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345

Endocrinol Metab 2016;31:345-346

http://dx.doi.org/10.3803/EnM.2016.31.2.345 pISSN 2093-596X · eISSN 2093-5978

Letter

Characterization of Patients with Type 2 Diabetes

according to Body Mass Index: Korea National Health and Nutrition Examination Survey from 2007 to 2011

(Endocrinol Metab 2015;30:514-21, Dong-Hwa Lee et al.)

Eun-Hee Cho

Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea

Diabetes mellitus and obesity are major risk factors for develop- ing cardiovascular disease (CVD) and mortality [1]. According to the Diabetes Fact Sheet in Korea 2013, the prevalence of type 2 diabetes in adults 30 years older was 12.4% and 44.4% of dia- betic patients were overweight or obese (i.e., a mean body mass index [BMI] ≥25.0 kg/m2) and the awareness rate of diabetes was 72% in 2011. Ha and Kim [2] reported that the prevalence of diabetes in Korea is increasingly shifting to younger and obese people. However, there have been few studies of the body mass characteristics of type 2 diabetes in Korea.

Recently, Lee et al. [3] evaluated the characteristics of type 2 diabetes according to BMI using 2007 to 2011 Korea National Health and Nutrition Examination Survey data and demonstrated that Koreans with type 2 diabetes had lower BMI compared with patients in Western countries. They also found that type 2 diabet- ic patients with higher BMI were associated with lower aware- ness and control rate of diabetes and higher CVD prevalence.

Patients with type 2 diabetes or patients with obesity are at an increased risk of developing CVDs. Therefore, we consider CVD prevalence according to BMI, for both non-diabetic and diabetic populations together.

Age, sex, and BMI are important factors for the prevalence,

awareness, and treatment rates of diabetes [2,4]. The proportion of obese subjects may be different from young age and old age with diabetes. Regarding the recognition, treatment and control rate of diabetes, we consider the influencing factors such as age, sex, and BMI.

CONFLICTS OF INTEREST

No potential conflict of interest relevant to this article was re- ported.

ORCID

Eun-Hee Cho http://orcid.org/0000-0002-1349-8894

REFERENCES

1. Leon BM, Maddox TM. Diabetes and cardiovascular disease:

epidemiology, biological mechanisms, treatment recommen- dations and future research. World J Diabetes 2015;6:1246- 58.

2. Ha KH, Kim DJ. Trends in the diabetes epidemic in Korea.

Corresponding author: Eun-Hee Cho

Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangwon National University School of Medicine, 1 Gangwondaehak-gil, Chuncheon 24341, Korea

Tel: +82-33-258-9167, Fax: +82-33-258-2455, E-mail:ehcho@kangwon.ac.kr

Copyright © 2016 Korean Endocrine Society

This is an Open Access article distributed under the terms of the Creative Com- mons Attribution Non-Commercial License (http://creativecommons.org/

licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribu- tion, and reproduction in any medium, provided the original work is properly cited.

(2)

Cho EH

346

www.e-enm.org Copyright © 2016 Korean Endocrine Society

Endocrinol Metab (Seoul) 2015;30:142-6.

3. Lee DH, Jung KY, Park KS, Kim KM, Moon JH, Lim S, et al. Characterization of patients with type 2 diabetes accord- ing to body mass index: Korea National Health and Nutri- tion Examination Survey from 2007 to 2011. Endocrinol

Metab (Seoul) 2015;30:514-21.

4. Kaiser A, Vollenweider P, Waeber G, Marques-Vidal P.

Prevalence, awareness and treatment of type 2 diabetes mellitus in Switzerland: the CoLaus study. Diabet Med 2012;29:190-7.

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