Prevalence and factors associated with overweight and obesity among patients with type 2 diabetes mellitus in Uganda—a descriptive retrospective study
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Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
BMJ open
Abstract
To assess the prevalence and risk factors of
overweight and obesity among type 2 diabetes mellitus
(T2DM) patients in Uganda.
Design Retrospective chart review.
Setting This study was conducted in the outpatient’s
T2DM clinic in St. Francis Hospital—Nsambya, Uganda
between March and May 2017.
Participants Type 2 diabetes patients registered in the
diabetes clinic between July 2003 and September 2016.
Outcome measures Overweight and obesity defined as
body mass index (kg/m2) of 25.0–29.9 and obesity as 30.0
or higher.
Results Of 1275 T2DM patients, the median age was
54 (IQR: 44–65) years, 770 (60.40%) were females, 887
(69.6%) had hypertension, 385 (28%) had controlled
glycaemia, 349 (27%) were obese, while 455 (36%)
were overweight. Overweight/obesity were lower among
men (OR: 0.45, 95% CI: 0.340 to 0.593, p≤0.001) and
among patients aged ≥65 years (OR: 0.52, 95% CI: 0.350
to 0.770, p=0.001); patients who rarely ate fruits and
vegetables (OR: 0.66, 95% CI: 0.475 to 0.921, p=0.014)
but higher among patients of middle (OR: 1.83, 95% CI:
1.320 to 2.550, p≤0.001) and upper (OR: 2.10, 95% CI:
1.450 to 2.990, p≤0.001) socioeconomic status; on dual
therapy (OR: 2.17, 95% CI: 1.024 to 4.604, p=0.043); with
peripheral neuropathy (OR: 1.40, 95% CI: 1.039 to 1.834,
p=0.026) and hypertension (OR: 1.70, 95% CI: 1.264 to
2.293, p≤0.001).
Conclusions Overweight and obesity are high among
T2DM patients in this population and may contribute
significantly to poor outcomes of T2DM. Therefore,
strategies to address this problem are urgently needed.
Description
Keywords
Overweight, Obesity, Patients
Citation
Tino S, Mayanja BN, Mubiru MC, 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:e039258. doi:10.1136/ bmjopen-2020-039258