JPSIM Journal of Pakistan Society of Internal Medicine J Pak Soc Intern Med 2709-8729 2710-0804 Pakistan Society of Internal Medicine 10.70302/jpsim.v4i2.2322 jpsim.v4i2.2322 Original Research Burden and Associated Factors of Overweight and Obesity among Type-2 Diabetes Mellitus Visiting a Private Healthcare Facility in South Punjab, Pakistan Ali Qazi Masroor masroorqazi@outlook.com * Anjum Saba Imran Ali Shafique Sadaf Aleena Hospital Bahawalpur Shahida Islam Teaching Hospital Lodhran Quaid-e-Azam Medical College Bahawal Victoria Hospital, Bahawalpur, Pakistan *Correspondence: Qazi Masroor Ali (masroorqazi@outlook.com) 02 06 2023 2023 4 2 106 110 23 01 2023 11 04 2023 Copyright © 2023 The Author(s) 2023 The Author(s) https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective

To determine the burden of overweight and obesity among type-2 diabetes mellitus (T2DM) patients visiting outpatient department of a private healthcare facility of South Punjab, Pakistan.

 Methodology

This cross-sectional study was performed at the outpatient department of medicine, Aleena Hospital, Bahawalpur, Pakistan from 1st January 2021 to 30th November 2022. We included 3030 known cases of T2DM with disease duration of ≥ 6 months. At the time of enrollment, medical history was taken and clinical examination performed. Demographic characteristics and body mass index (BMI) were noted while blood sample was sent to institutional laboratory for HbA1c evaluation.

 Results

In a total of 3030 patients with T2DM, 1528 (50.4%) were females whereas the mean age was 50.09±11.98 years. The mean duration of diabetes was 5.94±5.89 years while the mean HbA1c was 9.63±2.29%. The mean BMI was noted to be 26.42±5.65 kg/m2 while 149 (57.7%) patents were obese, 462 (15.2%) overweight and 819 (27.0%) had normal BMI. It was observed that age (p

 Conclusion

The burden of overweight and obesity was very high among T2DM. Age between 31-45 years and hypertension were having significant relationship with obesity

 Keywords Body mass index diabetes mellitus hypertension obesity overweight References Misra A. Ethnic-specific criteria for classification of body mass index: A perspective for Asian Indians and American Diabetes Association Position Statement. Diabetes Technol Ther. 2015;17(9):667-671. Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, GBD 2015 Obesity Collaborators, et al. Health Effects of Overweight and Obesity in 195 Countries over 25 Years. N Engl J Med. 2017;377(1):13-27. Awosan, KJ, Ibrahim, MTO, Essien, E, Yusuf Aa, Okolo ACl. Dietary pattern, lifestyle, nutrition status and prevalence of hypertension among traders in Sokoto central market, Sokoto, Nigeria. Int J Nutr Metab. 2014;6:9–17. Wang S, Ma W, Yuan Z, Wang S, Yi X, Jia H, et al. Association between obesity indices and type 2 diabetes mellitus among middle-aged and elderly people in Jinan, China: a cross-sectional study. BMJ Open. 2016;6(11):e012742. Han SJ, Boyko EJ. The Evidence for an Obesity Paradox in Type 2 Diabetes Mellitus. Diabetes Metab J. 2018;42(3):179-87. Gao F, Wang ZJ, Shen H, Yang SW, Nie B, Zhou YJ. Impact of obesity on mortality in patients with diabetes: Meta-analysis of 20 studies including 250,016 patients. J Diabetes Investig. 2018;9(1):44-54. La Sala L, Pontiroli AE. Prevention of diabetes and cardiovascular disease in obesity. Int J Mol Sci. 2020;21(21):8178. Bae JP, Lage MJ, Mo D, Nelson DR, Hoogwerf BJ. Obesity and glycemic control in patients with diabetes mellitus: Analysis of physician electronic health records in the US from 2009-2011. J Diabetes Complications. 2016;30(2):212-20. American Diabetes Association. Obesity management for the treatment of Type 2 Diabetes: Standards of Medical Care in Diabetes-2019. Diabetes Care. 2019;42(Suppl 1):S81-S89. Aamir AH, Ul-Haq Z, Mahar SA, Qureshi FM, Ahmad I, Jawa A, et al. Diabetes Prevalence Survey of Pakistan (DPS-PAK): prevalence of type 2 diabetes mellitus and prediabetes using HbA1c: a population-based survey from Pakistan. BMJ Open 2019; doi:10.1136/ bmjopen-2018-025300. Gezawa ID, Uloko AE, Gwaram BA, Ibrahim DA, Ugwu ET, Mohammed IY. Pattern of obesity among patients with type 2 diabetes at a tertiary healthcare center in northern Nigeria. Diabetes Metab Syndr Obes. 2019; 10.2147/DMSO.S226054 Fadupin GT, Joseph EU, Keshinro OO. Prevalence of obesity among type 2 diabetics in Nigeria a case study of patients in Ibadan, Oyo State, Nigeria. Afr J Med Med Sci. 2004;33(4):381-384. Tino S, Mayanja BN, Mubiru MC, Eling E, Ddumba E, Kaleebu P, et al. Prevalence and factors associated with overweight and obesity among patients with type 2 diabetes mellitus in Uganda—a descriptive retrospective study. BMJ Open 2020;10.1136/bmjopen-2020-039258 AlShahrani MS. Prevalence of obesity and overweight among type 2 diabetic patients in Bisha, Saudi Arabia. J Family Med Prim Care. 2021; 10.4103/jfmpc.jfmpc_1349_20. Ali QM, Anjum S, Imran A, Shafique S, Masroor M. Obesity and hypertension among Type-2 diabetes mellitus patients: Analysis of gender and age matched rural population of South Punjab, Pakistan. J Pak Soc Intern Med. 2023;4(1):15-9. Whitmore C. Type 2 diabetes and obesity in adults. Br J Nurs. 2010;19(14):880-6. Thomas MC, Zimmet P, Shaw JE. Identification of obesity in patients with type 2 diabetes from Australian primary care: the NEFRON-5 study. Diabetes Care. 2006;29(12):2723-5. Ali YA, Almobarak AO, Awadalla H, Elmadhoun WM, Ahmed MH. Obesity among Sudanese adults with diabetes: a population-based survey. Ann Transl Med 2017;5(12):1-8. 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;24(9):1522-7. Kirunda BE, Fadnes LT, Wamani H, Van den Broeck J, Tylleskär T. Population-based survey of overweight and obesity and the associated factors in peri-urban and rural Eastern Uganda. BMC Public Health. 2015;15:1168. 10.1186/s12889-015-2506-7 Oh TJ, Lee JE, Choi SH, Jang HC. Association between body fat and diabetic peripheral neuropathy in middle-aged adults with type 2 diabetes mellitus: A preliminary report. J Obes Metab Syndr. 2019;28(2):112-7. Ylitalo KR, Sowers M, Heeringa S. Peripheral vascular disease and peripheral neuropathy in individuals with cardiometabolic clustering and obesity: National Health and Nutrition Examination Survey 2001-2004. Diabetes Care. 2011;34(7):1642-7.