Lahole Swapnil, Rawekar Rajendra, Kumar Sunil, Acharya Sourya, Wanjari Anil, Gaidhane Shilpa, Agrawal Sachin
Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India.
J Family Med Prim Care. 2022 Jan;11(1):281-286. doi: 10.4103/jfmpc.jfmpc_1231_21. Epub 2022 Jan 31.
Obesity, defined on the basis of anthropometric measures is a global epidemic and threatening to healthy population worldwide. A research from China among young adults (20--44 years) recorded six and two times the risk of hypertension (HTN) in individuals who were obese and overweight, respectively, relative to normal weight individuals. This study highlights about anthropometric indices and its association with HTN among young medical students at rural medical college.
In this cross-sectional study, 1,000 medical students had been enrolled. Anthropometric indices like body mass index (BMI), waist circumference (WC), waist to hip ratio (WHR), neck circumference (NC) as per South East Asian guidelines were measured in all students.
Among young medical students, the prevalence of obesity defined by BMI, WC, WHR, and NC was 46.5%, 32.4%, 57.3%, and 8.4%. Among males, there was significant positive correlation of BMI with SBP ( < 0.0001) and DBP ( < 0.0001), whereas WC ( < 0.0001) and WHR ( = 0.012) had positive and significant correlation with SBP but not with DBP. Correlation of NC with SBP and DBP was negative but did not reach statistical significance ( = 0.266 and = 0.670, respectively). Among females, there was significant positive correlation of BMI with SBP ( < 0.0001) and DBP ( < 0.0001), WC had significant positive correlation with SBP ( < 0.0001,) and DBP ( < 0.0001). Correlation of WHR was significant with DBP ( = 0.002) but not with SBP ( = 0.055).
The prevalence of HTN in this study was 9.8% in young medical students overall and varies according to anthropometric indices. The prevalence rate varies in males and females depending on the anthropometric measures.
基于人体测量学指标定义的肥胖是一种全球流行病，对全世界的健康人群构成威胁。一项来自中国针对年轻人（20至44岁）的研究表明，肥胖和超重个体患高血压（HTN）的风险分别是正常体重个体的6倍和2倍。本研究着重关注农村医学院年轻医学生的人体测量学指标及其与高血压的关联。
在这项横断面研究中，招募了1000名医学生。按照东南亚指南，对所有学生测量了体重指数（BMI）、腰围（WC）、腰臀比（WHR）、颈围（NC）等人体测量学指标。
在年轻医学生中，根据BMI、WC、WHR和NC定义的肥胖患病率分别为46.5%、32.4%、57.3%和8.4%。在男性中，BMI与收缩压（SBP）（<0.0001）和舒张压（DBP）（<0.0001）呈显著正相关，而WC（<0.0001）和WHR（=0.012）与SBP呈正相关且显著，但与DBP无关。NC与SBP和DBP的相关性为负，但未达到统计学意义（分别为=0.266和=0.670）。在女性中，BMI与SBP（<0.0001）和DBP（<0.0001）呈显著正相关，WC与SBP（<0.0001）和DBP（<0.0001）呈显著正相关。WHR与DBP（=0.002）相关显著，但与SBP（=0.055）无关。
本研究中年轻医学生的高血压患病率总体为9.8%，且因人体测量学指标而异。患病率在男性和女性中因人体测量指标的不同而有所差异。
