Characterization of Patients with Type 2 Diabetes according to Body Mass Index: Korea National Health and Nutrition Examination Survey from 2007 to 2011.
10.3803/EnM.2015.30.4.514
- Author:
Dong Hwa LEE
1
;
Kyong Yeun JUNG
;
Kyeong Seon PARK
;
Kyoung Min KIM
;
Jae Hoon MOON
;
Soo LIM
;
Hak Chul JANG
;
Sung Hee CHOI
Author Information
1. Division of Endocrinology and Metabolism, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. drshchoi@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Diabetes mellitus, type 2;
Body mass index;
Cardiovascular diseases
- MeSH:
Adult;
Body Mass Index*;
Cardiovascular Diseases;
Cross-Sectional Studies;
Diabetes Mellitus, Type 2;
Humans;
Korea*;
Nutrition Surveys*;
Overweight;
Prevalence;
Risk Factors
- From:Endocrinology and Metabolism
2015;30(4):514-521
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: The present study aimed to investigate the clinical characteristics of type 2 diabetes mellitus (T2DM) in Korean adults according to body mass index (BMI) and to analyze the association with cardiovascular disease (CVD). METHODS: We conducted a cross-sectional study of data from the Korea National Health and Nutrition Examination Survey from 2007 to 2011. A total of 3,370 patients with T2DM were divided into categories according to BMI. We conducted a comparison of the T2DM patient population composition by BMI category between different countries. We investigated the prevalence of awareness, treatment, and target control of T2DM according to BMI. RESULTS: Patients with T2DM had a higher BMI, and were more likely to have a history of CVD than healthy controls. For Korean adults with T2DM, 8% had BMI > or =30 kg/m2. By contrast, the population of patients with T2DM and BMI > or =30 kg/m2 was 72% in patients in the USA and 56% in the UK. The rate of recognition, treatment, and control has worsened in parallel with increasing BMI. Even in patients with BMI 25 to 29.9 kg/m2, the prevalence of CVD or high risk factors for CVD was significantly higher than in patients with BMI 18.5 to 22.9 kg/m2 (odds ratio, 2.07). CONCLUSION: Korean patients with T2DM had lower BMI than those in Western countries. Higher BMI was associated with lower awareness, treatment, and control of diabetes, and a positive association was observed between CVD or high risk factors for CVD and BMI, even for patients who were overweight but not obese.
