A TERTIARY HOSPITAL RESEARCH ON OVER WEIGHT/OBESE DIABETIC CONSEQUENCES. A CROSS-SECTIONAL INVESTIGATION.
Introduction: The prevalence of diabetes mellitus has exhibited a notable surge in recent decades, mirroring the concerning trend observed in obesity rates. Of particular concern is the escalating incidence of type 2 diabetes mellitus among paediatric populations, which has witnessed a twofold in...
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| Format: | Article |
| Language: | English |
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Student's Journal of Health Research
2023-09-01
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| Series: | Student's Journal of Health Research Africa |
| Subjects: | |
| Online Access: | https://sjhresearchafrica.org/index.php/public-html/article/view/663 |
| _version_ | 1797682691243507712 |
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| author | Amit Kumar |
| author_facet | Amit Kumar |
| author_sort | Amit Kumar |
| collection | DOAJ |
| description |
Introduction:
The prevalence of diabetes mellitus has exhibited a notable surge in recent
decades, mirroring the concerning trend observed in obesity rates. Of particular concern is the escalating incidence of type 2 diabetes mellitus among paediatric populations, which has
witnessed a twofold increase.
Aim: This study aimed to investigate the prevalence of obesity and diabetic complications
among diabetic patients in India.
Methods:
A cross-sectional investigation was conducted utilising an established clinical
registry within the confines of a tertiary care facility over a span of 18 months. A
retrospective analysis was conducted on the medical records of adult individuals diagnosed
with type 2 diabetes mellitus.
Results:
The study included 495 people with a 10.5% HbA1c. 91% (n=451) of 495 patients
were obese/overweight. 37.8% (n=187) of diabetics aged 50–59, and 59% (n=292) have had
diabetes for less than 10 years. 29.9% (n=148) had one additional comorbidity (hypertension
or dyslipidemia), while 63.4% (n=314) had two. The prevalence of complications was 18.9%
(n=94) myocardial infarction, 11.1% (n=55) stroke, and 9% (n=45) CKD. Age and
hypertension were significantly associated with diabetic complications (adjusted OR=1.03;
95% CI 1.00 to 1.07; p=0.041 and OR=4.06; 95% CI 1.21 to 13.60; p=0.023).
Conclusion:
In our research, it appears that a body mass index (BMI) exceeding 23 kg/m 2,
which is indicative of obesity or overweight, does not exhibit a significant correlation with
the occurrence of complications. Advanced age and the presence of hypertension, conversely,
demonstrate robust prognostic value in predicting the occurrence of complications.
Recommendation:
Given the current understanding of diabetes, it is advisable to promote
public education targeting the affected population in order to mitigate the associated
complications.
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| first_indexed | 2024-03-12T00:03:25Z |
| format | Article |
| id | doaj.art-a907b67684a94120b75c36529830a8cf |
| institution | Directory Open Access Journal |
| issn | 2709-9997 |
| language | English |
| last_indexed | 2024-03-12T00:03:25Z |
| publishDate | 2023-09-01 |
| publisher | Student's Journal of Health Research |
| record_format | Article |
| series | Student's Journal of Health Research Africa |
| spelling | doaj.art-a907b67684a94120b75c36529830a8cf2023-09-17T07:09:42ZengStudent's Journal of Health ResearchStudent's Journal of Health Research Africa2709-99972023-09-014910.51168/sjhrafrica.v4i9.663A TERTIARY HOSPITAL RESEARCH ON OVER WEIGHT/OBESE DIABETIC CONSEQUENCES. A CROSS-SECTIONAL INVESTIGATION.Amit Kumar0Department of General Medicine, Lord Budha Koshi Medical College Baijnathpur Saharsa, Bihar, India. Introduction: The prevalence of diabetes mellitus has exhibited a notable surge in recent decades, mirroring the concerning trend observed in obesity rates. Of particular concern is the escalating incidence of type 2 diabetes mellitus among paediatric populations, which has witnessed a twofold increase. Aim: This study aimed to investigate the prevalence of obesity and diabetic complications among diabetic patients in India. Methods: A cross-sectional investigation was conducted utilising an established clinical registry within the confines of a tertiary care facility over a span of 18 months. A retrospective analysis was conducted on the medical records of adult individuals diagnosed with type 2 diabetes mellitus. Results: The study included 495 people with a 10.5% HbA1c. 91% (n=451) of 495 patients were obese/overweight. 37.8% (n=187) of diabetics aged 50–59, and 59% (n=292) have had diabetes for less than 10 years. 29.9% (n=148) had one additional comorbidity (hypertension or dyslipidemia), while 63.4% (n=314) had two. The prevalence of complications was 18.9% (n=94) myocardial infarction, 11.1% (n=55) stroke, and 9% (n=45) CKD. Age and hypertension were significantly associated with diabetic complications (adjusted OR=1.03; 95% CI 1.00 to 1.07; p=0.041 and OR=4.06; 95% CI 1.21 to 13.60; p=0.023). Conclusion: In our research, it appears that a body mass index (BMI) exceeding 23 kg/m 2, which is indicative of obesity or overweight, does not exhibit a significant correlation with the occurrence of complications. Advanced age and the presence of hypertension, conversely, demonstrate robust prognostic value in predicting the occurrence of complications. Recommendation: Given the current understanding of diabetes, it is advisable to promote public education targeting the affected population in order to mitigate the associated complications. https://sjhresearchafrica.org/index.php/public-html/article/view/663Diabetic consequencesOverweightObese |
| spellingShingle | Amit Kumar A TERTIARY HOSPITAL RESEARCH ON OVER WEIGHT/OBESE DIABETIC CONSEQUENCES. A CROSS-SECTIONAL INVESTIGATION. Student's Journal of Health Research Africa Diabetic consequences Overweight Obese |
| title | A TERTIARY HOSPITAL RESEARCH ON OVER WEIGHT/OBESE DIABETIC CONSEQUENCES. A CROSS-SECTIONAL INVESTIGATION. |
| title_full | A TERTIARY HOSPITAL RESEARCH ON OVER WEIGHT/OBESE DIABETIC CONSEQUENCES. A CROSS-SECTIONAL INVESTIGATION. |
| title_fullStr | A TERTIARY HOSPITAL RESEARCH ON OVER WEIGHT/OBESE DIABETIC CONSEQUENCES. A CROSS-SECTIONAL INVESTIGATION. |
| title_full_unstemmed | A TERTIARY HOSPITAL RESEARCH ON OVER WEIGHT/OBESE DIABETIC CONSEQUENCES. A CROSS-SECTIONAL INVESTIGATION. |
| title_short | A TERTIARY HOSPITAL RESEARCH ON OVER WEIGHT/OBESE DIABETIC CONSEQUENCES. A CROSS-SECTIONAL INVESTIGATION. |
| title_sort | tertiary hospital research on over weight obese diabetic consequences a cross sectional investigation |
| topic | Diabetic consequences Overweight Obese |
| url | https://sjhresearchafrica.org/index.php/public-html/article/view/663 |
| work_keys_str_mv | AT amitkumar atertiaryhospitalresearchonoverweightobesediabeticconsequencesacrosssectionalinvestigation AT amitkumar tertiaryhospitalresearchonoverweightobesediabeticconsequencesacrosssectionalinvestigation |