Prevalence, Regional Variations, and Predictors of Overweight, Obesity, and Hypertension Among Healthy Reproductive-Age Indian Women: Nationwide Cross-Sectional Polycystic Ovary Syndrome Task Force Study
BackgroundA clear understanding of the anthropometric and sociodemographic risk factors related to BMI and hypertension categories is essential for more effective disease prevention, particularly in India. There is a paucity of nationally representative data on the dynamics o...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2023-09-01
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| Series: | JMIR Public Health and Surveillance |
| Online Access: | https://publichealth.jmir.org/2023/1/e43199 |
| _version_ | 1797691173931843584 |
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| author | Mohd Ashraf Ganie Subhankar Chowdhury Vanita Suri Beena Joshi Prasanta Kumar Bhattacharya Sarita Agrawal Neena Malhotra Rakesh Sahay Puthiyaveettil Khadar Jabbar Roya Rozati Imtiyaz Ahmad Wani Amlin Shukla Taruna Arora Haroon Rashid |
| author_facet | Mohd Ashraf Ganie Subhankar Chowdhury Vanita Suri Beena Joshi Prasanta Kumar Bhattacharya Sarita Agrawal Neena Malhotra Rakesh Sahay Puthiyaveettil Khadar Jabbar Roya Rozati Imtiyaz Ahmad Wani Amlin Shukla Taruna Arora Haroon Rashid |
| author_sort | Mohd Ashraf Ganie |
| collection | DOAJ |
| description |
BackgroundA clear understanding of the anthropometric and sociodemographic risk factors related to BMI and hypertension categories is essential for more effective disease prevention, particularly in India. There is a paucity of nationally representative data on the dynamics of these risk factors, which have not been assessed among healthy reproductive-age Indian women.
ObjectiveThis cross-sectional polycystic ovary syndrome (PCOS) task force study aimed to assess the anthropometric and sociodemographic characteristics of healthy reproductive-age Indian women and explore the association of these characteristics with various noncommunicable diseases.
MethodsWe conducted a nationwide cross-sectional survey from 2018 to 2022 as part of the Indian Council of Medical Research–PCOS National Task Force study, with the primary aim of estimating the national prevalence of PCOS and regional phenotypic variations among women with PCOS. A multistage random sampling technique was adopted, and 7107 healthy women (aged 18-40 years) from 6 representative geographical zones of India were included in the study. The anthropometric indices and sociodemographic characteristics of these women were analyzed. Statistical analysis was performed to assess the association between exposure and outcome variables.
ResultsOf the 7107 study participants, 3585 (50.44%) were from rural areas and 3522 (49.56%) were from urban areas. The prevalence of obesity increased from 8.1% using World Health Organization criteria to 40% using the revised consensus guidelines for Asian Indian populations. Women from urban areas showed higher proportions of overweight (524/1908, 27.46%), obesity (775/1908, 40.62%), and prehypertension (1008/1908, 52.83%) categories. A rising trend of obesity was observed with an increase in age. Women aged 18 to 23 years were healthy (314/724, 43.4%) and overweight (140/724, 19.3%) compared with women aged 36 to 40 years with obesity (448/911, 49.2%) and overweight (216/911, 23.7%). The proportion of obesity was high among South Indian women, with 49.53% (531/1072) and 66.14% (709/1072), using both World Health Organization criteria and the revised Indian guidelines for BMI, respectively. BMI with waist circumference and waist-to-height ratio had a statistically significant linear relationship (r=0.417; P<.001 and r=0.422; P<.001, respectively). However, the magnitude, or strength, of the association was relatively weak (0.3<|r|<0.5). Statistical analysis showed that the strongest predictors of being overweight or obese were older age, level of education, wealth quintile, and area of residence.
ConclusionsAnthropometric and sociodemographic characteristics are useful predictors of overweight- and obesity-related syndromes, including prehypertension, among healthy Indian women. Increased attention to the health of Indian women from public health experts and policy makers is warranted. The findings of this study can be leveraged to offer valuable insights, informing health decision-making and targeted interventions that mitigate risk factors of overweight, obesity, and hypertension.
International Registered Report Identifier (IRRID)RR2-10.2196/23437 |
| first_indexed | 2024-03-12T02:10:30Z |
| format | Article |
| id | doaj.art-c3495ba6758f412880acbb5ea1c3bac8 |
| institution | Directory Open Access Journal |
| issn | 2369-2960 |
| language | English |
| last_indexed | 2024-03-12T02:10:30Z |
| publishDate | 2023-09-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Public Health and Surveillance |
| spelling | doaj.art-c3495ba6758f412880acbb5ea1c3bac82023-09-06T14:01:02ZengJMIR PublicationsJMIR Public Health and Surveillance2369-29602023-09-019e4319910.2196/43199Prevalence, Regional Variations, and Predictors of Overweight, Obesity, and Hypertension Among Healthy Reproductive-Age Indian Women: Nationwide Cross-Sectional Polycystic Ovary Syndrome Task Force StudyMohd Ashraf Ganiehttps://orcid.org/0000-0002-7649-6749Subhankar Chowdhuryhttps://orcid.org/0000-0002-5853-5249Vanita Surihttps://orcid.org/0000-0002-3997-8677Beena Joshihttps://orcid.org/0000-0003-2187-4922Prasanta Kumar Bhattacharyahttps://orcid.org/0000-0003-1990-0247Sarita Agrawalhttps://orcid.org/0000-0003-2177-5473Neena Malhotrahttps://orcid.org/0000-0001-7837-5361Rakesh Sahayhttps://orcid.org/0000-0002-5471-0695Puthiyaveettil Khadar Jabbarhttps://orcid.org/0000-0001-6382-2798Roya Rozatihttps://orcid.org/0000-0003-3760-365XImtiyaz Ahmad Wanihttps://orcid.org/0000-0001-6664-2266Amlin Shuklahttps://orcid.org/0000-0002-5202-9898Taruna Arorahttps://orcid.org/0000-0001-7732-9451Haroon Rashidhttps://orcid.org/0000-0002-4778-0468 BackgroundA clear understanding of the anthropometric and sociodemographic risk factors related to BMI and hypertension categories is essential for more effective disease prevention, particularly in India. There is a paucity of nationally representative data on the dynamics of these risk factors, which have not been assessed among healthy reproductive-age Indian women. ObjectiveThis cross-sectional polycystic ovary syndrome (PCOS) task force study aimed to assess the anthropometric and sociodemographic characteristics of healthy reproductive-age Indian women and explore the association of these characteristics with various noncommunicable diseases. MethodsWe conducted a nationwide cross-sectional survey from 2018 to 2022 as part of the Indian Council of Medical Research–PCOS National Task Force study, with the primary aim of estimating the national prevalence of PCOS and regional phenotypic variations among women with PCOS. A multistage random sampling technique was adopted, and 7107 healthy women (aged 18-40 years) from 6 representative geographical zones of India were included in the study. The anthropometric indices and sociodemographic characteristics of these women were analyzed. Statistical analysis was performed to assess the association between exposure and outcome variables. ResultsOf the 7107 study participants, 3585 (50.44%) were from rural areas and 3522 (49.56%) were from urban areas. The prevalence of obesity increased from 8.1% using World Health Organization criteria to 40% using the revised consensus guidelines for Asian Indian populations. Women from urban areas showed higher proportions of overweight (524/1908, 27.46%), obesity (775/1908, 40.62%), and prehypertension (1008/1908, 52.83%) categories. A rising trend of obesity was observed with an increase in age. Women aged 18 to 23 years were healthy (314/724, 43.4%) and overweight (140/724, 19.3%) compared with women aged 36 to 40 years with obesity (448/911, 49.2%) and overweight (216/911, 23.7%). The proportion of obesity was high among South Indian women, with 49.53% (531/1072) and 66.14% (709/1072), using both World Health Organization criteria and the revised Indian guidelines for BMI, respectively. BMI with waist circumference and waist-to-height ratio had a statistically significant linear relationship (r=0.417; P<.001 and r=0.422; P<.001, respectively). However, the magnitude, or strength, of the association was relatively weak (0.3<|r|<0.5). Statistical analysis showed that the strongest predictors of being overweight or obese were older age, level of education, wealth quintile, and area of residence. ConclusionsAnthropometric and sociodemographic characteristics are useful predictors of overweight- and obesity-related syndromes, including prehypertension, among healthy Indian women. Increased attention to the health of Indian women from public health experts and policy makers is warranted. The findings of this study can be leveraged to offer valuable insights, informing health decision-making and targeted interventions that mitigate risk factors of overweight, obesity, and hypertension. International Registered Report Identifier (IRRID)RR2-10.2196/23437https://publichealth.jmir.org/2023/1/e43199 |
| spellingShingle | Mohd Ashraf Ganie Subhankar Chowdhury Vanita Suri Beena Joshi Prasanta Kumar Bhattacharya Sarita Agrawal Neena Malhotra Rakesh Sahay Puthiyaveettil Khadar Jabbar Roya Rozati Imtiyaz Ahmad Wani Amlin Shukla Taruna Arora Haroon Rashid Prevalence, Regional Variations, and Predictors of Overweight, Obesity, and Hypertension Among Healthy Reproductive-Age Indian Women: Nationwide Cross-Sectional Polycystic Ovary Syndrome Task Force Study JMIR Public Health and Surveillance |
| title | Prevalence, Regional Variations, and Predictors of Overweight, Obesity, and Hypertension Among Healthy Reproductive-Age Indian Women: Nationwide Cross-Sectional Polycystic Ovary Syndrome Task Force Study |
| title_full | Prevalence, Regional Variations, and Predictors of Overweight, Obesity, and Hypertension Among Healthy Reproductive-Age Indian Women: Nationwide Cross-Sectional Polycystic Ovary Syndrome Task Force Study |
| title_fullStr | Prevalence, Regional Variations, and Predictors of Overweight, Obesity, and Hypertension Among Healthy Reproductive-Age Indian Women: Nationwide Cross-Sectional Polycystic Ovary Syndrome Task Force Study |
| title_full_unstemmed | Prevalence, Regional Variations, and Predictors of Overweight, Obesity, and Hypertension Among Healthy Reproductive-Age Indian Women: Nationwide Cross-Sectional Polycystic Ovary Syndrome Task Force Study |
| title_short | Prevalence, Regional Variations, and Predictors of Overweight, Obesity, and Hypertension Among Healthy Reproductive-Age Indian Women: Nationwide Cross-Sectional Polycystic Ovary Syndrome Task Force Study |
| title_sort | prevalence regional variations and predictors of overweight obesity and hypertension among healthy reproductive age indian women nationwide cross sectional polycystic ovary syndrome task force study |
| url | https://publichealth.jmir.org/2023/1/e43199 |
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