巴林初级保健中心2型糖尿病患者肥胖的患病率和特征:一项横断面研究。

IF 1.9 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Family and Community Medicine Pub Date : 2023-04-01 Epub Date: 2023-04-12 DOI:10.4103/jfcm.jfcm_9_23
Mahmood A Alawainati, Zahra A Ayoob, Aala A AlQari, Fatema Makhlooq, Huda S Naser, Fajer Bukamal
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引用次数: 1

摘要

背景:肥胖是一个复杂的健康问题,其特征是异常和超重。在全球范围内,肥胖的流行正在升级,如今,世界上大约三分之一的成年人口超重或肥胖。肥胖是糖尿病不良后果的一个危险因素和预测因素。本研究旨在确定成人2型糖尿病患者肥胖的患病率和特征。材料和方法:这项研究在巴林的五个初级保健中心进行。肥胖使用体重指数进行评估,血糖控制状态使用糖化血红蛋白(HbA1c)进行评估。获得所有参与者的知情同意。计算连续变量的平均值和标准差,而分类变量则以频率和百分比表示。学生t检验和Mann-WhitneyU检验(视情况而定)用于确定两个连续变量之间的统计学显著性。卡方检验或Fisher精确检验用于检验分类变量的统计学显著性。结果:共纳入732名参与者;平均年龄58.4±11.3岁。高血压是最常见的合并症(63.5%),其次是高脂血症(51.9%)。大多数参与者(59.8%)的HbA1c水平超过7%,20.9%的参与者的HbA1c水平在7%至8%之间,38.9%的参与者糖化血红蛋白水平超过8%。在队列中,47.5%的人肥胖,35.0%的人超重。巴林患者和女性的肥胖率显著较高(P<0.001)。经常锻炼的患者(P<001)和遵循饮食控制措施的患者(P=0.039)的肥胖率较低。此外,我们发现糖尿病(P=0.004)、高血压(P=0.032)、,结论:肥胖在2型糖尿病患者中普遍存在,并与血糖不良有关。因此,医生应该采取更多的努力来解决糖尿病患者的肥胖问题,因为肥胖会对他们的血糖控制产生负面影响。
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Prevalence and characteristics of obesity in patients with type-2 diabetes mellitus in primary care centers in Bahrain: A cross-sectional study.

Background: Obesity is a complex health problem characterized by abnormal and excessive body weight. Globally, the epidemic of obesity is escalating, and today, around one-third of the world's adult population is overweight or obese. Obesity is a risk factor and a predictor of poor outcomes of diabetes. This study aimed to determine the prevalence and characteristics of obesity in adults with type-2 diabetes mellitus.

Materials and methods: This study was conducted at five primary care centers in Bahrain. Obesity was assessed using body mass index, while glycemic control status was assessed using glycated hemoglobin (HbA1c). Informed consent was obtained from all participants. Means and standard deviation were computed for continuous variables, while categorical variables were presented as frequencies and percentages. Student's t-test and Mann-WhitneyU test, as appropriate, were performed to determine statistical significance between two continuous variables. Chi-square or Fisher's Exact test were used to test for statistical significance for categorical variables.

Results: A total of 732 participants were included; the mean age was 58.4 ± 11.3 years. Hypertension was the most prevalent comorbidity (63.5%), followed by hyperlipidemia (51.9%). Most participants (59.8%) had HbA1c levels of more than 7%, 20.9% had HbA1c levels between 7% and 8%, and 38.9% had HbA1c levels of more than 8%. Of the cohort, 47.5% were obese and 35.0% were overweight. Obesity was significantly higher in Bahraini patients and females (P < 0.001). Lower obesity rates were observed among patients who exercised regularly (P < 0.001) and patients who followed diet control measures (P = 0.039). In addition, we found higher obesity rates were found in patients with uncontrolled diabetes (P = 0.004), hypertension (P = 0.032), and hyperlipidemia (P = 0.048).

Conclusion: Obesity is prevalent among type-2 diabetic patients and is associated with poor glycemic outcomes. Thus, more efforts should be taken by physicians to address obesity in diabetic patients as it negatively impacts their glycemic control.

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来源期刊
Journal of Family and Community Medicine
Journal of Family and Community Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.00
自引率
3.70%
发文量
20
审稿时长
37 weeks
期刊最新文献
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