scholarly journals Reassessing patterns of childhood body-mass index, overweight, and obesity in South Asian and black participants in the English National Child Measurement Programme: use of ethnicity-specific body-mass index adjustments

The Lancet ◽  
2017 ◽  
Vol 390 ◽  
pp. S10
Author(s):  
Mohammed T Hudda ◽  
Claire M Nightingale ◽  
Angela S Donin ◽  
Christopher G Owen ◽  
Alicja R Rudnicka ◽  
...  
2019 ◽  
Vol 25 (1) ◽  
Author(s):  
Fariha Binte Hossain ◽  
Gourab Adhikary ◽  
Ariful Bari Chowdhury ◽  
Md Shajedur Rahman Shawon

Abstract Background Although there has been a well-established association between overweight-obesity and hypertension, whether such associations are heterogeneous for South Asian populations, or for different socioeconomic groups is not well-known. We explored the associations of overweight and obesity using South Asian cut-offs with hypertension, and also examined the relationships between body mass index (BMI) and hypertension in various socioeconomic subgroups. Methods We analysed the recent Demographic and Health Survey (DHS) data from Bangladesh, India, and Nepal, with a total of 821,040 men and women. Hypertension was defined by 2017 ACC/AHA cut-offs and by Joint National Committee 7 (JNC7) cut-offs for measured blood pressure and overweight and obesity were defined by measured height and weight. We used multiple logistic regressions to estimate the odds ratios (ORs) with 95% confidence intervals (CIs) of hypertension for overweight and obesity as well as for each 5-unit increase in BMI. Results The prevalence of hypertension using JNC7 cut-offs among participants increased by age in all three countries. The prevalence ranged from 17.4% in 35–44 years to 34.9% in ≥55 years in Bangladesh, from 4.6% in 18–24 years to 28.6% in 45–54 years in India, and from 3.8% in 18–24 years to 39.2% in ≥55 years in Nepal. Men were more likely to be hypertensive than women in India and Nepal, but not in Bangladesh. Overweight and obesity using both WHO and South Asian cut-offs were associated with higher odds of hypertension in all countries. For each 5 kg/m2 increase in BMI, the ORs for hypertension were 1.79 (95% CI: 1.65–1.93), 1.59 (95% CI: 1.58–1.61), and 2.03 (95% CI: 1.90–2.16) in Bangladesh, India, and Nepal, respectively. The associations between BMI and hypertension were consistent across various subgroups defined by sex, age, urbanicity, educational attainment and household’s wealth index. Conclusions Our study shows that the association of BMI with hypertension is stronger for South Asian populations at even lower cut-offs points for overweight and obesity. Therefore, public health measures to reduce population-level reduction in BMI in all population groups would also help in lowering the burden of hypertension.


2018 ◽  
Vol 43 (7) ◽  
pp. 1440-1443
Author(s):  
Mohammed T. Hudda ◽  
Angela S. Donin ◽  
Christopher G. Owen ◽  
Alicja R. Rudnicka ◽  
Naveed Sattar ◽  
...  

2019 ◽  
Author(s):  
Fariha Binte Hossain ◽  
Shajedur Rahman Shawon ◽  
Gourab Adhikary ◽  
Arif Chowdhury

ABSTRACTAlthough there has been a well-established association between adiposity and hypertension, whether such associations are heterogeneous for South Asian populations or for different socioeconomic groups is not well-known. We analysed the recent Demographic and Health Survey (DHS) data from Bangladesh, India, and Nepal to estimate the age-specific prevalence of hypertension and the association of body mass index (BMI) with hypertension. We used multiple logistic regressions to estimate the odds ratios (ORs) with 95% confidence intervals (CIs) of hypertension for overweight and obesity as well as for each 5-unit increase in BMI. The overall prevalence for hypertension among participants aged 35-44 years were 17.4%, 20%, and 22.5% for Bangladesh, India, and Nepal, respectively. For all age groups, men were more likely to be hypertensive than women in India and Nepal, but not in Bangladesh. Overweight and obesity were associated with higher odds of hypertension in all countries. For each 5 kg/m2 increase in BMI, the ORs for hypertension were 1.79 (95% CI: 1.65-1.93), 1.59 (95% CI: 1.58-1.61), and 2.03 (95% CI: 1.90-2.16) in Bangladesh, India, and Nepal, respectively. The associations between BMI and hypertension were consistent across various subgroups defined by sex, age, urbanicity, educational attainment and household’s wealth index. Our study shows that the association of BMI with hypertension is stronger for South Asian populations, and public health measures to reduce population-level reduction in BMI would also help in lowering the burden of hypertension.


2021 ◽  
Author(s):  
Farhad Hosseinpanah ◽  
Amirhosein Seyedhoseinpour ◽  
Maryam Barzin ◽  
Maryam Mahdavi ◽  
Erfan Tasdighi ◽  
...  

Abstract Background: The prevalence of obesity among children and adolescences have been increased, which can consequently increase the prevalence of metabolic and cardiovascular diseases later in life. The objective of this study is to compare the ability of different childhood body mass index cut-offs in prediction of carotid intima media thickness (CIMT) as an indicator of subclinical atherosclerosis. Methods: Participants were categorized into normal weight, overweight and obesity group, based on world health organization (WHO), center for disease control and prevention (CDC), international obesity task force (IOTF) and local IOTF cut-offs. After 18 years of follow up CIMT was measured. Akaike’s information criterion and relative efficiency were measured in order to compare regression models on the role of obesity on CIMT.Results: In this prospective cohort study, 1295 subjects aged 3 to 18 years old were enrolled. The overall prevalence of overweight was 15.4, 11.5, 16.3 and 14.1 along with obesity prevalence of 6.6, 8.5, 7.7 and 5.0 percent based on WHO, CDC, local IOTF and international IOTF criteria, respectively. CIMT was higher in obese compare to normal groups across all classification criteria. After regression analysis, international IOTF was the best to predict adulthood CIMT, followed by local IOTF and WHO. CDC had the least discriminatory ability. Conclusion: Due to the results of this study, IOTF could be a better tool in national and international surveillances of children in order to define overweight and obesity, which can help us to intervene more effectively in reducing the burden of cardiovascular diseases.


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