Type 1 diabetes

Prevalence and biopsychosocial factors associated with overweight and obesity in adults with type 1 diabetes

Int J Obes (Lond)Published Cross-sectional study

Authors' conclusion

Overweight and obesity are highly prevalent among adults living with type 1 diabetes, and the identified biopsychosocial factors reveals how excess weight arises from complex interactions among demographic, clinical, and psychological influences.

Study context

Population
Adults with T1D attending a tertiary hospital, 2018–2020; mean age 44.7 years, 55.6% womensurveys analysed
Participants
459 adults
Outcome
Prevalence of overweight and obesity
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Overweight (BMI 25-29.9 kg/m²)
38.8%
Obesity (BMI > 30 kg/m²)
14.8%
Obesity class I (30-34.9 kg/m²)
10.6%
Obesity class II (35-39.9 kg/m²)
2.2%
Obesity class III (>40 kg/m²)
2.0%

Observational data: associations, not effects.

Further findings

Factors associated with obesity

Older age, living with child/children, higher EPAD-R score, higher total insulin doses, lipid-lowering therapy and higher EsDQoL diabetes-related worries score associated with greater likelihood of obesity

Baseline characteristics

Mean (SD) BMI, kg/m²
26.0 (4.7)
HbA1c
7.57%
Mean (SD) age, years
44.7 (14.0)

Original publication

Prevalence and biopsychosocial factors associated with overweight and obesity in adults with type 1 diabetes. Int J Obes (Lond). Published 26 June 2026. doi:10.1038/s41366-026-02147-7

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