Comparison of anthropometric indices of obesity to predicthypertension among young medical students
DOI:
https://doi.org/10.61841/xdjsvf46Keywords:
- are Obesity,, ypertension and Anthropometric indices.Abstract
Obesity is a risk factor for Hypertension1. Early detection of hypertsion is essential in young population and to detect best and trustable predictor for risk population and and also for planning prevention statergy2. In this study we are using anthropometric indices like Body mass index, neck circumference, waist to hip ratio values to predict hypertension among young medical students.are as follows To determine the accuracy of anthropometric indices of obesity to predict hypertension among young medical students.To determine the prevalence of hypertension and pre hypertension among young medical students.Methodology It is a cross sectional study. Setting: This study will be carried out in J. N. Medical College, Sawangi (Meghe), Wardha, which is a rural based medical college in state of Maharashtra. Study will be done among MBBS undergraduate in 1000 students of this college. It is planned to do this study from 1st August 2018 to 31st July 2020.Blood pressure and anthropometric indices and blood samples will be collected in medicine opd in five settings. We will enter the data in Microsoft excel sheet and will analyse that with STATA version 13 statistical software.Results There will be increase in mean values of all anthropometric indices in study population and increase in all anthropometric indices in female as compare to male significantly exception is WHR. Systolic BP and Diastolic BP is correlated with all anthropometric indices of obesity which shows BMI had topmost correlation coefficient and conicity index had low most correlation coefficient. Predictive potential is highest for hypertension, BMI, WC and WHtR In both male and female. Increase in anthropometric index with one standard deviation will lead to increase in hypertension prevalence ration.There will be strong association Systemic hypertension with BMI,WHtR . Anthropometric indices will have in male gender will have better predictive potential for prediction of hypertension.
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References
1. Hall JE. The kidney, hypertension, and obesity. Hypertension 2003;41:625-33. 10.1161/01.HYP.0000052314.95497.78
2. Elnaz Faramarzi 1 , Alireza Ostadrahimi 2 , Zeinab Nikniaz 1 , Mohamad Asgari Jafarabadi 3 , Ali Fakhari 4 , Mohammadhossein Somi Determination of the Best Anthropometric Index of Obesity for Prediction of Prehypertension and Hypertension in a Large Population - Based - Study; the Azar- Cohort
3. Tuck ML, Corry DB. Prevalence of obesity, hypertension, diabetes, and metabolic syndrome and its cardiovascular complications. Curr Hypertens Rev 2010; 6:73–82.
4. Hossain P, Kawar B, El Nahas M. Obesity and diabetes in the developing world–a growing challenge. N Engl J Med 2007; 356:213–215.
5. Acharya, Sourya, Samarth Shukla, and Anil Wanjari. “Subclinical Risk Markers for Cardiovascular Disease (CVD) in Metabolically Healthy Obese (MHO) Subjects.” JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH 13, no. 6 (June 2019): OC1–6.
https://doi.org/10.7860/JCDR/2019/41317.12890.
6. Acharya, Sourya, and Samarth Shukla. “Metabolic Healthy Obesity-A Paradoxical Fallacy?” JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH 12, no. 10 (October 2018): OE7–10.
https://doi.org/10.7860/JCDR/2018/36809.12165
7. Naish, Jeannette; Court, Denise Syndercombe (2014). Medical sciences (2 ed.).
p. 562. ISBN 9780702052491. Archived from the original on 26 December 2016.
8. Schmieder, RE, Messerli, FH. Does obesity influence early target organ damage in hypertensive patients? Circulation 1993; 87:1482.
9. In all WHO regions, men have slightly higher prevalence of raised blood pressure than women
10. Aronow WS, Fleg JL, Pepine CJ, et al. ACCF/AHA 2011 expert consensus document on hypertension in the elderly: a report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. Developed in collaboration with the American Academy of Neurology, American Geriatrics Society, American Society for Preventive Cardiology, American Society of Hypertension, American Society of Nephrology, Association of Black Cardiologists, and European Society of Hypertension. J Am Coll Cardiol 2011;57:2037-114.
11. World Health Organization. Obesity and overweight. Fact sheet No 311. 2015. Ref Type: Online Source. 2015
12. Hande, Alka Harish, Minal S. Chaudhary, Madhuri N. Gawande, Amol R. Gadbail, Prajakta R. Zade, Shree Bajaj, Swati K. Patil, and Satyajit Tekade. “Oral Submucous Fibrosis: An Enigmatic Morpho- Insight.” JOURNAL OF CANCER RESEARCH AND THERAPEUTICS 15, no. 3 (September 2019): 463–
69. https://doi.org/10.4103/jcrt.JCRT_522_17.
13. Dangore-Khasbage, Suwarna. “Clinical Aspects of Oral Cancer: A Case Report Series.” DENTAL AND MEDICAL PROBLEMS 54, no. 1 (March 2017): 85–89. https://doi.org/10.17219/dmp/67499.
14. Gadbail, Amol Ramchandra, Minal Chaudhary, Madhuri Gawande, Alka Hande, SachinSarode, Satyajit Ashok Tekade, Sheetal Korde, et al. “Oral Squamous Cell Carcinoma in the Background of Oral
Submucous Fibrosis Is a Distinct Clinicopathological Entity with Better Prognosis.” JOURNAL OF ORAL PATHOLOGY & MEDICINE 46, no. 6 (July 2017): 448–53. https://doi.org/10.1111/jop.12553.
15. Gawande, Pallavi, Smrutiranjan Nayak, Abhay Mudey, and Ashish Nagrale. “ Assessment of Risk Factor of NCD in Nachangaon Village at Wardha District.” INTERNATIONAL JOURNAL OF MEDICAL RESEARCH & HEALTH SCIENCES 6, no. 4 (2017): 75–79.
16. Khatib, MahalaquaNazli, Abhay Gaidhane, Shilpa Gaidhane, and Zahiruddin Syed Quazi. “Ghrelin as a Promising Therapeutic Option for Cancer Cachexia.” CELLULAR PHYSIOLOGY AND BIOCHEMISTRY 48, no. 5 (2018): 2172–88. https://doi.org/10.1159/000492559.
17. Schwartz, G. G., P. G. Steg, M. Szarek, D. L. Bhatt, V. A. Bittner, R. Diaz, J. M. Edelberg, et al. “Alirocumab and Cardiovascular Outcomes after Acute Coronary Syndrome.” NEW ENGLAND JOURNAL OF MEDICINE 379, no. 22 (November 29, 2018): 2097–2107.
https://doi.org/10.1056/NEJMoa1801174
18. 19)Kute, P. K., M. G. Muddeshwar, and A. R. Sonare. “Pro-Oxidant and Anti-Oxidant Status in Patients of Psoriasis with Relation to Smoking and Alcoholism.” JOURNAL OF EVOLUTION OF MEDICAL AND DENTAL SCIENCES-JEMDS 8, no. 34 (August 26, 2019): 2677–80.
https://doi.org/10.14260/jemds/2019/582.
19. 20)Rathi, Nikhil, Bharati Taksande, and Sunil Kumar. “Nerve Conduction Studies of Peripheral Motor and Sensory Nerves in the Subjects With Prediabetes.” JOURNAL OF ENDOCRINOLOGY AND METABOLISM 9, no. 5 (October 2019): 147–50.
20. New Hypertension Guidelines: JNC 7
21. Thomas L. Schwenk, MD and Thomas L. Schwenk, MD reviewing Chobanian AV et al. JAMA 2003 May 21 Psaty BM et al. JAMA 2003 May 21 Kottke TE et al. JAMA 2003 May
22. Deurenberg-Yap M1, Niti M, Foo LL, Ng SA, Loke KY; Diagnostic accuracy of anthropometric indices for obesity screening among Asian adolescents.
23. Schmieder, RE, Messerli, FH. Does obesity influence early target organ damage in hypertensive patients? Circulation 1993; 87:1482.
24. Ahmadi A, Mobasheri M, Soori H. Prevalence of major coronary heart disease risk factors in Iran. Int J Epidemiol Res. 2014;1(1):3-8.
25. Decoda Study G, Nyamdorj R, Qiao Q, Lam TH, Tuomilehto J, Ho SY, et al. BMI compared with central obesity indicators in relation to diabetes and hypertension in Asians. Obesity (Silver Spring). 2008;16(7):1622-35. doi: 10.1038/oby.2008.73.
26. Ahmadi A, Mobasheri M, Soori H. Prevalence of major coronary heart disease risk factors in Iran. Int J Epidemiol Res. 2014;1(1):3-8.
27. Behere PB, Mansharamani HD, Kumar K. Telepsychiatry: Reaching the unreached. Indian J Med Res 2017;146(August):150-152.
28. Belekar V. A comparative study to evaluate the efficacy of butorphanol as an adjuvant to epidural analgesia for rib fractures. J Datta Meghe Inst Med Sci Univ 2017;12(3):166-169.
29. Sahu S, Kher KS, Wagh DD, Swarnakar M, Pandey P, Agnihotri I. Endoscopic evaluation of patients presenting with dysphagia at rural hospital AVBRH. J Datta Meghe Inst Med Sci Univ 2017;12(3):196- 205.
30. Roy M, Gajbe UL, Singh BR, Thute P. Morphometric measurement of fetal femur length for the prediction of gestational age in the iind and iiird trimester of pregnancy by ultrasonography. J Datta Meghe Inst Med Sci Univ 2017;12(3):187-190.
31. Nitnaware AS, Vagha J, Meshram R. Clinical profile of pediatric head injury. J Datta Meghe Inst Med Sci Univ 2017;12(3):191-195.
32. Taksande K, Chatterjee M, Jain V. A case report of prolonged apnea during electroconvulsive therapy in a patient with suicidal attempt by organophosphorus poison. J Datta Meghe Inst Med Sci Univ 2017;12(3):223-225.
33. Jham R, Shukla S, Acharya S, Dhote S, Tamhane A, Bhake A. Correlation of the proliferative markers (AgNOR and Ki-67) with the histological grading of the glial tumors. J Datta Meghe Inst Med Sci Univ 2017;12(3):211-217.
34. Modi L, Shivji IA, Behere PB, Mishra KK, Patil PS, Goyal A. A clinical study of self-stigma among the patients of schizophrenia and alcohol dependence syndrome. J Datta Meghe Inst Med Sci Univ 2017;12(3):161-165.
35. Taneja S, Pande V, Kumar H, Agarkhedkar S. Correlation of various maternal factors with exaggerated hyperbilirubinemia of the newborn. J Datta Meghe Inst Med Sci Univ 2017;12(3):218-222.
36. Singhania S, Singhania A, Khan S, Kumar V, Singhania P. Prenatal diagnosis of cross-fused renal ectopia: Still a dilemma. Donald Sch J Ultrasound Obstet Gynecol 2017;11(3):225-226.
37. Jain S, Sharma SK. Challenges & options in dengue prevention & control: A perspective from the 2015 outbreak. Indian J Med Res 2017;145(June):718-721.
38. Gupta V, Bhake A. Molecular Diagnosis of Tubercular Lymphadenopathy from Fine-Needle Aspirates in Pediatric Patients. Acta Cytol 2017;61(3):173-178.
39. Varghese LA, Taksande K. A comparison between intrathecal dexmedetomidine with hyperbaric bupivacaine and intrathecal fentanyl with hyperbaric bupivacaine in lower abdominal surgeries: A prospective double-blinded study. J Datta Meghe Inst Med Sci Univ 2017;12(2):99-109.
40. Khan KI, Jalgaonkar PD, Agrawal S. A case of phenytoin induced multiple toxicities. J Datta Meghe Inst Med Sci Univ 2017;12(2):157-158.
41. Bhalerao NS, Modak A, Belekar V. Comparison between magnesium sulfate (50 mg/kg) and lignocaine (2 mg/kg) for attenuation of intubation response in hypertensive patients. J Datta Meghe Inst Med Sci Univ 2017;12(2):118-120.
42. Phadnis P, Kamble MA, Daigavane S, Tidke P, Gautam S. Prevalence and risk factors – Hemoglobin A1c, serum magnesium, lipids, and microalbuminuria for diabetic retinopathy: A rural hospital-based study. J Datta Meghe Inst Med Sci Univ 2017;12(2):121-132.
43. Kuthe S, Sonkusale M, Wanjari A, Panbude P. Large right ventricular fibroma. J Datta Meghe Inst Med Sci Univ 2017;12(2):154-156.
44. Phatak S, Sadavarte T, Mishra G, Yadav S, Ali Jiwani MD, Patange N. Images: Emphysematous cystitis. J Datta Meghe Inst Med Sci Univ 2017;12(2):159-160.
45. Taware M, Sonkusale M, Deshpande R. Ultra-fast-tracking in cardiac anesthesia “Our Experience” in a rural setup. J Datta Meghe Inst Med Sci Univ 2017;12(2):110-114.
46. Cladius S, Jadhav U, Ghewade B, Ali S, Dhamgaye T. Study of diabetes mellitus in association with tuberculosis. J Datta Meghe Inst Med Sci Univ 2017;12(2):143-147.
47. Ali S, Ghewade B, Jadhav U, Cladius S. Study of serum interferon gamma in tubercular pleural effusions. J Datta Meghe Inst Med Sci Univ 2017;12(2):93-98.
48. Methwani DA, Deshmukh PT. Comparative study of type I tympanoplasty with or without mastoidectomy in tubotympanic type of chronic suppurative otitis media patients. J Datta Meghe Inst Med Sci Univ 2017;12(2):85-88.
49. Sarkar B, Bhake A. Serum prostate-specific antigen as a tumor marker for its correlation with histopathological diagnosis of prostatomegaly. J Datta Meghe Inst Med Sci Univ 2017;12(4):246-252.
50. Agarwal NK, Trivedi S. The partial pressure of oxygen in arterial blood: A relation with different fraction of inspired oxygen and atmospheric pressures. J Datta Meghe Inst Med Sci Univ 2017;12(4):280-283.
51. Roy M, Singh BR, Gajbe UL, Thute P. Anatomical variations of ureter in central India: A cadaveric study. J Datta Meghe Inst Med Sci Univ 2017;12(4):277-279.
52. Wasnik RR, Akarte NR. Evaluation of serum zinc and antioxidant vitamins in adolescent homozygous sickle cell patients in Wardha, district of central India. J Clin Diagn Res 2017;11(8):BC01-BC03.
53. Manisha S, Bagde N, Shrivastava D. Visual inspection of cervix with acetic acid: An alternative to cytology and colposcopy in early screening of cervical cancer in low-resource setup. J Datta Meghe Inst Med Sci Univ 2017;12(1):32-34.
54. Sharma T, Ghewade B, Jadhav U, Chaudhari S. Clinical profile of lung cancer at acharya vinoba bhave rural hospital. J Datta Meghe Inst Med Sci Univ 2017;12(1):41-44.
55. Kalucha S, Mishra KK, Gedam SR. Noncompliance in psychosis. J Datta Meghe Inst Med Sci Univ 2017;12(1):61-65.
56. Palan A, Agrawal NK. Control of intraoperative shivering under spinal anaesthesia- A prospective randomized comparative study of butorphanol with tramadol. J Krishna Inst Med Sci Univ 2017;6(1):57- 65.
57. Singh P, Basak S. Extended spectrum β-lactamases producing klebsiella pneumoniae: A threat to patient care. J Datta Meghe Inst Med Sci Univ 2017;12(4):234-237.
58. Charan N, Choudhari M, Sonkusale M, Deshpande R. Anesthetic management of chronic thromboembolic pulmonary hypertension for pulmonary endarterectomy. J Datta Meghe Inst Med Sci Univ 2017;12(4):289-291.
59. Kashikar SV. Congenital unilateral infiltrating facial lipomatosis. West Indian Med J 2017;66(1):189- 190.
60. Kumar G, Phatak SV, Lakhkar B, Yadaw SK. Diagnostic role of magnetic resonance imaging in rotator cuff pathologies. J Datta Meghe Inst Med Sci Univ 2017;12(1):7-10.
61. Tidake P, Sharma S. Profile and management of primary open-angle glaucoma patients above 40 years: A rural hospital-based study. J Datta Meghe Inst Med Sci Univ 2017;12(1):1-6.
62. Bhriegu R, Agrawal M, Hariharan C. Assessment of maternal and perinatal outcome in postdated pregnancy. J Datta Meghe Inst Med Sci Univ 2017;12(1):35-40.
63. Priya N, Lamture YR, Luthra L. A comparative study of scalpel versus surgical diathermy skin incisions in clean and clean-contaminated effective abdominal surgeries in AVBRH, Wardha, Maharashtra, India. J Datta Meghe Inst Med Sci Univ 2017;12(1):21-25.
64. Jaipuriya P, Pate MY, Iratwar S, Mahakalkar CC, Chandankhede A. Clinical study, evaluation, and management of cases of intracranial tumors admitted at Acharya Vinoba Bhave rural hospital, Sawangi (Meghe). J Datta Meghe Inst Med Sci Univ 2017;12(1):26-31.
65. Gupta M, Samal S, Shrivastava D, Bagde N, Mishra N, Gupta S. The study of ovulatory pattern following use of clomiphene citrate and anastrozole in infertile women with ovulatory dysfunction: A comparative study. J Datta Meghe Inst Med Sci Univ 2017;12(1):17-20.
66. Gupta K, Mahakalkar C, Kaple M, Deshpande S, Ladhha P, Jain N. A comparative study of cilostazol and pentoxifylline in intermittent claudication in peripheral arterial disease. J Datta Meghe Inst Med Sci Univ 2017;12(1):11-16.
67. Swarnkar M, Agrawal A. Kimura’s disease: A case report and review of literature. J Krishna Inst Med Sci Univ 2017;6(3):118-120.
68. Swarnkar M, Jain SC. Web space lipoma causing separation of toes - a rare case report with review of literature. J Krishna Inst Med Sci Univ 2017;6(2):107-110.
69. Tendulkar MP, Ninave SS. Prospective comparison of pressor and airway responses to IV esmolol and IV dexmedetomidine during emergence from general anaesthesia and extubation. J Krishna Inst Med Sci Univ 2017;6(1):49-56.
70. Taksande AB, Jagzape AT, Deshpande VK. Study of motor nerve conduction velocity in patients of thyroid dysfunction in central India. J Datta Meghe Inst Med Sci Univ 2017;12(4):229-233.
71. Majumdar MR, Sune MP, Mohod P. Helmet-induced ocular trauma: A rare mechanism. J Datta Meghe Inst Med Sci Univ 2017;12(4):292-293.
72. Bhattacharjee J, Jogdand S, Goswami S, Shinde R, Padhye MR. Evaluation of analgesic activity of simvastatin and atorvastatin in Wistar rats: An experimental study. Natl J Physiol Pharm Pharmacol 2017;7(10):1031-1035.
73. Gade SA, Chari SN, Chalak A. Use of mini-CEX as a teaching learning method in physiology for undergraduate medical students. Natl J Physiol Pharm Pharmacol 2017;7(5):482-485.
74. Garg S, Chakravarti A, Singh R, Masthi NRR, Goyal RC, Jammy GR, et al. Dengue serotype-specific seroprevalence among 5- to 10-year-old children in India: a community-based cross-sectional study. Int J Infect Dis 2017;54:25-30.
75. Jagzape AT, Jagzape T, Rawekar A. Patient-based integrated teaching program with the inclusion of psychomotor and affective domains. Natl J Physiol Pharm Pharmacol 2017;7(8):788-792.
76. Tendolkar VD, Behere P, Quazi Z, Gaidhane A. Heterogeneous group discussion to improve reliability and validity of data tool: A global mental health assessment tool – primary care version study. J Datta Meghe Inst Med Sci Univ 2017;12(1):45-50.
77. Yunati MS, Deshpande V, Yuwanate AH, Sorte SR, Sirsam SS. Sahaja yoga meditation as a tool to enhance aging pulmonary functions. Natl J Physiol Pharm Pharmacol 2017;7(3):333-338.
78. Behere PB, Kumar K, Behere AP. Depression: Why to talk? Indian J Med Res 2017;145(April):411-413.
79. Gupta R, Das S, Gujar K, Mishra K, Gaur N, Majid A. Clinical Practice Guidelines for Sleep Disorders. Indian J Psychiatry 2017;59(5):S116-S138.
80. Gaidhane A, Sinha A, Khatib M, Simkhada P, Behere P, Saxena D, et al. A systematic review on effect of electronic media on diet, exercise, and sexual activity among adolescents. Indian J Community Med 2018;43(5):S56-S65.
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