Prevalence of normal weight obesity and its cardiometabolic implications among government doctors in Gujarat, India: a cross-sectional study.

Clinical Diabetes and Endocrinology Pub Date : 2024-09-25 DOI:10.1186/s40842-024-00189-2

Yogesh M, Nidhi Trivedi, Naresh Makwana, Pagadala Hari Priya Pvm Krishna, Kadalarasu D

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Abstract

Background: Obesity is rising globally. Normal weight obesity (NWO) and normal weight central obesity (NWCO) despite normal BMI pose added metabolic risks. Limited data on these phenotypes among Indian doctors merits investigation. The present study aimed to assess the prevalence of overall obesity, NWO, NWCO, and their associations with cardiometabolic risks among doctors in Gujarat, India.

Methods: It's a Cross-sectional study among 490 doctors aged 20-60 years at a tertiary hospital. Anthropometry, blood pressure, fasting glucose, and lipids were assessed. NWO was defined as a BMI of 18.5-24.9 kg/m2 with a high body fat percentage. NWCO as normal BMI and increased waist circumference. Body composition was assessed using an Omron body composition analyzer.

Results: The prevalence of overall obesity was 101 (20%), NWO 239 (48.7%), and NWCO 210 (42.8%). Mean BMI, blood pressure, glucose, and LDL increased from normal weight to NWO/NWCO groups (p < 0.05). NWO and NWCO had significantly higher odds of hypertension, dyslipidemia, and high fasting blood sugar compared to non-obese after adjusting for confounders.

Conclusion: The high burden of overall obesity, NWO, and NWCO among doctors highlights the need for lifestyle interventions to mitigate long-term cardiometabolic disease risk.

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印度古吉拉特邦政府医生中正常体重肥胖的流行率及其对心脏代谢的影响：一项横断面研究。

背景肥胖症在全球范围内呈上升趋势。尽管体重指数（BMI）正常，但正常体重肥胖（NWO）和正常体重中心性肥胖（NWCO）会增加代谢风险。印度医生中有关这些表型的数据有限，值得调查。本研究旨在评估印度古吉拉特邦医生总体肥胖、NWO、NWCO 的患病率及其与心脏代谢风险的关系：这是一项横断面研究，研究对象是一家三级医院的 490 名 20-60 岁的医生。对人体测量、血压、空腹血糖和血脂进行了评估。NWO 的定义是体重指数为 18.5-24.9 kg/m2，且体内脂肪比例较高。NWCO 指体重指数正常，腰围增大。使用欧姆龙身体成分分析仪对身体成分进行评估：总体肥胖率为 101（20%），NWO 为 239（48.7%），NWCO 为 210（42.8%）。从正常体重组到 NWO/NWCO 组，平均体重指数、血压、血糖和低密度脂蛋白均有所上升（p 结论：NWO/NWCO 组的总体肥胖负担较重，而 NWO/NWCO 组的总体肥胖负担较轻：医生整体肥胖、NWO 和 NWCO 的高负担凸显了采取生活方式干预措施以降低长期心血管代谢疾病风险的必要性。

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来源期刊

Clinical Diabetes and Endocrinology

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审稿时长

8 weeks

期刊介绍： Clinical Diabetes and Endocrinology is an open access journal publishing within the field of diabetes and endocrine disease. The journal aims to provide a widely available resource for people working within the field of diabetes and endocrinology, in order to improve the care of people affected by these conditions. The audience includes, but is not limited to, physicians, researchers, nurses, nutritionists, pharmacists, podiatrists, psychologists, epidemiologists, exercise physiologists and health care researchers. Research articles include patient-based research (clinical trials, clinical studies, and others), translational research (translation of basic science to clinical practice, translation of clinical practice to policy and others), as well as epidemiology and health care research. Clinical articles include case reports, case seminars, consensus statements, clinical practice guidelines and evidence-based medicine. Only articles considered to contribute new knowledge to the field will be considered for publication.