Study of anthropometric indices and it’s co-relation with blood pressure in young healthy individuals
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20181713Keywords:
Anthropometry, Hypertension, Family history, Neck circumference, ObesityAbstract
Background: Overweight and obesity are shown to be independent risk factors for hypertension by several epidemiological studies. A practical, inexpensive and easily performed method for evaluation of body fat is anthropometry. Hence the present study was undertaken to explore association between anthropometric indices and blood pressure and determine efficacy of neck circumference to identify overweight subjects and define NC cutoff levels for overweight and obesity.
Methods: Cross sectional, comparative study conducted on apparently healthy medical college students, 150 having parental history of hypertension and 150 without a parental history of hypertension. Height, weight, waist circumference, hip circumference, neck circumference, body mass index, waist-hip ratio, waist- height ratio, and blood pressure were measured. Data was analyzed using SPSS version 20.
Results: Prevalence of pre-hypertension is 42.33%. 54.33% pre-hypertensive subjects had family history of hypertension but there is no statistically significant association between family history of hypertension and pre-hypertension. Neck circumference correlated with BMI, WC, W/H ratio (p<0.05) indicating that NC could be a useful screening tool. NC cutoff values determining overweight & obesity in this study is >33.30 cm in females and >37.15 cm in males. 61.76% and 38.98% pre-hypertensive males and females respectively have BMI above 25Kg/m² in comparison to 19.51% normotensive males and 20.88% normotensive females.
Conclusions: Study reveals development of hypertension is attributable to overweight and obesity and no statistically significant relationship has been established between family history of hypertension and risk for developing hypertension. NC>37.15cm for males and >33.30 cm for females was the best cut off levels for determining overweight/obese subjects.
References
World Health Organization. Controlling the Global Obesity Epidemic. Available at: http://www.who. int/nutrition/topics/obesity/en/. Accessed on 3 January 2018.
Bhurosy T, Jeewon R. Overweight and Obesity Epidemic in Developing Countries: A Problem with Diet, Physical Activity, or Socioeconomic Status? The Scientific World J. 2014(2014):964236.
World Health Organization. Factsheet No. 311 – ‘Obesity and Overweight’. Updated January 2015. Available at:http://www.who.int/mediacentre/ factsheets/fs311/en/. Accessed on 3 January 2018.
Balkau B, Deanfield JE, Despres JP, Bassand JP, Fox KA, Smith SC Jr, et al. International Day for the Evaluation of Abdominal Obesity (IDEA):a study of waist circumference, cardiovascular disease, and diabetes mellitus in 168,000 primary care patients in 63 countries. Circulation. 2007;116:1942-51.
Casanueva FF, Moreno B, Rodriguez-Azeredo R, Massien C, Conthe P, Formiguera X, et al. Relationship of abdominal obesity with cardiovascular disease, diabetes and hyperlipidaemia in Spain. Clin Endocrinol (Oxf). 2010;73:35–40.
Kulkarni AT. Hypertension- A silent killer. Indian Medical Gazaette. 1998;32(3),72-7.
Waghmare L, Shrivastav T, Khatib N, Jain A, Zodpey S, Gaidhane AM. The Cross Sectional Study of Anthropometric Parameters in Young Healthy Individuals having Parental History of Hypertension. Int J Med Public health. 2012;2(1):38-43.
Park K. Text Book of P.S.M, M/s Banarsidas Bhanot Publishers. 2014;23rd edn:372-7.
Kotpalliwar MKA, Wanjari AB, Acharya S. Prevalence of Prehypertension in young healthy individuals and its associated Risk factors. Indian J Med Healthcare. 2013;2(3):242-8.
Whitworth JA, World Health Organization, International Society of Hypertension Writing Group. World Health Organization (WHO)/ International Society of Hypertension (ISH) statement on management of hypertension. J Hypertens. 2003;21(11):1983-92.
Curro V, De Luca F, Giusti D, Bracaglia G, Buffetti A, Pelargino S, Polidori G. Correlation between blood pressure values, familial hypertension and anthropometric parameters in a sample of 3 year old children. Pediatr Med Chir. 1998;10(3):273-6.
Rao KVM, Reddy GP. Prevalence of prehypertension in young adults in a semi-urban district in Telangana. Int J Adv Med. 2016;3:63-7.
Chitrapu RV, Thakkallapalli ZM. Prehypertension among Medical Students and its Association with Cardiovascular Risk Factors. J NTR Univ Health Sci. 2015;4:8-12.
Kalbande S, Anitha T. Monitoring of Blood Pressure of Children of Hypertensive Parents in their Early Ages Reduces the Risk of Having Cardiovascular Diseases in Future: A Study Conducted on Adolescents. J Life Sci. 2012;4(1):35-8.
Munger RG, Prineas RJ, Gomez-Marin. Persistent elevation of blood pressure among children with a family history of hypertension:The Minneapolis Children’s Blood Pressure Study. J Hypertens. 1998;6:647-53.
Khaw K, Barrett-Connor E. Family history of heart attack:A modifiable risk factor? Circulation. 1986;74:239-44.
Selby JV, Newman B, King M, Friedman GD. Environmental and behavioral determinants of fasting glucose in women. Am. J. Epidemiol. 1987;125:979-88.
Garn SM. Family- line and socioeconomic factors in fatness and obesity:A matched co-twin analysis. Nutr. Rev. 1986;44:381-6.
Glowinska B, Urban M, Koput A. Correlation between body mass index, lipoprotein (a) level and positive family history of cardiovascular diseases in children and adolescents with obesity, hypertension and diabetes. Pol. Merkur. Lekarski. 2002;12(68):108-14.
Choudhary S, Nayak S, Gaiki V, Khapre M, Mudey A, Wagh V. Study of anthropometric parameters in young healthy individuals having parental history of hypertension:a study conducted on college going adolescents. Int J Biol Med Res. 2011;2(2):547-50.
Khanna N, Sharma RS, Sidhu RS. A study of the basic and derived anthropometric indices among the healthy adults (20-30 years of age) of amritsar city (punjab) having family history of hypertension. Int J Biol Med Res. 2011;2(3):743-6.
Bhowmik B, Munir SB, Diep LM, Siddiquee T4, Habib SH5, Samad MA, et al. Anthropometric indicators of obesity for identifying cardiometabolic risk factors in a rural Bangladeshi population. J Diabetes Investigation. 2013;4(4):361-8.
Choo V. WHO reassesses appropriate body-mass index for Asian populations. Lancet. 2002;360:235.
Pereira DCR, Araújo MFM, Freitas RWJF, Teixeira CRS, Zanetti ML, Damasceno MMC. Neck circumference as a potential marker of metabolic syndrome among college students. Rev. Latino-Am. Enfermagem. 2014;22(6):973-9.
Hingorjo MR, Qureshi MA, Mehdi A. Neck circumference as a useful marker of obesity: a comparison with body mass index and waist circumference. J Pak Med Assoc. 2012;62(1):36-40.
Aswathappa J, Garg S, Kutty K, Shankar V. Utility of neck circumference, a simple and novel measure as anthropometric marker of obesity in adults. World J Pharma Pharma Sci. 2014;3(3):1618-29.
Kumar S, Gupta A, Jain S. Neck circumference as a predictor of obesity and overweight in rural central India. International Journal of Medicine and Public health. Int J Med Public health. 2012;2(1):62-6.
World Health Organization. Obesity and Overweight. Available at: http://www.who.int/ mediacentre/factsheets/fs311/en/. Accessed on 3 January 2018.
Park K. Text Book of P.S.M, M/s Banarsidas Bhanot Publishers, 23rd edn. 2014: 400.
Hsieh SD, Muto T, Yoshinaga H. Waist- to- height ratio, a simple and practical index for assessing central fat distribution and metabolic risk. Int J Obes. 2003;27:610-6.
Chobanian AV, Bakris GL, Black HR, Cushman WC. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: The JNC 7 Report. JAMA. 2003;289:2560.
Hazarika NC, Narain K, Biswas D, Kalita HC, Mahanta J. Hypertension in the native rural population of Assam. Natl Med J India. 2004;17:300-4.
Shetty SS, Nayak A. Prevalence of pre hypertension amongst medical students in coastal Karnataka. J Evolution Med Dent Sci. 2012;1(6):975-9.
Das P, Basu M, Chowdhury K, Mallik S, Dhar G, Biswas A. Observational assessment and correlates to blood pressure of future physicians of Bengal. Niger J Clin Pract. 2013;16:433-8.
Kulkarni MM, Hemagiri K, Malavika, Patil RS. Prehypertension and associated factors among medical students of SSIMS and RC, Davangere — A cross-sectional study. J Indian Med Assoc. 2011;109:733-4.
Sjo Strom CD, Lissner L, Sjo Strom L. Relationship between changes in body composition and changes in cardiovascular risk factors: The SOS intervention study: Swedish obese subjects. Obes Res. 1997;5:519-30.
Jensen MD. Lipolysis:Contribution from regional fat. Annu Rev Nutr. 1997;14:127-39.
Preis SR, Massaro JM, Hoffmann U, D’Agostino RB Sr, Levy D, Robins SJ, et al. Neck circumference as a novel measure of cardio metabolic risk: The vFramingham Heart study. J Clin Endocrinol Metab. 2010;95:3701-10.
