Abstract:
Background: Non-communicable diseases especially type 2 diabetes mellitus (T2DM) is
exhibiting an alarming prevalence among people of sub-Saharan Africa including Ethiopia.
However, little is known about nutritional status of type 2 diabetic patients and associated factors
in low income countries like Ethiopia.
Objective: To assess Overweight/Obesity and associated factors among Type 2 Diabetic Patients
at Hosanna Zonal Hospital, Hadiya Zone, Southern, Ethiopia from
Methods and materials: Institution based cross-sectional study was conducted among 420 type2
diabetic patients at Hosanna Nigisit Elleni Memorial Hospital. Systematic sampling method was
used to select the study participants. Anthropometric measurements and pretested structured
questionnaire through face to face interview were used to collect the data. Data were entered on to
Epidata version 3.02 statistical software and cleaned for implausible and missed values. Then data
were exported to Statistical Package for Social Sciences (SPSS) version 20.Body mass index
(BMI) was calculated by using SPSS Software and descriptive statistics was conducted using
frequency table. Multivariable logistic regression was used to identify factors associated with
overweight/obesity.
Results: The magnitude of overweight was [(31.5%), 95% CI (27%-35.9%)] while obesity
accounts for [(4.4%), 95%CI: (2.5%- 6.9)]. On multivariable logistic regression model, age above
55 years [AOR= 3.24, 95% CI (1.74-6.06)],physical activities less than 30 minute/day[AOR=
2.31,95% CI (1.30-4.11)] , duration of diabetes after diagnosis 3 years and beyond [AOR =2.55,
95% CI (1.48-4.40)] and poor dietary practices [AOR= 2.98,95%CI (1.79-4.96)] were
significantly associated with overweight / obesity.
Conclusion: in this study, one third of study participants were overweight. Age, physical activities,
and poor dietary practice were found to be associated with overweight/obesity. Thus behavioral
change among type 2 diabetic patients, nutrition education and regular nutritional status
monitoring is needed to regulate nutritional status of diabetic patients.