Volume 26, Issue 2 (5-2019)                   RJMS 2019, 26(2): 85-92 | Back to browse issues page

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Arabi M, Rasi V. The relation between body mass index and prevalence of ischemic heart disease in type 2 diabetic patients . RJMS 2019; 26 (2) :85-92
URL: http://rjms.iums.ac.ir/article-1-5542-en.html
Iran University of Medical Sciences, Tehran, Iran , rasi.v@tak.iums.ac.ir
Abstract:   (3592 Views)

Background: The transition from communicable to non-communicable diseases has occurred over many years in all countries of the world, even in developing countries. Diabetes and its ischemic heart complication are among the most important second groupe diseases. In recent years, discussions about the role of obesity and weight gain have risen again as a risk factor for both diseases. Our objective of this study was to determine the relationship between body mass index and prevalence of ischemic heart disease in type 2 diabetic patients in Iran.
Methods: This study was conducted in 2018 in 666 patients with type II diabetic patients registered in the Family physician system in Malard County. Data were gathered through medical records and then analyzed by SPSS software using Chi-square method.
Results: Of these, 177 were male and 489 were female. Our findings showed that 73 type 2 diabetic patients (10.96%) had ischemic heart disease (51 women and 22 men). In terms of body mass index, 2.7% were in the under-weight group, 21.9% in the normal weight group, 37% in the overweight group, 27.4 % in the grade1 obesity group, 8.2% in the grade 2 obesity group, and 2.7% were in the grade 3 obesity group.
Conclusion: According to our findings, although the prevalence of type 2 diabetes in overweight and grade1 obesity people is higher than normal or underweight individuals, the prevalence of ischemic heart complication in type2 diabetic patients is not consistent with this trend, and not only ischemic heart disease is not low in normal weight subjects, but also is slightly lower from grade 1 obesity and is higher than grade 2 and 3 obesities. Also, the distribution of ischemic heart disease in type 2 diabetic women and men is different among groups with different Body Mass Index and prevalence of ischemic heart disease in females more than males in normal weight group.
 

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Type of Study: Research | Subject: Internal Medicine

References
1. 1. Herman WH. The global burden of diabetes: an overview. Diabetes mellitus in developing countries and underserved communities: Springer; 2017. p. 1-5.
2. 2. Bonackdaran Sh, Taghavi SM. Cardiovascular risk factors in patients with type 2 diabetes in mashhad. Iran J Endocrinol Metabol; 2010. 12 (41):1-6.
3. 3. Bommer C, Sagalova V, Heesemann E, Manne-Goehler J, Atun R, Bärnighausen T, et al. Global economic burden of diabetes in adults: Projections from 2015 to 2030. Diabetes Care; 2018:dc171962.
4. 4. Einarson TR, Acs A, Ludwig C, Panton UH. The economic burden of cardiovascular disease in type 2 diabetes: a systematic review. Value Health. 2018.21(7):881-90.
5. 5. Bommer C, Heesemann E, Sagalova V, Manne-Goehler J, Atun R, Bärnighausen T, et al. The global economic burden of diabetes in adults aged 20–79 years: a cost-of-illness study. Lancet Diabetes Endocrinol; 2017.5(6):423-30.
6. 6. Mazzone T, Chait A, Plutzky J. Cardiovascular disease risk in type 2 diabetes mellitus: insights from mechanistic studies. Lancet; 2008.371(9626):1800-9.
7. 7. Fox CS, Coady S, Sorlie PD, D’Agostino RB, Pencina MJ, Vasan RS, et al. Increasing cardiovascular disease burden due to diabetes mellitus: the Framingham Heart Study. Circulation; 2007.115(12):1544-50.
8. 8. Safaii H, Amini M. The prevalence of cardiovascular risk factors in type 2 diabetic patients in Isfahan. J Diabetes Metabol Disord; 2003. 3(1):6-71.
9. 9. Young LH, Frans JT, Chyun DA, Davey JA, Barrett EJ, Taillefer R, et al. Cardiac outcomes after screening for asymptomatic coronary artery disease in patients with type 2 diabetes: the DIAD study: a randomized controlled trial. JAMA; 2009.301(15):1547-55.
10. 10. Rakel RE. Text Book Of Family medicine. NINTH EDITION ed. 1600 John F. Kennedy Blvd.
11. Ste 1800 Philadelphia, PA 19103-2899: Elsevier Saunders; 2016.
12. 11. Wessel TR, Arant CB, Olson MB, Johnson BD, Reis SE, Sharaf BL, et al. Relationship of physical fitness vs body mass index with coronary artery disease and cardiovascular events in women. JAMA; 2004.292(10):1179-87.
13. 12. Van Gaal LF, Mertens IL, Christophe E. Mechanisms linking obesity with cardiovascular disease. Nature; 2006.444(7121):875.
14. 13. Romero-Corral A, Montori VM, Somers VK, Korinek J, Thomas RJ, Allison TG, et al. Association of bodyweight with total mortality and with cardiovascular events in coronary artery disease: a systematic review of cohort studies. Lancet; 2006.368(9536):666-78.
15. 14. Jerant A, Bertakis K, Franks P. Body mass index and health status in diabetic and non-diabetic individuals. Nutr Diabetes; 2015.5(4):e152.
16. 15. Jerant A, Franks P. Body mass index, diabetes, hypertension, and short-term mortality: a population-based observational study, 2000–2006. J Am Board Fam Med; 2012 Jul-Aug.25(4):422-31.
17. 16. Gray N, Picone G, Sloan F, Yashkin A. Relation between BMI and diabetes mellitus and its complications among US older adults. SMJ; 2015.108(1):29-36.
18. 17. Wannamethee SG, Shaper AG, Walker M. Overweight and obesity and weight change in middle aged men: impact on cardiovascular disease and diabetes. J Epidemiol Community Health; 2005.59(2):134-9.
19. 18. Al Rawahi AH, Lee P, Al Anqoudi ZA, Al Busaidi A, Al Rabaani M, Al Mahrouqi F, et al. Cardiovascular disease Incidence and risk factor patterns among Omanis with type 2 diabetes: a retrospective cohort study. OMJ; 2017.32(2):106.
20. 19. Nagao H, Kashine S, Nishizawa H, Okada T, Kimura T, Hirata A, et al. Vascular complications and changes in body mass index in Japanese type 2 diabetic patients with abdominal obesity. Cardiovasc Diabetol; 2013.12(1):88.

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