Epidemiology of overweight and obesity in Indian adults - A secondary data analysis of the National Family Health Surveys

Verma, Madhur; Das, Milan; Sharma, Priyanka; Kapoor, Nitin; Kalra, Sanjay

doi:10.1016/j.dsx.2021.06.003

Cited by 32 publications

(30 citation statements)

References 40 publications

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“…Overall recent research has shown that weight stigma has adverse health consequences, and impairs progress in weight management interventions [ 29 ]. Despite the overarching ill effects of stigma, shockingly, some believe that stigma is beneficial in motivating Obese people to lose weight [ 30 ]. Most of the Obese are seen by community doctors and nurses, and if stigma is identified and addressed at the community level, it facilitates treatment in secondary and tertiary care.…”

Section: Discussionmentioning

confidence: 99%

Weight Stigma in Patients With Obesity and Its Clinical Correlates: A Perspective From an Indian Bariatric Clinic

Jiwanmall¹,

Kattula²,

Nandyal³

et al. 2022

Cureus

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IntroductionObesity being a global epidemic, currently has several adverse health outcomes. Weight stigma is a significant barrier to delivering quality services and also impairs clinical progress. We intended to study the association of stigma with demographic and clinical variables in obese patients to identify the obstacles in treatment-seeking, so stigma could be adequately addressed to improve clinical outcomes. MethodsThis study was a retrospective chart review in a Bariatric clinic in a tertiary care hospital. The weight selfstigma questionnaire (WSSQ) was routinely used in the clinic. Demographic and clinical data were collected for 146 obese patients. ResultsFemale patients (73%) had higher stigma scores. The mean total stigma score was 41.6(SD 3.83), the total self-devaluation score was 21.88(SD 2.10), total fear of enacted stigma was 21.26(SD 2.33). Multivariate analysis revealed an association between stigma with multiple dysfunctional eating patterns like bingeing, overeating, and grazing (Adjusted aOR 3.86, 95% CI-1.66-8.96) and psychiatric diagnosis (adjusted aOR 3.00, CI-1.25-7.17). ConclusionThis study found an association between stigma and certain clinical variables that maintain and worsen obesity and comorbid psychiatric diagnoses. This highlights the importance of an assessment of mental health and stigma in general practice when dealing with patients with obesity. Treating the underlying psychiatric comorbidities and addressing unhealthy eating behaviors can help reduce self-stigma. Stigma is a barrier to treatment-seeking that needs to be addressed in the community.

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Section: Discussionmentioning

confidence: 99%

Weight Stigma in Patients With Obesity and Its Clinical Correlates: A Perspective From an Indian Bariatric Clinic

Jiwanmall¹,

Kattula²,

Nandyal³

et al. 2022

Cureus

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“…16 In a study done at the authors' center, about 61% of postmenopausal women were found to be obese 17 Overall, in India, the prevalence of overweight/obesity were observed to be 38.4% and 36.2%, respectively. 18 From the Medicare data in the United States, the prevalence of degenerative spine disease was about 27%. 19 Similar data on degenerative disc disease in the Indian population were not available.…”

Section: Discussionmentioning

confidence: 99%

Utility and validation of bone mineral density measurements at forearm in predicting trabecular microarchitecture and central‐site osteoporosis in aging Indian postmenopausal women—a promising surrogate?

et al. 2022

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Objective The objective of this paper was to present the results of our study of the utility of bone mineral density (BMD) measurements at various segments of distal forearm in predicting central‐site osteoporosis and deteriorated trabecular microarchitecture. Methods This was a cross‐sectional study and BMD at the femoral neck, lumbar spine, and distal forearm were assessed using the dual‐energy X‐ray absorptiometry (DXA) scanner and bone microarchitecture at lumbar spine by trabecular bone score (TBS). The utility of forearm BMD in predicting osteoporosis as well as the deteriorated TBS was assessed by a receiver operating characteristic analysis. Results A total of 352 postmenopausal women with mean (SD) age of 60.7 (6.8) years were included. The odds of having osteoporosis at femoral neck [odds ratio (OR) = 14.1, 95% confidence interval (CI): 7.8–25.2] and lumbar spine (OR = 7.5, 95% CI: 4.6–12.1) was highest with the mid‐distal radius. A derived T‐score cut off ≤ −1.6, −1.9, and −1.7 at any segment of the forearm was elucidated to predict osteoporosis at the central‐site, femoral neck, and lumbar spine, respectively, with sensitivity of 80%–88% and specificity of 60%–70%. The T‐scores at all three forearm segments ≤ −1.2 showed fair performance in predicting degraded trabecular microarchitecture. The T‐scores thus derived were further validated in cohort of 360 Bengali postmenopausal women. Conclusion BMD assessment at the forearm may be utilized in prediction of trabecular microarchitecture and central site osteoporosis at the femoral neck and lumbar spine in postmenopausal women.

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“…Obesity and osteoporosis are two rapidly emerging public health problems [ 1 , 2 ]. Conventionally, increased body fat is believed to restrain bone loss and prevent osteoporotic fragility fractures [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Trabecular Bone Score and Bone Mineral Density in Postmenopausal Women with Morbid Obesity—A Clinical Paradox

et al. 2021

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Obesity has long been considered to have a protective effect on bone, but specific complications in those with morbid obesity are known to have a detrimental impact on bone architecture. We aimed to study the bone microarchitecture (TBS—trabecular bone score) and bone mineral density (BMD) in postmenopausal women with morbid obesity compared to obese and non-obese age-matched women. Eighty-five consecutive postmenopausal women with morbid obesity (body mass index (BMI) ≥ 35 kg/m2) were enrolled and compared to age-matched obese (n = 80) and non-obese postmenopausal controls (n = 85). The BMD and TBS were assessed in all subjects using a Hologic-QDR 4500-W Discovery-A DXA scanner. The mean BMD (gm/cm2) at the femoral neck in women with morbid obesity was found to be significantly lower as compared to the age-matched postmenopausal obese controls (0.723 versus 0.762, p-value = 0.002). The BMD at the lumbar spine and hip showed similar trends but were not statistically significant. The bone microarchitecture was found to be significantly lower in those with morbid obesity (1.205) as compared to the other two groups (obesity 1.244; non-obese 1.228) (p < 0.013). Though obesity was associated with a better bone density and bone microarchitecture in postmenopausal women, a paradoxical lower value was seen in those with morbid obesity.

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Epidemiology of overweight and obesity in Indian adults - A secondary data analysis of the National Family Health Surveys

Cited by 32 publications

References 40 publications

Weight Stigma in Patients With Obesity and Its Clinical Correlates: A Perspective From an Indian Bariatric Clinic

Weight Stigma in Patients With Obesity and Its Clinical Correlates: A Perspective From an Indian Bariatric Clinic

Utility and validation of bone mineral density measurements at forearm in predicting trabecular microarchitecture and central‐site osteoporosis in aging Indian postmenopausal women—a promising surrogate?

Trabecular Bone Score and Bone Mineral Density in Postmenopausal Women with Morbid Obesity—A Clinical Paradox

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