Regional variation in the prevalence of overweight/obesity, hypertension and diabetes and their correlates among the adult rural population in India

Regional variation in the prevalence of overweight/obesity, hypertension and diabetes and their correlates among the adult rural population in India
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DOI:
10.1017/s0007114516000039
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发表时间:
2016-04-14
影响因子:
3.6
通讯作者:
Polasa, K.
Polasa, K.
中科院分区:
医学3区
文献类型:
--
作者:
Meshram, I. I.;Rao, M. Vishnu Vardhana;Polasa, K.

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采用多阶段随机抽样程序,在印度五个地区开展了一项基于社区的横断面研究。从参与者那里收集有关社会人口统计信息的信息,例如年龄、性别、职业、教育程度等。测量了身高、体重、腰围和臀围等人体测量数据,并获得了三项血压测量值。使用血糖仪评估空腹血糖。使用描述性统计进行数据分析,(2)关联检验和逻辑回归分析。共有 7531 名受试者接受了人体测量和血压测量。超重/肥胖和腹部肥胖的总体患病率分别为29%和21%,与其他地区相比,南部地区的比例较高(各为40%)。男性和女性的高血压患病率分别为 18% 和 16%,糖尿病患病率分别为 95%。南部和西部地区成年人、老年人、超重/肥胖者和腹型肥胖者患高血压和糖尿病的风险显着较高。综上所述,南方地区超重/肥胖和高血压患病率较高,而南方和西部地区糖尿病患病率较高。年龄增长、男性、超重/肥胖和腹部肥胖等因素是高血压和糖尿病的重要危险因素。应向社区提供适当的健康和营养教育,以控制这些问题。
A community-based, cross-sectional study was carried out in five regions of India by adopting a multistage random sampling procedure. Information was collected from the participants about socio-demographic particulars such as age, sex, occupation, education, etc. Anthropometric measurements such as height, weight and waist and hip circumferences were measured and three measurements of blood pressure were obtained. Fasting blood sugar was assessed using a Glucometer. Data analysis was done using descriptive statistics, (2) test for association and logistic regression analysis. A total of 7531 subjects were covered for anthropometry and blood pressure. The overall prevalence of overweight/obesity and abdominal obesity was 29 and 21 %, respectively, and was higher in the Southern region (40 % each) as compared with other regions. The prevalence of hypertension was 18 and 16 % and diabetes was 95 % each among men and women, respectively. The risk of hypertension and diabetes was significantly higher among adults from the Southern and Western regions, the among elderly, among overweight/obese individuals and those with abdominal obesity. In conclusion, the prevalence of overweight/obesity and hypertension was higher in the Southern region, whereas diabetes was higher in the Southern and Western regions. Factors such as increasing age, male sex, overweight/obesity, and abdominal obesity were important risk factors for hypertension and diabetes. Appropriate health and nutrition education should be given to the community to control these problems.