Shukla H C, Gupta P C, Mehta H C, Hebert J R
Biomedical Sciences, University of Westminster, London, UK.
J Epidemiol Community Health. 2002 Nov;56(11):876-80. doi: 10.1136/jech.56.11.876.
To describe height, weight, and body mass index (BMI) of the adult urban population in Mumbai, western India and to estimate the prevalence and severity of thinness and overweight in this population. To describe the association of BMI with education, age, and tobacco habits in an urban Indian population.
Cross sectional representative survey of 99 598 adults (40 071 men and 59 527 women).
The survey was carried out in the city of Mumbai (formerly known as Bombay) in western India.
Men and women aged > or =35 years who were residents of the main city of Mumbai.
The mean height, weight, and BMI were 161.0 (SD 6.7) cm, 56.7 (SD 11.0) kg, and 21.8 (SD 3.8) kg/m(2) for men and 148.0 (SD 6.2) cm, 49.8 (SD 11.2) kg, and 22.7 (SD 4.7) kg/m(2) for women, respectively. Some 19% of men and women were thin (BMI<18.5 kg/m(2)), while 19% of men and 30% of women were overweight (BMI> or =25kg/m(2)). Multivariable logistic regression analyses showed that age, level of education, and tobacco use were independently associated with BMI. The odds ratio (OR) and 95% confidence intervals (CI) for thinness (BMI<18.5 kg/m(2)) were OR 6.52, 95%CI 5.38 to 7.89 for men and OR 4.83, 95%CI 3.71 to 6.28 for women, respectively, (p<0.001) for the lowest level of education (illiterate group). The OR and 95%CI for overweight were 2.25, 2.20 to 2.58 for college educated men and 1.90, 1.64 to 2.20 for college educated women, respectively, p<0.001. Both smoking (2.33, 2.09 to 2.59; 2.89, 1.77 to 4.72 for men and women, respectively, p<0.001) and smokeless tobacco use (1.65, 1.52 to 1.80; 2.26, 2.14 to 2.38 for men and women, respectively p<0.0001) were significantly associated with low BMI.
Sequelae of thinness and overweight represent major public health problems. The results of this study, indicating an equal prevalence of thinness and overweight in an urban area and their association with age, level of education, and tobacco use raise concerns of an emerging public health crisis in urban India.
描述印度西部孟买成年城市人口的身高、体重和体重指数（BMI），并估计该人群中消瘦和超重的患病率及严重程度。描述印度城市人口中BMI与教育程度、年龄和吸烟习惯之间的关联。
对99598名成年人（40071名男性和59527名女性）进行横断面代表性调查。
调查在印度西部的孟买市（原称 Bombay）进行。
年龄≥35岁、居住在孟买主要城区的男性和女性。
男性的平均身高、体重和BMI分别为161.0（标准差6.7）厘米、56.7（标准差11.0）千克和21.8（标准差3.8）千克/平方米，女性分别为148.0（标准差6.2）厘米、49.8（标准差11.2）千克和22.7（标准差4.7）千克/平方米。约19%的男性和女性消瘦（BMI<18.5千克/平方米），而19%的男性和30%的女性超重（BMI≥25千克/平方米）。多变量逻辑回归分析显示，年龄、教育程度和烟草使用与BMI独立相关。消瘦（BMI<18.5千克/平方米）的比值比（OR）及95%置信区间（CI），男性为OR 6.52，95%CI 5.38至7.89，女性为OR 4.83，95%CI 3.71至6.28，（p<0.001）为最低教育水平（文盲组）。超重的OR及95%CI，大学学历男性为2.25，2.20至2.58，大学学历女性为1.90，1.64至2.20，p<0.001。吸烟（男性为2.33，2.09至2.59；女性为2.89，1.77至4.72）及无烟烟草使用（男性为1.65，1.52至1.80；女性为2.26，2.14至2.38）均与低BMI显著相关，p<0.0001。
消瘦和超重的后果是主要的公共卫生问题。本研究结果表明城市地区消瘦和超重的患病率相当，且它们与年龄、教育程度和烟草使用有关，这引发了对印度城市地区新出现的公共卫生危机的担忧。
