Document Detail

Prevalence and determinants of central obesity and age-specific waist:hip ratio of people in five cities: the Indian Women's Health Study.
MedLine Citation:
PMID:  9821058     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To study the prevalence of central obesity and age-specific waist:hip ratio of urban women from five Indian cities. DESIGN AND SETTING: Cross-sectional surveys were conducted in 6-12 urban streets in different parts of India using similar methods of sample selection and criteria of diagnosis. SUBJECTS AND METHODS: We randomly selected 3212 women, aged 25-64 years, from Moradabad (n = 902), Trivandrum (n = 760), Calcutta (n = 365), Nagpur (n = 405), and Bombay (n = 780). Evaluation was by a questionnaire administered by a physician and a dietician, a physical examination, and anthropometric measurements. RESULTS: The overall prevalence of central obesity among the total number of women was 55.0%, with the highest prevalence in Calcutta (62.2%) and the lowest in Bombay (47.4%). Waist:hip ratio was 0.85 +/- 0.13 (mean +/- SD) with the highest ratio for women in Calcutta (0.87 +/- 0.12) and the lowest for women in Moradabad (0.84 +/- 0.16). After pooling of data from all five cities, multivariate logistic regression analysis showed that, regardless of age, body mass index (> 23 kg/m2; odds ratio 1.12), sedentary lifestyle (odds ratio 2.51), and family history of obesity (odds ratio 2.15) were strongly associated with central obesity. Excess intake of fat was weakly associated with central obesity but age was not a risk factor for central obesity, although the prevalence was highest among those aged over 55 years in Moradabad, Calcutta, and Nagpur. CONCLUSIONS: The overall prevalence of central obesity among the urban women of India has increased, more so in Calcutta and Trivandrum. Body mass index, sedentary lifestyle, and family history of excess intake of fat were significant risk factors for central obesity.
R B Singh; S Ghosh; R Beegom; A S Mehta; A K De; M Haque; G K Dube; G S Wander; S Kundu; S Roy; A Krishnan; H Simhadri; N B Paranjpe; N Agarwal; R H Kalikar; S S Rastogi; A S Thakur
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of cardiovascular risk     Volume:  5     ISSN:  1350-6277     ISO Abbreviation:  J Cardiovasc Risk     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1999-02-02     Completed Date:  1999-02-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9436980     Medline TA:  J Cardiovasc Risk     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  73-7     Citation Subset:  IM    
Centre of Nutrition, Medical Hospital and Research Centre, Moradabad, India.
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MeSH Terms
Age Factors
Body Constitution*
Dietary Fats
India / epidemiology
Life Style
Middle Aged
Obesity / epidemiology*,  pathology
Risk Factors
Urban Population
Reg. No./Substance:
0/Dietary Fats

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