Energy balance
Loss of hip girth (>4.1 cm) is associated with a 1.5 times increased risk of diabetes, independent of weight change, likely due to loss of lean muscle mass.
For men, maintaining hip circumference (likely reflecting muscle mass) is important for diabetes prevention. Losing more than 4.1 cm in hip girth over 9 years increases diabetes risk by 50%, independent of total weight. Focus on preserving muscle mass through resistance training while managing abdominal fat.
In contrast, men who lost more than 4.1 cm in hip girth had 1.5 (95% confidence interval: 1.0, 2.3) times the risk of diabetes compared with men with stable hip circumference.
Why this rating
Prospective cohort, adjusted for confounders, but hip loss is a less common event and mechanism is inferred.
Source
Changes in Body Weight and Body Fat Distribution as Risk Factors for Clinical Diabetes in US Men
Pauline Koh-Banerjee et al. · American Journal of Epidemiology · 2004
DOI 10.1093/aje/kwh167
Related findings · Energy balance
- Achieving a total body weight loss of 10-15% (or >10-15 kg) through Total Diet Replacement (TDR) induces remission of Type 2 Diabetes in individuals with short-duration disease.Strong
- Bariatric surgery is superior to medical management alone for inducing significant long-term weight loss, remission of type 2 diabetes, and reduction in mortality for patients with BMI ≥ 40 or ≥ 35 with comorbidities.Strong
- Achieving type 2 diabetes remission requires significant weight loss (≥15 kg) via major caloric restriction, independent of macronutrient composition.Strong
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →