Obesity and Its Association with Undiagnosed Diabetes Mellitus, High Blood Pressure and Hypercholesterolemia in the Malaysian Adult Population

A National Cross-Sectional Study Using NHMS Data

Dados Bibliográficos

ID15486707
AutoresHui Chin Koo (0000-0001-5452-6241, Tunku Abdul Rahman University of Management and Technology), Lay Kim Tan (0000-0001-5846-2783, Ministry of Health, autor correspondente), Geok Pei Lim (0000-0003-3509-7546, Monash University Malaysia), Chee Cheong Kee (0000-0003-1372-9549, Ministry of Health), Mohd Azahadi Omar (0000-0002-5171-851X, Ministry of Health)
Ano2023
Volume20
Fascículo4
Páginas3058-3058
Data de publicação2023-02-09
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores do periódicoISSN: 1661-7827 • E-ISSN: 1660-4601
EditoraMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20043058
PMID36833764
OpenAlexW4319923840
IdiomaEN
Citações recebidas1
Referências citadas35

This study aimed to report the prevalence of obesity, classified using Asian cut-off, and its relationships with undiagnosed diabetes mellitus, high blood pressure, and hypercholesteremia. We analyzed the nationally representative data from 14,025 Malaysian adults who participated in the NHMS 2015. The relationship between obesity and undiagnosed diabetes mellitus, high blood pressure, and hypercholesteremia was determined using multivariable logistic regressions, and lifestyle risk factors and sociodemographic characteristics were adjusted. The undiagnosed high blood pressure group showed the highest proportionate of overweight/obese (80.0%, 95% CI: 78.1-81.8) and central obesity (61.8%, 95% CI: 59.3-64.2). Inverse association was observed between underweight with undiagnosed high blood pressure (aOR: 0.40, 95% CI: 0.26-0.61) and hypercholesterolemia (aOR: 0.75, 95% CI: 0.59-0.95) groups. In contrast, positive relationships were shown between overweight/obese and risk of undiagnosed diabetes mellitus (aOR: 1.65, 95% CI: 1.31-2.07), high blood pressure (aOR: 3.08, 95% CI: 2.60-3.63), and hypercholesterolemia (aOR: 1.37, 95% CI: 1.22-1.53). Likewise, central obesity was positively associated with a risk of undiagnosed diabetes mellitus (aOR: 1.40, 95% CI: 1.17-1.67), high blood pressure (aOR: 2.83, 95% CI: 2.45-3.26), and hypercholesterolemia (aOR: 1.26, 95% CI: 1.12-1.42). Our findings indicated the importance of periodical health examinations to assess the risk of non-communicable diseases among the general and abdominal obese Malaysian adults

Abdominal obesity · Blood pressure · Cross-sectional study · Diabetes mellitus · Environmental health · Logistic regression · Metabolic syndrome · Obesity · Overweight · Population · Underweight · Diabetes, Cardiovascular Risks, and Lipoproteins · Medicine · Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Endocrinology · Internal Medicine