8328 Trends and Associated Factors of Obesity Among Patients with Diabetes Mellitus : Nationwide Survey in Thailand

Abstract Disclosure: P. Samakkarnthai: None. C. kookanok: None. M. Poochanasri: None. W. Kaewput: None. R. Rangsin: None. N. Sathavarodom: None. A. Boonyavarakul: None. Background: There are numerous health complications linked to obesity, especially in Diabetic Patients. However, the prevalence of obesity in people with diabetes is still unclear. Methodology: In 2014 and 2018, sequential cross-sectional investigations were carried out on patients receiving medical treatment at hospitals enrolled in Thailand's Universal Coverage Scheme. These hospitals are located throughout the country and provide care at various levels. Our study seeks to ascertain the trends and factors associated with obesity in individuals with diabetes in Thailand. Results: A total of 33,288 and 38,568 electronic medical records for individuals in 2014 and 2018, respectively, were included in the study. Obesity was 50.3% in 2014 and 50.7% in 2018. The mean BMI in 2014 was 25.5; in 2018, it increased to 25.7. The paired samples t-test indicated a statistically significant change between the two periods (95% CI: -0.20 to -0.05, p < 0.001). Obesity is associated with various factors, including receiving care in an urban standard/advanced hospital (OR 1.51, 95% CI: 1.13-2.01), an indoor occupation (OR 1.40, CI: 1.16-1.40), ex-smoker (OR 1.51, 95% CI: 1.06-2.13), gout (OR 1.20, 95% CI: 1.01-1.43) and hypertension (OR 1.40, 95% CI: 1.18-1.67)Conclusions: Our research highlights the rise in obesity rates and BMI changes among diabetic patients between 2014 and 2018. These findings reinforce the strong connection between obesity and various health issues. Notably, urban standard/advanced hospitals, indoor occupation, and ex-smokers tend to have higher obesity rates. The association between obesity and conditions like gout and hypertension underscores the need for effective weight management strategies incorporated with treating comorbidity in diabetic patients. Presentation: 6/3/2024