• Francisco Javier Basterra-Gortari, Maira Bes-Rastrollo, Miguel Ruiz-Canela, Alfredo Gea, Carmen Sayón-Orea, and Miguel Ángel Martínez-González.
• Department of Internal Medicine (Endocrinology), Hospital Reina Sofia, Instituto de Investigación Sanitaria de Navarra (IdiSNA), Servicio Navarro de Salud-Osasunbidea, Tudela, Spain; University of Navarra, Department of Preventive Medicine and Public Health, Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.
• Med Clin (Barc). 2019 Mar 1; 152 (5): 181-184.

Introduction And ObjectiveOur aim was to examine the secular trends in obesity prevalence among Spanish adults with diabetes.Material And MethodsData were collected from 8 waves (from 1987 to 2012) of the National Health Surveys (NHS). NHS are cross-sectional studies conducted in representative samples of the Spanish adult population. Data of 7378 adults (≥16 years) who reported having been diagnosed of diabetes were analyzed. Previously validated self-reported weight and height were used to estimate body mass index (BMI). Obesity was defined as a BMI of 30kg/m2 or greater. Age-adjusted obesity prevalence for each wave was calculated by the direct standardization method.ResultsFrom 1987 to 2012 age-adjusted prevalence of obesity among persons with diabetes increased from 18.2% (95% confidence interval [CI]: 14.2-22.2%) to 39.8% (95% CI: 36.8-42.8%). Age-adjusted prevalence of obesity in males with diabetes increased from 13.2% (95% CI: 7.3-19.1%) to 38.0% (95% CI: 33.8-42.1%) and in females from 23.0% (95% CI: 17.6-28.4%) to 42.3% (95% CI: 38.0-46.6%).ConclusionsBetween 1987 and 2012 the prevalence of obesity markedly increased in Spain among adults with diabetes.Copyright © 2018 Elsevier España, S.L.U. All rights reserved.

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