Study on prevalence of obesity using different scales and its association with hypertension among the elderly in a district of Gujarat

Abstract

Introduction: In older adults, excess weight is associated with a higher prevalence of cardiovascular disease, metabolic disease, several important cancers, and numerous other medical conditions. Several indices such as body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) are used to classify general. Some studies also reported that WC and WHR is a better indicator of cardiovascular disease (CVD) risk than BMI and WHR. Aims and Objective: 1. To estimate the prevalence of obesity among the elderly using three scale viz. BMI, WHR, and WHtR 2. To compare the results of these three-scale used for assessment of obesity 3. To determine the presence of association between obesity and hypertension if any. Material and Methods: For selection of the area, in both the urban and rural areas, the sampling units were enumerated and samples were collected from them. The estimated geriatric population combined in both Urban and Rural areas amounted to 12,220 (7% of geriatric population as per Census 2001), out of which 5% was selected as sample. This came out to be 611 elderly subjects which were selected equally from both urban and rural areas. For assessment of obesity BMI, WHR, and WHtR were measured. Assessment of hypertension was as per JNC classification. Result: Prevalence of obesity as per BMI in the urban area was found to be 40%, whereas that in rural areas was found to be 47.4%. WHR and WHtR showed higher prevalence in rural areas (70%) and also in urban areas (60%). BMI and WHR were significantly associated with hypertensive status of elderly. Conclusion: Anthropometric assessments of obesity like WHR and WHTR are more sensitive indicators of obesity among the elderly. BMI is found to be significantly associated with hypertension as well in the present study. Logistic regression showed that the association of BMI with hypertension was higher than other obesity assessments.

Assessment of Nutritional Status of Urban Elderly Women in Midnapore Town, Paschim Medinipur, India

“…Like WC, also WHTR can be a proxy indicator to assess obesity among the elderly population. In the present study, the prevalence of WHTR is 75.4% which is higher than the result (overweight-40.6%; very overweight= 38.6%; obese-56.7%) found by Nagar in a study conducted in Gujrat (Nagar et al, 2022).…”

Analysis of Dopamine Receptor D2 Gene Polymorphism and Correlation with Dyslipidemia in the Chinese Population

“…Consistently, elevated BMI has been considered to be related to the diagnosis of dyslipidemia [Crum-Cianflone et al, 2008]. Besides, a high value of WHR is known to be a risk factor for the occurrence of dyslipidemia [Nagar et al, 2022]. However, the present data indicated no significant difference in WHR between the case and control groups, which might be because of the small sample size.…”

Infant And Young Child Feeding Practices and Infections Pattern in Children Up To 24 Months Age Attending Outdoor Patient Department of a Tertiary Care Hospital of South Gujarat

“…9 In the current study, almost three forth mothers (74.7%) reported feeding colostrum to their newborns. In various studies like the studies done by Tiwari et al 10 , Mehlawat et al 11 and Patel et al 12 , the proportion of mothers feeding colostrum to their child was 61.7%, 94.1% and 91.2 % respectively. While, among 318 eligible children (age over six months), 214 (67.3%) mothers responded that they exclusively breast fed their child for the first six months of life.…”