Prevalence of Higher Body Mass Index and its Associated Factors among Type 2 Diabetes Mellitus Patients attending follow up clinic at St. Paul’s Hospital Millennium Medical College in, Addis Ababa.

Abstract

ABSTRACT Background: High body mass index in type 2 diabetes mellitus patients has been known to cause adverse impacts in the treatment and prevention of its likely complications. According to the World Health Organization, the number of patients with Type 2 diabetics in Ethiopia was estimated as 800,000 in 2000 and projected to be about 1.8 million by the year 2030. Objective: To assess the prevalence of High body mass index and its associated factors among patients with type 2 diabetes mellitus attending the follow up clinics at St. Paul’s Hospital Millennium Medical College in Addis Ababa, Ethiopia, 2022. Methods: A hospital based cross sectional study was conducted from May 21, 2022 up to June 21, 2022 among type 2 diabetes mellitus patients who are attending diabetic clinic at St. Paul’s Hospital Millennium Medical College. Systematic random sampling technique was used. Structured questionnaire and anthropometric measures were employed to collect the data. Binary and Multivariable logistic regression analysis models were used to determine the relationship of each independent variable with the dependent variable. Statistical significance was determined at the p-value < 0.05. Strength of association was described by adjusted odds ratio. Result: Among the total 410 study participants, the prevalence of high body mass index was 64.9 %( 95%CI: 58.9, 69.5). As the findings of this study revealed factors which were significantly associated with high body mass index were female gender (AOR: 2.788, 95%CI: 1.620, 4.798), those who attended higher education (AOR: 6.396, CI: 2.177, 18.788), those who sometimes uses walking on foot for transportation (AOR: 5.367, CI: 2.409, 11.959) and central obesity (AOR: .024, CI: .010, .058). Conclusion: The prevalence of high body mass index was found to be very high among type 2 diabetes mellitus patients in the study area. Thus, an effective management of high body mass index aimed at bringing towards normal body weight through organized programs including nutrition and physical activity education and training can have significant role in preventing the associated further complications in diabetic patients. Key words: High body mass index, Type 2 diabetes mellitus, Factors associated, Ethiopia