The effect of body mass index on blood pressure in adults with hypertension

Introduction Obesity is often accompanied by a number of complications including diabetes mellitus and cardiovascular diseases. Elevated blood pressure and lipids, as well as deterioration of glucoregulation are attributed, as the most significant factors, to development of diabetes mellitus and cardiovascular complications in obese patients. Objective The aim of our study was to evaluate the effects of a fasting diet on blood pressure, lipid profile and glucoregulatory parameters. Method We included 110 patients (33 male and 77 female; mean age 35?1 years, body weight 131.7?2.6 kg, body mass index 45.4?0.8 kg/m2) who were hospitalized for three weeks for the treatment of extreme obesity with the fasting diet. At the beginning, during, and at the end of this period, we evaluated changes in blood pressure, lipid profile, as well as parameters of glucoregulation including glycaemia, insulinaemia, and insulin sensitivity by HOMA. Oral glucose tolerance test (OGTT) was performed in all patients at the beginning and at the end of the fasting diet. Results During the fasting diet, the body weight decreased from 131.7?2.6 kg to 117.7?2.4 kg (p<0.001), the body mass index decreased from 45.4?0.8 kg/m2 to 40.8?0.8 kg/m2 (p<0.001), and both systolic and diastolic blood pressure significantly declined (143?2 vs. 132?2 mm Hg, p<0.001; 92?2 vs. 85?2 mm Hg, p<0.001). In addition, the fasting diet produced a significant decrease in total cholesterol, LDL cholesterol, triglycerides, as well as basal glycaemia and insulinaemia (p<0.001) Before the fasting diet, OGTT was normal in 76% of patients, whereas 21% of patients showed glucose intolerance, and 4% of patients diabetes mellitus. After the fasting diet, OGTT was normal in 88% of patients, whereas 12% of patients still had signs of glucose intolerance (p<0.05). In addition, insulin resistance significantly (p<0.05) increased from 54?6% to 89?13% after the fasting diet. Conclusion The three-week fasting diet in extremely obese patients produced a significant decrease and normalization of blood pressure, decrease in lipids, and improvement in glucoregulation including the increase in insulin sensitivity.

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TRAUMATIC DISEASE PECULIARITIES COURSE, ITS DIAGNOSTICS AND TREATMENT AT POLYTRAUMA IN SUFFER OBESE PATIENTS

Modern medical technologies ◽

10.34287/mmt.4(43).2019.9 ◽

2019 ◽

Vol 43 (4) ◽

pp. 47-53

Author(s):

S.D. Khimich ◽

O. M. Chemerys

Keyword(s):

Body Mass Index ◽

Body Weight ◽

Body Mass ◽

Overweight And Obesity ◽

The Body ◽

Obese Patients ◽

Prognostic Features ◽

Normal Body ◽

Significant Difference ◽

Normal Body Weight

Abstract Introduction. It’s known that the issue of polytrauma is one of the most urgent problems of surgery, and among injured patients a special approach is required for patients with overweight and obesity of varying degrees. Purpose of the study. To study prognostic features of traumatic disease course and to improve the results of diagnostics and surgical treatment of patients with polytrauma suffer obesity. Materials and methods. Clinical material was made up of 106 patients with combined body trauma, which were divided into three groups according to body mass index. Results. The results of the research showed a significant difference in the course of traumatic disease in patients with normal body weight and obesity. In particular, in the process of diagnostics of blunt chest and abdominal trauma the frequency of application of interventional methods of diagnostics was directly proportional to the increase of body mass index. The course of traumatic disease in the obese patients had a number of characteristic features that formed the basis for the development of diagnostics and differential program of treatment. Conclusions. The results of the research showed that the course of traumatic disease in combined injury obese patients is directly proportional to the body mass index and has certain features that differentiate them from patients with normal body weight. Keywords: polytrauma, obesity, traumatic disease, diagnostics, treatment.

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Blood Type and Blood Pressure Correlations to Body Mass Index in Young Adults

Folia Medica Indonesiana ◽

10.20473/fmi.v56i3.24557 ◽

2021 ◽

Vol 56 (3) ◽

pp. 203

Author(s):

Bambang Edi Suwito ◽

Viskasari P Kalanjati ◽

Abdurachman Abdurachman

Keyword(s):

Blood Pressure ◽

Body Mass Index ◽

Body Mass ◽

Normal Weight ◽

Overweight And Obesity ◽

The Body ◽

Blood Type ◽

Blood Pressures ◽

Abo Blood Type ◽

Level Of Significance

Specific ABO blood type was reported to the higher risk of having overweight and obesity. The laters had also been suggested to correlate to blood pressure. Here we studied blood type and blood pressure amongst seemingly healthy university students of IIKBW, Kediri to understand their correlations to the body mass index (BMI). The blood typing (ABO typing, Eryclone®) and blood pressure (automated digital sphygmomanometer) of 74 male and 76 female were measured in duplicate accordingly. The BMI was analysed from the student’s body weight and height using a digital balance and a microtoise staturemeter, respectively. Data were analysed using SPSS 17 with p<0.05 level of significance. There were 18.7% students have A blood type, 31.3% students were B type, 44% were O and 6.0% with AB blood type. There were 30.7% students with obesity, 18% overweight, 36% normal weight and 15.3% underweight. There were 4.7% had a hypertension, 28.7% pre-hypertension, and 66.7% were normal. No significant correlations found between BMI or the blood pressure to any specific ABO blood type, except between the blood pressure and the AB blood type (r=-0.179, p=0.03). However, there was a significant correlation between BMI and blood pressure (r=0.327, p=0.000). We observed no significant associations between any specific ABO blood type with the BMI and blood pressure. However, high blood pressures amongst students with obesity were found. Males were more common to suffer from obesity and high blood pressure than females.

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Effects of Fresh Watermelon Consumption on the Acute Satiety Response and Cardiometabolic Risk Factors in Overweight and Obese Adults

Nutrients ◽

10.3390/nu11030595 ◽

2019 ◽

Vol 11 (3) ◽

pp. 595 ◽

Cited By ~ 6

Author(s):

Tiffany Lum ◽

Megan Connolly ◽

Amanda Marx ◽

Joshua Beidler ◽

Shirin Hooshmand ◽

...

Keyword(s):

Blood Pressure ◽

Body Mass Index ◽

Body Weight ◽

Body Mass ◽

Metabolic Diseases ◽

Insulin Response ◽

Postprandial Glucose ◽

Overweight And Obesity ◽

Daily Consumption ◽

Obese Adults

Although some studies have demonstrated the beneficial effects of watermelon supplementation on metabolic diseases, no study has explored the potential mechanism by which watermelon consumption improves body weight management. The objective of this study was to evaluate the effects of fresh watermelon consumption on satiety, postprandial glucose and insulin response, and adiposity and body weight change after 4 weeks of intervention in overweight and obese adults. In a crossover design, 33 overweight or obese subjects consumed watermelon (2 cups) or isocaloric low-fat cookies daily for 4 weeks. Relative to cookies, watermelon elicited more (p < 0.05) robust satiety responses (lower hunger, prospective food consumption and desire to eat and greater fullness). Watermelon consumption significantly decreased body weight, body mass index (BMI), systolic blood pressure and waist-to-hip ratio (p ≤ 0.05). Cookie consumption significantly increased blood pressure and body fat (p < 0.05). Oxidative stress was lower at four week of watermelon intervention compared to cookie intervention (p = 0.034). Total antioxidant capacity increased with watermelon consumption (p = 0.003) in blood. This study shows that reductions in body weight, body mass index (BMI), and blood pressure can be achieved through daily consumption of watermelon, which also improves some factors associated with overweight and obesity (clinicaltrials.gov, NCT03380221).

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Weight Status, Physical Activity, and Vascular Health in 9- to 12-Year-Old Children

Journal of Physical Activity and Health ◽

10.1123/jpah.10.2.205 ◽

2013 ◽

Vol 10 (2) ◽

pp. 205-210 ◽

Cited By ~ 7

Author(s):

Heather M. Hayes ◽

Joey C. Eisenmann ◽

Karin Pfeiffer ◽

Joseph J. Carlson

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Body Mass ◽

Weight Status ◽

Normal Weight ◽

Overweight And Obesity ◽

Activity Level ◽

C Reactive Protein ◽

Reactive Protein ◽

Activity Groups

Background:The purpose of this study was to determine the independent and joint association of weight status and physical activity on resting blood pressure and C-reactive protein in children.Methods:Participants were 174 (71 males, 103 females) children (mean age = 10.5 ± 0.4 yrs). Physical activity was self-reported, body mass index was calculated from measured height and body mass, and blood pressure was measured according to standard procedures. A subset of 91 children had C-reactive protein measured by fingerstick blood sample. Four weight/physical activity groups were created by cross tabulation of weight status classification and physical activity level.Results:The prevalence of low physical activity (< 5 days/wk moderate-vigorous activity) did not differ between overweight and normal weight children (50%). Physical activity was not correlated with C-reactive protein (r = 0.01; P = 0.91) and C-reactive protein was not significantly different between physical activity groups (P = 0.87). Physical activity did not modify the difference in blood pressure or C-reactive protein within weight categories.Conclusions:Fatness (specifically overweight and obesity), but not physical activity, was shown to be associated with blood pressure and C-reactive protein levels in children. Physical activity did not attenuate blood pressure or C-reactive protein in overweight and obese children.

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Psychosocial factors, eating behaviour and Body Mass Index

10.31234/osf.io/r6av9 ◽

2021 ◽

Author(s):

Marine MAS ◽

Stephanie Chambaron ◽

Emilienne Quiot ◽

Claire Chabanet ◽

Marie-Claude Brindisi

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Sensation Seeking ◽

Weight Status ◽

Eating Behaviour ◽

Hierarchical Cluster ◽

Normal Weight ◽

Overweight And Obesity ◽

Negative Consequences ◽

Adequate Treatment

Objective: Obesity is a multifactorial condition that is associated with high levels of morbidity and mortality, but the negative consequences of obesity vary between individuals. Considerable evidence suggests that Body Mass Index (BMI) needs to be completed with an assessment of psychological and behavioural factors related to obesity in order to provide adequate treatment for patients with obesity. However, there is a lack of understanding concerning psychological factors and behavioural patterns related to weight status. The present study aimed to identify different profiles of individuals with normal-weight, overweight and obesity Methods: Seventy-six healthy individuals were weighed and measured, then characterized according to their responses to several questionnaires assessing sociodemographic variables, food-related variables, quality of life variables, body image, and psychological aspects.Results: Our results show that health and body dissatisfaction, sensation seeking, and frequent consumption of fatty-savoury foods were higher in individuals with higher BMI. Moreover, a hierarchical cluster analysis permitted to identify 3 profiles of individuals with various weight statuses: satisfied, protected and vulnerable. Conclusions: The implication of these findings in caring patients is crucial and more research on the various phenotypes that can be found within overweight and obesity groups must be encouraged.

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Associations among blood pressure, salt consumption and body weight status of students from south-western Ontario

Public Health Nutrition ◽

10.1017/s1368980013000335 ◽

2013 ◽

Vol 17 (5) ◽

pp. 1114-1119 ◽

Cited By ~ 15

Author(s):

Sarah J Woodruff ◽

Katherine Fryer ◽

Ty Campbell ◽

Mary Cole

Keyword(s):

Blood Pressure ◽

Body Weight ◽

Weight Status ◽

Normal Weight ◽

Overweight And Obesity ◽

Cross Sectional ◽

Salt Consumption ◽

Body Weight Status ◽

Obesity Status ◽

Diet Recall

AbstractObjectiveThe purpose was to examine the associations among body weight status, blood pressure and daily Na intake among grade 7 students from south-western Ontario, Canada.DesignCross-sectional. Data were collected using the Food Behaviour Questionnaire, including a 24 h diet recall. Measured height and weight were used to determine BMI. Blood pressure was taken manually using mercury sphygmomanometers.SettingTwenty-six schools in south-western Ontario, Canada.SubjectsGrade 7 students (n1068).ResultsBody weight status indicated 1 % were underweight, 56 % normal weight, 23 % overweight and 20 % were obese. Mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 108·3 (sd10·3) mmHg and 66·0 (sd7·5) mmHg, respectively, and mean Na intake was 2799 (sd1539) mg/d. Bivariate analyses suggested that SBP (P< 0·001) and DBP (P< 0·001) were significantly different by body weight status, yet no associations were observed for Na. Adjusted for gender, ethnicity and under-reporting, participants were more likely to be overweight/obese if they had higher SBP (v.lower: OR = 1·06, 95 % CI 1·05, 1·08,P< 0·001), higher DBP (v.lower: OR = 1·02, 95 % CI 1·00, 1·04,P= 0·043) and higher intakes of Na (3rdv.1st quartile: OR = 1·72, 95 % CI 1·14, 2·59,P= 0·009; 4thv.1st quartile: OR = 2·88, 95 % CI, 1·76, 4·73,P< 0·001).ConclusionsHigh intakes of Na, coupled with high SBP and DBP, were associated with overweight and obesity status among the grade 7 sample from south-western Ontario, Canada.

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Blood Type and Blood Pressure Correlations to Body Mass Index in Young Adults

Folia Medica Indonesiana ◽

10.20473/fmi.v56i3.22186 ◽

2020 ◽

Vol 56 (3) ◽

pp. 203

Author(s):

Bambang Edi Suwito ◽

Viskasari P Kalanjati ◽

Abdurachman Abdurachman

Keyword(s):

Blood Pressure ◽

Body Mass Index ◽

Body Mass ◽

Normal Weight ◽

Overweight And Obesity ◽

The Body ◽

Blood Type ◽

Blood Pressures ◽

Abo Blood Type ◽

Level Of Significance

Specific ABO blood type was reported to the higher risk of having overweight and obesity. The laters had also been suggested to correlate to blood pressure. Here we studied blood type and blood pressure amongst seemingly healthy university students of IIKBW, Kediri to understand their correlations to the body mass index (BMI). The blood typing (ABO typing, Eryclone®) and blood pressure (automated digital sphygmomanometer) of 74 male and 76 female were measured in duplicate accordingly. The BMI was analysed from the student’s body weight and height using a digital balance and a microtoise staturemeter, respectively. Data were analysed using SPSS 17 with p<0.05 level of significance. There were 18.7% students have A blood type, 31.3% students were B type, 44% were O and 6.0% with AB blood type. There were 30.7% students with obesity, 18% overweight, 36% normal weight and 15.3% underweight. There were 4.7% had a hypertension, 28.7% pre-hypertension, and 66.7% were normal. No significant correlations found between BMI or the blood pressure to any specific ABO blood type, except between the blood pressure and the AB blood type (r=-0.179, p=0.03). However, there was a significant correlation between BMI and blood pressure (r=0.327, p=0.000). We observed no significant associations between any specific ABO blood type with the BMI and blood pressure. However, high blood pressures amongst students with obesity were found. Males were more common to suffer from obesity and high blood pressure than females.

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Arterial hypertension in school-aged children in western Romania

Cardiology in the Young ◽

10.1017/s104795111200087x ◽

2012 ◽

Vol 23 (2) ◽

pp. 189-196 ◽

Cited By ~ 1

Author(s):

Adela Chirita-Emandi ◽

Maria Puiu ◽

Mihai Gafencu ◽

Corina Pienar

Keyword(s):

Blood Pressure ◽

Body Mass Index ◽

Confidence Interval ◽

Body Mass ◽

Normal Weight ◽

Overweight And Obesity ◽

Male Gender ◽

Urban Residence ◽

School Aged Children ◽

Western Romania

AbstractAimTo describe the current prevalence of paediatric hypertension and the relationships between body mass index, gender, place of residence, and blood pressure in a population of school-aged children from western Romania.Material and methodA total of 3626 children from Timisoara and the surrounding regions were examined by medical students from February, 2010 to June, 2011. Children's body mass index was interpreted on the basis of reference guidelines from Centers for Disease Control and Prevention. Blood pressure measurements were taken by the auscultation method. For defining elevated blood pressure, we used the standards published in the Fourth Report.ResultsOverall, the prevalence of overweight was 14% and 11.8% for obesity. Boys had a higher prevalence of both overweight and obesity compared with girls. The prevalence of hypertension on our screening was 9.1% higher in boys and urban residence. The prevalence of pre-hypertension was 6.5%. With regard to body mass index, 21.1% of obese, 12.8% of overweight, and 7.1% of normal weight children presented hypertension. The strongest determinant of hypertension was body mass index percentile. Significant odds ratio was found for obesity (3.93; confidence interval: 3.11–4.95), urban residence (1.68; confidence interval: 1.35–2.1), and male gender (1.34; confidence interval: 1.12–1.6).ConclusionsThe results confirm a worrisome prevalence of overweight and obesity among children in Romania, accompanied by an alarming prevalence of hypertension. Overweight and obesity, male gender, and urban residence were the major contributing factors for the overall high prevalence of hypertension found. Our results point to the urgent need to adopt strategies aimed at preventing hypertension and obesity in children in Romania.

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CARDIOVASCULAR PARAMETERS IN OBESE AND NORMAL WEIGHT PEOPLE: A COMPARATIVE STUDY

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i4.1442 ◽

2020 ◽

Vol 4 (4) ◽

Author(s):

Arti Gupta (Bansal)

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Strong Association ◽

Obese Subject ◽

Obese Individual ◽

Normal Weight ◽

Overweight And Obesity ◽

World Health ◽

Obese Patients ◽

Mortality And Morbidity

Introduction: Obesity can be classified as generalized obesity (GO) and abdominal obesity (AO) and obese population have higher rates of mortality and morbidity compared to non-obese individuals. World Health Organization (WHO) has defined overweight and obesity as abnormal or excessive fat accumulation that presents a risk to health. A commonly used simple measure to classify overweight and obesity in adults is body mass index (BMI). BMI is defined as a person's weight in kilograms divided by the square of his height in meters (kg/m2). WHO defines overweight when BMI is greater than or equal to 25; and obesity when BMI is greater or equal to 30 but in Asians, the cut-offs for overweight (≥23.0kg/m2) and obesity (≥25.0kg/m2) are lower than WHO criteria due to risk factors and morbidities MATERIAL AND methods: A sample of 50 male and 50 female obese patients with body Mass Index > 30 kg/m2 and also 50 male and 50 female non obese patients with body Mass Index of 18.50 – 24.99 kg/m2 were selected. Sample was randomly selected. A pilot study was carried out on 20 patients to ensure feasibility, and time needed for completing the study. Results: A total of 200 participants were included in the study of which 100 were obese and 100 were non obese subject. Comparison of cardiac paramenters between obese and non obese individual was done like hrart rate, systolic and diastolic blood pressure, mean arterial pressure and pulse pressure. Demographic variables were also compared. Conclusion: The strong association of obesity with cardiovascular disease necessitates the importance of prevention and control of obesity and it should begin in early child hood also proper diet and regular medical check-up should be carried out to cope up with the problem of obesity.

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