Osong Public Health Res Perspect.  2018 Dec;9(6):289-298. 10.24171/j.phrp.2018.9.6.02.

Obesity, Hypertension, and Type-2 Diabetes Mellitus: The Interrelationships and the Determinants among Adults in Gaza City, Palestine

• Ellulu MS

• KMID: 2431671
• DOI: http://doi.org/10.24171/j.phrp.2018.9.6.02

Abstract

OBJECTIVES
To describe the distribution of social factors, lifestyle habits and anthropometric measurements according to hypertension and Type-2 diabetes.
METHODS
A cross-sectional study was conducted in Gaza City, Palestine that included 379 patients (20-60 years) who had hypertension and/or diabetes. Three groups of patients were involved; 106 hypertensive (HT), 109 diabetic (T2DM) and 164 hypertensive diabetics (HT + T2DM).
RESULTS
The HT + T2DM group were older and had a higher body mass index compared to HT and T2DM groups. There were 62.3% patients who were female, 49.2% were highly educated HT patients, and 49.3% patients had a low level of education and were HT + T2DM. There were 55.8% patients who lived in large families. Patients who were passive smokers or never smoked before were mostly HT + T2DM, while active smokers and past smokers had T2DM. There were 48.2% patients who were highly physically active who had HT, 40.9% whom were moderately active had T2DM, and 53.8% of patients who had a low level of activity were HT + T2DM. Multivariate linear regression showed that having a diseased mother, living in a large family, being a past or passive smoker, or never having smoked, having a low or moderate level of activity, and having HT or HT + T2DM, were significantly associated with an increased body mass index.
CONCLUSION
Parental health/disease conditions and environmental factors (social network and lifestyle habits) played the greatest role in the development of obesity and disease.

Keyword

body mass index; hypertension; life style; obesity; physical activity; type 2 diabetes

MeSH Terms

Adult*
Body Mass Index
Cross-Sectional Studies
Diabetes Mellitus*
Education
Female
Humans
Hypertension*
Life Style
Linear Models
Mothers
Motor Activity
Obesity*
Parents
Smoke
Smoke