scholarly journals HYPERTENSION

2011 ◽  
Vol 18 (03) ◽  
pp. 440-444
Author(s):  
SHAHANA ARSHI ◽  
MAZHAR BADSHAH ◽  
FARRAH NAZ ◽  
Fakhra Naheed ◽  
Fasih-un- Nisa

ABSTRACT…Objective: To evaluate association of hypertension with central obesity in low to middle socioeconomic population. Study design: Descriptive study. Setting: OPD, Filter Clinic. Pakistan Institute of Medical Sciences. Islamabad. Period: June to September 2008. Methods: This study was carried out on 85 patients with history of hypertension. Out of total patients, 27 were males and 58 were females. The ages of the all patients were between 20 to 70 years. Parameters recorded included history, blood pressure, weight, height, waist circumference and hip circumference. The secondary causes were ruled out on the basis of history and physical examination. Data and results were analyzed in SPSS. Results: Out of 85 patients, 74 including 21 males and 53 females had increased Waist Hip Ratio (WHR), 66 including 14 males and 61 females had increased Waist Circumference (WC), while the Body Mass Index (BMI) of 33 including 6 males & 27 females were found obese. It also showed that the females are more prone to obesity. The age group between 41-60 years was most effected. The results indicates that waist hip ratio is the most common indicator of obesity in patients with essential hypertension as compare to waist circumference and body mass index. Conclusions: Hypertension is associated with central obesity in low to middle socioeconomic status. 

2018 ◽  
Vol 41 (2) ◽  
pp. 305-312 ◽  
Author(s):  
Zhizhen Liu ◽  
Hongqing Yang ◽  
Shiya Chen ◽  
Jing Cai ◽  
Zijie Huang

Abstract Purpose To examine the association between body mass index (BMI), waist circumference (WC), waist–hip ratio (WHR) and cognitive disorder in older adults. Methods Cross-sectional data from the mini-mental state examination questionnaire and physical examination of older adults (≥65, n = 1037) were collected and analyzed. Logistic regression examined the odds ratios (ORs) of cognitive performance according to BMI, WC and WHR. Results The prevalence of cognitive dysfunction in older adults was 13.0%. The BMI-based overweight rate, obesity rate and central obesity rate calculated by either WC or WHR were 39.6, 11.4% and 66.5, 65.6%, respectively. The risk of cognitive impairment was increased in elderly individuals ≥70 years old than in those <70 years old (OR = 1.738). In addition, gender, WHR and smoking habit were also significantly different between the two age groups (P < 0.05). We examined the effects of different BMI values and WC/WHR central obesity on cognition impairment in ≥70-year-old adults and found that BMI obesity and WC/WHR central obesity had a combined effect on the incidence of cognition impairment (OR = 3.076 and OR = 3.584). Conclusions BMI obesity and WC/WHR central obesity have a combined effect on cognitive impairment and WHR has a stronger association with cognitive impairment than WC.


2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Lixin Yang ◽  
Jing Liu ◽  
Yun Xing ◽  
Lichuan Du ◽  
Jing Chen ◽  
...  

Hyperlipidemic acute pancreatitis (HLAP) is characterized by critical condition and high recurrence rate compared with non-HLAP. We conducted this study to investigate the value of body mass index and waist-hip ratio in predicting severity and local complications in HLAP. 96 patients with HLAP were categorized by body mass index and waist-hip ratio, respectively. According to the body mass index, they were divided into 3 groups, including normal weight, overweight, and obesity. According to the waist-hip ratio, they were divided into central obesity group and no central obesity group. The body mass index and waist-hip ratio were compared in severity, local complications, and systematic complications of HLAP, using chi-square test and Monte Carlo simulations. The body mass index and waist-hip ratio were correlated with the severity of acute pancreatitis (MAP, MSAP, and SAP), respiratory failure, and circulatory failure in HLAP (p<0.05), but not correlated with the local complications (walled-off necrosis, pancreatic abscess, and pancreatic pseudocyst), renal failure, and gastrointestinal bleeding.The body mass index and waist-hip ratio are valuable in predicting severity and complication in HLAP. We demonstrated that obese patients had an increased risk of developing more serious condition and more complications in HLAP.


2019 ◽  
Vol 7 (1) ◽  
pp. 17-21 ◽  
Author(s):  
Bishal Joshi ◽  
Laxmi Shrestha ◽  
Kushal Bhattarai ◽  
Nilu Manandhar ◽  
Narayan Bahadur Mahotra

INTRODUCTION: Many studies have shown the association of waist circumference, waist hip ratio and body mass index with type 2 diabetes mellitus. Waist circumference and waist hip ratio have been used as measures of central obesity and body mass index has been used as a measure of general obesity. Objective of this study is to find out which type of obesity is better for prediction of risk of type 2 diabetes mellitus.  MATERIAL AND METHODS:Total 100 participants with confirmed diagnosis of type 2 DM with age group 35-80 years were selected for the study. Anthropometric measurements like height, weight, waist circumference (WC) and hip circumference were measured and body mass index (BMI) and waist hip ratio (WHR) were calculated. Area under receiver operating characteristic (ROC) curve was used for correlating the parameters with type 2 diabetes mellitus in both male and female patients.  RESULTS: Area under ROC curve, a measure of performance of the indices in predicting diabetes in total subjects, was found to be highest for waist hip ratio (0.840) followed by waist circumference (0.688) and BMI (0.608). Similarly, area under ROC curve was found maximum for waist hip ratio followed by waist circumference and body mass index in case of male and female patients.  CONCLUSION: The present study concludes that anthropometric indicators of central obesity (WHR and WC) are more predictive for type 2 DM than anthropometric indicator of general obesity (BMI).


2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Attah Martha Orendu ◽  
Chiroma Musa Samaila ◽  
Helga Bedan Ishaya ◽  
Akpan Paul ◽  
Attah Jacob

AbstractBackground: Body Mass Index (BMI) which is often calculated by dividing the weight (kg) by height squared (m2), was chosen as a simple measurement of body weight in relation to height. Waist circumference (WC) and Waist-hip-ratio (WHR) are important indices to assess abdominal obesity. Waist circumference (WC) is an expedient and easy measurement of intra-abdominal fat mass and total body bulk.Methods: This cross-sectional study was conducted on 130 undergraduate students of University of Maiduguri (comprising of 65 male students and 65 female students), with their ages ranging from 18-30 years. A written or verbal consent was obtained from the subjects after explaining to them the objectives as well as the methodology of the study.  Information about age and socioeconomic status was collected from each student in a pre-designed questionnaire. The height, weight, waist circumference, hip circumference were also taken on each individual using standard anthropometric methodology.Results: The prevalence of abdominal obesity in the present study, according to waist circumference (WC), and waist-hip-ratio (WHR) was 24.6% and 67.7% in males respectively, while 66.2% and 92.3% in female students respectively. Conclusion: The females in the same age group as males showed a tendency towards higher BMI and were classified as overweight and this could be attributed to reduced physical exercise and diet compared to their male counterparts.Keywords: body mass index, hip circumference, obesity, waist circumference, waist-hip ratio


Author(s):  
Dmitry S. Korolev ◽  
Dmitry A. Pustovalov ◽  
Oleg P. Karazhelyaskov ◽  
Anna N. Arkhangelskaya ◽  
Victoria A. Zaborova ◽  
...  

BACKGROUND: One of the indicators for assessing the state of human health is the body mass index. But this indicator does not give an objective picture, for example, it does not reflect the features of a person's physique. To assess the type of obesity, the ratio of waist circumference to hip circumference is used. This can lead to an incorrect assessment of the nutritional status, and, accordingly, incorrect recommendations for the prevention of non-communicable human diseases. АIMS: To evaluate the indicators: body mass index and the ratio of waist circumference to hips, the results were compared with the data of a bioimpedance study. MATERIALS AND METHODS: 154 people of different physical fitness were examined (105 people are athletes, 49 are not engaged in sports). All the surveyed are men, from 15 to 25 years old. The results were obtained for the following indicators: body mass index, waist-to-hip ratio, bioimpedance study (assessment of fat mass, lean mass, active cell mass, dry muscle mass, total, extracellular and intracellular water). RESULTS: Тhe body mass index significantly correlates with such indicators as fat mass, lean mass, dry muscle mass, as well as the water content in the body. The correlation relationship with fat mass is positive, with other indicators ― negative. There is no reliable correlation with the active cell mass. The ratio of waist circumference to hips had a reliable relationship with all the indicators we evaluated. A negative correlation was noted with the fat mass, and a positive correlation was observed for the rest of the indicators. In people who are actively engaged in sports, the relationship between the body mass index and the content of adipose tissue in the body is more pronounced. The body mass index and the ratio of waist circumference to hip circumference in athletes are more correlated with the data of the bioimpedance study. A reliable relationship between the body mass index and the ratio of the waist circumference to the hips has not been established. Thus, it is necessary to conclude that when assessing the state of the body, it is necessary to take into account both indicators. None of these parameters can be used to determine the risks of developing non-communicable diseases. CONCLUSION: Body mass index indicators, as well as the ratio of waist circumference to hips, significantly correlate with the results of bioimpedance examination, with the exception of active cell mass. It is advisable to use the body mass index and the ratio of waist circumference to hips as one of the simplest ways to determine risk groups for the development of non-communicable diseases during a mass screening study.


2013 ◽  
Vol 32 (1) ◽  
pp. 26-31 ◽  
Author(s):  
Emina Čolak ◽  
Dragana Pap ◽  
Nada Majkić-Singh ◽  
Ivana Obradović

Summary Background: It has been reported that obesity is associated with metabolic syndrome, insulin resistance, cardiovascular risk but also with nonalcoholic fatty liver disease (NAFLD). The prevalence of obesity in children and adolescents is increasing rapidly all over the world. The aim of this study was to analyze the value of liver enzymes: AST, ALT and γGT in a group of obese students in order to establish their correlation to anthropometric parameters such as: BMI (body mass index), WC (waist circumference), HC (hip circumference), and WHR (waist-to-hip ratio) compared to non-obese students who comprised the control group (CG). Methods: In this study, 238 students from the University of Novi Sad of both sexes (126 men and 112 women) with a mean age of 22.32 ± 1.85 years were included. According to the body mass index (BMI) lower and higher than 25 kg/m2 and waist circumference (WC) lower and higher than 94 cm (80 cm for females) the whole group of 238 students was divided into 2 subgroups: the obese group at increased risk for CVD (Group 1) and the group at lower risk for CVD (Group 2). AST, ALT and γGT activities were determined in fasting blood samples. Results: Statistical processing data revealed significantly higher values of AST, ALT and γGT in the group of students with BMI>25 kg/m2, WC>94 cm for males and WC>80 cm for females, HC>108 cm for males and HC>111 cm for females, and WHR>0.90 for males and WHR>0.80 for females (P<0.001). Significant association was established between anthropometric parameters and liver enzyme levels (P<0.0001). Conclusions: Obese students with higher BMI, WC, HC and WHR values have higher liver enzyme activites and a higher chance to develop NAFLD in the future.


2021 ◽  
Vol 26 ◽  
pp. 2515690X2110110
Author(s):  
Wiraphol Phimarn ◽  
Bunleu Sungthong ◽  
Hiroyuki Itabe

Aim. The efficacy of triphala on lipid profile, blood glucose and anthropometric parameters and its safety were assessed. Methods. Databases such as PubMed, ScienceDirect, Web of Science, and Thai Library Integrated System (ThaiLIS) were systematically searched to review current evidence of randomized controlled trials (RCT) on triphala. RCTs investigating the safety and efficacy of triphala on lipid profile, blood glucose and anthropometric parameters were included. Study selection, data extraction, and quality assessment were performed independently by 2 authors. Results. Twelve studies on a total of 749 patients were included. The triphala-treated groups showed significantly reduced low-density lipoprotein-cholesterol, total cholesterol and triglyceride in 6 studies. Five RCTs demonstrated triphala-treated groups led to statistically significant decrease in body weight, body mass index and waist circumference of obese patients. Moreover, triphala significantly decreased fasting blood glucose level in diabetic patients but not in people without diabetes. No serious adverse event associated with triphala was reported during treatment. Conclusions. This review summarized a current evidence to show triphala might improve the lipid profile, blood glucose, the body weight, body mass index and waist circumference under certain conditions. However, large well-designed RCTs are required to confirm this conclusion.


Author(s):  
Tapaswini Mishra ◽  
Dipti Mohapatra ◽  
Manasi Behera ◽  
Srimannarayan Mishra

ABSTRACTObjective: Adequate sleep has been considered important for the adolescent’s health and well-being. On the other hand, self-imposed sleepcurtailment is now recognized as a potentially important and novel risk factor for obesity. The objective of the study is to find the association betweenshort sleep duration and obesity (by calculating the body mass index [BMI]) among medical students.Methods: The study was conducted on 100 medical students. A brief history of sleep duration was taken. The height and weight were taken and thebody mass index (BMI) was calculated by formula weight in kg / height in m. Based on the BMI criteria the students were classified into six groups:Underweight, normal, overweight, obese class I, obese class II and obese III. The waist circumference (WC) was also taken. The data obtained werestatistically analysed by ANOVA test and the p < 0.5 was considered significant.2Results: The present cross-sectional study showed that there is an association between short sleep duration and obesity which was highly significant(p<0.001). This study also shows that there is an association between short sleep duration and waist circumference which was also highly significant(p<0.001).Conclusion: The present study observed a high association of short sleep duration among medical students of IMS and SUM Hospital and that shortsleep duration was significantly associated with increased risk of overweight and obesity. We should further investigate whether adults adopting ahealthy lifestyle with short sleep duration would improve their sleeping habits or not.Keywords: Sleep duration, Body mass index, Waist circumference, Obesity.


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