scholarly journals Socioeconomic Differentials in Hypertension based on JNC7 and ACC/AHA 2017 Guidelines Mediated by Body Mass Index: Evidence from Nepal Demographic and Health Survey

2019 ◽  
Author(s):  
Juwel Rana ◽  
Zobayer Ahmmad ◽  
Kanchan Kumar Sen ◽  
Sanjeev Bista ◽  
Rakibul M Islam

AbstractBackgroundUnlike developed countries; higher socioeconomic status (SES, education, and wealth) is associated with hypertension in low and middle-income countries (LMICs) with limited evidence. We examined the associations between SES and hypertension in Nepal and the extent to which these associations vary by sex and urbanity. The body mass index (BMI) was examined as a secondary outcome and assessed as a potential mediator.Materials and methodsWe analyzed the latest Nepal Demographic and Health Survey data (N=13,436) collected between June 2016 and January 2017, using a multistage stratified sampling technique. Participants aged 15 years or older from selected households were interviewed with an overall response rate of 97%. Main outcomes were hypertension and normal blood pressure defined by the widely used Seventh Report of the Joint National Committee (JNC 7), and the American College of Cardiology/American Heart Association (ACC/AHA) 2017.ResultsThe prevalence of hypertension was higher in Nepalese men than women. The likelihood of having hypertension was more than double for individuals in the highest versus lowest wealth quintiles [men: OR 2.13, 95% CI 1.60-2.85); women: OR 2.54, 95% CI 2.00- 3.24] and for individuals with the higher education versus no education [men: OR 2.38, 95% CI 1.75-3.23; women: OR 1.63, 95% CI 1.18-2.25]. The associations between SES and hypertension were different by sex and urbanity. These associations were mediated by BMI.ConclusionsHigher SES was positively associated with the higher likelihood of having hypertension in Nepal according to both JNC 7 and ACC/AHA 2017 guidelines. These associations were mediated by BMI, which may help to explain broader socioeconomic differentials in CVD and related risk factors, particularly in terms of education and wealth. Our study suggests that the mediating factor of BMI should be tackled to diminish the risk of CVD in people with higher SES in LMICs.


PLoS ONE ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. e0218767
Author(s):  
Juwel Rana ◽  
Zobayer Ahmmad ◽  
Kanchan Kumar Sen ◽  
Sanjeev Bista ◽  
Rakibul M. Islam


2019 ◽  
Vol 4 (2) ◽  
pp. 84
Author(s):  
Sumbara Hambali ◽  
Etor Suwandar

The purpose of this study is to find out the body mass index of women's artistic gymnastics in West Java. The research method used is the survey method. The population and sample in this study were all female Javanese artistic gymnastics athletes, amounting to 50 people and sampling using the total sampling technique. The instruments used are BMI (Body Mass Index) with the formula BMI = BB (Kg) / TB (m) 2. The technique of calculating and analyzing data in this study through a quantitative approach in the form of a percentage. Based on the results of the study it can be seen that the average body mass index (BMI) of female artistic gymnastics athletes in West Java is 19.57kg / m2, with a standard deviation of 0.76. Whereas the minimum value is 18.07kg / m2, and the maximum value is 22.06kg / m2. Based on the qualification table of the Body Mass Index (BMI) assessment, it can be concluded that the average female artistic gymnastics in West Java has a qualification for the Normal Body Mass Index.



Author(s):  
Heekyung Lee ◽  
◽  
Jaehoon Oh ◽  
Hyunggoo Kang ◽  
Tae Ho Lim ◽  
...  

Abstract Background The effects of the body mass index (BMI) on outcomes of patients resuscitated from cardiac arrest are controversial. Therefore, the current study investigated the association between the BMI and the favourable neurologic outcomes and survival to discharge of patients resuscitated from out-of-hospital cardiac arrest (OHCA). Methods This multicentre, prospective, nationwide OHCA registry-based study was conducted using data from the Korean Cardiac Arrest Resuscitation Consortium (KoCARC). We enrolled hospitals willing to collect patient height and weight and included patients who survived to the hospital between October 2015 and June 2018. The included patients were categorised into the underweight (< 18.5 kg/m2), normal weight (≥18.5 to < 25 kg/m2), overweight (≥25 to < 30 kg/m2), and obese groups (≥30 kg/m2) according to the BMI per the World Health Organization (WHO) criteria. The primary outcome was a favourable neurologic outcome; the secondary outcome was survival to discharge. Univariate and multivariate analyses were performed to investigate the association between BMI and outcomes. Results Nine hospitals were enrolled; finally, 605 patients were included in our analysis and categorised per the WHO BMI classification. Favourable neurologic outcomes were less frequent in the underweight BMI group than in the other groups (p = 0.002); survival to discharge was not significantly different among the BMI groups (p = 0.110). However, the BMI classification was not associated with favourable neurologic outcomes or survival to discharge after adjustment in the multivariate model. Conclusion The BMI was not independently associated with favourable neurologic and survival outcomes of patients surviving from OHCA.



2021 ◽  
Vol 5 (1) ◽  
pp. 113
Author(s):  
Nadia Safhira Putri Ananda ◽  
Husnah Husnah ◽  
Safrizal Rahman

Background: Osteoporosis is a condition in which bone become weak and brittle characterized with lower bone density and quality causing increased risk of fracture. The elderly is the most common group to be affected and female is more prone compared to male. One of modifiable risk factors of osteoporosis is low body mass index or underweight. This study aimed to investigate the correlation between body mass index and the risk of osteoporosis on Acehnese adult females in RSUDZA.Methods: This was an analytic observational-cross sectional study which was completed at the Internal Medicine and Orthopedic Policlinic at Zainoel Abidin General Hospital Banda Aceh from August 27th to September 13th 2019. The sampling method used was nonprobability sampling with accidental sampling technique. The body mass index was obtained by measuring respondents’ height and weight while the risk of osteoporosis was assessed by measuring OSTA Score.Results: Results showed that most of respondents was aged between 40-45 years old (55.4%) and there are 62 respondents (74.7%) with abnormal body mass index consisted of 9 underweight respondents (10.8%), 11 overweight respondents (13.3%), and 42 obese respondents (50.6%). The risk of osteoporosis was dominantly mild (69.9%). There were 7 underweight respondents (77.8) had moderate risk of osteoporosis while 2 underweight respondents had severe risk (22.2%). Meanwhile, 41 obese respondents had mild risk of osteoporosis (97.6%). Correlation test using Spearman showed p value 0.000 (p < 0.05) and rs = -0,731 which means that there is a strong correlation between body mass index and the risk of osteoporosis.Conclusions: Lower body mass index is directly proportional with higher risk of osteoporosis.



KINESTETIK ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 166-172
Author(s):  
Edo Prasetio ◽  
Ari Sutisyana ◽  
Bogy Restu Ilahi ◽  
Defliyanto Defliyanto

                                                                  Abstrak Penelitian ini bertujuan untuk mengetahui tingkat kebugaran jasmani berdasarkan indeks massa tubuh pada siswa SMP Negeri 29 Bengkulu Utara. Penelitian dilakukan dengan melakukan tes kebugaran jasmani dan tes antropometri pada siswa SMP Negeri 29 Bengkulu Utara. Sampel penelitian ini diambil dengan teknik Cluster Sampling. Analisis data yang di gunakan dalam penelitian ini adalah menggunakan persentase untuk menggambarkan frekuensi dan persentase dari data yang diperoleh. Hasil penelitian menyatakan bahwa 68% siswa memliki indeks massa tubuh yang kurang, 18% siswa memiliki indeks massa tubuh normal, dan 14% siswa memiliki indeks massa tubuh gemuk. Sedangkan tingkat kebugaran jasmani siswa menunjukkan 39% kurang, 42% sedang, dan 19% baik. Sehingga dapat disimpulkan bahwa tingkat kebugaran jasmani dan indeks massa tubuh pada siswa SMP Negeri 29 Bengkulu Utara masih rendah.Kata kunci: tingkat kebugaran jasmani, indeks massa tubuh.                                                                       Abstract The aim of this study is to find out the vitality level based on the body mass index on students of SMP Negeri 29 Bengkulu Utara. This study was conducted by performing physical vitality tests and anthropometric tests on Students of SMP Negeri 29 Bengkulu Utara. The samples of this study were takenfrom cluster sampling technique. Data analysis used in this study was the using of percentage to describe frequency and percentage of data obtained. The results showed that 68% of students had a low body mass index, 18% of students had a normal body mass index, and 14% of students had a fat body mass index. While the students' physical vitalitylevels showed 39% less, 42% moderate, and 19% good. Therefore, it can be concluded that the level of physical vitality and body mass index on students SMP Negeri 29 Bengkulu Utara still low.Keywords: physical vitality level, body mass index



2020 ◽  
Vol 3 (2) ◽  
pp. 69-75
Author(s):  
Yulnefia Yulnefia

Hypertension is a multifactorial cause with many differences and one of the leading causes of death in the world. The incidence of hypertension is very high with a prevalence reaching 60% to 80% of the elderly population. Body mass index (BMI) is highly influential in hypertension where overweight can estimate the risk of hypertension compared to normal BMI. BMI that is often afflicted by hypertensionis was obesity. Obesity provides the impetus to activate the simple nervous system for changes in the structure and function of the kidneys. Arterial pressure control of diuresis and natriuresis causes blood pressure to become hypertensive. The purpose of this research was to find out whether there is a relationship between BMI and hypertension in the elderly in Simpang Tiga Health Center Pekanbaru City. This research was an analytic observational research with cross sectional approach and accidental sampling technique. The total sample of 61 people included in the inclusion criteria of total participation. This research was conducted on January 21-23, 2020 in the Elderly Poly in Simpang Tiga Health Center Pekanbaru City. The results of this study were p-value <0.01 (p-value <0.05) and correlation coefficient (rs) of 0.424 which means there was a relationship between BMI and hypertension in the elderly in positive direction and moderate strength relationship. The conclusion of this study was that BMI has a significant relationship with hypertension in elderly in Simpang Tiga Health Center Pekanbaru City.



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.



2020 ◽  
Vol 4 (1) ◽  
pp. 285-289
Author(s):  
Nyna Puspita Ningrum

Background: Poor nutritional conditions in infants that occur in a long time can affect the growth process of infants, the risk of immune system disorders, and the risk of infection that can end in death (Hong et al, 2006). BGM conditions that are not handled properly can run the risk of being stunted. Purpose: The purpose of this study was to analyze the relationship between the body mass index of pregnant women and birth weight of babies with the incidence of BGM in infants. Methods: This research method is quantitative analytic research with correlative study design approach. The populations were all infants and mothers of children under five in Siwalankerto village with total of 47 peoples; the sampling technique used was purposive sampling in accordance with the inclusion and exclusion criteria, so as to get 40 people. Data was tested for validity using the product moment validity test method. Results: Based on the results obtained with the chi square reliability test value of x count = 14.89 which is greater than the value of x table = 7.815 (for N = 40 respondents). So it can be concluded that there is a relationship between body mass index of pregnant women and birth weight of babies with the incidence of BGM in infants. Conclusion: Suggestions for health workers is to increase preventive efforts through approaches and counseling to the community in order to minimize the occurrence of malnutrition in pregnant women which can have an impact on children's health in the future.



2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
D. B. Kumah ◽  
K. O. Akuffo ◽  
J. E. Abaka-Cann ◽  
D. E. Affram ◽  
E. A. Osae

The aim was to determine the prevalence of obesity and overweight among students in the Kumasi metropolis. In a descriptive cross-sectional study, 500 students aged 10 to 20 years were examined from two junior high schools selected by multistage sampling technique and three randomly selected senior high schools. Height and weight were measured in all participants and the body mass index (BMI) of each individual was calculated. Body mass index classes were calculated according to the International Obesity Task Force standards. Out of the 500 students, 290 (58.00%) were males and 210 (42.00%) were females. The prevalence of underweight, normal weight, overweight, and obesity was 7.40%, 79.60%, 12.20%, and 0.80%, respectively. Overweight was more prevalent among students than obesity. There is therefore the need to establish effective public health promotion campaigns among students in order to curtail future implications on health.



2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Natasya Tandean ◽  
Yanti Mewo ◽  
Pemsy M. Wowor

Abtract: Obesity has become a major problem in developed countries as well in developing countries due to its increasing prevalence in adult as well as in kids. There are two types of obesity, general obesity and abdominal obesity. Body mass index (BMI) is calculated based on the body mass weight in kilogram divided by the body height in meter square (kg/m2). This study aimed to obtain the BMIs of the student members of Faculty of Medicine, Sam Ratulangi University. This was a descriptive study with a cross sectional design. Samples were 20 students. The results showed that based on the Asia Pacific criteria, students with BMI <18.5 were 0%; BMI 18.5-22.9 15%; BMI 23-24.9 (overweight) 10%; BMI 25-29.9 (obese I) 65%; and BMI ≥30 (obese II) 10%.Keywords: body mass index, obesity, overweightAbstrak: Obesitas menjadi masalah di seluruh dunia baik di negara maju maupun negara berkembang karena prevalensinya yang meningkat pada orang dewasa dan anak-anak. Terdapat dua jenis obesitas, yakni obesitas umum dan obesitas abdominal/sentral. Obesitas umum dapat diukur dengan mengunakan indeks massa tubuh (IMT). Indeks massa tubuh diukur berdasarkan berat badan dalam kilogram dibagi tinggi badan dalam meter kuadrat (kg/m2). Penelitian ini bertujuan untuk mengetahui IMT pada anggota senat mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi. Metode yang digunakan dalam penelitian ini ialah deskriptif dengan rancangan potong lintang. Sampel diambil dari 20 orang anggota senat mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi. Data indeks massa tubuh yang diperoleh dari penelitian selanjutnya diklasifikasikan sesuai dengan kriteria yang dipergunakan untuk Asia Pasifik. Hasil penelitian ini menunjukkan bahwa IMT <18,5 sebesar 0%, IMT 18,5-22,9 sebesar 15%, IMT 23-24,9 (overweight) sebesar 10%, IMT 25-29,9 (Obesitas I) sebesar 65%, dan IMT ≥30 (Obesitas II) sebesar 10%.Kata kunci: indeks massa tubuh, obesitas, overweight



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