Hypertension and diabetes prevalence among adults with moderately increased BMI (23·0–24·9 kg/m2): findings from a nationwide survey in Bangladesh
| Autor: | Gail M. Williams, Muntasirur Rahman, Abdullah Al Mamun |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Medicine (miscellaneous) 030204 cardiovascular system & hematology Overweight Nationwide survey Body Mass Index 03 medical and health sciences 0302 clinical medicine Asian People Fat accumulation Risk Factors Diabetes mellitus Prevalence medicine Humans Obesity 030212 general & internal medicine Exercise Bangladesh Nutrition and Dietetics business.industry Public Health Environmental and Occupational Health Type 2 Diabetes Mellitus Diabetes prevalence Middle Aged Nutrition Surveys medicine.disease Research Papers Health Surveys Diabetes Mellitus Type 2 Socioeconomic Factors Hypertension Female medicine.symptom business Body mass index Demography |
| Zdroj: | Public Health Nutr |
| ISSN: | 1475-2727 1368-9800 |
| DOI: | 10.1017/s1368980016003566 |
| Popis: | ObjectiveBMI is a proxy for fat accumulation in the body. Increased diabetes and CVD risks have been observed for Asian populations at lower BMI than the WHO-recommended BMI cut-off points for overweight (≥25·0 kg/m2) and obesity (≥30·0 kg/m2). The current study aimed to quantify the increased hypertension (HTN) and type 2 diabetes mellitus (T2DM) prevalence in Bangladeshi adults with moderately increased BMI (23·0–24·9 kg/m2).DesignData from the most recent Bangladesh Demographic and Health Survey (2011) were analysed. Modified Poisson regression models with robust error variance were used to calculate prevalence ratios (PR) for HTN or T2DM by BMI category, considering BMI=18·5–22·9 kg/m2 as the reference. All analyses incorporated the complex sampling design of the survey.SettingBMI, blood pressure, blood sugar and related information were collected from a nationally representative sample.SubjectsAdults (n 7433) aged≥35 years.ResultsAbout 12 % of Bangladeshi adults, both male and female, were within the BMI range 23·0–24·9 kg/m2 or moderately overweight. Compared with the reference BMI group (18·5–22·9 kg/m2), they had an increased PR for HTN (1·55–1·77) and T2DM (1·54–1·93). These increased PR are similar to those for the WHO-defined overweight group (BMI=25·0–29·9 kg/m2).ConclusionsOur findings support the recommendation that calls for setting the optimum BMI for Asian populations to 18·5–23·0 kg/m2 for health promotion and for public health interventions like leisure-time physical activity. WHO cut-off points for overweight (≥25 kg/m2) should be used to facilitate international comparisons. |
| Databáze: | OpenAIRE |
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