Obesity and overweight are public health problems, which are most common nutritional disorders in developing and developed countries and becoming increasingly prevalent in developing countries. Obesity and overweight attributes for morbidity and mortality of millions of people with type II diabetes patients around the globe by making them vulnerable to other diseases and complications. Diabetes occurs when the body cannot produce enough insulin or cannot use insulin and it is diagnosed by observing raised levels of glucose in the blood. The existence of obesity and overweight in diabetes patients will worsening the daily quality of life and negatively affect their future productivity but, many studies in Ethiopia give much attention for blood glucose levels of diabetes patients. Hence, determining their proportion and identifying associated factors among diabetes mellitus patients will be indispensable to provide appropriate and early interventions related to obesity and overweight. The aim of this study was to determine the proportion of obesity and overweight and associated factors among adults with type II diabetes patients attending Hospitals in Dessie, Ethiopia. Institution based cross-sectional study was conducted from April to May 2017. Data was obtained from 333 participants by their random order of arrival. Socio demographic and health related data were obtained by using structured questionnaires. Dietary factors were obtained by using semi–quantitative food frequency questionnaire. Nutritional status was determined by computing Quetelet’s index and defined as overweight if their body mass index 25-29.9kg/m2 and obese if their body mass index ≥30 kg/m2. Bi-variable and multi-variable multinomial regression analyses were performed to identify the predictors for obesity and overweight. The proportion of obesity and overweight was 14.1% and 28.2% respectively. Being a female for obesity and being urban resident for both overweight and obesity were found risk factors. Whereas, preventive association were showed between those who were illiterate and those who had never consumed refined grains on daily basis and obesity. Obesity and overweight proportion was found increasing in alarming rate more likely on females, urban residents. Illiterates and those who do not consumed refined grains on daily bases reduced their risk of being obese. Health Education about maintaining a healthy weight, reducing intake of refined grains for Females and urban residents should be provided.

Keywords: Obesity, overweight, Type II diabetes mellitus, Dessie