Total and Abdominal Adiposity and Hypertension in Indigenous Women in Midwest Brazil

Almeida, J.; Kian, Kauhana Oliveira; Lima, Rosângela C; Souza, Maria Cristina Corrêa de

doi:10.1371/journal.pone.0155528

Cited by 18 publications

(18 citation statements)

References 29 publications

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“…In addition, we have found that WC had the strongest correlation with SBP and DBP among the three adiposity measures, which indicates the potential role of WC to identify the presence of uncontrolled hypertension as well. Consistently, a prior study in Brazil also found that hypertension was only associated with abdominal adiposity but not with BMI . However, since the evidence regarding this topic is scarce, future studies are warranted to examine this issue.…”

Section: Discussionsupporting

confidence: 66%

Adiposity measures and pre‐diabetes or diabetes in adults with hypertension in Singapore polyclinics

Wang

Shirore

Ramakrishnan

et al. 2019

J of Clinical Hypertension

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Identification of hypertensive patients with pre‐diabetes or diabetes is important for timely prevention of complications including vascular disease. We aimed to compare the association and discrimination of central obesity measures (waist circumference [WC] and waist‐to‐height ratio [WHtR]) with generalized obesity measure (body mass index [BMI]) in relation to pre‐diabetes and diabetes among a group of Asian hypertensive patients for the first time. We used the baseline data of 925 subjects aged 40 years or older with uncontrolled hypertension recruited at eight primary care clinics in Singapore. Information on height, weight, WC, fasting blood glucose, and hemoglobin A1c (HbA1c) was collected. Pre‐diabetes or diabetes was defined as having reported physician‐diagnosed diabetes or taking anti‐diabetes medication, fasting blood glucose ≥ 5.6 mmol/dL or HbA1c ≥ 5.7%. Among 925 subjects, 495 (53.5%) had pre‐diabetes or diabetes. In logistic regression models, BMI was not associated with pre‐diabetes or diabetes after adjusting for WC or WHtR, while a positive association remained with both WC and WHtR after adjustment of BMI. Both WC and WHtR had significantly better discrimination than BMI (respective area under ROC curve: 0.63 for WC, 0.63 for WHtR, and 0.60 for BMI; P = 0.019), and adding WC or WHtR on top of BMI further correctly reclassified 42.7% and 38.7% hypertensive patients to the right risk group of pre‐diabetes or diabetes indicated by net reclassification improvement. However, WHtR was not superior to WC. In conclusion, our results suggested that central obesity has stronger association with and better discrimination for pre‐diabetes or diabetes than generalized obesity.

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Section: Discussionsupporting

confidence: 66%

Adiposity measures and pre‐diabetes or diabetes in adults with hypertension in Singapore polyclinics

Wang

Shirore

Ramakrishnan

et al. 2019

J of Clinical Hypertension

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“…This aspect demands a great deal of attention from public policy managers because accumulated fat in the visceral region is an important independent risk factor for cardiometabolic disorders, such as high blood pressure [32,33]. A recent publication based on the 2015 sample of the present study [34] compared the capacities of excess weight, high %BF and waist-height ratio (an indicator of abdominal obesity) to identify high blood pressure.…”

Section: Discussionmentioning

confidence: 92%

Prevalence, temporal trend and associated factors with excess body weight in mothers of children under five years

et al. 2018

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Objective This study aims to evaluate the prevalence, temporal trends and associated factors with excess weight in mothers of children under five years of age. Methods This is a time-series study using data from two household surveys conducted in 2005 and 2015. A total of 1,436 mothers were evaluated in 2005, and 690 were evaluated in 2015. The dependent variables were excess body weight (Body Mass Index [BMI] ≥25.0kg/m2), high percentage of Body Fat (%BF ≥33%) and abdominal obesity (waist circumference >80cm). The independent variables were the socioeconomic and demographic factors. The changes that occurred between the two surveys were expressed in percentages, and the measure of association was the Prevalence Ratio, calculated by Poisson regression, in both the crude and multivariate analyses. Results There were increases of 33.2%, 59.2% and 31.0%, respectively, for the prevalence of excess weight (PR=1.33, 95% Confidence Interval [CI]:1.21-1.46), abdominal obesity (PR=1.59, 95% CI:1.43-1.77) and high %BF (PR=1.31, 95% CI:1.07-1.60). The factors independently associated with excess weight and abdominal obesity were the highest age group (>30 years), menarche ≤12 years and higher parity (>2 children). The same was observed for high %BF, except for the loss of significance in the adjusted analysis for the variable menarche ≤12 years. Conclusion The prevalence of high body adiposity is a problem of relevant importance in the studied population and has presented an upward trend in the last 10 years. Women over 30 years and with more than two children should be given priority in prevention and control.

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“…Besides, having three or more children has been shown to be strongly associated with overweight (OR = 1.78, 95% CI = 1.06–3.00)15 and by implication, obesity. In a study that examined the total and abdominal obesity and hypertension in indigenous women in Midwest Brazil, Almeida et al 16. observed that 74.0% had overweight/obesity combined.…”

Section: Discussionmentioning

confidence: 99%

Components and risk factors of metabolic syndrome among rural Nigerian workers

2019

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Background: Metabolic syndrome (MetS) is a serious public health risk predisposing the workforce to cardiovascular diseases and diabetes. Aim: The aim of this study was to determine the components and risk factors of MetS among Nigerian teachers and bank workers (BWs). Settings and Design: The cross-sectional study was conducted in Idemili South Local Government Area, Southeast Nigeria. Materials and Methods: The study involved 427 teachers and 66 BWs in 14 secondary schools and 5 microfinance banks, respectively. Data collection methods included questionnaire, lipid profile, fasting plasma glucose (FPG), weight, height, waist circumference, and blood pressure (BP) measurements. Inferential statistical analysis involved Pearson correlation and Chi square with Cochran–Mantel–Haenszel test. Significance was accepted at P < 0.05. Results: Most (73.3%) of the teachers were 40–60-year-olds; 75.8% of BWs were 19–39-year-olds ( P < 0.01). Underweight (7.7%), overweight (26.8%), obesity (17.2%), impaired FPG (IFPG) (14.0%), hypertriglyceridemia (38.0%), and hypertension (40.0%) were prevalent with similarity ( P > 0.05) between occupations, age, and gender. Females were more likely to have abdominal obesity ( P < 0.01) than males. MetS prevalence was 20%. MetS was more likely among females (odds ratio [OR] =0.63, 95% confidence interval [CI] =0.471–0.841); workers with abdominal obesity (OR = 1.67, 95% CI = 1.210–2.295), IFPG (OR = 0.05, 95% CI = 0.008–0.347), raised diastolic BP (OR = 12.00, 95% CI = 2.177–66.134), and hypertriglyceridemia (OR = 1.55, 95% CI = 1.931–5.600); and those who often drank fluids other than water (OR = 0.11, 95% CI = 0.013–0.961). Conclusion: MetS was a problem of public health significance among the workers with higher prevalence among teachers, 40–60-year-olds, and females. Abdominal obesity was the strongest risk factor of metabolic syndrome among the workers.

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Total and Abdominal Adiposity and Hypertension in Indigenous Women in Midwest Brazil

Cited by 18 publications

References 29 publications

Adiposity measures and pre‐diabetes or diabetes in adults with hypertension in Singapore polyclinics

Adiposity measures and pre‐diabetes or diabetes in adults with hypertension in Singapore polyclinics

Prevalence, temporal trend and associated factors with excess body weight in mothers of children under five years

Components and risk factors of metabolic syndrome among rural Nigerian workers

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