Prevalence and pattern of obesity among type 2 diabetics in Kano, North-Western Nigeria
Ibrahim Danjummai Gezawa1, Andrew Enemako Uloko1,&, Baffa Adamu Gwaram1, Ibrahim Daiyabu Alhaji1, Aisha Nalado1, Mohammed Idris Yahaya2
1Department of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria, 2Department
of Chemical Pathology, Aminu Kano Teaching Hospital, Kano, Nigeria
Andrew Enemako Uloko, Department of Medicine, Aminu Kano Teaching Hospital, Kano,
type 2 diabetes poses a major global health threat both in the developed and developing countries. Factors responsible for the soaring epidemic of T2DM in the developing countries include urbanization, ageing population, physical inactivity and increasing obesity rates. Our aim was to determine the prevalence and pattern of obesity among type 2 diabetics at the Aminu Kano Teaching Hospital (AKTH), Kano, North-western Nigeria.
a total of 220 patients with type 2 diabetes attending the diabetes clinic of AKTH, were consecutively recruited for the study. Type 1 diabetics, patients who are unwell, cannot stand or are wheelchair bound, pregnant women as well as non-consenting patients were excluded from the study. We used a pretested questionnaire to collect data on socio-demographic characteristics, treatment history for diabetes and history of hypertension from each participant.
out of the 220 patients recruited for this study, 97(44.1%) were males, while
123(55.9%) were females. The prevalence of generalized obesity among the
study subjects was 27.3% and was more prevalent among females than males
(30.8% vs. 22.7%, X2 = 4.76, p = 0.190). Central obesity defined
by WC was detected in 111(50.5%) subjects [20(20.6%) males and 91(73.9%) females,
1.93, p = 0.001]. On the other hand, central obesity defined by WHR was recorded
in 182(82.7%) subjects [80(36.4%) males and 102(46.3\4%) females, X2 =
1.97, 0.001]. Abnormal WhtR was detected in 179(81.4%) subjects [72(74.2%)
males and 107(86.9%) females, X2 = 5.82, p = 0.01]. Hypertension
was detected in 103(46.8%) subjects, with a higher prevalence among females
males [46.3.5% vs. 47.4%, X2 = 1.03 p = 0.87].
the prevalence of obesity in our cohort of type 2 diabetics is high. The predominant form of obesity among our subjects was central obesity the prevalence of which was highest when indexed by WHR. Both generalized and central obesity in our study were more prevalent among females. A relatively high prevalence of hypertension was also found in this study. The detection and effective management of obesity among patients with type 2 diabetes will go a long way in reducing the excess cardiovascular risk and other complications associated with the disease.