title: High prevalence of obesity and diabetes mellitus in Konya, a central Anatolian city in Turkey.
abstract: BACKGROUND
  The objective of this study was to determine the prevalence of overweight, obesity, impaired fasting glucose, diabetes and the relationship between adiposity and carbohydrate metabolism, by age and gender in Konya, a city in central Anatolia.
  
  
  METHODS
  A cross-sectional population based survey was performed. One month before the field survey a media campaign was started in each district by local municipalities. Ten percent of the target population age 20 and over were invited to participate and the participation rate was 82.1%. Twelve thousand eight hundred and sixty-six inhabitants (7000 women and 5866 men, mean age 46.7+/-15.9 years) were evaluated for height and body weight between May and September of 2001. Two thousand eight hundred and thirty consecutive subjects (1788 women and 1042 men, mean age 48.2+/-15.7 years) were tested for fasting blood glucose in addition to an anthropometric evaluation.
  
  
  RESULTS
  The crude IFG rate was 24% (27.1% in women and 18.5% in men) and the diabetes rate 8.4% (8% in women and 9.1% in men). The survey identified previously undiagnosed diabetes in 3.7% (4.3% of women and 2.9% of men). The prevalence of diabetes (p=0.0005) and obesity (p=0.0005) increased with age. Obese men and women had a higher risk of being diabetic than their normal weight counterparts (OR, 2.05; CI 95%, 1.13-3.71; p=0.0186 and OR, 2.53; CI 95%, 1.57-4.07; p=0.0001, respectively). Overall, the overweight rate was 34.2% (33.5% of women and 36.3% of men) and the obesity rate was 23.7% (32.4% of women and 14.1% of men) (n=12,866). Women had a significantly higher risk of being obese than men (OR, 2.84; CI 95%, 2.62-3.08; p=0.0005). The diabesity rate was 3.4% (4.1% in women and 2.1% in men).
  
  
  CONCLUSIONS
  Carbohydrate intolerance and adiposity are highly prevalent in Konya, and the two conditions are positively correlated with each other, by age and gender.
authors.affiliation: Department of Medicine, Division of Endocrinology, Metabolism and Diabetes, Istanbul University Cerrahpasa Medical Faculty, 34303 Istanbul, Turkey. volkanyumuk@superonline.com
authors.forename: Volkan D
authors.initials: VD
authors.lastname: Yumuk
authors.forename: Husrev
authors.initials: H
authors.lastname: Hatemi
authors.forename: Tunc
authors.initials: T
authors.lastname: Tarakci
authors.forename: Nurettin
authors.initials: N
authors.lastname: Uyar
authors.forename: Nurten
authors.initials: N
authors.lastname: Turan
authors.forename: Nazif
authors.initials: N
authors.lastname: Bagriacik
authors.forename: Ali
authors.initials: A
authors.lastname: Ipbuker
mesh_terms: D000328:Adult; D000368:Aged; D000375:Aging; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology*; D015995:Prevalence; D012727:Sex Characteristics; D014421:Turkey / Q000453:epidemiology