Background: Overweight and obesity are now considered to be a very serious public health problems, contributing to a number of preventable non communicable diseases and are among the most significant contributors to ill health.
Material & method: A cross sectional study was carried out with a total sample size of 632. Multistage stratified random sampling and “Kish” method was applied for selection of study area and selection of study subjects (21-60 years). WHO STEPS for NCD Risk Factor Surveillance, was used to gather the necessary information. Percentage, Chi square, & logistic regression analysis was calculated and significant level was taken at p<0.05.
Results: As per Asia Pacific classification 49.3% (majority) of subjects while as per WHO classification 33.3% of subjects were found to be overweight or obese (BMI > 23kg/m2). It was nearly 2 times higher in urban males. Central obesity was more commonly observed in urban subjects (male: 38.9%, female: 77.6%) as compared to rural subjects (males: 17.8%, females: 59.4%). High (at risk) WHR was recorded in 55.9% of total subjects. High (at risk) WHtR was recorded in 66.8% of total subjects while in 54.4% & 79.1% among rural & urban subjects respectively. All the predictors showed higher percentages in females and in urban area.
Conclusion: The present study reveals that, there is high prevalence of overweight and obesity in the study population. Certainly, there has been a considerable shift in their dietary and lifestyle profile. The dietary profile is changed to a mixture of rural and urban diets, with higher consumption of saturated fat and low intake of fibre.
. Harrison's Text book of Internal Medicine. 16th ed. Mc Graw Hills; pp. 422–429.
. Saulle R, Unim B. Obesity: epidemics or crisis worldwide? Italian J Public Health 2011; 8: 107-9
. World Health Organization. Reducing risks, promoting healthy life - The World Health Report. Geneva: World Health
. Kopelman PG. Obesity as a medical problem. Nature 2000; 404 : 635–643.
. York DA, Rössner S, Caterson I, et al. Prevention Conference VII: Obesity, a worldwide epidemic related to heart disease and stroke: Group I: worldwide demographics of obesity. Circulation 2004; 110: e463-70.
. Popkin BM, Doak CM. The obesity epidemic is a worldwide phenomenon. Nutr Rev 1998; 56: 106–14.
. Suchanek P, Kralova Lesna I, Mengerova O, Mrazkova J, Lanska V, et al. (2012) Which index best correlates with body fat mass: BAI, BMI, waist or WHR? Neuro Endocrinol Lett 33 Suppl 278–82
. Vazquez G, Duval S, Jacobs DR Jr, Silventoinen K (2007) Comparison of body mass index, waist circumference, and waist/hip ratio in predicting incident diabetes: a meta-analysis. Epidemiol Rev 29: 115–128.
. Molarius A, Seidell JC (1998) Selection of anthropometric indicators for classification of abdominal fatness–a critical review. Int J Obes Relat Metab Disord 22: 719–727
. Park K. Textbook of Preventive and Social Medicine. 18th ed. Jabalpur: M/s Bananridas Bhanot; 2005. pp. 316–9.
. Seidell JC, Flegal KM. Assessing obesity and classification and epidemiology. Br Med Bull 1997; 53: 238-52.
. Arokiaswamy P. Patterns of Chronic Diseases: Cross-sectional Evidence from SAGE Countries. IIPS,India, 2010.
. Lisley Kish: A procedure for objective respondent selection within the household. Am Stat Assoc Journal, 1949; 44: 380-387.
. WHO STEPS surveillance manual: The WHO STEPwise approach to chronic disease risk factor surveillance. http://who.int/chp/steps Geneva: World Health Organization; 2005.
.WHO. The Asia Pacific Perspective: Redefining obesity and its treatment. International Association For The Study Of Obesity, International Obesity Task Force, 2000.
. WHO. Waist Circumference and Waist-Hip Ratio, Report of a WHO Expert Consultation. Geneva: 2011.
. Deshmukh PR, Gupta SS, Dongre AR, Bharambe MS, Maliye C, Kaur S, et al. Relationship of anthropometric indicators with blood pressure levels in rural Wardha. Indian J Med Res. 2006;123(5):657-64. Epub 2006/07/29.
. Gupta R, Gupta VP, Sarna M, et al. Prevalence of coronary heart disease and risk factors in an urban Indian population: Jaipur Heart Watch-2. Indian Heart J 2002;54(1):59-66.
. Pi-Sunyer FX. Medical hazards of obesity. Ann Intern Med 1993; 119 : 655-60.
. Mehan MB. Risk factor profile of non-communicable diseases among middle income (18-65 years) free-living urban population of India. Int J Diabetes Dev Ctries. 2006;26(4):169-76.
. Uma Iyer NE, Pallavi Desai. Comparative prevalence of non-communicable diseases in the adult population of Vadodara and Godhra and determinants of diabetes mellitus in the population. International Journal of Applied Biology and Pharmaceutical Technology. 2011;2(1):346-52.
. IDSP. Non-Communicable Disease Risk Factors Survey, Phase-I States of India, 2007-08. New Delhi, India.
. Thankappan KR, Shah B, Mathur P, Sarma PS, Srinivas G, Mini GK, et al. Risk factor profile for chronic non-communicable diseases: results of a community-based study in Kerala, India. Indian J Med Res. 2010;131:53-63. Epub 2010/02/20.
. Gopinath N, Chadha SL, Jain P, Shekhawat S, Tandon R. An epidemiological study of obesity in adults in the urban population of Delhi. J Assoc Physicians India 1994;42:212-5
. Gopalan C. Obesity in the Indian urban ′middle class′. NFI Bull. 1998;19:1-5.
. Mohan V, Shanthirani S, Deepa R, Premalatha G, Sastry NG, Saroja R; Chennai Urban Population Study (CUPS No. 4). Intra-urban differences in the prevalence of the metabolic syndrome in southern India -- the Chennai Urban Population Study (CUPS No. 4). Diabet Med 2001;18:280-7.
. Reddy KS, Prabhakaran D, Shah P, Shah B. Differences in body mass index and waist: Hip ratios in North Indian rural and urban populations. Obes Rev 2002;3:197-202.
. Obesity: Preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 2000;894:1-12, 1-253
. Bhardwaj SD, Shewte MK. Prevalence of risk factors for non-communicable disease in a rural area of nagpur district, maharashtra – a who step wise approach. International Journal of Applied Biological and Medical Research. 2012;3(1):1413-8.
. Yadav S, Boddula R, Genitta G, Bhatia V, Bansal B, Kongara S, et al. Prevalence & risk factors of pre-hypertension & hypertension in an affluent north Indian population. Indian J Med Res. 2008;128(6):712-20. Epub 2009/02/28.
. Misra A, Pandey RM, Devi JR, Sharma R, Vikram NK, Khanna N. High prevalence of diabetes, obesity and dyslipidaemia in urban slum population in northern India. Int J Obes Relat Metab Disord. 2001;25(11):1722-9. Epub 2001/12/26.
. Kannana L, Satyamoorthyb TS. An epidemiological study of hypertension in a rural household community. Sri Ramachandra Journal of Medicine. 2009;2(2).
. Mohan V, Mathur P, Deepa R, Deepa M, Shukla DK, Menon GR, et al. Urban rural differences in prevalence of self-reported diabetes in India--the WHO-ICMR Indian NCD risk factor surveillance. Diabetes Res Clin Pract. 2008;80(1):159-68. Epub 2008/02/02.
. Ramachandran A. High Prevalence of Diabetes and Cardiovascular Risk Factors Associated With Urbanization in India. Diabetes care. 2008;31(5):893-99.
. Majgi SM. Risk Factors of Diabetes Mellitus in Rural Puducherry. jan-mar 2012;11(1).