THE EFFECT OF OBESITY AND ITS ASSOCIATED RISK FACTORS ON PATIENTS WITH TYPE 2 DIABETES WHO ATTEND IN PRIMARY HEALTH CARE CENTER IN MAKKAH AL-MOKARRAMAH
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Keywords
Aassessment, effect, Obesity, Type 2 diabetes mellitus, Risk factors, Saudi Arabia
Abstract
Background: Overweight and obesity constitute a global pandemic with devastating consequences that affect >2 billion people. Obesity plays a central role in morbidity and mortality of diseases of multiple organs and systems, and it is a major contributor to the growing incidence of type 2 diabetes. There is now sufficient level of evidence for the association between overweight and type 2 diabetes, among which are the most common type 2 diabetes worldwide. Obesity results from a combination of personal and societal factors, but is often viewed as a character flaw rather than a medical condition. This leads to stigma and discrimination towards obese individuals and decreases the likelihood of effective intervention. Conditions related to obesity are increasingly common, such as metabolic syndrome, impaired fasting glucose (IFG) and impaired glucose tolerance (IGT), all of which indicate high risk for type 2 diabetes (T2DM). Sedentary lifestyle, unhealthy diet, and excessive alcohol intake also account for the burden of type 2 diabetes by promoting obesity. The risk of specific type 2 diabetes is also directly influenced, regardless of the magnitude of adiposity, by physical inactivity, consumption of red meat, processed meat and ultra-processed foods, dairy products, alcohol, whole grain cereals, nuts, vegetables, and fruits. The study aimed: To assess the effect of obesity and its associated risk factors on patients with type 2 diabetes who attend in primary health care center in Makkah al-Mokarramah 2021. Method: A crosssectional study was conducted among patients with type 2 diabetes and obesity who registered in the chronic disease clinic attended diabetes centre in Makkah at Saudi Arabia in 2021. Our total participants were (300).Results: the total number of participants was 300 were males and female. The participants were classified into 3 age groups, most of them were (54.3%)in the diabetes is also directly influenced, regardless of the magnitude of adiposity, by physical inactivity, consumption of red meat, processed meat and ultra-processed foods, dairy products, alcohol, whole grain cereals, nuts, vegetables, and fruits. The study aimed: To assess the effect of obesity and its associated risk factors on patients with type 2 diabetes who attend in primary health care center in Makkah al-Mokarramah 2021. Method: A crosssectional study was conducted among patients with type 2 diabetes and obesity who registered in the chronic disease clinic attended diabetes centre in Makkah at Saudi Arabia in 2021. Our total participants were (300).Results: the total number of participants was 300 were males and female. The participants were classified into 3 age groups, most of them were (54.3%)in the <30 years fallowed by 39-50 years were(29.3%), regarding gender of participated male were (70.3%), follow by female were(29.7 %), type of treatment do you use for diabetes, results show a significant relation between BMI and what type of treatment do you use for diabetes, also complications from diabetes, results show a significant relation between BMI and complications from diabetes, Physical activities or exercise, results show a significant relation between BMI and Physical activities or exercise. Eating a portion of fruit, results a significant relation between BMI and Eating a portion of fruit, eating a portion of vegetables, results show a significant relation between BMI and Eating a portion of vegetables Conclusion: Obesity is a highly prevalent comorbidity in type 2 diabetic patients. Some modifiable risk factors were identified. Multidisciplinary effort is warranted to reduce obesity among type 2 diabetic patients. appears to be a better indicator of diabetic risk than BMI. The combination of a low-calorie diet, increased physical activity, and behavioral therapy as the first-line intervention for weight loss should be stressed for the effective management of T2diabetic patients
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1. Al Mansour, M. A. (2020). The prevalence and risk factors of type 2 diabetes mellitus (DMT2) in a semi-urban Saudi population. International journal of environmental research and public health, 17(1), 7. 2. Robert, A. A., & Al Dawish, M. A. (2020). The worrying trend of diabetes mellitus in Saudi Arabia: an urgent call to action. Current diabetes reviews, 16(3), 204-210. 3. Khan, M. A. B., Hashim, M. J., King, J. K., Govender, R. D., Mustafa, H., & Al Kaabi, J. (2020). Epidemiology of type 2 diabetes–global burden of disease and forecasted trends. Journal of epidemiology and global health, 10(1), 107. 4. World Health Organization. (2000). Obesity: preventing and managing the global epidemic. 5. Furman, D., Campisi, J., Verdin, E., Carrera-Bastos, P., Targ, S., Franceschi, C., ... & Slavich, G. M. (2019). Chronic inflammation in the etiology of disease across the life span. Nature medicine, 25(12), 1822-1832. 6. Jeong, H., Baek, S. Y., Kim, S. W., Park, E. J., Lee, J., Kim, H., & Jeon, C. H. (2019). C reactive protein level as a marker for dyslipidaemia, diabetes and metabolic syndrome: results from the Korea National Health and Nutrition Examination Survey. BMJ open, 9(8), e029861. 7. Chaudhury, A., Duvoor, C., Reddy Dendi, V. S., Kraleti, S., Chada, A., Ravilla, R., ... & Mirza, W. (2017). Clinical review of antidiabetic drugs: implications for type 2 diabetes mellitus management. Frontiers in endocrinology, 8, 6. 8. American Diabetes Association. (2016). Standards of medical care in diabetes—2016 abridged for primary care providers. Clinical diabetes: a publication of the American Diabetes Association, 34(1), 3. 9. Zhou, X., Ji, L., Ran, X., Su, B., Ji, Q., Pan, C., ... & CCMR Advisory Board and CCMR-3B Study Investigators. (2016). Prevalence of obesity and its influence on achievement of cardiometabolic therapeutic goals in Chinese type 2 diabetes patients: an analysis of the nationwide, cross-sectional 3B study. PloS one, 11(1), e0144179. 10. Bahijri, S. M., Jambi, H. A., Al Raddadi, R. M., Ferns, G., & Tuomilehto, J. (2016). The prevalence of diabetes and prediabetes in the adult population of Jeddah, Saudi Arabia-a community-based survey. PloS one, 11(4), e0152559. 11. Bacopoulou, F., Efthymiou, V., Landis, G., Rentoumis, A., & Chrousos, G. P. (2015). Waist circumference, waist-to-hip ratio and waist-to-height ratio reference percentiles for abdominal obesity among Greek adolescents. BMC pediatrics, 15(1), 1-9. 12. Lam, B. C. C., Koh, G. C. H., Chen, C., Wong, M. T. K., & Fallows, S. J. (2015). Comparison of body mass index (BMI), body adiposity index (BAI), waist circumference (WC), waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) as predictors of cardiovascular disease risk factors in an adult population in Singapore. PloS one, 10(4), e0122985. 13. Vasanthakumar, J., & Kambar, S. (2020). Prevalence of obesity among type 2 diabetes mellitus patients in urban areas of Belagavi. Indian Journal of Health Sciences and Biomedical Research (KLEU), 13(1), 21. 14. Nyirenda, M. J. (2016). Non-communicable diseases in sub-Saharan Africa: understanding the drivers of the epidemic to inform intervention strategies. International health, 8(3), 157-158. 15. Ozodiegwu, I. D. (2019). The Prevalence and Context of Adult Female Overweight and Obesity in Sub-Saharan Africa (Doctoral dissertation, East Tennessee State University). 16. Atun, R., Davies, J. I., Gale, E. A., Bärnighausen, T., Beran, D., Kengne, A. P., ... & Werfalli, M. (2017). Diabetes in sub-Saharan Africa: from clinical care to health policy. The lancet Diabetes & endocrinology, 5(8), 622-667. 17. Ogurtsova, K., da Rocha Fernandes, J. D., Huang, Y., Linnenkamp, U., Guariguata, L., Cho, N. H., ... & Makaroff, L. E. (2017). IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes research and clinical practice, 128, 40-50. 18. Kalra, S., Das, A. K., Baruah, M. P., Unnikrishnan, A. G., Dasgupta, A., Shah, P., ... & Czupryniak, L. (2019). Glucocrinology of modern sulfonylureas: Clinical evidence and practice-based opinion from an international expert group. Diabetes Therapy, 10(5), 1577-1593. 19. Al Dawish, M., & Robert, A. (2019). Diabetes mellitus in Saudi Arabia. Handbook of healthcare in the Arab world, 1-18. 20. Pradeepa, R., Anjana, R. M., Joshi, S. R., Bhansali, A., Deepa, M., Joshi, P. P., ... & Kaur, T. Mohan V andDas AK, for the ICMR-INDIAB Collaborative Study Group (2015). Prevalence of generalized & abdominal obesity in urban & rural India-the ICMR-INDIAB Study (Phase-I)[ICMR-INDIAB-3]. Indian J Med Res, 142, 139-150. 21. Undavalli, V. K., Ponnaganti, S. C., & Narni, H. (2018). Prevalence of generalized and abdominal obesity: India’s big problem. Int J Community Med Public Health, 5(4), 1311-1316. 22. Sreelatha, M., Kumar, V. S., Shekar, G. C., & Shekar, V. C. (2017). Study of thyroid profile in patients with type 2 diabetes mellitus. International Journal of Scientific Study, 5(2), 211-220. 23. World Health Organization. (2016). World malaria report 2015. World Health Organization. 24. Tekanene, M. U., Mohammadnezhad, M., Khan, S., & Maharaj, R. (2021). Knowledge, Attitude and Practice (KAP) related to Type 2 Diabetes Mellitus (T2DM) among Healthy Adults in Kiribati. Global Journal of Health Science, 13(5), 1-10.. 25. Sreelatha M, Kumar VS, Shekar GC, Shekar VC. Study of Thyroid Profile in Patients with Type 2 Diabetes Mellitus. 2017;5:211–20 26. Khan MA, Hafiz N, Kohli S. Research Article Prevalence Of Thyroid Dysfunction In Patients Of Type 2 Diabetes Mellitus : Resident Department of General Medicine Hamdard Institute of Medical Sciences and Research t of Obsteterics and Gynecology, ESIC Hospital Okhla , New Delhi 4 Hea. 2018;4–7 27. Abdullah, A. S., & Al-Khaldi, Y. (2013). Obesity among diabetic and hypertensive patients in Aseer region, Saudi Arabia. Saudi Journal of Obesity, 1(1), 14-14. 28. Mugharbel, K. M., & Al-Mansouri, M. A. (2003). Prevalence of obesity among type 2 diabetic patients in Al-khobar primary health care centers. Journal of family & community medicine, 10(2), 49. 29. Bakhotmah, B. A. (2013). Prevalence of obesity among type 2 diabetic patients: nonsmokers housewives are the most affected in Jeddah, Saudi Arabia. 30. Alzaman N, Ali A. Obesity and diabetes mellitus in the Arab world. Journal of Taibah University Medical Sciences 2016;11(4): 301-309 31. Kahandawa, S., Somasundaram, N. P., Ediriweera, D. S., Kusumsiri, D. P., Ellawala, S., Chandrika, G. H. T. N. K., & Ransarini, K. G. H. (2014). Prevalence of thyroid dysfunction among type 2 diabetic patients attending the Diabetes Clinic, National Hospital of Sri Lanka. 32. World Health Organization. The WHO STEPwise approach to noncommunicable disease risk factor surveillance. World Heal Organ 2017;36:1-474.
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