Evaluation of obesity and its risk factors among rural adults in Tamil Nadu, India

Authors

  • Karthik R. C. Assistant Professor, Department of Community Medicine, Tagore Medical College and Hospital, Rathinamangalam, Chennai, Tamil Nadu
  • Gopalakrishnan S. Professor, Department of Community Medicine, Sree Balaji Medical College and Hospital, Bharath Institute of Higher Education & Research, Chrompet, Chennai, Tamil Nadu

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20183107

Keywords:

Non-communicable diseases, Overweight, Metabolic disorders

Abstract

Background: Obesity is a largely emerging multi-factorial non-communicable disease, which is caused due to accumulation of fat cells either by an increase in the size or number. World over, obesity has been proven to be the leading cause for several non-communicable diseases like diabetes, hypertension, cancer, etc. This study was done to evaluate the prevalence and risk factors of obesity in a rural population of Tamil Nadu.

Methods: This cross sectional study was carried out among 600 adults residing in Sripuram, a rural field practice area of our medical college. Data was collected by systematic random sampling method, using a structured questionnaire, to assess the socio-demographic characteristics, anthropometry and physical examination findings. Body Mass Index was calculated and classified as per WHO classification for Asians. SPSS Software Version 17 was used to analyze the data.

Results: Among the 600 total study subjects, 317 subjects (52.8%) were males and 283 subjects (47.2%) were females. The age distribution among the study population ranged between 20-60 years. Prevalence of overweight (BMI>23) was 25.3% and prevalence of obesity (BMI>25) was 25.5%. About 11.5% of the study subjects were underweight (BMI>18.5) and 37.7% of the study population had normal weight. Sibling obesity and presence of thyroid disorders were significantly associated with the risk of overweight and obesity.

Conclusions: This study highlights the need for periodic screening to detect obesity at its incipient stages. It is pertinent that awareness is created periodically to modify the diet and lifestyle risk factors in order to prevent further complications of obesity.

References

Yusuf S, Reddy S, Ounpuu S. Global burden of cardiovascular diseases: Part II: Variations in cardiovascular disease by specific ethnic groups and geographic regions and prevention strategies. Circulation. 2001;104(23):2855-64.

Rathod GB, Rathod S, Parmar P, Parikh A. Study of knowledge, attitude and practice of general population of Waghodia towards Diabetes mellitus. Int J Cur Res Rev. 2014;6(1):63-8.

Haslam DW, James WP. Obesity. Lancet. 2005;366(9492):1197-209.

Valente EA, Sheehy ME, Avila JJ, Gutierres JA, Delmonico MJ, Lofgren IE. The effect of the addition of resistance training to a dietary education intervention on apo-lipoproteins and diet quality in overweight and obese older adults. Clin Interv Aging. 2011;6:235-41.

Yadav K, Krishnan A. Changing patterns of diet, physical activity and obesity among urban, rural and slum populations in north India. Obes Rev.2008;9(5):400–8.

Guyton AC, Hall JE. Dietary balances;Regulation of feeding;Obesity and Starvation;Vitamins and Minerals. Textbook of Medical Physiology. 11th Ed. Elsevier, Saunders Inc, New Delhi, India; 2007: 843-857.

Must A, Spadano J, Coakley EH, Field AE, Colditz G, Dietz WH. The disease burden associated with overweight and obesity. JAMA. 1999;282(16):1523-9.

Kapil U, Singh P, Pathak P, Dwivedi SN, Bhasin S. Prevalence of Obesity amongst affluent adolescent school children in Delhi. Indian Pediatr. 2002;39(5):449-52.

Shetty PS. Nutritional Transition in India. Public Health Nutr. 2002;5(1A):175-82.

Monteiro CA, Moura EC, Conde WL, Popkin BM. Socioeconomic status and obesity in adult populations of developing countries: A review. Bull World Health Organ. 2004;82(12):940-6.

World Health Organization. Obesity and overweight. Geneva: WHO; 2015. Available at: http://www.who.int/mediacentre/factsheets/fs311/en/. Accessed 19 May 2018.

Joint WHO/FAO Expert Consultation. Diet, Nutrition and the Prevention of Chronic Diseases. Geneva: WHO; 2003. Available at: http://www.msssi.gob.es/profesionales/saludPublica/prevPromocion/docs/OMS_Dieta_y_Enferm_Cronicas.pdf. Accessed 19 May 2018.

World Health Organization. Obesity and overweight. Geneva: WHO; 2017. Available at: http://www.who.int/news-room/fact-sheets/detail/ obesity-and-overweight. Accessed 18 May 2018.

Pradeepa R, Anjana RM, Joshi SR, Bhansali A, Deepa M. Prevalence of generalized & abdominal obesity in urban & rural India—The ICMR-INDIAB Study (Phase-I) ICMR-INDIAB-3. Indian J Med Res. 2015;142:139–50.

Mohan V, Deepa M, Farooq S, Datta M and Deepa R. Prevalence, awareness and control of hypertension in Chennai-The Chennai Urban Rural Epidemiology Study (CURES-52). JAPI. 2007;55:326-32.

World Health Organization, International Association for the Study of Obesity, International Obesity Task Force. The Asia-Pacific Perspective:Redefining obesity and its treatment. Sydney:Health Communications, 2000. Available at: http://www.wpro.who.int/nutrition/documents/ docs/Redefiningobesity.pdf. Accessed on 19 May 2018.

Prabakaran J, Vijayalakshmi N, Jyothi C, Susmitha KM, Vinoth Kumar. Obesity-An Emerging Health Problem;A Community Based Study in Urban Nellore. A.P. India. Nat J Res Com Med. 2012;1(1):20-5.

Venkatachalam J, Purty AJ, Singh Z, Abraham SB, Narayanan S, Sathya GR. Prevalence of Non Communicable Diseases (NCDs) in a Rural Population of South India. IJCM. 2014;2(1):55-61.

Deepa M, Farooq S, Deepa R, Manjula D, Mohan V. Prevalence and significance of generalized and central body obesity in an urban Asian Indian population in Chennai, India (CURES:47). Eur J Clin Nutr. 2009;63(2):259-67.

Wahab KW, Sani MU, Yusuf BO, Gbadamosi M, Gbadamosi A, Yandutse MI. Prevalence and determinants of obesity - a cross-sectional study of an adult Northern Nigerian population. Int Arch Med. 2011;4:10.

Chen Y, Rennie DC, Karunanayake CP, Janzen B, Hagel L, Pickett W et al. Income adequacy and education associated with the prevalence of obesity in rural Saskatchewan, Canada. BMC Public Health. 2015;15:700.

Coll JL, Bibiloni MdM, Salas R, Pons A, Tur JA. Prevalence and related risk factors of overweight and obesity among the adult population in the Balearic Islands, a Mediterranean Region. Obes Facts. 2015;8(3):220-33.

Reeder BA, Angel A, Ledoux M, Rabkin SW, Young TK, Sweet LE. Obesity and its relation to cardiovascular disease risk factors in Canadian adults. Canadian Heart Health Surveys Research Group. CMAJ. 1992;146(11):2009-19.

Uthakalla VK, Kumar KJ, Sekhar KC, Tondare D, Chandra VD. Prevalence Study of Overweight/Obesity among Adults (20-60 yrs) of Rural Field Practice Area of Osmania Medical College, Hyderabad. Indian J Public Health Research Development. 2012;3(3):245-9.

Pachucki MC, Lovenheim MF, Harding M. Within-Family Obesity Associations. American Journal of Preventive Medicine. 2014;47(4):382–91.

Van der Sande MA, Ceesay SM, Milligan PJ, Nyan OA, Banya WA, Prentice A, et al. Obesity and Under nutrition and Cardiovascular Risk Factors in Rural and Urban Gambian Communities. Am J Public Health. 2001;91(10):1641-4.

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Published

2018-07-23

How to Cite

R. C., K., & S., G. (2018). Evaluation of obesity and its risk factors among rural adults in Tamil Nadu, India. International Journal Of Community Medicine And Public Health, 5(8), 3611–3617. https://doi.org/10.18203/2394-6040.ijcmph20183107

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Original Research Articles