Mun, Wong Ching
(2017)
Weight perception and its associated factors among type 2 diabetes mellitus patients attending Diabetes Clinic, Hospital Universiti Sains Malaysia.
Masters thesis, Universiti Sains Malaysia.
Abstract
Background: Weight perception is one of the determining factors of receptivity to weight
management intervention especially in diabetes mellitus patients. Weight management is
the cornerstone of diabetic management as 5 to 7 percent of weight reduction can reduce
oral anti-diabetic agent use and even prevent and delay onset of diabetes.
Objective: To determine the weight perception and its associated factors among type 2
diabetes mellitus patients attending diabetic clinic, HUSM
Methodology: This was a cross-sectional study conducted among 321 diabetic patients
attending diabetic clinic from June 2015 to June 2016. Data on sociodemographic
characteristics, diabetic duration and treatment, weight perception, weight management
behaviours, measurement of weight and height, physical activities in METS and
fibre/vegetables intake were collected using structured questionnaire.
Results: A total of 67.9% (n=218) of the participants had underestimated their weight
status. Factors associated with under-estimation of weight were being married
(AOR=0.09 [95%CI: 0.01-0.76], P=0.23), lower education level (AOR=0.43
[95%CI=0.20-0.92], P=0.028), overweight (AOR=10.15, 95%CI=4.21-24.51, P<0.001)
and obese (AOR=5.85, 95%CI=14.73-147.89, P<0.001), and being physically less active
(AOR=46.67, 95%CI=2.57-13.30, P<0.001). BMI of the subjects were closely related to
estimation, as being overweight is 10 times more likely than normal subjects inunderestimation of their weight status, and obese individuals too, significantly
underestimated their weight.
Conclusions: We found a mismatch between BMI measured and self-perceived body
weight. Health care personnel need to spend more time and effort in patients’ weight
perception in order to improve diabetic management and its health relevance.
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