Akbar Quratulain, Ahmed Khan Bilal, Rajput Bakhtawar Saleem, Jatoi Nadia Nazir, Elahi Sadia, Gain Abbas Mustafa, Amjad Arooba, Akbar Dureshahwar, Nazir Maaz Bin, Gianchand Naveed
Internal Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, PAK.
Cureus. 2020 Aug 30;12(8):e10126. doi: 10.7759/cureus.10126.
Background Obesity is a major public health concern and is associated with incident cardiovascular diseases. A very few studies around the globe have assessed how type 2 diabetic (T2D) patients comprehend obesity. Our study aims to evaluate the concerns and behaviors of T2D patients regarding obesity in a developing country like Pakistan. Methods A cross-sectional study was conducted in Karachi during the period of December to February 2020 in which T2D patients were assessed for their comprehension of how obesity affects their disease and concerns, as well as their practices such as weight loss activities and dietary habits. Data analysis was performed using Statistical Package for the Social Sciences Version 24 (IBM Corp., Armonk, NY, USA). Results Of 417 T2D patients inducted in our study, 265 (63.5%) knew their ideal body weight, whereas only 221 (52.9%) knew how to measure it. Among those who were willing to lose weight, this was mostly due to a wish to avoid further complications of obesity (N=155 [73.1%]) and also peer/family pressures (N=124 [58.5%]) among other reasons. More obese (N=68 [43.6%]) than non-obese participants (N=87 [33.3%]) were willing to consult a doctor to help them reduce weight. Participants had adopted various strategies to reduce weight, of which increasing exercise (N=242 [85.8%]) and healthy eating (N=162 [57.4%]) were most popular. Conclusions There is a need to address barriers to weight loss among T2D patients in Pakistan and to provide patients with pragmatic guidelines on how to make sustainable lifestyle changes to help reduce and maintain their body weight.
肥胖是一个主要的公共卫生问题，与心血管疾病的发生有关。全球仅有极少数研究评估了2型糖尿病（T2D）患者对肥胖的理解。我们的研究旨在评估像巴基斯坦这样的发展中国家T2D患者对肥胖的关注及行为。方法：于2020年12月至2月在卡拉奇进行了一项横断面研究，评估T2D患者对肥胖如何影响其疾病及关注事项的理解，以及他们的减肥活动和饮食习惯等行为。使用社会科学统计软件包第24版（IBM公司，美国纽约州阿蒙克）进行数据分析。结果：在我们纳入研究的417例T2D患者中，265例（63.5%）知道自己的理想体重，而只有221例（52.9%）知道如何测量。在那些愿意减肥的患者中，这主要是由于希望避免肥胖的进一步并发症（N = 155 [73.1%]）以及同伴/家庭压力（N = 124 [58.5%]）等原因。愿意咨询医生以帮助他们减肥的肥胖参与者（N = 68 [43.6%]）比非肥胖参与者（N = 87 [33.3%]）更多。参与者采取了各种减肥策略，其中增加运动（N = 242 [85.8%]）和健康饮食（N = 162 [57.4%]）最为普遍。结论：有必要解决巴基斯坦T2D患者减肥的障碍，并为患者提供关于如何进行可持续生活方式改变以帮助减轻和维持体重的实用指南。
