Endocrine Abstracts (2017) 50 P230 | DOI: 10.1530/endoabs.50.P230

Burden of obesity and hypertension in Nigerians with type 2 diabetes mellitus seen in a tertiary health facility

David O Soyoye1, Christiana Omotola Ayandele1,2, Chinedu Anizor1, Funmilayo A Owolabi1, Oluwabukola Ayodele Ala1, Olaoluwatomi T Yusuff1, Okechukwu Ezekpo1, TA Adetunji1, Amina Lawal-Bello1, Titilope Funmilayo Adewusi3, Rosemary T Ikem1 & Babatope A Kolawole1

1Obafemi Awolowo University, Ile-Ife, Nigeria; 2Delta State University Teaching Hospital, Oghara, Nigeria; 3Federal Medical Centre, Abeokuta, Nigeria.

Background: Obesity is increasingly becoming prevalent among the general population and in patients with type 2 diabetes mellitus in particular. This unhealthy association contributes to increased morbidity and mortality from cardiovascular complications in diabetic patients.

Objectives: The aim of this study is to determine the prevalence of obesity among type 2 diabetes mellitus patients.

Materials and Method: This was a cross sectional descriptive study of Nigerians with Type 2 diabetes mellitus attending the outpatient clinic of Obafemi Awolowo University Teaching Hospital, Ile-Ife. Socio-demographic information, anthropometric indices (weight, height, waist circumference and hip circumference) and blood pressure measurements were taken. Body mass index (BMI) and waist-hip ratio (WHR) were calculated for each subject.

Results: One hundred and seventy eight type 2 diabetes mellitus patients participated in this study, 112 (62.9%) females and 66 (37.1%) males. The mean age of participants was 60.7±11.1. Ninety eight (55.1%) were hypertensive. Their mean BMI was 26.6±5.1 kg/m2 (females 26.8±5.4 kg/m2, males 26.3±4.6 kg/m2, P=0.573), mean waist circumference was 95.1±11.4 cm (females 95.6±11.5 cm, males 94.3±11.4 cm, P=0.456). Generalized obesity (BMI >30 kg/m2) was present in 28.1%, abdominal obesity in 90.2% of the females and 54.5% of the males. BMI correlated positively with WC, r=0.81, P<0.001; and with WHR, r=0.27, P=

Conclusion: The magnitude of obesity particularly abdominal obesity in our cohort of diabetic patients is high and which may have health implications. Early recognition of abdominal adiposity with appropriate measures on lifestyle modification is therefore important to mitigate this trend.

Keywords: Obesity, type 2 diabetes mellitus, OAUTHC