Torres Baile, J. L., Ezkurra Loiola, P., Álvarez Guisasola, F., Arrieta Blanco, F. J., Ávila Lachica, L., Belinchón Sánchez-Somoza, B. M., Caride Miana, E., María Cebrián Cuenca, A., García Soidán, F. J., Martín Manzano, J. L., Navarro Pérez, J., Ortega Millán, C., Sagredo Pérez, J., Ruiz Quintero, M., … Benito Badorrey, B. (2021). Checklist for patients with type 2 diabetes mellitus for remote consultation. Atencion Primaria, 53(4), 101983. https://doi.org/10.1016/j.aprim.2021.101983

Arise, R. O., Taofeek, O. O., Babaita, K., Adeoye, R. I., & Osemwegie, O. (2021). Blood pressure and sugar regulating potentials of Anarcadium occidentale nut globulin and albumin hydrolysates. Heliyon, 7(3), e06384. https://doi.org/10.1016/j.heliyon.2021.e06384

Asiah, N. (2016). Pengaruh Penyuluhan Dalam Peningkatan Pengetahuan Kesehatan Reproduksi Remaja Pada Pengurus Pusat Informasi dan Konseling Mahasiswa UHAMKA. Arkesmas, 1(2), 97–101.

Bolla, A. M., Dozio, N., Scavini, M., Succurro, E., Tumminia, A., Torlone, E., Sasso, F. C., & Vitacolonna, E. (2020). Awareness about diabetes and pregnancy among diabetes specialists and fellows: The YoSID diabetes and pregnancy project. Nutrition, Metabolism and Cardiovascular Diseases, 30(9), 1520–1524. https://doi.org/10.1016/j.numecd.2020.04.019

Bonora, E., Cataudella, S., Marchesini, G., Miccoli, R., Vaccaro, O., Fadini, G. P., Martini, N., & Rossi, E. (2021a). Incidence of diabetes mellitus in Italy in year 2018. A nationwide population-based study of the ARNO Diabetes Observatory. Nutrition, Metabolism and Cardiovascular Diseases, 31(8), 2338–2344. https://doi.org/10.1016/j.numecd.2021.04.017

Bonora, E., Cataudella, S., Marchesini, G., Miccoli, R., Vaccaro, O., Fadini, G. P., Martini, N., & Rossi, E. (2021b). Initial treatment of diabetes in Italy. A nationwide population-based study from of the ARNO Diabetes Observatory. Nutrition, Metabolism and Cardiovascular Diseases, 31(9), 2661–2668. https://doi.org/10.1016/j.numecd.2021.06.006

Burda, N., Mema, V., Mahmudi, E., Selimi, B., Zhugli, S., Lenajni, B., & Bunjaku, I. (2013). Prevalence of dry eye syndrome at patients with diabetus melitus TIP 2. Journal of Acute Disease, 2(1), 48–51. https://doi.org/10.1016/s2221-6189(13)60095-5

Burda, N., Mema, V., Md, E. M., Selimi, B., Zhugli, S., Lenajni, B., & Bunjaku, I. (2012). Prevalence of dry eye syndrome at patients with diabetus melitus tip 2, one year retrospective study May 2011-June 2012. Journal of Acute Disease, 1(2), 110–114. https://doi.org/10.1016/s2221-6189(13)60026-8

Carrasco-Sánchez, F. J., Fernández-Rodríguez, J. M., Ena, J., Gómez-Huelgas, R., & Carretero-Gómez, J. (2021). Medical treatment of type 2 diabetes mellitus: Recommendations of the Diabetes, Obesity and Nutrition Group of the Spanish Society of Internal Medicine. Revista Clínica Española (English Edition), 221(2), 101–108. https://doi.org/10.1016/j.rceng.2020.06.009

Chan, J. C. N., Lim, L. L., Shaw, J. E., Aguilar-Salinas, C. A., & Gregg, E. W. (2021). Data on diabetes-specific distress are needed to improve the quality of diabetes care – Authors’ reply. The Lancet, 397(10290), 2150. https://doi.org/10.1016/S0140-6736(21)00664-4

Chen, Y., Lin, Y., Wang, J., Guo, X., Guo, Y., Dong, F., Gao, F., & Liu, Q. (2020). The serum concentration of βCGRP is novel marker for type 1 diabetes. Heliyon, 6(1), e03223. https://doi.org/10.1016/j.heliyon.2020.e03223

Cheng, A. Y. Y., Feig, D. S., Ho, J., Siemens, R., Bajaj, H., Gilbert, J., Houlden, R., Kim, J., Mackay, D., Rabi, D. M., Senior, P., & Sherifali, D. (2021). Blood Glucose Monitoring in Adults and Children with Diabetes: Update 2021. Canadian Journal of Diabetes, 45(7), 580–587. https://doi.org/10.1016/j.jcjd.2021.07.003

Chikowore, T., Kamiza, A. B., Oduaran, O. H., Machipisa, T., & Fatumo, S. (2021). Non-communicable diseases pandemic and precision medicine: Is Africa ready? EBioMedicine, 65, 103260. https://doi.org/10.1016/j.ebiom.2021.103260

Cuschieri, S., Pallari, E., Hatziyianni, A., Sigurvinsdottir, R., Sigfusdottir, I. D., & Sigurðardóttir, K. (2022). Mortality comparisons of COVID-19 with all-cause and non-communicable diseases in Cyprus, Iceland and Malta: lessons learned and forward planning. Public Health, 202, 52–57. https://doi.org/10.1016/j.puhe.2021.03.025

Das, S., Minz, N., & Sahu, M. C. (2017). The relationship of abdominal girth with blood pressure, blood sugar and lipid profile among cardiac patients. Journal of Taibah University Medical Sciences, 12(2), 178–182. https://doi.org/10.1016/j.jtumed.2016.10.007

Dom, A., Gray, L., Liew, Z. Q., Glantz, J. C., Rogg, K., Mather, A., Olson-Chen, C., & Malshe, A. (2021). 407 Accelerated fetal abdominal circumference growth velocity (ACGV): a predictor of adverse outcomes in diabetic pregnancies. American Journal of Obstetrics and Gynecology, 224(2), S263. https://doi.org/10.1016/j.ajog.2020.12.428

Dubey, S., Yadalla, S., Prabu, N., Dubey, A., & Ramakrishnan, V. (2022). IDF21-0421 High blood sugar as a risk factor for post COVID-19 rhino-orbital-cerebral mucormycosis. Diabetes Research and Clinical Practice, 186, 109354. https://doi.org/10.1016/j.diabres.2022.109354

Engel. (2014). Pengertian Tentang Pengaruh Pada Masa Remaja. Paper Knowledge . Toward a Media History of Documents, 6–19.

Grimes, R., Bennett, K., & Henman, M. (2015). The Impact Of Self-Monitoring Of Blood Glucose (Smbg) On Prescription Costs In Newly Treated Type 2 Diabetes Melitus (T2dm): A Retrospective Cohort Analysis. Value in Health, 18(7), A367. https://doi.org/10.1016/j.jval.2015.09.733

Harbuwono, D. S., Sazli, B. I., Kurniawan, F., Darmowidjojo, B., Koesnoe, S., & Tahapary, D. L. (2021). The impact of Ramadan fasting on Fetuin-A level in type 2 diabetes mellitus. Heliyon, 7(5), e06773. https://doi.org/10.1016/j.heliyon.2021.e06773

Kargar, S., Kowsar, Z., Poorhamdollah, M., Kanani, M., Asasi, K., & Ghaffari, M. H. (2021). Effects of replacing steam-flaked corn with shredded sugar beet pulp on feed sorting, behavior, blood metabolites, and growth performance of dairy calves. Animal Nutrition, 7(4), 917–926. https://doi.org/10.1016/j.aninu.2021.07.003

Kh. Albashr, T., Kh. Khidhir, Z., Namiq, K., Hamadamin, A., Alhabib, F., & Khalaf, W. (2022). Study on chemical composition and physical properties of the Hamri (Barbus luteus) and Balaout (Chondrostoma regium) fish meat, oil and impact of its oils on cholesterol, triglyceride, HDL and blood sugar of laboratory rats. Saudi Journal of Biological Sciences, 29(1), 261–265. https://doi.org/10.1016/j.sjbs.2021.08.089

Kuok, C. H., Huang, C. H., Tsai, P. S., Ko, Y. P., Lee, W. S., Hsu, Y. W., & Hung, F. Y. (2016). Preoperative measurement of maternal abdominal circumference relates the initial sensory block level of spinal anesthesia for cesarean section: An observational study. Taiwanese Journal of Obstetrics and Gynecology, 55(6), 810–814. https://doi.org/10.1016/j.tjog.2015.04.009

Kushwaha, J. S., Gupta, V. K., Singh, A., & Giri, R. (2022). Authors : Diabetes Epidemiology and Management, 100092. https://doi.org/10.1016/j.deman.2022.100092

Lu, S. C., Chang, C. H., Yu, C. H., Kang, L., Tsai, P. Y., & Chang, F. M. (2008). Reappraisal of fetal abdominal circumference in an Asian population: Analysis of 50,131 records. Taiwanese Journal of Obstetrics and Gynecology, 47(1), 49–56. https://doi.org/10.1016/S1028-4559(08)60054-6

Lukito, A. A., Pranata, R., Henrina, J., Lim, M. A., Lawrensia, S., & Suastika, K. (2020). The Effect of Metformin Consumption on Mortality in Hospitalized COVID-19 patients: a systematic review and meta-analysis. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 14(6), 2177–2183. https://doi.org/10.1016/j.dsx.2020.11.006

Ninomiya, Y., Kawasoe, S., Kubozono, T., Tokushige, A., Ichiki, H., Ikeda, Y., Miyahara, H., Tokushige, K., & Ohishi, M. (2022). Sex Differences in Future Hypertension Caused By Increased Abdominal Circumference in Mildly Obese Middle-Aged Participants. Journal of the American College of Cardiology, 79(9), 1576. https://doi.org/10.1016/s0735-1097(22)02567-0

Pathiranage, H., Thilanka, D., Pathirana, H., Wijesekara, I., Liyana, L., Chandi, W., Garusinghe, C., Jayasinghe, M. A., & Waidyarathne, K. P. (2022). Contents of lists Future Comparison of blood glucose responses by cane sugar ( S accharum offi Comparison of blood glucose responses by cane sugar ( S accharum offi versus coconut jaggery ( Cocos nucifera ) a in type 2 diabetes patients. Journal of Future Foods, 2(3), 261–265. https://doi.org/10.1016/j.jfutfo.2022.06.007

Pressman, K., Odibo, L., Duncan, J. R., & Odibo, A. (2021). 725 Impact of using abdominal circumference independently in the diagnosis of fetal growth restriction. American Journal of Obstetrics and Gynecology, 224(2), S454–S455. https://doi.org/10.1016/j.ajog.2020.12.748

Purnami, M. D., Arimbawa, M., Bikin, W., Bagian, S., Smf, /, Kesehatan, I., Fakultas, A., Universitas, K., / U., Sanglah, R., & Suryawan, W. B. (2015). Prevalensi dan Faktor Risiko Glikosuria pada Remaja Sekolah Menengah Pertama Swasta di Kota Denpasar Prevalence and Risk Factors for Glycosuria among Private Junior High School Adolescents in Denpasar. Sari Pediatri, 17(2), 129–135.

Sarvazad, H., Cahngaripour, S. H., Eskandari Roozbahani, N., & Izadi, B. (2020). Evaluation of electrolyte status of sodium, potassium and magnesium, and fasting blood sugar at the initial admission of individuals with COVID-19 without underlying disease in Golestan Hospital, Kermanshah. New Microbes and New Infections, 38, 100807. https://doi.org/10.1016/j.nmni.2020.100807

Seibert, H., Pereira, A. M. L., Ajzen, S. A., & Koch Nogueira, P. C. (2013). Abdominal circumference measurement by ultrasound does not enhance estimating the association of visceral fat with cardiovascular risk. Nutrition, 29(2), 393–398. https://doi.org/10.1016/j.nut.2012.06.014

Sheehan, J., Moorthy, V., Colilla, S., & Kalsekar, I. (2014). Charges and health care resource use in patients with type 2 diabetes melitus after treatment initiation with saxagliptin or sitagliptin. Value in Health, 17(3), A245. https://doi.org/10.1016/j.jval.2014.03.1430

Sukkriang, N., Chanprasertpinyo, W., Wattanapisit, A., Punsawad, C., Thamrongrat, N., & Sangpoom, S. (2021). Correlation of body visceral fat rating with serum lipid profile and fasting blood sugar in obese adults using a noninvasive machine. Heliyon, 7(2), e06264. https://doi.org/10.1016/j.heliyon.2021.e06264




How to Cite

Astuti, S. C. D. ., & Apryanti, Y. P. . (2023). Abdominal Circumference as A Predictor of Type II Diabetes Mellitus in Young Women . JURNAL INFO KESEHATAN, 21(1), 50–58. https://doi.org/10.31965/infokes.Vol21.Iss1.878



Original Articles
Abstract viewed = 98 times