Overweight and obesity among low-income Muslim Uyghur women in far western China: correlations of body mass index with blood lipids and implications in preventive public health.

BACKGROUND: The pandemic of obesity is a global public health concern. Most studies on obesity are skewed toward high-income and urban settings and few covers low-income populations. This study focused on the prevalence of overweight and obesity and their correlations with blood lipids/metabolites/e...

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Main Authors: Li Cong, Jin Qiong Zhan, Lan Yang, Wei Zhang, Shu Gang Li, Cheng Chen, Hong Yan Zhang, Zhi Ping Ma, Xiao Ling Hao, Dilixia Simayi, Lin Tao, Jin Zhao, A Amanguli, Meiliguli Mohemaiti, Ming Xia Jing, Wei Wang, Abudukeyoumu Saimaiti, Xiao Guang Zou, Yan Gu, Li Li, Ying Hong Wang, Feng Li, Wen Jie Zhang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3938656?pdf=render
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author Li Cong
Jin Qiong Zhan
Lan Yang
Wei Zhang
Shu Gang Li
Cheng Chen
Hong Yan Zhang
Zhi Ping Ma
Xiao Ling Hao
Dilixia Simayi
Lin Tao
Jin Zhao
A Amanguli
Meiliguli Mohemaiti
Ming Xia Jing
Wei Wang
Abudukeyoumu Saimaiti
Xiao Guang Zou
Yan Gu
Li Li
Ying Hong Wang
Feng Li
Wen Jie Zhang
author_facet Li Cong
Jin Qiong Zhan
Lan Yang
Wei Zhang
Shu Gang Li
Cheng Chen
Hong Yan Zhang
Zhi Ping Ma
Xiao Ling Hao
Dilixia Simayi
Lin Tao
Jin Zhao
A Amanguli
Meiliguli Mohemaiti
Ming Xia Jing
Wei Wang
Abudukeyoumu Saimaiti
Xiao Guang Zou
Yan Gu
Li Li
Ying Hong Wang
Feng Li
Wen Jie Zhang
author_sort Li Cong
collection DOAJ
description BACKGROUND: The pandemic of obesity is a global public health concern. Most studies on obesity are skewed toward high-income and urban settings and few covers low-income populations. This study focused on the prevalence of overweight and obesity and their correlations with blood lipids/metabolites/enzymes (bio-indicators) in a rural community typical of low-income in remote western China. METHODS: This study was performed in a Muslim ethnic Uyghur rural community in Kashi Prefecture of Xinjiang, about 4,407 km (2,739 miles) away from Beijing. Body mass index (BMI) and major blood bio-indicators (25 total items) were measured and demographic information was collected from 1,733 eligible healthy women aged 21 to 71 yrs, of whom 1,452 had complete data for analysis. More than 92% of the women lived on US$1.00/day or less. According to the Chinese criteria, overweight and obesity were defined as BMI at 24 to <28 kg/m(2) and at ≥ 28 kg/m(2), respectively. RESULTS: The average BMI among these low-income women was 24.0 ± 4.0 (95% CI, 17.5-33.7) kg/m(2). The prevalence of obesity and overweight was high at 15.1% and 28.9%, respectively. Among 25 bio-indicators, BMI correlated positively with the levels of 11 bio-indicators including triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), total cholesterol (TCHOL), glucose (GLU), and uric acid (UA); but negatively with the levels of 5 bio-indicators including high-density lipoprotein cholesterol (HDL-C) and apolipoprotein A/B (APO A/B). CONCLUSIONS: This is the first investigation reporting overweight and obesity being common in low-income Muslim Uyghur women, whose BMI correlates with several important blood bio-indicators which are risk factors for diabetes and cardiovascular diseases. These findings may help make preventive public health policies in Uyghur communities. To prevent diabetes and cardiovascular diseases in low-income settings, we therefore propose a cost-effective, two-step strategy first to screen for obesity and then to screen persons with obesity for diabetes and cardiovascular diseases.
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spelling doaj.art-b05596d00f1043968bb21f78f4683db52022-12-21T19:09:50ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0192e9026210.1371/journal.pone.0090262Overweight and obesity among low-income Muslim Uyghur women in far western China: correlations of body mass index with blood lipids and implications in preventive public health.Li CongJin Qiong ZhanLan YangWei ZhangShu Gang LiCheng ChenHong Yan ZhangZhi Ping MaXiao Ling HaoDilixia SimayiLin TaoJin ZhaoA AmanguliMeiliguli MohemaitiMing Xia JingWei WangAbudukeyoumu SaimaitiXiao Guang ZouYan GuLi LiYing Hong WangFeng LiWen Jie ZhangBACKGROUND: The pandemic of obesity is a global public health concern. Most studies on obesity are skewed toward high-income and urban settings and few covers low-income populations. This study focused on the prevalence of overweight and obesity and their correlations with blood lipids/metabolites/enzymes (bio-indicators) in a rural community typical of low-income in remote western China. METHODS: This study was performed in a Muslim ethnic Uyghur rural community in Kashi Prefecture of Xinjiang, about 4,407 km (2,739 miles) away from Beijing. Body mass index (BMI) and major blood bio-indicators (25 total items) were measured and demographic information was collected from 1,733 eligible healthy women aged 21 to 71 yrs, of whom 1,452 had complete data for analysis. More than 92% of the women lived on US$1.00/day or less. According to the Chinese criteria, overweight and obesity were defined as BMI at 24 to <28 kg/m(2) and at ≥ 28 kg/m(2), respectively. RESULTS: The average BMI among these low-income women was 24.0 ± 4.0 (95% CI, 17.5-33.7) kg/m(2). The prevalence of obesity and overweight was high at 15.1% and 28.9%, respectively. Among 25 bio-indicators, BMI correlated positively with the levels of 11 bio-indicators including triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), total cholesterol (TCHOL), glucose (GLU), and uric acid (UA); but negatively with the levels of 5 bio-indicators including high-density lipoprotein cholesterol (HDL-C) and apolipoprotein A/B (APO A/B). CONCLUSIONS: This is the first investigation reporting overweight and obesity being common in low-income Muslim Uyghur women, whose BMI correlates with several important blood bio-indicators which are risk factors for diabetes and cardiovascular diseases. These findings may help make preventive public health policies in Uyghur communities. To prevent diabetes and cardiovascular diseases in low-income settings, we therefore propose a cost-effective, two-step strategy first to screen for obesity and then to screen persons with obesity for diabetes and cardiovascular diseases.http://europepmc.org/articles/PMC3938656?pdf=render
spellingShingle Li Cong
Jin Qiong Zhan
Lan Yang
Wei Zhang
Shu Gang Li
Cheng Chen
Hong Yan Zhang
Zhi Ping Ma
Xiao Ling Hao
Dilixia Simayi
Lin Tao
Jin Zhao
A Amanguli
Meiliguli Mohemaiti
Ming Xia Jing
Wei Wang
Abudukeyoumu Saimaiti
Xiao Guang Zou
Yan Gu
Li Li
Ying Hong Wang
Feng Li
Wen Jie Zhang
Overweight and obesity among low-income Muslim Uyghur women in far western China: correlations of body mass index with blood lipids and implications in preventive public health.
PLoS ONE
title Overweight and obesity among low-income Muslim Uyghur women in far western China: correlations of body mass index with blood lipids and implications in preventive public health.
title_full Overweight and obesity among low-income Muslim Uyghur women in far western China: correlations of body mass index with blood lipids and implications in preventive public health.
title_fullStr Overweight and obesity among low-income Muslim Uyghur women in far western China: correlations of body mass index with blood lipids and implications in preventive public health.
title_full_unstemmed Overweight and obesity among low-income Muslim Uyghur women in far western China: correlations of body mass index with blood lipids and implications in preventive public health.
title_short Overweight and obesity among low-income Muslim Uyghur women in far western China: correlations of body mass index with blood lipids and implications in preventive public health.
title_sort overweight and obesity among low income muslim uyghur women in far western china correlations of body mass index with blood lipids and implications in preventive public health
url http://europepmc.org/articles/PMC3938656?pdf=render
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