Central obesity and hypertension among rural adults of Paschim Medinipur, West Bengal, India
DOI:
https://doi.org/10.2478/anre-2019-0017Keywords:
rural adults, central obesity, waist circumference, waist to hip ratio, waist height ratio, conicity index, hypertensionAbstract
Obesity is generally classified into generalized obesity (BMI ≥30 kg/m2) and abdominal or central obesity (WC ≥90 cm for men and WC ≥80 cm for women) based on World Health Organization recommendation for Asians. Hypertension is one of the most common obesity-related complications, and about 30% of hypertensive individuals can be classified as being obese. The present study aimed to investigate the effect of different age groups (years) on the anthropometric and derived variables. It determined the correlation between anthropometric and derived variables and also estimated the frequency of central obesity and hypertension. Finally, it investigated the relationship between central obesity and blood pressure among rural Bengalee adults of Dirghagram village of Ghatal Block, Paschim Medinipur, West Bengal, India. The present cross-sectional study was undertaken among 310 rural adults (154 males; 156 females) aged over 18 years. Our study was carried out during March, 2017. Height (cm), weight (kg), waist circumference (cm), hip circumference (cm) and blood pressure (systolic and diastolic) were measured using standard procedures. One way ANOVA analysis on most of the anthropometric and derived variables showed a statistically significant increase from younger to older age group in both sexes (p<0.001;p<0.01; p<0.05). In addition to that, more females had central obesity using waist circumference (55.8% vs. 19.5%), waist hip ratio (87.2% vs. 35.7%), waist height ratio (73.7% vs. 44.2%), and conicity index (87.2% vs. 57.8%) criteria, and hypertension (52.5% vs. 27.3%). The prevalence of central obesity was much higher in case of hypertensive individuals. Therefore, the present study showed a high prevalence of central obesity among the rural adults of Dirghagram village. Furthermore, central obesity contributed in increasing hypertension among the villagers.
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Abolfotouh MA, Soliman LA, Mansour E, Farghaly ME, Dawaiaty AA. 2008. Central obesity among adults in Egypt: prevalence and associated morbidity. East Mediterr Health J 14:57–68.
View in Google Scholar
Addo J, Smeeth L, Leon DA. 2009. Obesity in urban civil servants in Ghana: association with pre-adult wealth and adult socio-economic status. Public Health 123:365–70.
View in Google Scholar
Amole IO, Ola Olorun AD, Owolabi AO. 2011. Prevalence of obesity and hypertension among adults in Ogbomoso, Nigeria. IJMU 6:9–14.
View in Google Scholar
Amugsi DA, Dimbuene ZT, Mberu B, Muthuri S, Ezeh AC. 2017. Prevalence and time trends in overweight and obesity among urban women: an analysis of demographic and health surveys data from 24 African countries, 1991–2014. BMJ Open 7:1–12.
View in Google Scholar
Anchala R, Kannuri NK, Pant H, Khan H, Franco OH, Angelantonio ED, Prabhakaran D. 2014. Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertens 32:1170–77.
View in Google Scholar
Atallah A, Inamo J, Lang T, Larabi L, Chatellier G, Rozet JE, De Gaudemaris R. 2007. Obesity and high blood pressure in French West Indies women, some difference according to definition of obesity; BMI or abdominal obesity. Arch Mal Coeur Vaiss 100:609–14.
View in Google Scholar
Awoke1 A, Awoke T, Alemu S, Megabiaw B. 2012. Prevalence and associated factors of hypertension among adults in Gondar, Northwest Ethiopia: a community based cross-sectional study. BMC Cardiovascular Disorders 12:1–6.
View in Google Scholar
Bakir MA, Hammad K, Mohammad L. 2017. Prevalence of obesity, central obesity, and associated socio-demographic variables in Syrian women using different anthropometric indicators. Anthropol Rev 80:191–205.
View in Google Scholar
Banerjee S, Mukherjee TK, Basu S. 2016. Prevalence, awareness, and control of hypertension in the slums of Kolkata. Indian Heart J 68:286–94.
View in Google Scholar
Basu G, Baur B, Mondal S, Chatterjee C, Saha D, Roy SK. 2013. Risk factors of obesity among 15–64 yrs age group: picture in a village of West Bengal. IOSR-JDMS 6:1–7.
View in Google Scholar
Bindhu A, Thankam K, Jose R, Benny PV, Beevi N, Haran JC. 2014. Prevalence of obesity and overweight among adults in a rural area in Trivandrum – a cross sectional study. Int J Prev Ther Med 2:1–4.
View in Google Scholar
Black HR. 1992. New concepts in hypertension. Focus on the elderly. Am Heart J 135:S2–S3.
View in Google Scholar
Cao Z, Zhu L, Zhang T, Wu L, Wang Y. 2012. Blood pressure and obesity among adolescents: a school-based population study in China. Am J Hypertens 25:576–82.
View in Google Scholar
Chauhan RC, Chauhan NS, Manikandan, Purty AJ, Mishra AK, Singh Z. 2015. Obesity among adult population of a rural coastal area in South India. Int J Sci Rep 1:155–58.
View in Google Scholar
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT, Roccella EJ. 2003. The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 289:2560–72.
View in Google Scholar
Choi JR, Koh SB, Cho E. 2018. Waist-to-height ratio index for predicting incidences of hypertension: the ARIRANG study. BMC Public Health 18:1–6.
View in Google Scholar
Chowdhury MAB, Uddin Md. J, Haque Md. R, Ibrahimou B. 2016. Hypertension among adults in Bangladesh: evidence from a national cross-sectional survey. BMC Cardiovasc Disord 16:1–10.
View in Google Scholar
Darebo T, Mesfin A, Gebremedhin S. 2019. Prevalence and factors associated with overweight and obesity among adults in Hawassa city, southern Ethiopia: a community based cross-sectional study. BMC Obes 6:1–10.
View in Google Scholar
da Silva AC, Rosa AA. 2006. Blood pressure and obesity of children and adolescents association with body mass index and waist circumference. Arch Latinoam Nutr 56:244–50.
View in Google Scholar
Du S, Batis C, Wang H, Zhang B, Zhang J, Popkin BM. 2014. Understanding the patterns and trends of sodium intake, potassium intake, and sodium to potassium ratio and their effect on hypertension in China. Am J Clin Nutr 99:334–43.
View in Google Scholar
Feldstein CA, Akopian M, Olivieri AO, Kramer AP, Nasi M, Garrido D. 2005. A comparison of body mass index and waist-to-hip ratio as indicators of hypertension risk in an urban Argentine population: A hospital-based study. Nutr Metab Cardiovasc Dis 15:310–15.
View in Google Scholar
Flora MS, Mascie-Taylor CGN, Rahman M. 2009. Conicity index of adult Bangladeshi population and their socio-demographic characteristics. Ibrahim Med Coll J 3:1–8.
View in Google Scholar
Gani P, Priya KJ, Paramasivam S.2016. Prevalence of hypertension in an urban area: a community-based survey in Trichy, Tamilnadu, India. Int J Community Med Public Health 3:2325–29.
View in Google Scholar
Goon DT, Maputle MS, Olukoga A, Lebese R, Khoza LB, Mothiba TM. 2014. Anthropometrically determined abdominal obesity among nurses in Vhembe and Capricorn Districts, Limpopo, South Africa Biomed Res 25:567–72.
View in Google Scholar
Gupta R. 2004. Trends in hypertension epidemiology in India. Hum Hypertens 18:73–8.
View in Google Scholar
Hsieh SD, Muto T. 2004. A simple and practical index for assessing the risk of metabolic syndrome during the routine health checkups. Nippon Rinsho 62:1143–49.
View in Google Scholar
Kaur J, Singh M, Pal Singh Batra A, Garg R, Kaur M, Punia N. 2013. Blood pressure and obesity variation among population of Amritsar district. Int J of Basic App Med Sci 3:113–21.
View in Google Scholar
Kotchen TA, Grim CE, Kotchen JM., Krishnaswami S, Yang H, Hoffmann RG, McGinley EL. 2008. Altered relationship of blood pressure to adiposity in hypertension. Am J Hypertens 21:284–89.
View in Google Scholar
Leeder S, Raymond S, Greenberg H, Liu H. 2004. A race against time. The challenge of cardiovascular disease in developing economies. The Center for Global Health and Economic Development. New York: Columbia University.
View in Google Scholar
Lohman TG, Roche AF, Martorell R. 1988. Anthropometric Standardization Reference Manual. Chicago: Human Kinetics Books.
View in Google Scholar
Maharajan B. 2018. Prevalence and awareness of hypertension among adults and its related risk factors. J Nepal Health Res Counc 15:242–46.
View in Google Scholar
Martín-Espinosa N, Díez-Fernández A, Sánchez-López M, Rivero-Merino I, Lucas-De La Cruz L, Solera-Martínez M. MartínezVizcaíno V; Movi-Kids group. 2017. Prevalence of high blood pressure and association with obesity in Spanish schoolchildren aged 4–6 years old. PLoS ONE 12:1–11.
View in Google Scholar
Mogre V, Nyaba R, Aleyira S. 2014. Lifestyle risk factors of general and abdominal obesity in students of the School of Medicine and Health Science of the University of Development Studies, Tamale, Ghana. ISRN Obes 508382:1–10.
View in Google Scholar
Monteiro CA, Conde WL, Popkin BM. 2001. Independent effects of income and education on the risk of obesity in the Brazilian adult population. J Nutr 131:881S– 6S.
View in Google Scholar
Nagai M, Komiya H, Mori Y, Ohta T. 2008. Developments in estimating visceral fat area from medical examination data. J Atheroscler Thromb 15:193–98.
View in Google Scholar
Nagendra K, Nandini C, Belur M. 2017. A community based study on prevalence of obesity among urban population of Shivamogga, Karnataka, India. Int J Community Med Public Health 4:96–99.
View in Google Scholar
Naing L, Winn T, Rusli BN. 2006. Practical issues in calculating the sample size for preventive studies. Arch Orofac Sci 1:9–14.
View in Google Scholar
Nalawade S, Prabhu D. 2012. Prevalence of obesity and abdominal obesity in working adults of Mumbai Population. Int J Med Sci 5:52–54.
View in Google Scholar
Paul PJ, Samson R, William A, Akila B, Purty AJ, Bazroy J. 2017. Prevalence and factors associated with hypertension: a community based cross-sectional study among adults in an urban area of Puducherry, South India. Int J Community Med Public Health 4:1620–26.
View in Google Scholar
Peltzer K, Pengpid S. 2018. The prevalence and social determinants of hypertension among adults in Indonesia: a cross-sectional population-based national survey. Int J Hypertens 5610725:1–9.
View in Google Scholar
Prabakaran J, Vijayalakshmi N, Venkatarao E. 2013. Prevalence of hypertension among urban adult population (25–64 years) of Nellore, India. Int J Res Dev Health 1:42–9.
View in Google Scholar
Pradeepa R, Anjana RM, Joshi SR, Bhansali A, Deepa M, Joshi PP, Dhandania VK, Madhu V, Rao PV, GeethaL, Subashini R, Unnikrishnan R, Shukla DK, KaurT, Mohan V, Das AK. 2015. Prevalence of generalized and abdominal obesity in urban and rural Indian-the ICMR-INDIAB Study (Phase-I) [ICMR-INDIAB-3]. Indian J Med Res 142:139–50.
View in Google Scholar
Reddy KS, Prabhakaran D, Shah P, Shah B. 2002. Differences in body mass index and waist: hip ratios in North Indian rural and urban populations. Obes Rev 3:197–202.
View in Google Scholar
Roka R, Michimi A, Macy G. 2015. Associations between hypertension and body mass index and waist circumference in U.S. adults: a comparative analysis by gender. High Blood Press Cardiovasc Prev 22:265–73.
View in Google Scholar
Rouf A, Rasool M, Khan SM S, Haq I, Hamid A, Bashir K, Saleem SM. 2018. Prevalence of hypertension and its association with waist circumference in adult population of Block Hazratbal, Srinagar, India. Ann Med Health Sci Res 8:68–73.
View in Google Scholar
Rurik I, Nagy K, Antal M. 2004. Correlation of anthropometric parameters and blood-pressure in elderly people. Orv Hetil1 45:1237–41.
View in Google Scholar
Sarkar D, Mondal N and Sen J. 2009. Obesity and blood pressure variations among the Bengali Kayastha population of North Bengal, India. J Life Sci 1:35–43.
View in Google Scholar
Siddiquee T, Bhowmik B, Da Vale Moreira NCDV, Mujumder A, Mahtab H, Khan AKA, Hussain A. 2015. Prevalence of obesity in a rural Asian Indian (Bangladeshi) population and its determinants. BMC Public Health 15:860.
View in Google Scholar
Simon C, Saju CR, Binu J. 2017. Prevalence and risk factors of hypertension among adults aged 25–64 years in a rural area of Thrissur in Kerala. Int J Community Med Public Health 4:1714–21.
View in Google Scholar
Singh HS, Das PK, Mishra PJ, Das1 S, and Bose K. 2014. Prevalence of hypertension among adults of Midnapore, West Bengal, India: A comparison between sexes. Elixir Biosciences 77:29144–47.
View in Google Scholar
Singh S, Shankar R, Singh GP. 2017. Prevalence and associated risk factors of hypertension: a cross-sectional study in urban Varanasi. Int J Hypertens5491838:1–10.
View in Google Scholar
Sobngwi E, Mbanya JCN, Unwin NC, Kengne1 AP, Fezeu L, Minkoulou EM, Aspray TJ, Alberti KGMM. 2002. Physical activity and its relationship with obesity, hypertension and diabetes in urban and rural Cameroon. Int J Obes 26:1009–16.
View in Google Scholar
Sousa TF, Nahas MV, Silva DAS, Duca GFD, Peres MA. 2011. Factors associated with central obesity in adults from Florianópolis, Santa Caterina: a population based study. Rev Bras Epidemiol 14:296–9.
View in Google Scholar
Srinath Reddy K, Shah B, Varghese C, Ramadoss A. 2005. Responding to the threat of chronic diseases in India. Lancet 366:1744–49.
View in Google Scholar
Sung RY, Yu CC, Choi KC, McManus A, Li AM, Xu SL, Chan D, Lo AF, Chan JC, Fok TF. 2007. Waist circumference and body mass index in Chinese children: cutoff values for predicting cardiovascular risk factors. Int J Obes (Lond) 31:550–58.
View in Google Scholar
Thapliyal V, Singh K and Joshi A. 2018. Prevalence and associated factors of hypertension among adults in rural Uttarakhand: a community based cross sectional study. Curr Res Nutr Food Sci Jour 6:481–90.
View in Google Scholar
Turconi G, Guarcello M, Maccarini L, Bazzano R, Zaccardo A, Roggi C. 2006. BMI values and other anthropometric and functional measurements as predictors of obesity in a selected group of adolescents. Eur J Nutr 45:136–43.
View in Google Scholar
Ulijaszek SJ, Kerr DA. 1999. Anthropometric measurement error and the assessment of nutritional status. Br J Nutr 82:165–77.
View in Google Scholar
Valdez R, Seidell JC, Ahn YI, Weiss KM. 1993. A new index of abdominal adiposity as an indicator of risk for cardiovascular disease. A cross-population study. Int J Obes Relat Metab Disord 17:77–82.
View in Google Scholar
Wang S-K, Ma W, Wang S, Yi X-R, Jia H-Y, and Xue F. 2014. Obesity and its relationship with hypertension among adults 50 years and older in Jinan, China. PLoS ONE 9(12):1–10.
View in Google Scholar
WHO. 1989. Measuring obesity: classification and description of anthropometric data. Report on a WHO consultation on the epidemiology of obesity, Warsaw, 21–23 October 1987. Copenhagen: World Health Organization Regional Office for Europe.
View in Google Scholar
WHO. 1995. Physical status: The use of and interpretation of anthropometry. Report of a WHO Expert Committee. Technical Report Series no. 854. Geneva: World Health Organization.
View in Google Scholar
WHO. 2002. The world health report 2002 – reducing risks, promoting healthy life. Geneva: World Health Organization.
View in Google Scholar
WHO. 2003. Diet, nutrition and the prevention of chronic diseases: Report of the joint WHO/FAO expert consultation. Geneva: World Health Organization.
View in Google Scholar
WHO. 2008. Waist circumference and waist-hip ratio: report of a WHO expert consultation. Geneva: World Health Organization.
View in Google Scholar
WHO. 2011.Waist circumference and waist–hip ratio: report of a WHO expert consultation, Geneva, 8–11 December 2008.
View in Google Scholar
WHO. 2015. Overweightand obesity. Available from http://www.who.int/gho/ncd/risk_factors/overweight/en/ Accessed on Nov 22, 2018.
View in Google Scholar
WHO. 2016. Obesity and overweight: Fact sheet. Available from http://www.who.int/mediacentre/factsheets/fs311/en/ Accessed on Nov 22, 2018.
View in Google Scholar
WHO. 2017. Noncommunicable disease: fact sheet. Available from http://www.who.int/mediacentre/factsheets/fs355/en/ Accessed on May 20, 2019.
View in Google Scholar
WHO/IASO/IOTF. 2000. The Asia-Pacific perspective: redefining obesity and its treatment. Melbourne: Health Communications Australia.
View in Google Scholar
Wu S, Wang R, Jiang A, Ding Y, Wu M, Ma X, Zhao Y, He J. 2014. Abdominal obesity and its association with health-related quality of life in adults: a population-based study in five Chinese cities. Health Qual Life Outcomes 12:1–11.
View in Google Scholar
Yahia N, Achkar A, Abdallah A, Rizk S. 2008. Eating habits and obesity among Lebanese university students. Nutrition 7: 1–6.
View in Google Scholar
Yoon YS, Oh SW, Park HS. 2006. Socioeconomic status in relation to obesity and abdominal obesity in Korean adults: A focus on sex differences. Obesity14:909–19.
View in Google Scholar
Zhang P, Wang R, Gao C, Jiang L, Lv X, Song Y, Li B. 2016. Prevalence of central obesity among adults with normal BMI and its association with metabolic diseases in Northeast China. PLoS ONE 11:1–10.
View in Google Scholar
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