The prevalence of Abdominal Obesity and Cardiovascular Risk Factors in Urban Population of Yazd

Document Type : Research Paper

Authors

Abstract

I





ntroduction: Pervious studies suggested that obesity is correlated with dyslipidemia, hypertension and diabetes mellitus and it has been known as a main cardiovascular diseases risk factor. Obesity can be defined with Body Mass Index (BMI), Waist-to-Hip Ratio (WHR) and Waist Circumference (WC). The present study shows the prevalence of obesity and abdominal obesity and also their contemporaneity with other risk factors in Yazd 20 – 74 years old citizens.
Materials and Methods:This descriptive study was performed in the year 2005 at Cardiology Reserch Center, Yazd on 2000, 20-74 years old Yazd urban population (phase I Yazd healthy heart project) by cluster sampling. Weight, height, WC and hip circumference (HC) measured by trained health providers and also BMI (weight / height2) and WHR (waist / hip) computed. WC was defined as the distance around the smallest area below the rib cage and above the umbilicus. WHR was achieved by dividing WC to greatest hip circumflex.
Results: In this study the prevalence of overweight (BMI: 25- 29/9 kg / m2) and obesity (BMI >= 30 kg / m2) was 35.7%, 16.3%, respectively. The results showed a significant relationship between BMI and mean total cholesterol, TG, LDL-C (p= 0.00). Also hyperlipidemia, HTN and diabetes mellitus were significantly more prevalent in obese cases and subjects with abdominal obesity (p= 0.00). On the other hand inverse relationship was seen between obesity and abdominal obesity with smoking level of education. Also BMI increased with aging except in ages over 65 that obesity prevalence decreased.
Conclusion:The prevalence of obesity and its association with other CVD risk factors in Yazd urban population were significant. So interventional programs for lifestyle changes and control of obesity should be the major hygienic priorities in Yazd.

Keywords


1- Gaziano JM, Manson JE, Ridker PM. Braunwald. E Heart Disease a Textbook of cardiovascular medicine, 2004;
(1): 1071- 1073.
2- Van der Kallen, CJH, Voors – Pette, C, de Bruin, TWA. Abdominal obesity and Expression of Familial Combined
Hyperlipidemia: Obesity research 2004; 12:2054-2061. © 2004 The North American Association for the study of
obesity.
3- Han, TS, Van Leer, EM, Seidell, JC, Lean, ME. Waist circumference as a screening tool for cardiovascular risk
factors: evaluation of receiver operating characteristics (Roc). Obese Res 1996; 4: 533-547.
4- WHO. Obesity: Preventing and managing the global epidemic. Report of WHO consultation. WHO Technical
Report Series 894. World Health Organization, 2000.
5- Gharipour, M, Mohammadi Fard, N Asgary, S, Naderi, GH. The prevalence of obesity and cardiovascular risk
factors in Isfahan. J Qazvin uni Med Sci 2003; 26 (2): 53 –64.
6- Fakhrzadah H, Pour-ebrahimi R, Nouri M, Heshmat R, Javadi E, Rahimi I, Larijani B. Cardiovascular risk factors in
an urban population (17 th Zone of Tehran): Tehran University population Labratori Study . I J Diab lipid disorder
2004; 3: (MONICA PROJECT)): 27-36.
7- Mudali S, Dobs A.S, Ding J.Atherosclerosis risk in communities Study. Endogenous postmenopausal hormones and
serum lipids: the atherosclerosis risk in communities study. J clin Endocrinol Metals 2005; 1202- 1209.
8- Scott M. Grundy. Pathogenesis of Atherogenic dyslipidemia. [Drug Benefit Trends 2000; 12 (5): 22-27, © 2000
cliggott publishing Co., Division of SCP/Cliggott Communications, Inc].
9- Randall OS, Retta TM, Kwagyan J, Gordeuk VR, XU S, Maqbool AR, Ketete M,et al. The prevalence of
dyslipidemia, hypertension, and diabetes mellitus. Washington, DC 20060, USA. Osrandall @ Howard, edu. Ethn Dis.
2004 summer; 14 (3): 384-8.
10-Cercato C, Mancini MC, Arguello Am, Passos VQ, Villares SM, Halpern A. Systemic hypertension, diabetes
mellitus, and dyslipidemia in relation to body mass index: evaluation of a Brazilian population. Rev Hosp Clin Fac Med
Sao Paulo 2004 May – Jun; 59(3): 113-8. Epub 2004 Jul 28.
11-Scraton R, Sesso HD, Stampfer My,Levenson JW,Buring JE,Caziano JM. Predictors of 14 year changes in the total
cholestrol to high- density lipoprotein cholesterol ratio in men. Am heart j 2004 Jun; 147(6): 1033-8.
12-Brown CD, Higginst M, Donato KA, Rohde FC, Garrison R, Obarzanek E, Ernst ND, Horan M. Body Mass Index
and the prevalence of Hypertension and Dyslipidemia. Obesity research 2000; (8): 605-619.
13-Fahs PS, Grabo TN, James GD, Neff- Smith M, Spencer G. A Comparison of the Cardiovascular Risks of rural,
suburban, and urban women. Online J Rur Nurs Health Care 2001; (2): 1.