Amina Ahmed Belal¹* and KC Bhuiyan²

¹School of Mathematical Sciences (Statistics), Faculty of Science and Technology, Universiti Kebangsaan Malaysia, Malaysia
²Professor (Retired) of Statistics, Jahangirnagar University, Dhaka, Bangladesh

*Corresponding Author: Amina Ahmed Belal, School of Mathematical Sciences (Statistics), Faculty of Science and Technology, Universiti Kebangsaan Malaysia, Malaysia.

Received: August 22, 2025; Published: October 14, 2025

Abstract

The study was conducted to identify socioeconomic characteristics responsible for simultaneous prevalence of elevated blood pressure-obesity- heart disease. For the study, 995 Bangladeshi adults of 18 years and above were interviewed by some nurses and medical assistants working in diagnostic centres located in urban and semi-urban areas. These adults were visiting the centres for their blood screening test. Among these adults 3.2% were patients of elevated blood pressure in addition to prevalence of obesity and heart disease. Compared to this rate higher prevalence rates were observed among urban people, non-Muslim people, females, single adults, adults of ages 25 years and above but less than 40 years, secondary level educated adults, housewives, adults of families of upper medium economic status, smokers, physically inactive adults, and diabetic patients of initial stages. But more than 100% risk of prevalence of the diseases was observed among younger adults of age group 25 to less than 40 years, housewives, adults of families of upper medium economic status, and diabetic patients of early stages. However, the patients’ group were discriminated well from other adults due to the variables age, occupation, and economic status.

Keywords: Diabetes; Discriminant Analysis; Elevated Blood Pressure; Heart disease; Obesity; Risk Ratio

References

1. WHO.“Obesity and Overweight” (2024).
2. WHO.“World obesity day”. 2022-Accelerating action to stop obesity (2024).
3. WHO.“Obesity and overweight” (2020).
4. Mokdad AH., et al. “Prevalence of obesity, diabetes, and obesity-related health risk factors 2001”. JAMA1 (2003): 76-79.
5. Barnes SA. “The epidemic of obesity and diabetes: Trends and treatments”. The Texas Heart Institute Journal 2 (2011): 142-144.
6. Bhuyan KC. “Discriminating Bangladeshi adults by simultaneous prevalence of obesity diabetes”. Series of Endocrinology Diabetes and Metabolism2 (2020): 19-26.
7. Bhuyan KC and Fardus J. “Level of obesity and socioeconomic factors of a group of adult people of Bangladesh: A Factor analysis approach”. American Journal of Data Mining and Knowledge Discovery 1 (2019): 8-14.
8. Bhuyan KC and Fardus J. “Discriminating Bangladeshi Adult by level of obesity”. LOJ Medicine Science1 (2019): 184-181.
9. Bertino M., et al. “Obesity and related disease: an epidemiological study in Eastern Sicily”. Minerva Gastroenterologica e Dietologica 4 (2006): 379-385.
10. Calamusa G., et al. “Body mass index and factors associated with overweight and obesity: a cross-sectional study of adult subjects living in a small city of Western Sicily”. Italian Journal of Public Health 3 (2012): e539.
11. Bhuyan KC. “Identification of responsible variables for obesity hypertension among Bangladeshi adults”. Archives of Diabetes and Endocrine System 1 (2020): 27-34.
12. Bhuyan KC. “Factors responsible for obesity heart diseases among Bangladeshi adults”. The Journal of Cardiology and Cardiovascular Sciences (2020).
13. Bhuyan KC. “Identification of socioeconomic variables responsible for obesity kidney diseases among Bangladeshi adults”. Journal of Diabetes and Islet Biology 2 (2020).
14. Bhuyan KC. “Identification of risk factors for obesity retinopathy among Bangladeshi adults” 13.5 (2020).
15. Bhuyan KC. “Discriminating Bangladeshi adults by the prevalence of obesity disability”. Journal of Diabetes and Islet Biology 1 (2020): 022.
16. Krzysztof N. “Obesity and hypertension- The issue is more complex than we thought”. Nephrology Dialysis Transplantation2 (2006): 264-267.
17. “Hypertension is major cause of premature death (2023).
18. Davy KP and Hall JE. “Obesity and hypertension: two epidemics or one?” The American Journal of Physiology-Regulatory, Integrative and Comparative Physiology 286 (2004): R803-813.
19. Kotchen TA. “Obesity related hypertension: epidemiology, pathophysiology, and clinical management”. American Journal of Hypertension 11 (2010): 170-178.
20. Theodore AK. “Obesity related hypertension: Epidemiology, Pathophysiology and clinical management”. American Journal of Hypertension 1 (2010): 1170-1178.
21. John E Hall., et al. “Obesity induced hypertension: Interaction of Neurohumoral and renal Mechanisms”. Circulation Research 116 (2015): 991-1006.
22. Skliros EA., et al. “The relationship between body mass index and hypertension in elderly Greeks: The Nemea primary care study”. Journal of the American Geriatrics Society 5 (2008): 954-955.  
23. Gary L Schwartz. “Mayo Clinic on High Blood Pressure” (2024).
24. Benjamin EJ., et al. “Heart disease and stroke statistics-2019: A report from the Heart Association”. Circulation 10 (2019): e56-528.
25. Chowdhury MA Uddin., et al. “Hypertension among adults in Bangladesh: Evidence from a National Cross-section Study”. BMC Cardiovascular Disorder 6 (2017): 22.
26. Islam Monowarul AKM., et al. “Cardiovascular disease in Bangladesh: A review”. Bangladesh Heart Journal 2 (2016): 80-99.
27. “Cardiovascular diseases” (2021).
28. Mahler RJ. “Diabetes and hypertension”. Hormone and Metabolic Research 12 (1990): 599-607.
29. Monteiro CA., et al. “Socioeconomic status and obesity in adult populations of developing countries”. The Bulletin of the World Health Organization 82 (2019): 940-946.
30. Dinsa GD., et al. “Obesity and socioeconomic status in developing countries: A systematic review”. Obesity Reviews11 (2012): 1067-1079.
31. Bhuyan KC and Fardus J. “Level of obesity and socioeconomic factors of a group of adult people of Bangladesh; A factor analysis approach”. American Journal of Data Mining and Knowledge Discovery1 (2019): 8-14.
32. Urmi FA., et al. “Risk factors for prevalence of hypertension in diabetic disabled adults in Bangladesh”. The American Journal of Biomedical Science and Research 4 (2024): 504-510.
33. Bangladesh Bureau of Statistics. “Statistical Yearbook of Bangladesh”. BBS, Dhaka (2018).
34. Biswas T., et al. “The prevalence of underweight, overweight, and obesity in Bangladesh: Data from a national survey”. PLOS One 5 (2017): e0177395.
35. “Appropriate body mass index for Asian population and its implications for policy and intervention strategies, Expert Consultation, Public Health”. Lancet (2004): 363.
36. Gary L Schwartz. “Mayo Clinic on High Blood Pressure” (2024).
37. McLachlan GJ. “Discriminant Analysis and Statistical Pattern Recognition”. Wiley Inter-science (2004).
38. Garson GD. “Discriminant Function Analysis” (2008).
39. Bhuyan KC. “A note on the application of discriminant analysis in medical research”. Archives of Diabetes and Obesity 2 (2019): 142-146.
40. Bhuyan KC. “Multivariate Analysis and Its Applications, New Central Book Agency (P) Ltd”.
41. Bhuyan KC. “Introduction to Meta Analysis, Lap Lambert Academic Publishing” (2020).
42. Bhuyan KC. “Risk Factors for Simultaneous prevalence of two Non-communicable Diseases in Bangladeshi Males and Females, Lambert Academic Publishing”. (2022).
43. Sommer J., et al. “Socioeconomic inequalities in non-communicable diseases and their risk factors: an overview of systematic reviews”. BMC Public Health 15 (2015): 914.
44. Konstantinos CK., et al. “Obesity and cardiovascular disease: an ESC clinical census statement”. European Heart Journal38 (2024): 4063-4098.
45. Hui L., et al. “Association of obesity with cardiovascular disease in the absence of traditional risk factors”. International Journal of Obesity 48 (2024): 263-270.
46. Ilse L. “Mertens and Luc Frans Van Gaal (2000): Overweight, obesity and blood pressure: The effects of modest weight reduction”. Obesity Research3 (2000): 270-278.
47. Canon E and Alparslan E. “Obesity and hypertension”. Turkish Journal of Internal Medicine 1 (2019): 6-14.
48. Flavio DF and Paul KW. “High blood pressure and cardiovascular disease”. Hypertension 2 (2019): 285-292.

Citation

Citation: Amina Ahmed Belal and KC Bhuiyan. “Discriminating Patients of Elevated Blood Pressure in Addition to Obesity- Heart Disease from Other Adults".Acta Scientific Nutritional Health 9.11 (2025): 01-09.

Copyright

Copyright: © 2025 Amina Ahmed Belal and KC Bhuiyan. 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.