Department of Statistics, Begum Rokeya University, Rangpur, Bangladesh
Institute of Statistical Research and Training, University of Dhaka, Dhaka, Bangladesh.
BMJ Open. 2022 Jul 6;12(7):e052822. doi: 10.1136/bmjopen-2021-052822.
The study aimed to determine the association of overweight and obesity with hypertension, diabetes and comorbidity among the adults of Bangladesh.
This study used cross-sectional data from the nationally representative Bangladesh Demographic and Health Survey conducted in 2017-2018. The main outcome variables were hypertension, diabetes and comorbidity. Comorbidity was defined as the coexistence of hypertension and diabetes. Overweight and obesity, as measured by body mass index, were the main explanatory variables. The strength of the association was determined using the adjusted multiple logistic regression models.
Rural and urban areas in Bangladesh.
The study included a total of 11 881 adults (5241 men and 6640 women) aged 18 years or older.
The prevalence of hypertension, diabetes and comorbidity among the sample population were 28.5%, 9.9% and 4.5%, respectively. Among the respondents, 20.1% were overweight and 4.1% were obese. The risk of hypertension was 2.47 times more likely in the overweight group (adjusted OR (AOR) 2.47; 95% CI 2.22 to 2.75) and 2.65 times more likely in the obese group (AOR 2.65; 95% CI 2.16 to 3.26) compared with the normal or underweight group. Adults who were overweight and obese had 59% (AOR 1.59; 95% CI 1.37 to 1.84) and 88% (AOR 1.88; 95% CI 1.46 to 2.42) higher odds of having diabetes, respectively, than normal or underweight adults. Moreover, the risk of comorbidity was 2.21 times higher in overweight adults (AOR 2.21; 95% CI 1.81 to 2.71) and 2.86 times higher in obese adults (AOR 2.86; 95% CI 2.09 to 3.91) compared with normal or underweight adults.
Using large-scale nationally representative data, we found that overweight and obesity were significantly associated with hypertension, diabetes and comorbidity. So, nationally representative data can be used for programme planning to prevent and treat these chronic conditions.
本研究旨在确定超重和肥胖与孟加拉国成年人的高血压、糖尿病和合并症之间的关联。
本研究使用了 2017-2018 年全国代表性的孟加拉国人口与健康调查的横断面数据。主要结局变量为高血压、糖尿病和合并症。合并症定义为高血压和糖尿病并存。超重和肥胖是通过身体质量指数来衡量的，是主要的解释变量。采用调整后的多因素逻辑回归模型来确定关联的强度。
孟加拉国的农村和城市地区。
该研究共纳入了 11881 名年龄在 18 岁及以上的成年人（5241 名男性和 6640 名女性）。
在样本人群中，高血压、糖尿病和合并症的患病率分别为 28.5%、9.9%和 4.5%。在受访者中，20.1%超重，4.1%肥胖。与正常体重或体重不足组相比，超重组发生高血压的风险高出 2.47 倍（调整后的比值比（OR）2.47；95%置信区间（CI）2.22 至 2.75），肥胖组高出 2.65 倍（OR 2.65；95%CI 2.16 至 3.26）。超重和肥胖的成年人患糖尿病的几率分别比正常体重或体重不足的成年人高 59%（OR 1.59；95%CI 1.37 至 1.84）和 88%（OR 1.88；95%CI 1.46 至 2.42）。此外，与正常体重或体重不足的成年人相比，超重成年人发生合并症的风险高出 2.21 倍（OR 2.21；95%CI 1.81 至 2.71），肥胖成年人高出 2.86 倍（OR 2.86；95%CI 2.09 至 3.91）。
使用大规模全国代表性数据，我们发现超重和肥胖与高血压、糖尿病和合并症显著相关。因此，可以使用全国代表性数据来规划预防和治疗这些慢性病的方案。
