Obesity as Type 2 Diabetes Common Comorbidity: Study of Type 2 Diabetes Patients’ Eating Behaviour and Other Determinants in Jakarta, Indonesia

Isna Aulia Fajarini, Ratu Ayu Dewi Sartika


Obesity is one of the comorbidities widely occurred among type 2 diabetes patients. It is one of the most modifiable risk factors for the prevention of other comorbid conditions such as diabetic nephropathy and cardiovascular disease. The aim of this study was to recognize eating behaviour, physical activity, and other related factors, also their correlation with obesity as comorbidity among type 2 diabetes patients. Using cross-sectional design, data were collected from purposively selected 133 members of “PROLANIS” in Jatinegara Primary Health Care, East Jakarta. Food intake was assessed by 1x24 hours food recall and FFQ, physical activity by GPAQ. The result showed 63,9% of adult with type 2 diabetes were obese (BMI ≥25 kg/m2), fat intake was higher than recommendation (30,77±9,06%), but mean energy intake was insufficient compared to energy requirement (62,06±23,67%). The prevalence of obesity among adults with type 2 diabetes is found associated with nutrition knowledge, level of education, and length of suffering type 2 diabetes. Nutrition education is important to reduce the prevalence of obesity among adults with type 2 diabetes.


Adults; Diabetic Comorbidity; Diabetic Patients; Obesity

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 1. World Health Organization [homepage on the internet]. Geneva: Diabetes; 2017 [cited 2017 September 20] Available from: http://www.who.int/mediacentre/factsheets/fs312/en/.

 2. World Health Organization. Global status report on non-communicable disease. Geneva (Switzerland): WHO Press; 2010.  3. Iglay K, Hannachi H, Howie PJ, Xu J, Li X, Engel S, Moore LM, Rajpathak S. Prevalence and co-prevalence of comorbidities among patients with type 2 diabetes mellitus. Current Medical Research and Opinion. 2016; 32 (7): 1243-52.

 4. Maric-Bilkan, Christine. Obesity and Diabetic Kidney Disease. Medical Clinics of North America. 2014; 97 (1): 59-74

 5. Palmer J, Kalsekar A, Boye K, and Goodall G. The impact of obesity on adverse cardiovascular outcomes in the general population and in patient with type 2 diabetes. Clinical Medicine Insights: Endocrinology & Diabetes. 2009; 2: 43-69.

 6. Zhou X, Ji L, Ran X, Su B, Ji Q, Pan C, et al. Prevalence of obesity and its’ influence on achievement of cardiometabolic therapeutic goals in chinese type 2 diabetes patients: an analysis of the nationwide, cross-sectional 3B study. PLoS One. 2016; 11(1): e0144179.

 7. Colosia A, Palencia R, and Khan S. Prevalence of hypertension and/or obesity in patients with type 2 diabetes mellitus in asia: a systematic lite rature review. Value in Health. 2012; 15: A602-81.

 8. Adnan M, Mulyawati T, Isworo J. Hubungan indeks massa tubuh (IMT) dengan kadar gula darah penderita diabetes mellitus (DM) tipe 2 rawat jalan Di RS Tugurejo Semarang. Jurnal Gizi Universitas Muhammadiyah Semarang. April 2013; 2(1): 18-24.

 9. Trisnawati S, Setyorogo S. Faktor risiko kejadian diabetes mellitus tipe 2 di Puskesmas Kecamatan Cengkareng Jakarta Barat. Jurnal Ilmiah Kesehatan. 2013; Vol. 5(1): 6-11.

 10. Lestari WP. Gambaran efektivitas penggunaan obat antidiabetik tunggal dan kombinasi dalam mengendalikan gula darah pada pasien DM tipe II di RSUP Fatmawati tahun 2012 [skripsi]. Jakarta: UIN Syarif Hidayatullah; 2013.

 11. Badan Penyelenggara Jaminan Sosial Kesehatan. Panduan praktis PROLANIS [monograph on the Internet]. Jakarta: Kemenkes RI; 2014 [cited 2017 October 2] Available from: http://bpjs


 12. Eckel R, Kahn S, Ferranninni E, Goldfine A, Nathan D, Schwartz M, Smith R, Smith S. Obesity and type 2 diabetes: what can be unified and what needs to be individualized?. Diabetes Care; 34(6): 1424-30

 13. Fagour C, Gonzalez C, Pezzino S, Florenty S, Rosette-Narece M, Gin H, et al. Low physical activity in patient with type 2 diabetes: the role of obesity. Diabetes and Metabolism. 2013; 39(1): 85-7.

 14. Nagao H, Kashine S, Nishizawa H, Okada T, Kimura T, Hirata A, et al. Vascular complications and changes in BMI in Japanese type 2 diabetic patients with abdominal obesity. Cardiovascular Diabetology. 2013; 12: 88.

 15. World Health Organization. The asia pacific perspective: redefining obesity and it's treatment. Geneva (Switzerland); WHO Press: 2000.

 16. Perkumpulan Endokrinologi Indonesia. Konsensus pengendalian dan pencegahan DM tipe 2 di Indonesia. Jakarta (Indonesia): Perkumpulan Endokrinologi Indonesia; 2015.

 17. Centers for Disease Control and Prevention. National health and nutrition examination survey (NHANES): anthropometry procedures manual [Monograph on the Internet]. CDC; 2017 [Cited 28 May 2019] Available from: https//www.cdc.gov/nchs/data/nhanes/nhanes_07_08/manuak_an.pdf

 18. Nazli R, Akhtar T, Lutfullah G, Khan M, Haider J, Aslam H. Prevalence of obesity and associated risk factors in a female population of rural Peshawar Pakistan. Khyber Medical University Journal. 2015; 7(1): 1924.

 19. Hajian-Tilaki K, Heidari B. Association of educational level with risk of obesity and abdominal obesity in Iranian adult. Journal of Public Health. 2010; 32(2): 202-9.

 20. Saeed K. Prevalence and associated risk factors for obesity in Jalalabad city - Afghanistan. Alexandria Journal of Medicine. December 2015; 51 (4): 347-52.

 21. Kirunda B, Fadnes L, Wamani H, Broeck J, Tylleskar T. Populationbased survey of overweight and obesity and the associated factors in peri-urban and rural Eastern Uganda. BMC Public Health. November 2015; 15: 1168-79.

 22. McKinnon L, Giskes K, Turkell G. The contribution of three components of nutrition knowledge to socio-economic differences in food purchasing choices. Public Health Nutrition. August 2014; 7(8): 1814-24.

 23. Broughan GT, Tidwell DK, Cross GW, Brilley CA. Examining the influence of nutritional behaviors, knowledge, and attitude on body mass index of adults in North Mississipi. Journal of Academy of Nutrition and Dietetics. 2014; 114(9): A84.

 24. Stanton R, Scott D, Happell B. Low knowledge of physical health behaviours is associated with poor diet and chronic illness in adults. Australian Journal of Primary Health. 2016; 22(3): 226-32.

 25. Reen R, Malik M. Comparison of physical activity level of type 2 diabetic patients with health controls. Indian Association of Health, Research, and Welfare. 2012; 3: 746-9.

 26. Gurevich-Panigrahi T, Pahigrahi S, Wiechec E, Los M. Obesity: pathophysiology and clinical management. Current Medical Chemistry. 2009: 16 (4): 506-21.

 27. Temelkova-Kurktschiev T, Stefanov TS. Lifestyle and genetics in obesity and type 2 diabetes. Experimental and Clinical Endocrinology & Diabetes. 2012; 17: 1814-24 Kesmas: National Public Health Journal, 2019; 13 (4): 157-163

 28. Aucott LS, Philip S, Avenell A, Afolabi E, Sattar N, Wild S. Patterns of weight change after the diagnosis of type 2 diabetes in Scotland and their relationship with glycaemic control, mortality and cardiovascular outcomes: a retrospective cohort study. BMJ Open. 2016; 6(7): e010836.

DOI: http://dx.doi.org/10.21109/kesmas.v13i4.2483


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