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Inicio Medicina Clínica (English Edition) Trends of obesity prevalence among Spanish adults with diabetes, 1987–2012
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Vol. 152. Issue 5.
Pages 181-184 (March 2019)
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Vol. 152. Issue 5.
Pages 181-184 (March 2019)
Brief report
DOI: 10.1016/j.medcle.2018.03.041
Trends of obesity prevalence among Spanish adults with diabetes, 1987–2012
Tendencia de la prevalencia de obesidad en adultos españoles con diabetes, 1987-2012
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Francisco Javier Basterra-Gortaria,b, Maira Bes-Rastrollob,c, Miguel Ruiz-Canelab,c, Alfredo Geab,c, Carmen Sayón-Oreab,d, Miguel Ángel Martínez-Gonzálezb,c,e,
Corresponding author
mamartinez@unav.es

Corresponding author.
a Department of Internal Medicine (Endocrinology), Hospital Reina Sofia, Instituto de Investigación Sanitaria de Navarra (IdiSNA), Servicio Navarro de Salud-Osasunbidea, Tudela, Spain
b University of Navarra, Department of Preventive Medicine and Public Health, Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain
c Centro de Investigación Biomédica en Red de la Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain
d Department of Preventive Medicine, Complejo Hospitalario de Navarra, Instituto de Investigación Sanitaria de Navarra (IdiSNA), Servicio Navarro de Salud-Osasunbidea, Pamplona, Spain
e Department of Nutrition, Harvard TH Chan School of Public Health, Boston, USA
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Table 1. Prevalence (%) of obesity (BMI ≥30) and 95% confidence intervals in Spanish adults (≥16 years) with diabetes, according to self-reported weight and height in the National Health Surveys.
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Abstract
Introduction and objective

Our aim was to examine the secular trends in obesity prevalence among Spanish adults with diabetes.

Material and methods

Data were collected from 8 waves (from 1987 to 2012) of the National Health Surveys (NHS). NHS are cross-sectional studies conducted in representative samples of the Spanish adult population. Data of 7378 adults (≥16 years) who reported having been diagnosed of diabetes were analyzed. Previously validated self-reported weight and height were used to estimate body mass index (BMI). Obesity was defined as a BMI of 30kg/m2 or greater. Age-adjusted obesity prevalence for each wave was calculated by the direct standardization method.

Results

From 1987 to 2012 age-adjusted prevalence of obesity among persons with diabetes increased from 18.2% (95% confidence interval [CI]: 14.2–22.2%) to 39.8% (95% CI: 36.8–42.8%). Age-adjusted prevalence of obesity in males with diabetes increased from 13.2% (95% CI: 7.3–19.1%) to 38.0% (95% CI: 33.8–42.1%) and in females from 23.0% (95% CI: 17.6–28.4%) to 42.3% (95% CI: 38.0–46.6%).

Conclusions

Between 1987 and 2012 the prevalence of obesity markedly increased in Spain among adults with diabetes.

Keywords:
Obesity
Diabetes
Epidemiology
Prevalence
Resumen
Introducción y objetivo

Nuestro objetivo fue conocer la tendencia de la prevalencia de obesidad entre adultos españoles con diabetes.

Material y métodos

Se utilizaron 8 (1987-2012) Encuestas Nacionales de Salud (ENS). Las ENS son estudios transversales realizados en muestras representativas de la población adulta española. Se analizaron datos de 7.378 adultos (≥16 años) que refirieron un diagnóstico de diabetes. El índice de masa corporal (IMC) se calculó a partir de los datos auto-referidos de peso y talla validados previamente. Se definió obesidad como un IMC30kg/m2. Se calculó para cada encuesta la prevalencia de obesidad ajustada por edad con el método directo de estandarización.

Resultados

Desde 1987 a 2012 la prevalencia de obesidad ajustada aumentó en adultos con diabetes del 18,2% (intervalo de confianza [IC] 95%: 14,2-22,2%) al 39,8% (IC 95%: 36,8-42,8%). La prevalencia ajustada de obesidad en varones con diabetes aumentó del 13,2% (IC 95%: 7,3-19,1%) al 38,0% (IC 95%: 33,8-42,1%); en mujeres con diabetes aumentó del 23,0% (IC 95%: 17,6-28,4%) al 42,3% (IC 95%: 38,0-46,6%).

Conclusiones

Entre 1987 y 2012 la prevalencia de obesidad aumentó notablemente en adultos españoles con diabetes.

Palabras clave:
Obesidad
Diabetes
Epidemiología
Prevalencia

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