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Relationship of body mass index and abdominal obesity in rural population of Krasnodarsky kray taken

https://doi.org/10.14341/omet2016125-29

Abstract

The aim was to study the relationship of body mass index (BMI) and abdominal obesity with the frequency of comorbid pathology in rural population of Krasnodarsky kray.

Materials and methods. The study included 700 rural workers (18 years of age and older) who underwent a preventive medical examination (57,2% of women and 42,8% of men, mean age 49,11±16,57 years).

Results. In rural population of Krasnodarsky kray the proportion of the individuals with BMI 25.0–29.9 kg/m2 was 34.7% (statistically more significant in men than in women, р<0.0001), the proportion of the individuals with BMI ≥ 30.0 kg/m2 was 39.7% (statistically more significant in women than in men, р<0.0001). Abdominal obesity was found in 70.1% of individuals (77.3% of women and 60.5% of men, p=0.0001). In the group of patients with increased BMI, abdominal obesity was more common in women than in men (p=0.0001). In the group of patients with BMI ≥ 30.0 kg/m2 abdominal obesity was revealed in 100% of cases. Risk factors for chronic non-infectious diseases such as hypercholesterolemia (26.7%), hyperglycemia (16.4%), and arterial hypertension (26.1%) were statistically more frequent in the individuals with BMI ≥ 30.0 kg/m2 than in those with normal and increased BMI. The diseases that can be enhanced by the presence of abdominal obesity were registered more often in patients with BMI ≥ 30.0 kg/m2 (97.8%) in comparison with patients with elevated BMI (23.5%; р<0,0001) and with normal BMI (4%; р<0,0001).

Conclusions. Elevated BMI, abdominal obesity and high frequency of comorbid pathology is prevalent in Krasnodarsky kray.

About the Authors

Elena V. Bolotova
Kuban State Medical University
Russian Federation
MD, PhD, professor


Irina V. Samorodskaya
State Research Centre for Preventive Medicine
Russian Federation
MD, PhD, professor


Irina M. Komissarova
Kuban State Medical University
Russian Federation
postgraduate student


References

1. Flegal K, Kit B, Orpana H, Graubard BI. Association of all-cause mortality with health – overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA 2013;309 (1):71–82. doi: 10.1001/jama.2012.113905

2. Ma SH, Park BY, Yang JJ, et al. Interaction of body mass index and diabetes as modifiers of cardiovascular mortality in a cohort study. J Prev Med Public. 2012;45 (6):394–401. doi: 10.3961/jpmph.2012.45.6.394

3. Keaver L, Webber L, Dee A, et al. Application of the UK foresight obesity model in Ireland: the health and economic consequences of projected obesity trends in Ireland. PLoS One 201;8(11):e79827.

4. Coutinho T, Goel K, Corrêa de Sá D, et al. Combining body mass index with measures of central obesity in the assessment of mortality in subjects with coronary disease: role of "normal weight central obesity". J Am Coll Cardiol. 2013;61(5):553-560. doi: 10.1016/j.jacc.2012.10.035

5. Ströhle A, Worm N. Healthy obesity? Why the adiposity paradox is only seemingly paradox. Med Monatsschr Pharm 2014;37(2):54-64.

6. WHO – noncommunicable diseases country profiles, 2014. http://www.who.int/nmh/countries/en.

7. Metabolic risk factors for chronic diseases collaboration (BMI mediated effects) of the effects of body-mass index, overweight, and obesity on coronary heart disease and stroke: a pooled analysis of 97 prospective cohorts with 18 million participants. Lancet.. doi:10.1016/S0140-6736(13)61836-X.

8. Cerhan JR, Moore SC, Jacobs EJ, et al. A pooled analysis of waist circumference and mortality in 650000 adults. Mayo Clin Proc 2014;89(3):335-345. doi: 10.1016/j.mayocp.2013.11.011

9. Du Pan RC, Golay A. The obesity paradox. Rev Med Suisse. 2014;10(436):1413-7.


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For citations:


Bolotova E.V., Samorodskaya I.V., Komissarova I.M. Relationship of body mass index and abdominal obesity in rural population of Krasnodarsky kray taken. Obesity and metabolism. 2016;13(1):25-29. (In Russ.) https://doi.org/10.14341/omet2016125-29

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ISSN 2071-8713 (Print)
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