Partha Sarathi Datta* and Rajesh Kumar Gautam

Department of Anthropology, Dr. Harisingh Gour Vishwavidyalaya (Central University), Madhya Pradesh, India

*Corresponding Author: Partha Sarathi Datta, Department of Anthropology, Dr. Harisingh Gour Vishwavidyalaya (Central University), Madhya Pradesh, India.

Received: July 03, 2023; Published: July 19, 2023

Abstract

Overweight and obesity, although a global pandemic, its prevalence varies based on environmental conditions and individual socio-economic status. At the population level, genetic make-up, geo-climatic and socio-economic conditions are regulatory factors and diet exerts control over overweight and obesity at individual level. This systematic review and meta-analysis was set out to calculate the pooled prevalence of overweight and obesity among Asian Indian adults. Based on Body Mass Index (BMI), the pooled prevalence of overweight and obesity among Asian Indian adults are 20.41% and 23.54% respectively. In this meta-analysis, 41.64% adults have had mean BMI≥23 kg/m², which is categorized by WHO as an overweight for Asian inhabitants. In case of habitat variation, adults from urban areas showed high prevalence for both overweight (20.15%) and obesity (34.39%) compared to their rural counterparts. Unhealthy food habits and sedentary lifestyles are main reasons of it. This systematic review and meta-analysis concluded that the prevalence rates of overweight and obesity among Indian adults of both sexes are increasing day by day. Prevention should begin at an early age, when changes in lifestyle can reduce the incidence of overweight and obesity and other associated diseases.

 Keywords: Overweight and Obesity; Asian Indians; Adults; BMI; Meta-analysis

References

1. Trowell H. “Obesity in the Western world”. Plant Foods for Man 1 (1975): 157-165.
2. Kahn HS and Williamson DF. “Abdominal obesity and mortality risk among men in nineteenth-century North America”. International Journal of Obesity and Related Metabolic Disorders 10 (1994): 686-691.
3. Caballero B. “The global epidemic of obesity: an overview”. Epidemiology Review 29 (2007): 1-5.
4. World Health Organization. Overweight and obesity (2015).
5. Shrivastava S. “Obesity in India”. Current Science12 (2009): 1705.
6. Jensen MD., et al. “AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society”. Circulation25 (2014): S102-S138.
7. Gautam RK., et al. “Overweight and Obesity: Correlates and Temporal Trends in Global Context”. Human Biology Review1 (2018): 35-60.
8. Brown PJ and Konner M. “An anthropological perspective on obesity”. Annals of the New York Academy of Sciences 499 (1987): 29-46.
9. World Health Organization. Diet, nutrition and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation, Geneva. World Health Organization (2003).
10. World Health Organization. Waist circumference and waist–hip ratio: report of a WHO expert consul­tation. Geneva (2011).
11. Popkin BM. “The shift in stages of the nutrition transition in the developing world differs from past experiences!”. Public Health Nutrition1A (2002): 205-214.
12. Mishra V. “Effect of obesity on asthma among adult Indian women”. International Journal of Obesity 8 (2004): 1048-1058.
13. Haslam D., et al. “ABC of obesity. Obesity--time to wake up”. BMJ7569 (2006): 640-642.
14. World Health Organization. “Global Health Observatory” (2016).
15. World Health Organization. “Obesity and overweight: Fact sheet” (2016).
16. International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS)-5, India and State Factsheet Compendium (2020).
17. Page MJ., et al. “The PRISMA 2020 statement: an updated guideline for reporting systematic reviews”. BMJ 372 (2021): n71.
18. Field AP., et al. “How to do a meta-analysis”. British Journal of Mathematical and Statistical Psychology 3 (2021): 665-694.
19. Higgins JP., et al. “Measuring inconsistency in meta-analyses”. BMJ7414 (2003): 557-560.
20. Ferguson CJ and Brannick MT. “Publication bias in psychological science: prevalence, methods for identifying and controlling, and implications for the use of meta-analyses”. Psychology Methods1 (2012): 120-128.
21. Misra A., et al. “High prevalence of diabetes, obesity and dyslipidaemia in urban slum population in northern India”. International Journal of Obesity and Related Metabolic Disorders 11 (2001): 1722-1729.
22. Adak DK., et al. “Body mass index and chronic energy deficiency of adult males of Central Indian populations”. Human Biology2 (2006): 161-178.
23. Misra A., et al. “Waist circumference cutoff points and action levels for Asian Indians for identification of abdominal obesity”. International Journal of Obesity (Lond). 30.1 (2006): 106-111.
24. Chhabra P and Chhabra SK. “Distribution and determinants of body mass index of non-smoking adults in Delhi, India”. Journal of Health, Population and Nutrition 3 (2007): 294-301.
25. Masoodi SR., et al. “Prevalence of overweight and obesity in young adults aged 20-40 years in North India (Kashmir Valley)”. Diabetes Research and Clinical Practice 1 (2010): e4-e6.
26. Deepa M., et al. “Prevalence and significance of generalized and central body obesity in an urban Asian Indian population in Chennai, India (CURES: 47)”. European Journal of Clinical Nutrition 2 (2009): 259-267.
27. Mungreiphy NK and Kapoor S. “Socioeconomic changes as covariates of overweight and obesity among Tangkhul Naga tribal women of Manipur, north-east India”. Journal of Biosocial Science 3 (2010): 289-305.
28. Mungreiphy NK., et al. “Association between BMI, Blood Pressure, and Age: Study among Tangkhul Naga Tribal Males of Northeast India.” Journal of Anthropology (2011).
29. Misra P., et al. “A community-based study of metabolic syndrome and its components among women of rural community in Ballabgarh, Haryana”. Metabolic Syndrome and Related Disorders 6 (2011): 461-467.
30. Bhardwaj S., et al. “High prevalence of abdominal, intra-abdominal and subcutaneous adiposity and clustering of risk factors among urban Asian Indians in North India”. PLoS One9 (2011): e24362.
31. Sudhera N and Sidhu S. “Assessment of obesity using various anthropometric variables among young adult females of Amritsar (Punjab)”. Human Biology Reviews 109 (2012).
32. Sen J., et al. “Factors affecting overweight and obesity among urban adults: A cross-sectional study”. Epidemiology Biostatistics and Public Health 10 (2013).
33. Kaur G., et al. “Prevalence of Overweight and Obesity in Urban and Rural Women of Punjab”. Human Bio Review4 (2013): 306-313.
34. Kaur J., et al. “Blood pressure and obesity variation among population of Amritsar district”. International Journal of Basic and Applied Medical Sciences 3 (2013): 113–121.
35. Sindhu SC. “Obesity Assessment Based on BMI in the Young Adults of Haryana- A State of India”. Research Journal of Recent Sciences 2 (2013): 304-307.
36. Rao S and Parab-Waingankar P. “Performance of waist circumference relative to BMI in predicting risk of obesity and hypertension among affluent Indian adults”. Health 5 (2013): 16-22.
37. Rathi M., et al. “Obesity and Its Risk Factors in Urban and Rural Females of Pune”. IOSR Journal of Nursing and Health Science 3 (2014): 24-28.
38. Vijayanchali S. “Prevalence of obesity in the rural adult population: an empirical assessment”. Journal of Research, Extension and Development 2 (2014): 7-11.
39. Aswathappa J., et al. “Utility of neck circumference, a simple and novel measure as anthropometric marker of obesity in adults”. WJPPS 3 (2014): 1618-1629.
40. Midha T., et al. “Cut-off of body mass index and waist circumference to predict hypertension in Indian adults”. World Journal of Clinical Cases7 (2014): 272-278.
41. Rengma MS., et al. “Socio-Economic, Demographic and Lifestyle Determinants of Overweight and Obesity among Adults of Northeast India”. Ethiopian Journal of Health Science3 (2015): 199-208.
42. Kshatriya GK., et al. “Triple Burden of Obesity, Undernutrition, and Cardiovascular Disease Risk among Indian Tribes”. PLoS One1 (2016): e0147934.
43. Lin BY., et al. “The prevalence of obesity and metabolic syndrome in Tibetan immigrants living in high altitude areas in Ladakh, India”. Obesity Research and Clinical Practice4 (2018): 365-371.
44. Tigga PL., et al. “Prevalence of undernutrition and overweight or obesity among the Bengali Muslim population of West Bengal, India”. Anthropology: Open Access 1 (2018): 1-10.
45. Devi KS., et al. “Incidence of obesity, adiposity and physical activity pattern as risk factor in adults of Delhi, India”. Clinical Epidemiology and Global Health 1 (2020).8-12.
46. Ganie MA., et al. “Prevalence, pattern andcorrelates of hypertension among tribal population of Kashmir, India: A cross-sectional study”. Indian Journal of Medical Research3 (2021): 467-475.
47. Thanglen H and Maheo LM. “Prevalence of obesity and hypertension and its associated risk factors among chiru females of Manipur”. Indian Journal of Public Health1 (2022): 3-8.
48. Sawant A., et al. “Prevalence of metabolic syndrome in urban India”. Cholesterol 2011 (2011): 920983.
49. Manjunath D., et al. “Metabolic syndrome among urban Indian young adults: prevalence and associated risk factors”. Metabolic Syndrome and Related Disorders7 (2014): 381-389.
50. Sharma S., et al. “Prevalence of metabolic syndrome in pre- and post-menopausal women: A prospective study from apex institute of North India”. Journal of Midlife Health4 (2016): 169-174.
51. Kumar C., et al. “Association of hypertension with obesity among adults in a rural population of Jharkhand”. International Journal of Medical Science and Public Health 5 (2016): 2545-2549.
52. Nagendra K., et al. “A community based study on prevalence of obesity among urban population of Shivamogga, Karnataka, India”. International Journal of Community Medicine and Public Health 4 (2017): 96-99.
53. Karmakar N., et al. “Overweight and obesity among adults in rural Bengal: A community-based cross-sectional study”. CHRISMED Journal of Health and Research 6 (2018): 23-29.
54. Shikha D., et al. “An epidemiological evaluation of predictors of overweight and obesity in Garhwal region of Uttarakhand”. Journal of Preventive Medicine and Hygiene 3 (2019): E211-E218.
55. Manojan K., et al. “Prevalence of Obesity and Overweight among Medical Students based on New Asia-Pacific BMI Guideline”. KMJ 1 (2019): 13-15. 
56. Bindhu AS., et al. “Prevalence of Obesity and Overweight among Adults in a Rural Area in Trivandrum - A Cross Sectional Study”. KMJ 2 (2019): 31-34.
57. Sidhu S and Tatla HK. “Prevalence of overweight and obesity among adult urban females of Punjub: A cross-sectional study”. The Anthropologist2 (2002): 101-103.
58. Rao CR., et al. “A cross-sectional analysis of obesity among a rural population in coastal Southern Karnataka, India”. Australasian Medical Journal 1 (2011): 53-57.
59. Dua S., et al. “Body mass index relates to blood pressure among adults”. North American Journal of Medicine and Science 2 (2014): 89-95.
60. Kumar S., et al. “Socio- demographic correlates of overweight and obesity among adults in rural Meerut”. Indian Journal of Community Health 4 (2014): 385-389. 
61. Selvaraj P and Muthunarayanan L. “Prevalence of Metabolic Syndrome and Associated Risk Factors among Men in a Rural Health Centre Area in Tamil Nadu”. Journal of Lifestyle Medicine 1 (2019): 44-51.
62. Norgan NG. “Relative sitting height and the interpretation of the body mass index”. Annals of Human Biology 1 (1994): 79-82.
63. Gautam RK and Thakur R. “Biosocial Correlates of Nutrition and Chronic Energy Deficiency among Adult Females of two Ecological Zones in Madhya Pradesh and Uttarakhand, India”. Malaysian Journal of Nutrition 2 (2009): 137-153.
64. Khongsdier R. “Body mass index of adult males in 12 populations of northeast India”. Annals of Human Biology 4 (2001): 374-383.

Citation

Citation: Partha Sarathi Datta and Rajesh Kumar Gautam. “Overweight and Obesity Among Asian Indian Adults: A Systematic Review and Meta-analysis”.Acta Scientific Medical Sciences 7.8 (2023): 143-157.

Copyright

Copyright: © 2023 Partha Sarathi Datta and Rajesh Kumar Gautam. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.