Correlation Of Waist Hip Ratio and BMI With Hypertension and Diabetes Mellitus in An Urban Area of Bangalore City
Keywords:
Diabetics, Hypertensives, Waist hip ratio, BMIAbstract
Background and Objective: BMI and WHR are most widely used measures to define obesity and predict its complications, such as diabetes and hypertension. Hence study emphasized to know correlation among above parameters.
Methods: A Cross sectional study conducted among 240 adults who screened for Hypertension, DM based on history and examination or both. Anthropometric measurements, Blood pressure, random blood glucose levels and ECG was recorded for individuals with suspected complications of cardiovascular diseases. Data was analyzed using SPSS 18 for descriptive, analytical statistics χ2 (P value) and Pearson’s correlation co-efficient.
Results: 240 individuals attendant health checkup, 87 of them found to be hypertensives and/ or diabetic. Obesity was significantly high in females (65.2%, 95.6%) as compared to males (41.5%, 61%) with respect to both BMI and W/H ratio respectively. There was a statistical difference in obesity by BMI and WHR, where in 79% of the subjects showed high WHR as compared to only 54% by BMI. Similarly significant association was observed between Hypertension (X2= 4.09, P=0.04) and Waist Hip Ratio (X2=6.35,P=0.01). Complications were more common among obese patients as compared to non-obese patients.
Conclusion: That there is correlation between WHR, BMI with hypertension and DM type 2 and also with cardiovascular complications. The significant association of WHR with HTN is an indication of importance of central adipose tissue in study population.
References
Visscher and Seidell. The public health impact of obe-sity. Annual Review of Public Health. 2001;22:355-75
Mishra A. Central obesity: Origin and relevance. In: The metabolic syndrome, Seventh Annual Symposi-um, New Delhi, December 2000. New Delhi: Ranbaxy Science Foundation.
World Health Organization.Reducing risks, promot-ing healthy life - The World Health Report. Geneva: World Health Organization; 2002.
Welborn TA, Dhaliwal SS, Bennett SA. Waist-hip ratio is the dominant risk factor predicting cardiovas-cular death in Australia. Med J Aust 2003; 179 : 580-5. Available at URL: http://www.ncbi.nlm.nih.gov/pubmed Accessed on October 3rd 2014.
Ko GT, Chan JC, Cockram CS, Woo J. Prediction of hypertension, diabetes, dyslipidaemia or albuminuria using simple anthropometric indexes in Hong Kong Chinese. Int J Obes Relat Metab Disord 1999; 23 : 1136-42.
Dalton M, Cameron AJ, Zimmet PZ, Shaw JE, Jolley D,Dunstan DW, et al. Waist circumference, waist-hip ratio and body mass index and their correlation with cardiovascular disease risk factors in Australian adults. J Intern Med 2003; 254 : 555-63.
Deshmukh P.R, Gupta S.S, Dongre A.R, Bharambe M.S, Maliye C, Kaur S & B.S. Garg B.S. Relationship of anthropometric indicators with blood pressure lev-els in rural Wardha India. Indian J Med Res 123, May 2006, pp 657-664.
Molarius A, Kuulasmaa K and Susana S (1998): Quality Assessment of Weight and Height Measure-ments in the WHO MONICA Project. WHO MONICA Project 1998; e-publications No.12 availa-ble at URL:http://www.thl.fi/publications/monica/bmi/bmiqa. Accessed on October 23rd 2014.
Anwar B, Dudekula, Jesoth LN and Reddy KSN. Correlation Between blood sugars and Body Mass In-dex with blood pressure Amomg the type 2 diabetic adults. Asian Journal Of Biological Sciences 2012; Vol3(2);378-383.
Kaur P, Radhakrishnan E, Sankarasubbaiyan S, Rao SR, Kondalsamy-CS, Rao TV, Gupte MD. A compari-son of anthropometric indices for predicting hyperten-sion and type 2 diabetes in a male industrial popula-tion of Chennai, South India.. Ethn Dis. 2008 Win-ter;18(1):31-6. Available at URL: http://www.ncbi.nlm.nih.gov/pubmed Accessed on 2009 September 3rd,2014.
Sanya, AO, Ogwumike OO, Ige AP, Ayanniyi OA. Relationship of Waist-Hip Ratio and Body Mass In-dex to Blood Pressure of Individuals in Ibadan North Local Government. AJPARS Vol. 1, No. 1, June 2009, pp. 7-11. Available at URL: http://www.ncbi.nlm.nih.gov/ pubmed Accessed on November 3rd,2014.
Sushma K, Isha S, Abhilasha D.The study of Antrho-pometric parameters to predict cardiovascular risk factors in adult population of Western Rajasthan. Journal of Anatomical society of India 2010.58(2); 211-215.
Qiao Q, Nyamdorj . Is the association of type II dia-betes with waist circumference or waist-to-hip ratio stronger than that with body mass index?. Eur J Clin Nutr. 2010 Jan; 64(1):30. Available at URL: http://www.ncbi.nlm.nih.gov/pubmed Accessed on November 18th, 2014.
Björntorp P. Abdominal fat distribution and disease: an overview of epidemiological data. Ann Med. 1992. Feb;24(1):15-8.
Asia Pacific Cohort Studies Collaboration, Clinical Trials Research Unit, University of Auckland, New Zealand. Central obesity and risk of cardiovascular disease in the Asia Pacific Region. Asia Pac J Clin Nutr. 2006;15(3):287-92. Available at URL: http://www.ncbi.nlm.nih.gov/pubmed .Accessed on November 28th, 2014.
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