Glucose Control in Korean Patients with Type 2 Diabetes Mellitus according to Body Mass Index
Background : The prevalence of type 2 diabetes mellitus has continued to rise. Although many studies have focused on the connection between weight loss and glucose control, only a few studies have investigated the association between body mass index (BMI) and glucose control status. We examined the...
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| Format: | Article |
| Language: | English |
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Korean Society for the Study of Obesity
2023-03-01
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| Series: | Journal of Obesity & Metabolic Syndrome |
| Subjects: | |
| Online Access: | http://www.jomes.org/journal/view.html?doi=10.7570/jomes22047 |
| _version_ | 1797856302845657088 |
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| author | Ye-lim Shin Heesoh Yoo Joo Young Hong Jooeun Kim Kyung-do Han Kyu-Na Lee Yang-Hyun Kim |
| author_facet | Ye-lim Shin Heesoh Yoo Joo Young Hong Jooeun Kim Kyung-do Han Kyu-Na Lee Yang-Hyun Kim |
| author_sort | Ye-lim Shin |
| collection | DOAJ |
| description | Background : The prevalence of type 2 diabetes mellitus has continued to rise. Although many studies have focused on the connection between weight loss and glucose control, only a few studies have investigated the association between body mass index (BMI) and glucose control status. We examined the association between glucose control and obesity. Methods : We analyzed 3,042 participants with diabetes mellitus who were aged ≥19 years when they participated in the 2014 to 2018 Korean National Health and Nutrition Examination Survey. The participants were divided into four groups according to their BMI (<18.5, 18.5-23, 23-25, and ≥25 kg/m2). We used guidelines from the Korean Diabetes Association to compare the glucose control in those groups, with a cross-sectional design, multivariable logistic regression, and glycosylated hemoglobin <6.5% as the reference. Results : Overweight males aged ≥60 years had a high odds ratio (OR) for degraded glucose control (OR, 1.706; 95% confidence interval [CI], 1.151 to 2.527). Among obese females, those in the ≥60 years age group showed an increased OR for uncontrolled diabetes (OR, 1.516; 95% CI, 1.025 to 1.892). Moreover, in females, the OR for uncontrolled diabetes tended to increase as the BMI increased (P=0.017). Conclusion : Obesity is associated with uncontrolled diabetes in female patients with diabetes who are aged ≥60 years. Physicians should closely monitor this group for diabetes control. |
| first_indexed | 2024-04-09T20:38:16Z |
| format | Article |
| id | doaj.art-bcff5cd0fcb24ab3b97287d902c60ff4 |
| institution | Directory Open Access Journal |
| issn | 2508-6235 |
| language | English |
| last_indexed | 2024-04-09T20:38:16Z |
| publishDate | 2023-03-01 |
| publisher | Korean Society for the Study of Obesity |
| record_format | Article |
| series | Journal of Obesity & Metabolic Syndrome |
| spelling | doaj.art-bcff5cd0fcb24ab3b97287d902c60ff42023-03-30T06:55:15ZengKorean Society for the Study of ObesityJournal of Obesity & Metabolic Syndrome2508-62352023-03-01321556310.7570/jomes22047jomes22047Glucose Control in Korean Patients with Type 2 Diabetes Mellitus according to Body Mass IndexYe-lim Shin0Heesoh Yoo1Joo Young Hong2Jooeun Kim3Kyung-do Han4Kyu-Na Lee5Yang-Hyun Kim6Department of Medicine, Korea University College of Medicine, Seoul, KoreaDepartment of Medicine, Korea University College of Medicine, Seoul, KoreaDepartment of Medicine, Korea University College of Medicine, Seoul, KoreaDepartment of Medicine, Korea University College of Medicine, Seoul, KoreaDepartment of Statistics and Actuarial Science, Soongsil University, Seoul, KoreaDepartment of Biomedicine & Health Science, The Catholic University of Korea, Seoul, KoreaDepartment of Family Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, KoreaBackground : The prevalence of type 2 diabetes mellitus has continued to rise. Although many studies have focused on the connection between weight loss and glucose control, only a few studies have investigated the association between body mass index (BMI) and glucose control status. We examined the association between glucose control and obesity. Methods : We analyzed 3,042 participants with diabetes mellitus who were aged ≥19 years when they participated in the 2014 to 2018 Korean National Health and Nutrition Examination Survey. The participants were divided into four groups according to their BMI (<18.5, 18.5-23, 23-25, and ≥25 kg/m2). We used guidelines from the Korean Diabetes Association to compare the glucose control in those groups, with a cross-sectional design, multivariable logistic regression, and glycosylated hemoglobin <6.5% as the reference. Results : Overweight males aged ≥60 years had a high odds ratio (OR) for degraded glucose control (OR, 1.706; 95% confidence interval [CI], 1.151 to 2.527). Among obese females, those in the ≥60 years age group showed an increased OR for uncontrolled diabetes (OR, 1.516; 95% CI, 1.025 to 1.892). Moreover, in females, the OR for uncontrolled diabetes tended to increase as the BMI increased (P=0.017). Conclusion : Obesity is associated with uncontrolled diabetes in female patients with diabetes who are aged ≥60 years. Physicians should closely monitor this group for diabetes control.http://www.jomes.org/journal/view.html?doi=10.7570/jomes22047obesitybody mass indexdiabetes mellitusglucose controlglycated hemoglobin |
| spellingShingle | Ye-lim Shin Heesoh Yoo Joo Young Hong Jooeun Kim Kyung-do Han Kyu-Na Lee Yang-Hyun Kim Glucose Control in Korean Patients with Type 2 Diabetes Mellitus according to Body Mass Index Journal of Obesity & Metabolic Syndrome obesity body mass index diabetes mellitus glucose control glycated hemoglobin |
| title | Glucose Control in Korean Patients with Type 2 Diabetes Mellitus according to Body Mass Index |
| title_full | Glucose Control in Korean Patients with Type 2 Diabetes Mellitus according to Body Mass Index |
| title_fullStr | Glucose Control in Korean Patients with Type 2 Diabetes Mellitus according to Body Mass Index |
| title_full_unstemmed | Glucose Control in Korean Patients with Type 2 Diabetes Mellitus according to Body Mass Index |
| title_short | Glucose Control in Korean Patients with Type 2 Diabetes Mellitus according to Body Mass Index |
| title_sort | glucose control in korean patients with type 2 diabetes mellitus according to body mass index |
| topic | obesity body mass index diabetes mellitus glucose control glycated hemoglobin |
| url | http://www.jomes.org/journal/view.html?doi=10.7570/jomes22047 |
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