The relation between body mass index and prevalence of ischemic heart disease in type 2 diabetic patients

Background: The transition from communicable to non-communicable diseases has occurred over many years in all countries of the world, even in developing countries. Diabetes and its ischemic heart complication are among the most important second groupe diseases. In recent years, discussions about the role of obesity and weight gain have risen again as a risk factor for both diseases. Our objective of this study was to determine the relationship between body mass index and prevalence of ischemic heart disease in type 2 diabetic patients in Iran. Methods: This study was conducted in 2018 in 666 patients with type II diabetic patients registered in the Family physician system in Malard County. Data were gathered through medical records and then analyzed by SPSS software using Chi-square method. Results: Of these, 177 were male and 489 were female. Our findings showed that 73 type 2 diabetic patients (10.96%) had ischemic heart disease (51 women and 22 men). In terms of body mass index, 2.7% were in the under-weight group, 21.9% in the normal weight group, 37% in the overweight group, 27.4 % in the grade1 obesity group, 8.2% in the grade 2 obesity group, and 2.7% were in the grade 3 obesity group. Conclusion: According to our findings, although the prevalence of type 2 diabetes in overweight and grade1 obesity people is higher than normal or underweight individuals, the prevalence of ischemic heart complication in type2 diabetic patients is not consistent with this trend, and not only ischemic heart disease is not low in normal weight subjects, but also is slightly lower from grade 1 obesity and is higher than grade 2 and 3 obesities. Also, the distribution of ischemic heart disease in type 2 diabetic women and men is different among groups with different Body Mass Index and prevalence of ischemic heart disease in females more than males in normal weight group.