PREVALENCE OF OBESITY AND ITS ASSOCIATION WITH COMORBIDITIES IN ADULT PATIENTS ATTENDING DEGIRMENDERE FAMILY PRACTICE UNIT: A CASE-CONTROL STUDY
Objective: To determine the prevalence of obesity and to assess associated risk factors among adult patients of Değirmendere Family Practice Unit.
Methods: Files of 298 registered patients, attending our family practice unit between January 20th and June 31st 2002 were cross-sectionally screened. 207 files containing sufficient data were included. Inclusion criteria were: age ? 18 years, records containing height, body weight, systolic and diastolic blood pressure value and presence of personal problem list. For obesity prevalence assessment, patients were grouped according to body mass index (BMI, kg/m2) as follows: group 1 BMI < 25 kg/m2 normal weight, group 2 BMI=25-29.9 kg/m2 overweight, group 3 BMI < 30 kg/m2 obese. For risk assesment the study population was divided as; group 1 (control group) normal weight BMI< 25 kg/m2, group 2 overweight or obese BMI < 25 kg/m2.
Results: 77.8% (n=161) of the study population were female, mean age was 52.8±11.9 years, mean BMI was 27.9±5 kg/m2. Overall prevalence of obesity was 28% (n=58), being dominant in women (29.2% vs 23.9% in men) and showing a peak between 40-60 years of age for both genders. When compared to normal weight, being overweight or obese was found to significantly increase the risks for hypertension (Odds Ratio=OR=2.9, p=0.001) and type 2 diabetes mellitus (OR=4.8, p=0.007).
Conclusion: Results were in accordance with recent Turkish population based obesity prevalence studies. Obesity is an important cardiovascular and metabolic risk factor.