Normal weight central obesity and hypertension in India: Cross-sectional finding from LASI, 2017-19

Das, Sayani; Goswami, Vineet Kumar; Chandel, Shivani

doi:10.1016/j.numecd.2023.06.022

Cited by 3 publications

(3 citation statements)

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“…In the present study, 58.85% participants had normal blood pressure, and 41.14% had hypertension. The prevalence of hypertension was found more among males compared to females, this finding was similar to study conducted among Varanasi adults (Singh et al, 2017), Angami Naga of Nagaland (Peseyie et al, 2022), NFHS -5 (Sagar district), and LASI study (Das et al, 2023). The prevalence of hypertension in this study was almost similar to the prevalence reported by LASI study (Das et al, 2023).…”

Section: Doi: 1034256/ijk2325supporting

confidence: 90%

“…The prevalence of hypertension was found more among males compared to females, this finding was similar to study conducted among Varanasi adults (Singh et al, 2017), Angami Naga of Nagaland (Peseyie et al, 2022), NFHS -5 (Sagar district), and LASI study (Das et al, 2023). The prevalence of hypertension in this study was almost similar to the prevalence reported by LASI study (Das et al, 2023). The higher prevalence of hypertension among males could be due to biological and behavioural factors (Sandberg & Ji., 2012).…”

Section: Doi: 1034256/ijk2325supporting

confidence: 88%

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The Burden of Obesity and Hypertension Among a Vegetarian Ethnic Minority Community: A Study Among Jain's of Madhya Pradesh, India

Goswami,

Chandel

2023

ijok

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Introduction: The prevalence of obesity is increasing among children and adults worldwide. Obesity is one of the major risk factors for hypertension. Thus, the study aimed to document the prevalence of obesity, hypertension and their association with each other among the Jain community of Khurai town, Sagar District (Madhya Pradesh), India. Methods: Data was collected on 175 participants belonging to the age group of 20-59 years. Anthropometric measurements were taken and indices were calculated such as Body mass index, waist-hip ratio, and waist-height ratio to assess general and abdominal obesity. Blood pressure was recorded using a sphygmomanometer. Results: The prevalence of overweight and obesity was found 25.71 percent and 9.71 percent. Whereas, 54.28 percent and 48.14 percent of participants were at risk for central obesity. The prevalence of hypertension was 41.14 percent. Obesity and hypertension were more prevalent among males, females were more overweight. Hypertension had a significant (p-value <0.01) positive correlation with anthropometric indices. Body Mass Index imposed highest significant increase risk (p-value <0.05) on hypertension. Conclusion: Jain adults had a high prevalence of overweight/obesity and hypertension despite of being vegetarian community. Therefore, more attention should be directed towards this community for the prevention, management, and treatment of non-communicable diseases.

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Section: Doi: 1034256/ijk2325supporting

confidence: 90%

Section: Doi: 1034256/ijk2325supporting

confidence: 88%

The Burden of Obesity and Hypertension Among a Vegetarian Ethnic Minority Community: A Study Among Jain's of Madhya Pradesh, India

Goswami,

Chandel

2023

ijok

Self Cite

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“…In addition, although the height of the participants can remain almost the same during the follow-up, the WC can change significantly with the nutritional status of the participants, and hence the dynamic assessment of WHtR is more scientific and accurate for predicting the risk of hypertension than a single assessment. Finally, despite evidence of a correlation between central obesity and hypertension, the specific pathological mechanisms underlying the correlation between WHtR and hypertension remain unclear ( 43 ). We can only speculate that the deleterious effects of high levels of WHtR on hypertension may be attributable to central obesity or overnutrition, whereas the potentially deleterious effects of low levels of WHtR on hypertension may be attributable to debilitation or malnutrition.…”

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confidence: 99%

There was a similar U-shaped nonlinear association between waist-to-height ratio and the risk of new-onset hypertension: findings from the CHNS

Wang,

Shi,

Yan

et al. 2023

Front. Nutr.

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BackgroundThe association between waist-to-height ratio (WHtR) with hypertension has not been adequately explained, so in this study we sought to clarify the predictive role of WHtR on the incidence of hypertension as well as the potential nonlinear associations in the general population.MethodsIn this large prospective cohort study, a total of 4,458 individuals from the China Health and Nutrition Survey (CHNS) were included in the analysis. Multivariate Cox regression analyses, subgroup analyses, receiver operator characteristic (ROC) and restricted cubic spline (RCS) analyses were used to examine the association of WHtR with the risk of new-onset hypertension.ResultsHypertension occurred in 32.8% of participants during the maximum six-year follow-up period. Compared with the group with lower WHtR, the group with higher WHtR had a higher incidence of hypertension (p < 0.001). Multivariate Cox regression analysis showed that the risk of hypertension was 1.45 times higher in the high WHtR group than in the low WHtR group, and that the risk of hypertension increased by 30.4% for every 0.1 unit increase in WHtR (p < 0.001). Subgroup analyses also validated the stratified associations between WHtR and the risk of new-onset hypertension in most subgroups (p < 0.05). ROC analyses also revealed that WHtR was superior to body mass index in predicting new-onset hypertension (AUC: 0.626 vs. 0.607, p = 0.009). Further RCS analysis detected a nonlinear association between WHtR and risk of new-onset hypertension (P for nonlinearity <0.001).ConclusionWHtR was nonlinearly associated with the risk of new-onset hypertension in the general population.

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Dual Metrics of Obesity: Evaluating BMI and Central Obesity as Indicators of Cardiometabolic Risk in Rural India

Prasad,

Sagiraju,

Chatterjee

et al. 2024

Preprint

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PurposeIndians face a higher risk of cardiometabolic diseases (CMDs) at the same BMI compared to Caucasians. This study explored the use of the Dual Metric Obesity Criteria (DMOC), combining central obesity (CO) indices with BMI, to assess sex-specific associations with CMDs in rural Indians.MethodsBaseline cross-sectional data from 3,397 participants aged ≥45 from the Centre for Brain Research-Srinivaspura Aging, Neuro Senescence and COGnition (CBR-SANSCOG) study were analysed. Five obesity indices were examined: BMI, Waist Circumference, Waist-Hip Ratio (WHR), Waist-Height Ratio (WHtR), and Visceral Fat Percentage. Cohen’s Kappa assessed the agreement between BMI and CO indices. Participants were classified based on BMI and CO status: NWNC (Normal Weight No CO), AWNC (Abnormal Weight No CO), NWCO (Normal Weight CO), and AWCO (Abnormal Weight CO). Multinomial logistic regression models evaluated associations between DMOC groups and CMDs. Interaction analyses explored CO and CMD relationships across sex, BMI categories, and age groups. The mediation effect of CO indices on the relationship between BMI and cardiometabolic risk factors was investigated.ResultsBMI showed a slight to fair agreement with WHR and moderate agreement with WHtR. Individuals with AWCO had the highest odds for all CMDs (p<0.001). Males with NWCO had a 3.51 (2.14,6.04) times increased odds times for diabetes and 2.04 (1.22,3.37) times odds for dyslipidemia. Individuals < 58 years and males had stronger associations with CMDs.ConclusionCombining CO indices with BMI effectively identifies high-risk CMD groups in rural Indians, including those with NWCO a previously overlooked group.

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Normal weight central obesity and hypertension in India: Cross-sectional finding from LASI, 2017-19

Cited by 3 publications

References 41 publications

The Burden of Obesity and Hypertension Among a Vegetarian Ethnic Minority Community: A Study Among Jain's of Madhya Pradesh, India

The Burden of Obesity and Hypertension Among a Vegetarian Ethnic Minority Community: A Study Among Jain's of Madhya Pradesh, India

There was a similar U-shaped nonlinear association between waist-to-height ratio and the risk of new-onset hypertension: findings from the CHNS

Dual Metrics of Obesity: Evaluating BMI and Central Obesity as Indicators of Cardiometabolic Risk in Rural India

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