Obesity, Hypertension, and Type-2 Diabetes Mellitus: The Interrelationships and the Determinants among Adults in Gaza City, Palestine.
10.24171/j.phrp.2018.9.6.02
- Author:
Mohammed S ELLULU
1
,
2
Author Information
1. Faculty of Medicine
2. Department of Clinical Nutrition, Faculty of Applied Medical Sciences, Al-Azhar University of Gaza, Palestine. mohdsubhilulu@gmail.com
- Publication Type:Original Article
- Keywords:
body mass index;
hypertension;
life style;
obesity;
physical activity;
type 2 diabetes
- MeSH:
Adult*;
Body Mass Index;
Cross-Sectional Studies;
Diabetes Mellitus*;
Education;
Female;
Humans;
Hypertension*;
Life Style;
Linear Models;
Mothers;
Motor Activity;
Obesity*;
Parents;
Smoke
- From:
Osong Public Health and Research Perspectives
2018;9(6):289-298
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: To describe the distribution of social factors, lifestyle habits and anthropometric measurements according to hypertension and Type-2 diabetes. METHODS: A cross-sectional study was conducted in Gaza City, Palestine that included 379 patients (20–60 years) who had hypertension and/or diabetes. Three groups of patients were involved; 106 hypertensive (HT), 109 diabetic (T2DM) and 164 hypertensive diabetics (HT + T2DM). RESULTS: The HT + T2DM group were older and had a higher body mass index compared to HT and T2DM groups. There were 62.3% patients who were female, 49.2% were highly educated HT patients, and 49.3% patients had a low level of education and were HT + T2DM. There were 55.8% patients who lived in large families. Patients who were passive smokers or never smoked before were mostly HT + T2DM, while active smokers and past smokers had T2DM. There were 48.2% patients who were highly physically active who had HT, 40.9% whom were moderately active had T2DM, and 53.8% of patients who had a low level of activity were HT + T2DM. Multivariate linear regression showed that having a diseased mother, living in a large family, being a past or passive smoker, or never having smoked, having a low or moderate level of activity, and having HT or HT + T2DM, were significantly associated with an increased body mass index. CONCLUSION: Parental health/disease conditions and environmental factors (social network and lifestyle habits) played the greatest role in the development of obesity and disease.