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Association between cardiometabolic risk factors and body mass index, waist circumferences and body fat in a Zanzibari cross-sectional study

BMJ Open Jul 10, 2019

Nyangasa MA, et al. - Via a cross-sectional study a total of 470 individuals between 5 and 95 years of age who were randomly chosen from 80 Shehias (wards) in Unguja, Zanzibar in 2013, the researchers discovered the prevalence of obesity indices (body mass index (BMI), waist circumference (WC), body fat percent (BF%) and cardiometabolic risk factors and also, examined the connection between obesity indices and cardiometabolic risk factors. The proportion of overweight/obese people was 26.4%, high WC (24.9%) and high BF% (31.1%). Hypertension, low high-density lipoprotein cholesterol (HDL-C), high low-density lipoprotein cholesterol (LDL-C) and high glycated hemoglobin (HbA1c) were the cardiometabolic risk factors with the maximum prevalence of abnormal values. In individuals aged 45 years and above, obesity and hypertension progressed with age and were most prevalent; among participants aged ≥18 to <45 years, low HDL-C was most prevailing; and in those above 45 years, high LDL-C was more common. High WC and high BF% were linked to raised levels of LDL-C. Moreover, BMI and WC were affiliated with high levels of HbA1c. WC was correlated with higher probabilities for hypertension and for high levels of HbA1c. Hence, high BMI, WC, and BF% were concluded as firmly related to hypertension, with people with high WC being twice more likely to have hypertension which called for immediate and efficient screening strategies for this study population.
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