Abstract
Introduction: The prevalence of abdominal obesity (AO) is increasing worldwide and it is reported to increase the risk of diabetes. This study aimed to determine the prevalence of abdominal obesity among Malaysian adults and its association with diabetes.
Methodology: Data for 9688 respondents in this study were drawn from the National Health and Morbidity Survey (NHMS) 2019, a nationwide cross-sectional study conducted among adults >18 years old in Malaysia. Respondents were recruited using stratified cluster sampling, covering urban and rural areas from all states in Malaysia. The data was collected from July until October 2019. Information on socio-demographics of the respondents was collected using interviewer-administered questionnaires. AO for men is defined by waist circumference >90cm and for women, >80cm. BMI was calculated by weight (kg) divided by the square of height (m²) and categorised according to WHO 1998 guideline (Underweight <18.5kg/m², normal 18.5 - <24.9 kg/m², overweight >25.0 - 29.9 kg/m² & obese <30.0 kg/m²). Diabetes is defined as fasting blood glucose >7.0 mmol/L. Descriptive analysis and chi-square test were used to analyse the data in SPSS Version 26. Statistical significance was set at p<0.05.
Results: From the total respondents of 9688 in this study, 60.8% of them were from urban areas, 53.8% were females, 31.4% aged >55 years old and the majority (64.9%) were of Malay ethnicity. Nearly half of the respondents (55.1%) were overweight/obese while the majority were from B40 households. The prevalence of AO among the respondents was 58.9% and the prevalence of diabetes was 25.0%. The prevalence of diabetes among the respondents with AO was 31.4% and among those with no AO was 15.8%. Compared with the respondents with no AO, the prevalence of diabetes among those with AO was higher and the difference was statistically significant (p<0.001). Discussion: In this study, AO is significantly associated with diabetes. It is recommended more attention is given to reduce AO through education on healthy eating and exercise programs to reduce abdominal fat deposit as a prevention measure to control diabetes in Malaysia.
Links
- https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-88.pdf
- https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed1909[...]
BibTeX (Download)
@proceedings{APCPH2022-P-88,
title = {Prevalence of Abdominal Obesity (AO) among adults and its association with Diabetes: Findings from National Health and Morbidity Survey (NHMS) 2019},
author = {Lalitha Palaniveloo and Azli Baharudin and Subash Shander Ganapathy and Ahmad Ali Zainuddin},
url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-88.pdf
https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed19095a89ed/E-POSTER-APCPH2022-P-88-e4a5873ea3679e8155a5ad32413d20d3.pdf},
year = {2022},
date = {2022-08-02},
urldate = {2022-08-02},
issue = {7},
abstract = {Introduction: The prevalence of abdominal obesity (AO) is increasing worldwide and it is reported to increase the risk of diabetes. This study aimed to determine the prevalence of abdominal obesity among Malaysian adults and its association with diabetes.
Methodology: Data for 9688 respondents in this study were drawn from the National Health and Morbidity Survey (NHMS) 2019, a nationwide cross-sectional study conducted among adults \>18 years old in Malaysia. Respondents were recruited using stratified cluster sampling, covering urban and rural areas from all states in Malaysia. The data was collected from July until October 2019. Information on socio-demographics of the respondents was collected using interviewer-administered questionnaires. AO for men is defined by waist circumference \>90cm and for women, \>80cm. BMI was calculated by weight (kg) divided by the square of height (m²) and categorised according to WHO 1998 guideline (Underweight \<18.5kg/m², normal 18.5 - \<24.9 kg/m², overweight \>25.0 - 29.9 kg/m² \& obese \<30.0 kg/m²). Diabetes is defined as fasting blood glucose \>7.0 mmol/L. Descriptive analysis and chi-square test were used to analyse the data in SPSS Version 26. Statistical significance was set at p\<0.05.
Results: From the total respondents of 9688 in this study, 60.8% of them were from urban areas, 53.8% were females, 31.4% aged \>55 years old and the majority (64.9%) were of Malay ethnicity. Nearly half of the respondents (55.1%) were overweight/obese while the majority were from B40 households. The prevalence of AO among the respondents was 58.9% and the prevalence of diabetes was 25.0%. The prevalence of diabetes among the respondents with AO was 31.4% and among those with no AO was 15.8%. Compared with the respondents with no AO, the prevalence of diabetes among those with AO was higher and the difference was statistically significant (p\<0.001). Discussion: In this study, AO is significantly associated with diabetes. It is recommended more attention is given to reduce AO through education on healthy eating and exercise programs to reduce abdominal fat deposit as a prevention measure to control diabetes in Malaysia.},
howpublished = {published online at https://apcph.cphm.my},
note = {Type: POSTER PRESENTATION; Organisation: Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia},
keywords = {abdominal obesity, Adult, diabetes, Malaysia, Waist Circumference},
pubstate = {published},
tppubtype = {proceedings}
}