Impact of Obesity on the Metabolic Control of Type 2 Diabetes: Results of the Turkish Nationwide Survey of Glycemic and Other Metabolic Parameters of Patients with Diabetes Mellitus (TEMD Obesity Study)

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dc.authoridCAKIR, BANU/0000-0001-6645-6527
dc.authoridSonmez, Alper/0000-0002-9309-7715
dc.authoridBascil Tutuncu, Neslihan/0000-0002-1816-3903
dc.authoridCalikoglu, Bedia Fulya/0000-0002-0964-5142
dc.authoridkirac, cem onur/0000-0002-0249-9867
dc.authoridBaldane, Suleyman/0000-0002-7001-4075
dc.authoridYildiz, Bulent/0000-0003-1797-7662
dc.contributor.authorSonmez, Alper
dc.contributor.authorYumuk, Volkan
dc.contributor.authorHaymana, Cem
dc.contributor.authorDemirci, Ibrahim
dc.contributor.authorBarcin, Cem
dc.contributor.authorKiyici, Sinem
dc.contributor.authorGuldiken, Sibel
dc.date.accessioned2025-01-27T20:20:08Z
dc.date.available2025-01-27T20:20:08Z
dc.date.issued2019
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground: Obesity is the main obstacle for metabolic control in patients with type 2 diabetes. Turkey has the highest prevalence of obesity and type 2 diabetes in Europe. The effect of obesity on the metabolic control, and the macro-and microvascular complications of patients are not apparent. Objectives: This nationwide survey aimed to investigate the prevalence of overweight and obesity among patients with type 2 diabetes and to search for the impact of obesity on the metabolic control of these patients. We also investigated the independent associates of obesity in patients with type 2 diabetes. Methods: We consecutively enrolled patients who were under follow-up for at least 1 year in 69 tertiary healthcare units in 37 cities. The demographic, anthropometric, and clinical data including medications were recorded. Patients were excluded if they were pregnant, younger than 18 years, had decompensated liver disease, psychiatric disorders interfering with cognition or compliance, had bariatric surgery, or were undergoing renal replacement therapy. Results: Only 10% of patients with type 2 diabetes (n = 4,648) had normal body mass indexes (BMI), while the others were affected by overweight (31%) or obesity (59%). Women had a significantly higher prevalence of obesity (53.4 vs. 40%) and severe obesity (16.6 vs. 3.3%). Significant associations were present between high BMI levels and lower education levels, intake of insulin, antihypertensives and statins, poor metabolic control, or the presence of microvascular complications. Age, gender, level of education, smoking, and physical inactivity were the independent associates of obesity in patients with type 2 diabetes. Conclusion: The TEMD Obesity Study shows that obesity is a major determinant of the poor metabolic control in patients with type 2 diabetes. These results underline the importance of prevention and management of obesity to improve health care in patients with type 2 diabetes. Also, the results point out the independent sociodemographic and clinical associates of obesity, which should be the prior targets to overcome, in the national fight with obesity. (c) 2019 The Author(s) Published by S. Karger AG, Basel
dc.description.sponsorshipTurkish Society of Endocrinology and Metabolism
dc.description.sponsorshipThe TEMD Obesity Study was funded by the Turkish Society of Endocrinology and Metabolism. Automated BP monitors were provided by Sanovel A/S. The funding agencies had no role in the design and conduct of the study, the collection, management, analysis, and interpretation of the data, or the preparation, review, or approval of the manuscript.
dc.identifier.doi10.1159/000496624
dc.identifier.endpage178
dc.identifier.issn1662-4025
dc.identifier.issn1662-4033
dc.identifier.issue2
dc.identifier.pmid30893706
dc.identifier.startpage167
dc.identifier.urihttps://doi.org/10.1159/000496624
dc.identifier.urihttps://hdl.handle.net/20.500.12428/21581
dc.identifier.volume12
dc.identifier.wosWOS:000468937100005
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKarger
dc.relation.ispartofObesity Facts
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectObesity
dc.subjectType 2 diabetes
dc.subjectHbA1c
dc.subjectBlood pressure
dc.subjectLipid metabolism
dc.titleImpact of Obesity on the Metabolic Control of Type 2 Diabetes: Results of the Turkish Nationwide Survey of Glycemic and Other Metabolic Parameters of Patients with Diabetes Mellitus (TEMD Obesity Study)
dc.typeArticle

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