MAGNITUDE OF OVERWEIGHT/OBESITY AND ASSOCIATED FACTORS AMONG TYPE TWO DIABETIS MELLITES PATIENT IN NORTH SHOA ZONE PUBLIC HOSPITALS, NORTH SHOA, ETHIOPIA

Abstract

Background; Type 2 diabetes mellitus is a major global health threat worldwide. Obesity and overweight is major risk factor for its development. Recently increases in population obesity in low- and middle-income countries that are now increasingly being observed have been less recognized. Objective; to determine the magnitude of overweight/obesity and associated factors among type two DM patients at north Shoa zone public hospitals, North Shoa, Ethiopia. Methods; ; an institutional based cross-sectional study design was used among 361 type 2 DM patient at North Shoa zone public hospitals from May 5th to June 5th at four randomly selected public hospitals of north Shoa zone. Systematic sampling techniques was employed. Data were collected by face-to-face interviewer-administered pretested questionnaire and entered using epi data version 4.6 and exported to SPSS version 25 for analysis. Independent variables with a p value of less than 0.2 during the bi-variable logistic regression were entered into the multivariable logistic regression analysis. Adjusted odds ratios along with 95% confidence intervals were calculated and P-values less than 0.05 was considered statistically significant. Result: A total of 361 type 2 diabetic patients participated in the study with a response rate of 97.0%. The magnitude of overweight/obesity was (25.2%, 95% CI: 19.9%- 29.6%). Age greater than 50 years (AOR=3.54, 95% CI: 1.17, 10.67), not having food education AOR= (AOR=8.83, 95% CI: 3.99, 19.52), being female by sex (AOR=2.75, 95% CI: 1.34, 5.67) and monthly income of >9001 birr (AOR=6.04, 95% CI: 2.26, 16.08) were significantly associated with overweight/obesity. Conclusion: the magnitude of overweight/ obesity among type 2 diabetic patients were relatively low as compared with some national-based studies. Age greater than 50 years, not having food education, being female by sex and monthly income of >9001 birr were factors significantly associated with overweight/ obesity. Support health care providers on diabetic education by organizing routine health education program and by providing assistance materials like guide lines, leaflets and other logistic support are recommended. Key word; Magnitude, Overweight, obesity, North Shoa.