Migrating husbands and changing cardiovascular risk factors in the wife: a cross sectional study in Asian Indian women

Gupta, Rajeev; Gupta, Rajiv Kumar; Agrawal, Ajay; Misra, Anoop; Guptha, Soneil; Pandey, Ravindra Mohan; Misra, Puneet; Vikram, Naval Kishore; Dey, Sanjit; Rao, Shobha; Menon, Veena; Kamalamma, N; Revathi, K; Mathur, B. P.; Sharma, Vinita

doi:10.1136/jech-2011-200101

Cited by 19 publications

(23 citation statements)

References 21 publications

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“…We have previously shown that migrant postmenopausal women settled in urban slums have high prevalence of multiple CVD risk factors [10]. In a recent study, we have shown a gradient in NCDs between rural, rural-urban migrants and urban residents [49]. Importantly, there was a significant correlation of duration of migration with waist size and high fat content in the diets ( p < 0.001) (Figure 2).…”

Section: Determinants Of Obesity and Dyslipidemia In South Asiansmentioning

confidence: 79%

“…According to our previous study on post-menopausal women residing in urban slums in New Delhi, overweight and abdominal obesity were present in 23.7% and 28% of women, respectively [10]. In a recent multi-site study conducted on 4608 women over 35 years of age in India, using WHO cut offs, 33.2% rural women were overweight as compared to 46.6% of the urban women as shown in Table 2 [49]. …”

Section: Prevalencementioning

confidence: 99%

“…The prevalence declines among the urban-rural migrants. Note: this figure is reproduced with permission from [49]. Copyright the BMJ Publishing Group Ltd., 2011.…”

Section: Determinants Of Obesity and Dyslipidemia In South Asiansmentioning

confidence: 99%

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Obesity and Dyslipidemia in South Asians

2013

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Obesity and dyslipidemia are emerging as major public health challenges in South Asian countries. The prevalence of obesity is more in urban areas than rural, and women are more affected than men. Further, obesity in childhood and adolescents is rising rapidly. Obesity in South Asians has characteristic features: high prevalence of abdominal obesity, with more intra-abdominal and truncal subcutaneous adiposity than white Caucasians. In addition, there is greater accumulation of fat at “ectopic” sites, namely the liver and skeletal muscles. All these features lead to higher magnitude of insulin resistance, and its concomitant metabolic disorders (the metabolic syndrome) including atherogenic dyslipidemia. Because of the occurrence of type 2 diabetes, dyslipidemia and other cardiovascular morbidities at a lower range of body mass index (BMI) and waist circumference (WC), it is proposed that cut-offs for both measures of obesity should be lower (BMI 23–24.9 kg/m2 for overweight and ≥25 kg/m2 for obesity, WC ≥80 cm for women and ≥90 cm for men for abdominal obesity) for South Asians, and a consensus guideline for these revised measures has been developed for Asian Indians. Increasing obesity and dyslipidemia in South Asians is primarily driven by nutrition, lifestyle and demographic transitions, increasingly faulty diets and physical inactivity, in the background of genetic predisposition. Dietary guidelines for prevention of obesity and diabetes, and physical activity guidelines for Asian Indians are now available. Intervention programs with emphasis on improving knowledge, attitude and practices regarding healthy nutrition, physical activity and stress management need to be implemented. Evidence for successful intervention program for prevention of childhood obesity and for prevention of diabetes is available for Asian Indians, and could be applied to all South Asian countries with similar cultural and lifestyle profiles. Finally, more research on pathophysiology, guidelines for cut-offs, and culturally-specific lifestyle management of obesity, dyslipidemia and the metabolic syndrome are needed for South Asians.

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Section: Determinants Of Obesity and Dyslipidemia In South Asiansmentioning

confidence: 79%

Section: Prevalencementioning

confidence: 99%

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Obesity and Dyslipidemia in South Asians

2013

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“…39 According to Gupta et al, there was a significant correlation of duration of migration with certain RFs such as waist size, waist to hip ratio, and systolic blood pressure in rural-urban migrants. 37 In that study, the median urban exposure was 9 years, while in the India Migration Study, it was 26 years. 37,40 Furthermore, the pattern of CAD in India shows a higher rate in the urban and rich, followed by the poor and rural people; this pattern is similar to that seen in the United States.…”

Section: Migration Within the Countrymentioning

confidence: 96%

“…37 In that study, the median urban exposure was 9 years, while in the India Migration Study, it was 26 years. 37,40 Furthermore, the pattern of CAD in India shows a higher rate in the urban and rich, followed by the poor and rural people; this pattern is similar to that seen in the United States. 39 South Asians in the United Kingdom have higher CV RF load compared with their siblings living in India.…”

Section: Migration Within the Countrymentioning

confidence: 96%

South Asian Ethnicity and Cardiovascular Risk

Ahmed

El‐Menyar

2014

Angiology

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South Asians (SAs), in their countries or after migration, are at high risk of coronary artery disease (CAD) and mortality compared to other ethnic groups. It has been shown that >90% of CAD global risk could be attributed to 9 modifiable risk factors (RFs) worldwide. However, these conventional RFs may not fully explain this high risk of CAD among SAs. Therefore, attention has been directed toward nonconventional RFs. In this narrative review, we evaluate the conventional and emerging cardiovascular RFs characterizing SAs. These factors may explain the high morbidity and mortality among SAs. Further prospective studies are urgently needed to set algorithms for the optimal management of these RFs in high-risk populations like SAs.

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Migration and health: A systematic review on health and health care of internal migrants in India

Kusuma

Babu

2018

Health Planning & Management

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The objective of this paper is to review published studies on various health conditions and health care access of internal migrants in India. The guidelines under PRISMA Statement for Reporting Systematic Reviews and Meta-Analysis were followed. We searched 3 databases-Web of Science, Medline (PubMed), and Google Scholar. By applying selection criteria, we identified a total of 42 papers to include in the review. These studies reported various health problems/morbid conditions, and some studies reported health care access. Major health issues of poor migrants included work-related injuries, noncommunicable diseases like diabetes and hypertension, and communicable diseases like malaria and HIV. In addition, behavioural risks such as the use of tobacco and alcohol are reported. Information on health care seeking and poor access to government health care system are available. This review demonstrates the need to improve the health status and health care access of poor migrants. As health systems-related factors also influence the health care seeking behaviour, they are to be considered along with improving the living conditions of this population. Thus, a comprehensive migrant-sensitive health care should be the part of the urban health care system.

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Migrating husbands and changing cardiovascular risk factors in the wife: a cross sectional study in Asian Indian women

Cited by 19 publications

References 21 publications

Obesity and Dyslipidemia in South Asians

Obesity and Dyslipidemia in South Asians

South Asian Ethnicity and Cardiovascular Risk

Migration and health: A systematic review on health and health care of internal migrants in India

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