2016
DOI: 10.1016/j.gheart.2016.01.003
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Obesity and its Relation With Diabetes and Hypertension: A Cross-Sectional Study Across 4 Geographical Regions

Abstract: Background The implications of rising obesity for cardiovascular health in low- and middle-income countries (LMICs) has generated much interest, in part because associations between obesity and cardiovascular health appear to vary across ethnic groups. Objective We assessed general and central obesity in four regions—Africa, East Asia, South America, and South Asia. We further investigate whether 1) body mass index (BMI) and waist circumference differentially relate to cardiovascular health; and 2) associati… Show more

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Cited by 75 publications
(73 citation statements)
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“…The associations we found between diabetes and age and BMI are similar to those observed around the world. The positive associations we found between these two factors and diabetes have also been observed previously in South Africa, 36 Nigeria, 37 and Zambia. 38 Our findings of an increased odds of diabetes among individuals with the highest family wealth aligns with the epidemiological transition theory, which postulates that the burden of new diseases related to lifestyle would be first concentrated among the wealthy, before shifting to those of a lower SEP.…”
Section: Discussionsupporting
confidence: 90%
“…The associations we found between diabetes and age and BMI are similar to those observed around the world. The positive associations we found between these two factors and diabetes have also been observed previously in South Africa, 36 Nigeria, 37 and Zambia. 38 Our findings of an increased odds of diabetes among individuals with the highest family wealth aligns with the epidemiological transition theory, which postulates that the burden of new diseases related to lifestyle would be first concentrated among the wealthy, before shifting to those of a lower SEP.…”
Section: Discussionsupporting
confidence: 90%
“…In the evaluation of the elderly in this study, the association between HF and obesity proved to be significant in both bivariate and multivariate analyses, revealing concordance with literature data,31 with obesity being considered a risk factor for HF,32 as well as significantly associated with vitamin D deficiency, which also increased the risk for HF. However, studies have shown that although obesity increases the risk for HF, it does not confer increased risk of mortality in patients already with HF, yet it may provide a better prognosis, thus characterizing the obesity paradox 33…”
Section: Discussionsupporting
confidence: 89%
“…Obesity is an emerging health related concern in Pakistan and so are ID and IDA [1820]. It is also worth mentioning that serum ferritin assay is the most commonly used blood test to diagnose ID or IDA, not only in Pakistan, but in other developing countries of the world also.…”
Section: Introductionmentioning
confidence: 99%