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Hypertension and diabetes prevalence among adults with moderately increased BMI (23·0–24·9 kg/m2): findings from a nationwide survey in Bangladesh
- Source :
- Public Health Nutr
- Publication Year :
- 2017
- Publisher :
- Cambridge University Press (CUP), 2017.
-
Abstract
- ObjectiveBMI is a proxy for fat accumulation in the body. Increased diabetes and CVD risks have been observed for Asian populations at lower BMI than the WHO-recommended BMI cut-off points for overweight (≥25·0 kg/m2) and obesity (≥30·0 kg/m2). The current study aimed to quantify the increased hypertension (HTN) and type 2 diabetes mellitus (T2DM) prevalence in Bangladeshi adults with moderately increased BMI (23·0–24·9 kg/m2).DesignData from the most recent Bangladesh Demographic and Health Survey (2011) were analysed. Modified Poisson regression models with robust error variance were used to calculate prevalence ratios (PR) for HTN or T2DM by BMI category, considering BMI=18·5–22·9 kg/m2 as the reference. All analyses incorporated the complex sampling design of the survey.SettingBMI, blood pressure, blood sugar and related information were collected from a nationally representative sample.SubjectsAdults (n 7433) aged≥35 years.ResultsAbout 12 % of Bangladeshi adults, both male and female, were within the BMI range 23·0–24·9 kg/m2 or moderately overweight. Compared with the reference BMI group (18·5–22·9 kg/m2), they had an increased PR for HTN (1·55–1·77) and T2DM (1·54–1·93). These increased PR are similar to those for the WHO-defined overweight group (BMI=25·0–29·9 kg/m2).ConclusionsOur findings support the recommendation that calls for setting the optimum BMI for Asian populations to 18·5–23·0 kg/m2 for health promotion and for public health interventions like leisure-time physical activity. WHO cut-off points for overweight (≥25 kg/m2) should be used to facilitate international comparisons.
- Subjects :
- Adult
Male
Pediatrics
medicine.medical_specialty
Medicine (miscellaneous)
030204 cardiovascular system & hematology
Overweight
Nationwide survey
Body Mass Index
03 medical and health sciences
0302 clinical medicine
Asian People
Fat accumulation
Risk Factors
Diabetes mellitus
Prevalence
medicine
Humans
Obesity
030212 general & internal medicine
Exercise
Bangladesh
Nutrition and Dietetics
business.industry
Public Health, Environmental and Occupational Health
Type 2 Diabetes Mellitus
Diabetes prevalence
Middle Aged
Nutrition Surveys
medicine.disease
Research Papers
Health Surveys
Diabetes Mellitus, Type 2
Socioeconomic Factors
Hypertension
Female
medicine.symptom
business
Body mass index
Demography
Subjects
Details
- ISSN :
- 14752727 and 13689800
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- Public Health Nutrition
- Accession number :
- edsair.doi.dedup.....dd0811de8c60c7ab5da5fecc46b885bd
- Full Text :
- https://doi.org/10.1017/s1368980016003566