{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T07:19:06Z","timestamp":1787987946665,"version":"build-2784847793"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T00:00:00Z","timestamp":1738800000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing &amp;amp; Health Sciences"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>This study aimed to identify the independent and synergistic effects of body mass index, fasting blood glucose, and hemoglobin A1c on ankle\u2010brachial index in type 2 diabetes mellitus. This cross\u2010sectional study involved 1096 participants who were measured using questionnaires, a digital scale, and a height measurement device. Blood marker was examined using fasting venous blood. The ankle\u2010brachial index was measured using Doppler ultrasound. A multinomial logistic regression was applied for adjusting confounders. Participants who were obese significantly increased 2.12\u2010 and 1.86\u2010fold risk of a low and a high ankle\u2010brachial index (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009\u20090.05), respectively. Participants with abnormal fasting blood glucose significantly increased 1.79\u2010 and 2.05\u2010fold risk of a low and a high ankle\u2010brachial index (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009\u20090.05). Participants with hemoglobin A1c &gt;\u20096.5% significantly increased 1.71\u2010 and 1.76\u2010fold risk of a low and a high ankle\u2010brachial index (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009\u20090.05), respectively. Participants with abnormalities for all three indices synergistically increased 12.31\u2010 and 5.31\u2010fold risk of a low and a high ankle\u2010brachial index (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009\u20090.001), respectively. Abnormal body mass index, fasting blood glucose, and hemoglobin A1c readings significantly, independently, and synergistically increased the risk of an abnormal ankle\u2010brachial index.<\/jats:p>","DOI":"10.1111\/nhs.70055","type":"journal-article","created":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T01:30:01Z","timestamp":1738891801000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Relationships and Synergistic Effects of Body Mass Index and Blood Glucose Marker on the Ankle\u2010Brachial Index in Adult With Type 2 Diabetes Mellitus: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3336-3276","authenticated-orcid":false,"given":"Siti","family":"Fadlilah","sequence":"first","affiliation":[{"name":"School of Nursing, College of Nursing, Taipei Medical University  Taipei Taiwan"},{"name":"Program Study of Nursing Universitas Respati 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