The Association of Overweight and Obesity With Hypertension and Diabetes Mellitus At Al-Diwaniyah Province

Abstract

Background: Noncommunicable diseases (NCDs) represent a major concern for public health. and one of the main reasons for the global illness burden. Cardiovascular diseases (CVDs) are still the main reason for mortality worldwide and are a major contributor to both health loss and excessive expenditures on healthcare.

Aim of study: to determine the prevalence of overweight and obesity among hypertensive or diabetic patients and identify the effect of these conditions on them. Methods: This observational cross-sectional study applied a convenient sample of 322 patients diagnosed with Hypertension or Type 2 diabetes, or both, who attended the Specialized Center for Diabetes and Endocrinology (SCDE) and Internal medicine consultant at Al-Diwaniyah province. An interview-based questionnaire is composed of several questions that have been gathered by researchers and assessed by a number of professionals. From the tenth of September to the beginning of February, the data was collected. Results: A total of 322 participants enrolled in this study, we found that the prevalence rate of obesity and overweight in groups of patients was 37.3% and 53.1%, respectively. There was a significant association between control of blood pressure in the diabetic group (p = 0.007), and there was a significant difference in mean age among the diabetes group, the hypertensive group, and the group with both diseases: 51.02 ±9.64 years, 50.58 ±12.06 years, and 54.14 ±9.97 years, respectively (p = 0.018). The difference in mean BMI among study groups was significant (p = 0.003); the highest mean BMI was seen in patients with both type 2 DM and hypertension, followed by the hypertension group, and the least mean BMI was noted in the diabetic group.  Conclusions: The prevalence rate of obesity was higher than that of overweight among study groups. Age and education level were important risk factors for the development of comorbidity among patients. people with hypertension and type 2 diabetes had the greatest mean BMI, followed by hypertension patients, while diabetic patients had the lowest mean BMI (p = 0.003). The study discovered a substantial inverse connection between HDL-C, triglyceride, serum creatinine, and cholesterol in hypertensive patients, while A favorable association was identified among VLDL-C “and” cholesterol, whereas in diabetic patients, there was a significant favorable relationship between “LDL-C,” “VLDL-C,” “cholesterol,” and “TG” and an inverse connection between “HDL-C,” cholesterol, and blood urea.