Burden and Associated Factors of Overweight and Obesity amongType-2 Diabetes Mellitus Visiting a Private Healthcare Facility inSouth Punjab, Pakistan
AbstractObjective: 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.
MethodsThis 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<0.001) and hypertension (p<0.001) were having significant association with BMI categories. Multiple logistic regression model showed that obesity was having a significant relationship with age between 31-45 years (p=0.029) with adjusted OR of 1.5 (95% CI: 1.05-2.27) and hypertension (p<0.001) with adjusted OR of 1.8 (95% CI: 1.49-2.14).
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
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