Prevalence and associated comorbidities of body mass index ranges

  • Authors

    • Jaspinder Kaur ECHS Polyclinic
    • Sargun Singh GMC Amritsar
    • Kawaljit Kaur B.D. Arya Girls College
    2015-03-08
    https://doi.org/10.14419/ijm.v3i1.4294
  • Body Mass Index, Overweight, Obesity, Physical Activity, Preventable.
  • Obesity is a global preventable epidemic inundating health care resources by increasing mortality and morbidity. The present study aimed to determine prevalence, risk factors, and co-morbidities associated with body mass index (BMI) ranges. A cross-sectional study was conducted to assess physical activity, dietary habits, alcohol, family history, sleep, stress, gender, age, education, employment and socioeconomic status as determinants of BMI. Total prevalence of overweight and obesity was reported among 33.34% and 18.24% of subjects, respectively; which increases with age (76.55%) and declines thereafter (21.87%). Female gender, primary and secondary education, middle social class, unemployment, positive family history, physical inactivity (p<0.001), non-vegetarian diet (p<0.05), adequate sleep, and significant stress was found associated with overweight and obesity. The prevalence of hypertension (p<0.05), hyperglycaemia (p<0.05), and hyperlipidemia was found directly proportional to increase in BMI. A rapidly rising obesity and its associated co-morbidities show that almost all the factors were potentially modifiable and preventable through lifestyle modification, which includes Dietary Approach to Stop Hypertension, daily 30minutes moderate-intensity physical activity and stress management.

  • References

    1. [1] Adienbo OM, Hart VO & Oyeyemi WA (2012), High Prevalence of Obesity among Indigenous Residents of a Nigerian Ethnic Group: The Kalabaris in the Niger Delta Region of South-South Nigeria. Greener Journal of Medical Sciences, 2, 152-156.

      [2] Allison DB, Fontaine KR, Manson JE, Stevens J & VanItallie TB (1999), Annual deaths attributable to obesity in the United States. The Journal of the American Medical Association, 282, 1530–1538. http://dx.doi.org/10.1001/jama.282.16.1530.

      [3] al-Nuaim AR, al-Rubeaan K, al-Mazrou Y, al-Attas O, al-Daghari N & Khoja T (1996), High prevalence of overweight and obesity in Saudi Arabia. International Journal of Obesity and Related Metabolic Disorders. 20, 547-552.

      [4] American Diabetes Association (2005), Clinical practice recommendations. Diabetes Care, 28, S1-79.

      [5] Amira CO, Sokunbi DOB & Sokunbi A (2012), the prevalence of obesity and its relationship with hypertension in an urban community: Data from world kidney day screening programme. International Journal of Medicine & Biomedical Research, 1, 104-110. http://dx.doi.org/10.14194/ijmbr.124.

      [6] Available at http://www.who.int/mediacentre/factsheets/fs311/en/. Accessed January 2, 2015.

      [7] Barrington WE, Ceballos RM, Bishop SK, McGregor BA & Beresford SAA (2012), Perceived Stress, Behavior, and Body Mass Index among Adults Participating in a Worksite Obesity Prevention Program, Seattle, 2005–2007. Prev Chronic Dis, 9, 120001. http://dx.doi.org/10.5888/pcd9.120001.

      [8] Björntorp P (1993), Endocrine insufficiency and nutrition in aging. Aging, 5, 45–49.

      [9] Brathwaite N, Fraser HS, Modeste N, Broome H & King R (2003), Obesity, diabetes, hypertension, and vegetarian status among Seventh-Day Adventists in Barbados: preliminary results. Ethnicity & Disease, 13, 34-39.

      [10] Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA & Izzo JL Jr. et al. (2003), Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National Heart, Lung, and Blood Institute; National High Blood Pressure Education Program Coordinating Committee: Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension, 42, 1206-1252. http://dx.doi.org/10.1161/01.HYP.0000107251.49515.c2.

      [11] Chukwuonye IJ, Chuku A, John C, Ohagwu KA, Imoh ME, Isa SE, Ogah OS & Oviasu E (2013), Prevalence of overweight and obesity in adult Nigerians – a systematic review. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 6, 43–47. http://dx.doi.org/10.2147/DMSO.S38626.

      [12] Davis JN, Valerie AH & Beth G (2006), Physical activity compliance: differences between overweight/obese and normal-weight adults. Obesity, 14, 2259 –2265. http://dx.doi.org/10.1038/oby.2006.265.

      [13] Felson DT, Anderson JJ, Naimark A, Walker AM & Meenan RF (1988), Obesity and knee osteoarthritis. The Framingham Study. Annals of Internal Medicine, 109, 18–24. http://dx.doi.org/10.7326/0003-4819-109-1-18.

      [14] Fontaine KR, Cheskin LJ & Barofsky I (1996), Health-related quality of life in obese persons seeking treatment. Journal of Family Practice, 43, 265-270.

      [15] French MT, Norton EC, Fang H & Maclean JC (2010), Alcohol consumption and body weight. Health Economics, 19, 814–832. http://dx.doi.org/10.1002/hec.1521.

      [16] Gothankar JS (2011), Prevalence of obesity and its associated co-morbidities amongst adults. National Journal of Community Medicine, 2, 221-224.

      [17] Hajian-Tilaki KO & Heidari B (2007), Prevalence of obesity, central obesity and the associated factors in urban population aged 20-70 years, in the north of Iran: a population-based study and regression approach. Obesity Reviews, 8, 3-10. http://dx.doi.org/10.1111/j.1467-789X.2006.00235.x.

      [18] Haslam DW & James WP (2005), Obesity. Lancet, 366, 1197–1209. http://dx.doi.org/10.1016/S0140-6736(05)67483-1.

      [19] Kang HT, Lee HR, Lee YJ, Linton JA & Shim JY (2013), Relationship between employment status and obesity in a Korean elderly population, based on the 2007-2009 Korean National Health and Nutrition Examination Survey (KNHANES). Archives of Gerontology and Geriatrics, 57, 54-59. http://dx.doi.org/10.1016/j.archger.2013.02.004.

      [20] Kaur J (2014), a comprehensive review of metabolic syndrome. Cardiology Research and Practice, article ID 943162, 21 pages.

      [21] Ko GTC, Chan JCN, Chan AWY, Wong PTS, Hui SSC, Tong SDY, Ng SM, Chow F & Chan CLW on behalf of the BHBHK Research Committee, the Health InfoWorld of Hong Kong Hospital Authority, Hong Kong SAR, China (2007), Association between sleeping hours, working hours and obesity in Hong Kong Chinese: the ‘better health for better Hong Kong’ health promotion campaign. International Journal of Obesity, 31, 254–260. http://dx.doi.org/10.1038/sj.ijo.0803389.

      [22] Lim TO, Ding LM, Zaki M, Suleiman AB, Fatimah S, Siti S, Tahir A & Maimunah AH (2000), Distribution of Body Weight, Height and Body Mass Index in a National Sample of Malaysian Adults. Medical Journal of Malaysia, 55, 108-128.

      [23] Lo´pez-García E, Raquel F, Leo´n-Mun˜oz L, María CZ, José RB & Rodríguez-Artalejo F (2008), Sleep duration, general and abdominal obesity, and weight change among the older adult population of Spain. The American Journal of Clinical Nutrition, 87, 310–316.

      [24] Luhrmann PM, Edelmann-Schafer B & Neuhauser-Berthold M (2010), Changes in resting metabolic rate in an elderly German population: cross-sectional and longitudinal data. The Journal of Nutrition Health and Aging, 14, 232-236. http://dx.doi.org/10.1007/s12603-010-0055-4.

      [25] McLaren L (2007), socioeconomic status and obesity. Epidemiologic reviews, 29, 29–48. http://dx.doi.org/10.1093/epirev/mxm001.

      [26] Mokdad AH, Bowman BA, Ford ES, Vinicor F, Marks JS & Koplan JP (2001), The continuing epidemics of obesity and diabetes in the United States. The Journal of the American Medical Association, 286, 1195–1200. http://dx.doi.org/10.1001/jama.286.10.1195.

      [27] Mokdad AH, Marks JS, Stroup DF & Gerberding JL (2004), Actual causes of death in the United States, 2000. Journal of the American Medical Association, 291, 1238–1245. http://dx.doi.org/10.1001/jama.291.10.1238.

      [28] National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) (2002). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult treatment panel III) final report, 2002. Circulation, 106, 3143-3421.

      [29] National Institutes of Health, 1998. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: the evidence report. Bethesda, MD: National Heart, Lung, and Blood Institute in cooperation with The National Institute of Diabetes and Digestive and Kidney Diseases, NIH publication 98–4083.

      [30] Obesity. World Health Organization, 2008. Available at http://www.who.int/topics/obesity/en/. Accessed January 2, 2015.

      [31] O'Rahilly S & Farooqi IS (2006), Genetics of obesity. Philosophical Transactions of the Royal Society of London .Series B: Biological Sciences, 361, 1095-1105. http://dx.doi.org/10.1098/rstb.2006.1850.

      [32] Pednekar MS (2008), Association of body mass index with all-cause and cause-specific mortality: Findings from a prospective cohort study in Mumbai (Bombay), India. International Journal of Epidemiology, 37, 524-35. http://dx.doi.org/10.1093/ije/dyn001.

      [33] Puoane T, Steyn K, Bradshaw D, Laubscher R, Fourie J, Lambert V & Mbananga N (2002), Obesity in South Africa: the South African demographic and health survey. Obesity Research, 10, 1038–1048. http://dx.doi.org/10.1038/oby.2002.141.

      [34] Ramachandran a & Snehalatha C (2010), Rising burden of obesity in Asia. J Obes, 9, 116-21.

      [35] Roskam AJ, Kunst AE, Van-Oyen H, Demarest S, Klumbiene J, Regidor E, Helmert U, Jusot F, Dzurova D & Mackenbac JP, et al., (2010), Comparative appraisal of educational inequalities in overweight and obesity among adults in 19 European countries. International Journal of Epidemiology, 39, 392–404. http://dx.doi.org/10.1093/ije/dyp329.

      [36] Serena T, Terry B, Ru Y & Gary EF (2009), Type of Vegetarian Diet, Body Weight, and Prevalence of Type 2 Diabetes. Diabetes Care, 32, 791–796. http://dx.doi.org/10.2337/dc08-1886.

      [37] Stevens J, McClain JE & Truesdale KP (2008), Selection of measures in epidemiologic studies of the consequences of obesity. International journal of obesity (London), 32(suppl 3), S60-66.

      [38] St-Onge MP & Gallagher D (2010), Body composition changes with aging: the cause or the result of alterations in metabolic rate and macronutrient oxidation? Nutrition, 26, 152-155. http://dx.doi.org/10.1016/j.nut.2009.07.004.

      [39] Strohl KP, Strobel RJ & Parisi RA (2004), Obesity and pulmonary function. In: Bray GA, Bouchard C, James WP, (Eds). Handbook of obesity: etilogy and pathophysiology, 2nd ed. New York, Marcel Dekker, pp. 725–739.

      [40] Suter PM (2005), Is alcohol consumption a risk factor for weight gain and obesity? Critical Review in Clinical laboratory sciences, 42, 197-227. http://dx.doi.org/10.1080/10408360590913542.

      [41] Tiwari R, Srivastava D & Gour N (2009), A Cross-sectional Study to Determine Prevalence of Obesity in High Income Group Colonies of Gwalior City. Indian Journal of Community Medicine, 34, 218-222. http://dx.doi.org/10.4103/0970-0218.55287.

      [42] Van der Sande MA, Walraven GE, Milligan PJ, Banya WA, Ceesay SM, Nyan OA & McAdam KP (2001), Family history: an opportunity for early interventions and improved control of hypertension, obesity and diabetes. Bulletin of the World Health Organization, 79, 321–328.

      [43] Veghari G, Sedaghat M, Joshgani H, Banihashem S, Moharloei P, Angizeh A, Tazik E & Moghaddami A (2013), Obesity and risk of hypercholesterolemia in Iranian northern adults. ARYA Atheroscler, 9, 2-6.

      [44] Vioque J, Torres A & Quiles J (2000), Time spent watching television, sleep duration and obesity in adults living in Valencia, Spain. International Journal of Obesity and Related Metabolic Disorders, 24, 1683-1688. http://dx.doi.org/10.1038/sj.ijo.0801434.

      [45] World Health Organization (2000), Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organisation Technical Report Series, 894, 1–253.

      [46] Yancey AK, Wold CM, McCarthy WJ, Weber MD, Lee B, Simon PA & Fielding JE (2004), Physical inactivity and overweight among Los Angeles County adults. American Journal of Preventive Medicine, 27, 146-152. http://dx.doi.org/10.1016/j.amepre.2004.03.012.

      [47] Yusuf U, Mehmet U, Ozlem A, Yasar MA, Ismail K, Mehmet TE & Selim YS (2012), High prevalence of obesity in Tokat, a northern province of Turkey. The Journal of the Pakistan Medical Association, 62, 435-440.

      [48] Yu Y (2012), Educational Differences in Obesity in the United States: A Closer Look at the Trends. Obesity, 20, 904–908. http://dx.doi.org/10.1038/oby.2011.307.

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    Kaur, J., Singh, S., & Kaur, K. (2015). Prevalence and associated comorbidities of body mass index ranges. International Journal of Medicine, 3(1), 16-21. https://doi.org/10.14419/ijm.v3i1.4294