Twelve-year trends of increasing overweight and obesity in patients with diabetes: the Shiga Diabetes Clinical Survey

Endocrine journal

Katsuyuki Miura¹  Takashi Nakamura²  Itsuko Miyazawa³  Aya Kadota⁴  Motozumi Okamoto⁵  Tsuyoshi Ikai⁶ 

[1] Center for Epidemiologic Research in Asia, Shiga University of Medical Science, Otsu 520-2192, Japan;Department of Cardiology, Saiseikai Shiga Hospital, Ritto520-3046, Japan;Department of Medicine, Shiga University of Medical Science, Otsu 520-2192, Japan;Department of Public Health, Shiga University of Medical Science, Otsu 520-2192, Japan;Japanese Red Cross Otsu Hospital, Otsu 520-8511, Japan;Shiga Medical Association, Ritto 520-3031, Japan

关键词: Overweight;    Obesity;    Diabetes mellitus;    Albuminuria;    Clinical survey;   

DOI  :  10.1507/endocrj.EJ17-0415

学科分类：内分泌与代谢学

来源: Japan Endocrine Society

【 摘 要 】

The prevalence of obesity is increasing globally in patients with diabetes. This study aimed to examine 12-year trends of increasing obesity in Japanese patients with diabetes, and their clinical features. The study used results of the Shiga Diabetes Clinical Survey, which recorded medical performance in diabetic patients in 2000, 2006 and 2012. Data were analyzed from 14,205, 14,407 and 21,449 adult patients in these three years, respectively. Overweight and obesity prevalence and the clinical features of diabetes patients were examined, stratified by body mass index (BMI) and age. The prevalence of overweight (BMI 25–30 kg/m2) and obesity (BMI ≥30 kg/m2) were 27.0% and 5.1% in 2000, 28.9% and 7.3% in 2006 and 30.9% and 10.0% in 2012. Glycemic control, blood pressure and serum lipid profile improved over 12 years in all BMI categories. However, glycemic and triglyceride control were insufficient in obese patients aged <65 years (hemoglobin A1c 7.5 ± 1.4%, triglyceride 197.7 ± 178.4 mg/dL in 2012). The percentage of patients who used antihypertensive and lipid-lowering drugs increased and patients with higher BMI had increased frequency of using these drugs, both in young and old age groups. Higher BMI was significantly and positively associated with albuminuria. In summary, overweight and obesity have increased in Japanese diabetic patients, particularly for younger generations. Findings suggest that obesity may lead to poorer glycemic control, blood pressure and lipid profiles. Overweight and obesity are important modifiable risk factors for diabetes, suggesting that more active weight-control interventions are warranted.

【 授权许可】

Unknown