Gender Wise Distribution Of Body Composition, Blood Pressure And Haemoglobin Among Students Of Hotel Management Institute In India: A Pilot Study
Keywords:
Obesity, Hypertension, Gender Wise, BMI, Body Composition, Hotel ManagementAbstract
Background: Change in dietary pattern and a better economic situation in India has resulted in non communicable diseases like heart ailments, diabetes, obesity etc. Irrespective of any age group, children, adults, elderly population are at the risk of these health problems in India. Objective: To study the gender wise comparison of the health problems among Hotel Management students in India. Methodology: Subjects (n=94) were selected through random sampling comprising of both male and female in age group 18 to 25 years. A questionnaire was used to collect the data regarding personal history and habits. Blood Pressure was monitored using sphygmomanometer. Hemoglobin was measured using automated Heamoglobinometer. BMI (kg/m2) and Body Fat (BF%) was measured using a commercially available digital weight scale incorporating a bioelectric impedance analyzer (HBF-352, Omron Health care Co., Kyoto, Japan) based on bioelectric impedance analysis. All statistical calculations were done using STATA IC 13 software. Results: Body Fat% was higher among females than males. Among both male and female students, dietary habits were mostly non-vegetarian. Male students with non vegetarian dietary habits (88.7%) were significantly higher than females (p<0.05). The prevalence of overweight and obese cases according to BMI in male students was 19.1% and 20.6% respectively, whereas in case of female students 26.9% were overweight and 23.1% were obese. Male students had significantly higher mean values of systolic (p<0.001) and diastolic (p<0.001) blood pressure. Significantly higher anemia cases in moderate category were observed in female students (p<0.05).Conclusion: The present study showed higher prevalence of obesity and hypertension among students in the age group 18-25 years. Interventions are required to combat the obesity related health impairments.
References
Brown, C. D., Higgins, M., Donato, K. A., Rohde, F. C., Garrison, R., Obarzanek, E., Ernst, N. D. & Horan, M. (2000). Body mass index and the prevalence of hypertension and dyslipidemia. Obesity Research, 8(9), 605-619.
Cassidy, A. E., Bielak, L. F., Zhou, Y., Sheedy, P. F., Turner, S. T., Breen, J. F., Araoz, P. A., Kullo, I. J., Lin, X. & Peyser, P. A. (2005). Progression of subclinical coronary atherosclerosis:does obesity make a difference?. Circulation, 111(15), 1877-1882.
Channanath, A. M., Farran, B., Behbehani, K. & Thanaraj, T. A. (2015). Association between body mass index and onset of hypertension in men and women with and without diabetes: a cross-sectional study using national health data from the State of Kuwait in the Arabian Peninsula. British Medical Journal Open, 5(6), e007043.
Chen, S. C., Lo, T. C., Chang, J. H. & Kuo, H. W. (2014). Variations in aging, gender, menopause, and obesity and their effects on hypertension in taiwan. International journal of hypertension, 2014, 515297.
Colin, B. A., Adair, L. S. & Popkin, B. M. (2002). Ethnic differences in the association between body mass index and hypertension. American Journal of Epidemiology, 155(4), 346-353.
Coresh, J., Selvin, E., Stevens, L. A., Manzi, J., Kusek, J. W., Eggers, P., Van Lente, F. & Levey, A. S. (2007). Prevalence of chronic kidney disease in the United States. Jama, 298(17), 2038-2047.
Dahghan, M., Akhtar- Danesh, N. & Merchant, A. T. (2005). Childhood Obesity, Prevalence and Prevention. Nutrition Journal, 4(1), 24.
Davy, K. P. & Hall, J. E. (2004). Obesity and hypertension: two epidemics or one? American Journal Physiology Regulatory Integrative and Comparative Physiology, 286(5), R803-813.
Deshmukh, P. R., Gupta, S. S., Dongre, A. R., Bharambe, M. S., Maliye, C., Kaur, S. & Garg, B. S. (2006). Relationship of anthropometric indicators with blood pressure levels in rural Wardha. Indian Journal of Medical Research, 123(5), 657-664.
Obesity-in-children-major-emerging-health-threat-in-india (2015, July 21). Retrieved from firstreport. in/.
Gallagher, D., Heymsfield, S. B., Heo, M., Jebb, S. A., Murgatroyd, P. R. & Sakamoto, Y. (2000). Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. American Journal of Clinical Nutrition, 72(3), 694-701.
Garrison, R. J., Kannel, W. B., Stokes, J. & Castelli, W. P. (1987). Incidence and precursors of hypertension in young adults: the framingham offspring study. Preventive medicine, 16(2), 235-251.
Gelber, R. P., Gaziano, J. M., Manson, J. E., Buring, J. E. & Sesso, H. D. (2007) A prospective study of body mass index and the risk of developing hypertension in men. American Journal of Hypertension, 20(4), 370-377.
Hall, J. E., Kuo, J. J., da Silva, A. A., Liu, J. & Tallam, L. (2003). Obesity- associated hypertension and kidney disease. Current opinion in nephrology and hypertension, 12(2), 195- 200.
Haslam, D. W. & James, W. P. (2005). Obesity. England, London: Lancet, 366(9492), 1197-1209.
He, Y. H., Jiang, G. X., Yang, Y., Huang, H. E., Li, R., Li, X. Y., Ning, G. & Cheng, Q. (2009). Obesity and its associations with hypertension and type 2 diabetes among Chinese adults age 40 years and over. Nutrition, 25(11-12), 1143-1149.
India reworks obesity guidelines, BMI lowered. [http://www.igovernment.in/articles/26259/india reworks-obesity-guidelines-bmi-lowered]
Indians are getting as fat as Americans’: Obesity crisis swells among India’s middle class youth as children choose Western fast food over traditional cuisine. https://www.pinterest.com/pin/326511041716414301 BBC Documentary
Kaufman, J. S., Asuzu, M. C., Mufunda, J., Forrester, T., Wilks, R., Luke, A., Long, A. E. & Cooper, R. S. (1997). Relationship between blood pressure and body mass index in lean populations. Hypertension, 30(6), 1511-1516.
Kearney, P. M., Whelton, M., Reynolds, K., Muntner, P., Whelton, P. K. & He, J. (2005). Global burden of hypertension: analysis of worldwide data. Lancet, 365(9455), 217-223.
Kearney, P. M., Whelton, M., Reynolds, K., Whelton, P. K. & He, J. (2004) Worldwide prevalence of hypertension: a systematic review. Journal of Hypertension, 22(1), 11-19.
Kotecha, P. V. (2011). Nutritional Anemia in Young Children with Focus on Asia and India. Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine, 36(1), 8-16.
Krause, A., Neitz, S., Magert, H. J., Schulz, A., Forssmann, W. G., Schulz-Knappe, P. & Adermann, K. (2000). LEAP-1, a novel highly disulfide-bonded human peptide, exhibits antimicrobial activity. FEBS letters, 480(2-3), 147-150.
Martin, D. S., Klinkova, O. & Eyster, K. M. (2012). Regional differences in sexually dimorphic protein expression in the spontaneously hypertensive rat (SHR). Molecular Cell Biochemistry, 362(1), 103- 114.
Mufunda, J. (2007). Body mass index and blood pressure: where are we now?. Journal of Human Hypertension, 21(1), 5-7.
Narkiewicz, K. (2006). Obesity and Hypertension- the issue is more complex than we thought. Nephrology, Dialysis, Transplantation: Official publication of the European Renal Association European Renal Association, 21(2), 264-267
Ogden, C. L., Carroll, M. D., McDowell, M. A. & Flegal, K. M. (2007). Obesity among adults in the United States--no statistically significant change since 2003-2004. NCHS data brief , (1), 1-8.
Prentice, A. M. (2006). The emerging epidemic of obesity in developing countries. International Journal of Epidemiology, 35(1), 93-99.
Rajapurkar, M. M., John, G. T., Kirpalani, A. L., Abraham, G., Agarwal, S. K., Almeida, A. F., Gang, S., Gupta, A., Modi, G. & Pahari, D.(2012) What do we know about chronic kidney disease in India: first report of the Indian CKD registry. BMC nephrology, 13, 10.
Reckelhoff, J. F. (2001). Gender diffrences in regulation of blood pressure. Hypertension. ( Dallas, Tex:1979), 37(5), 1199-1208.
Rengma, M. S., Sen, J. & Mondal, N. (2015). Socio-Economic, Demographic and Lifestyle Determinants of Overweight and Obesity among Adults of Northeast India. Ethiopian Journal of Health Sciences, 25(3), 199-208.
Robinson, R. F., Batisky, D. L., Hayes, J. R., Nahata, M.C. & Mahan, J. D. (2004). Body mass index in primary and secondary pediatric hypertension. Pediatric Nephrology, 19(12), 1379-1384.
Shihab, H. M., Meoni, L. A., Chu, A. Y., Wang, N. Y., Ford, D. E., Liang, K. Y., Gallo, J. J. & Klag, M. J. (2012). Body mass index and risk of incident hypertension over the life course: the Johns Hopkins Precursors Study. Circulation, 126(25), 2983-2989.
Sira, N. & Pawlak, R. (2010). Prevalence of overweight and obesity, and dieting attitudes among Caucasian and African American college students in Eastern North carolina: A cross-sectional survey. Nutrition Research and Pract, 4(1), 36-42.
Snyder, S. & Pendergraph, B. (2005). Detection and evaluation of chronic kidney disease. American family physician, 72(9), 1723-1732.
Stevens, V. J., Obarzanek, E., Cook, N. R., Lee, I. M., Appel, L. J., Smith West, D., Milas, N. C., Mattfeldt- Beman, M., Belden, L. & Bragg, C. (2001). Long term weigt loss and changes in blood pressure: results of the trials of Hypertension Prevention, Phase II. Annals of Internal medicine, 134(1), 1-11.
Tesfaye, F., Nawi, N. G., Van Minh, H., Byass, P., Berhane, Y., Bonita, R. & Wall, S. (2007). Association between body mass index and blood pressure across three populations in Africa and Asia. Journal of Human Hypertension, 21(1), 28-37.
Understanding Blood Pressure Readings. [http://www.heart.org/HEARTORG/Conditions/HighBlood Pressure/AboutHighBloodPressure/Understanding-Blood-Pressure Readings_UCM_301764_ Article. jsp#.V6A2WVR94dU]
Varma, P. P. (2015) Prevalence of chronic kidney disease in India - Where are we heading?. Indian Journal of Nephrology, 25(3), 133-135.
Verdecchia, P. ,Reboldi, G., Angeli, F., Borgioni, C., Gattobigio, R., Filippucci, L., Norgiolini, S., Bracco, C. & Porcellati, C. (2004). Adverse prognostic significance of new diabetes in treated hypersensitive subjects. Hypertension (Dallas, Tex:1979), 43(5), 963-969.
WHO. Global Burden of Diseases 2004 update. In. Geneva: World Health Organization; 2008.
WHO. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. In: Vitamin and Mineral Nutrition Information System Geneva: World Health Organization. (2011).
WHO. Obesity and overweight. In.: World Health Organization. (2016).
WHO. (2014). Raised blood pressure.
Wofford, M. R. & Hall, J. E. (2004). Pathophysiology and treatment of obesity hypertension. Current pharmaceutical design, 10(29), 3621-3637.