Abstract
Objective: The prevalence of obesity in individuals with diabetes mellitus (DM) is fairly high. It has been shown that obesity worsens insulin resistance and can elevate the risk for complications of diabetes. Therefore, this study aimed to assess the prevalence of obesity and to determine the factors that affect obesity in adults with DM.
 Methods: This study used a cross-sectional design and included secondary data from the “Cohort Study of Risk Factors for Non-communicable Diseases.” The study was conducted on adults with DM at Kebon Kelapa Village, West Java, in 2017, and the total sample obtained for analysis was 112 respondents.
 Results: In this study, 62.5% of adults with DM were overweight or obese (body mass index ≥25 kg/m2). Factors found to influence the incidence of obesity in adults with DM were sex and macronutrient intakes, namely, “over” energy intake, “over” carbohydrate intake, “over” fat intake, and “normal” protein intake. Risk of obesity was 3.15-fold higher in female than male participants with diabetes. The highest risk for increased obesity level in adults with diabetes was found in those with “over” fat intake (odds ratio, 8.33).
 Conclusions: In adults with diabetes, the incidence of obesity is a trigger of complications. Therefore, to improve the quality of life of individuals with diabetes, attention must be given to managing their weight.
Highlights
Diabetes mellitus (DM) is a chronic disease that can lead to complications such as stroke, heart attack, nerve damage, kidney failure, vision loss, and leg amputation
The objective of this study is to assess the prevalence of obesity and the factors that affect obesity in adults with DM at Kebon Kelapa Village, West Java
Characteristic of adults with DM The characteristics of adult with DM at Kebon Kelapa Village, West Java, in 2017 present in Tables 1 and 2, it is known that a large proportion (62.5%) of adults with DM were overweight and obese
Summary
Diabetes mellitus (DM) is a chronic disease that can lead to complications such as stroke, heart attack, nerve damage, kidney failure, vision loss, and leg amputation. According to the International Diabetes Federation, in 2017, among all countries, Indonesia ranked sixth in terms of diabetes prevalence, with a rate of 10 million adults with diabetes [2]. Many studies have confirmed that obesity is associated with an increased risk of developing DM [4]. This study is very important because obesity can worsen insulin resistance and increase the development of diabetes complications, such as cardiovascular disease [5,6]. Diabetes with complication is the number one cause of death in Indonesia [7]. The objective of this study is to assess the prevalence of obesity and the factors that affect obesity in adults with DM at Kebon Kelapa Village, West Java
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