Nagar Noopur, Nagar Shashwat, Bharadva Niraj, Patel Hiren B, Mahyavanshi Darshan, Nagar Sunita S
Department of Obstetrics and Gynecology, Parul Instiute of Medical Sciences and Research, Parul University, Gujarat, India.
Department of Community Medicine, Parul Instiute of Medical Sciences and Research, Parul University, Gujarat, India.
J Family Med Prim Care. 2022 Jan;11(1):162-169. doi: 10.4103/jfmpc.jfmpc_658_21. Epub 2022 Jan 31.
In older adults, excess weight is associated with a higher prevalence of cardiovascular disease, metabolic disease, several important cancers, and numerous other medical conditions. Several indices such as body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) are used to classify general. Some studies also reported that WC and WHR is a better indicator of cardiovascular disease (CVD) risk than BMI and WHR.
For selection of the area, in both the urban and rural areas, the sampling units were enumerated and samples were collected from them. The estimated geriatric population combined in both Urban and Rural areas amounted to 12,220 (7% of geriatric population as per Census 2001), out of which 5% was selected as sample. This came out to be 611 elderly subjects which were selected equally from both urban and rural areas. For assessment of obesity BMI, WHR, and WHtR were measured. Assessment of hypertension was as per JNC classification.
Prevalence of obesity as per BMI in the urban area was found to be 40%, whereas that in rural areas was found to be 47.4%. WHR and WHtR showed higher prevalence in rural areas (70%) and also in urban areas (60%). BMI and WHR were significantly associated with hypertensive status of elderly.
Anthropometric assessments of obesity like WHR and WHTR are more sensitive indicators of obesity among the elderly. BMI is found to be significantly associated with hypertension as well in the present study. Logistic regression showed that the association of BMI with hypertension was higher than other obesity assessments.
在老年人中，超重与心血管疾病、代谢性疾病、几种重要癌症以及许多其他病症的较高患病率相关。诸如体重指数（BMI）、腰围（WC）、腰臀比（WHR）和腰高比（WHtR）等几个指标被用于总体分类。一些研究还报告称，WC和WHR比BMI和WHR是心血管疾病（CVD）风险的更好指标。
为了选择区域，在城市和农村地区，对抽样单位进行了列举并从中收集样本。城市和农村地区合并的估计老年人口为12220人（占2001年人口普查老年人口的7%），其中5%被选为样本。这得出611名老年受试者，他们从城市和农村地区均等选取。为了评估肥胖，测量了BMI、WHR和WHtR。高血压评估按照美国国家联合委员会（JNC）分类进行。
根据BMI，城市地区的肥胖患病率为40%，而农村地区为47.4%。WHR和WHtR在农村地区（70%）以及城市地区（60%）显示出更高的患病率。BMI和WHR与老年人的高血压状态显著相关。
像WHR和WHTR这样的肥胖人体测量评估是老年人中肥胖更敏感的指标。在本研究中还发现BMI与高血压也显著相关。逻辑回归表明，BMI与高血压的关联高于其他肥胖评估。
