Prevalence and determinants of overweight and obesity among diabetic women of reproductive age: A hospital based study

Overweight and obesity are major contributors of insulin resistance and their prevalence and determinants are known to vary in different populations.The objective of the study was to assess the proportion and determinants of overweight and obesity among diabetic women of reproductive age attending a tertiary hospital in Bangladesh.This cross-sectional analytic study was conducted among 888 diabetic women of reproductive age using a semi-structured questionnaire and purposive sampling technique.The overall prevalence of overweight was47%(95%CI48-45) and that of obesity was23%(95%CI21-24).On Pearson’s correlation analysis, BMI(r=0.135,p=0.001) and WC(r=0.162,p=0.001) were significantly associated with age and similarly BMI(r=0.151,p=0.001),WC(r=0.087,p=0.009)and WHR(r=0.094, p=0.005) were correlated with income.On binary logistic regression, BMI was significantly associated with age(p<0.05),income(p<0.05) and management of diabetes by OHA(p<0.05). On the other hand, WC was significantly associated with age(p<0.001),income(p<0.05) and management of diabetes by OHA(p<0.05).WHR was significantly associated with duration of diabetes(p<0.05).A high prevalence of both overweight and obesity exists in diabetic women of reproductive age and associated with increasing age, income, duration of diabetes, and use of oral hypoglycemic agents.