Increasing Burden of Abdominal Obesity in Females and its Aftermaths

Authors

  • Khola Noreen
  • Nadia Khalid
  • Imran Shaikh

Keywords:

Abdominal obesity, Body mass index, Waist circumference, Over weight

Abstract

Obesity is now recognized as one of the major public health issues all over the world. In Pakistan, it is a “silent epidemic”
striking significantly because we are still struggling with health and economic burdens of malnutrition, infectious diseases and
high infant mortality rates. In epidemiological studies age, sex and ethnic background all have to be taken into consideration,
particularly when determining the health risk with obesity.Females are more vulnerable to be affected by obesity related health
issues. Body Mass Index (BMI) is a surrogate measure of assessing obesity in terms of height and weight. It does not give any
insight into regional body fat distribution. BMI is not a reliable measurement of body composition in individuals particularly
in females having high body fat, rather more specifically it is excess abdominal fatness, quantified by waist circumference
measurement, which is a better considered measure for assessing abdominal obesity in females.

References

World Health Organization: Obesity and overweight:

fact sheet N0 311. 2012

Ramachandran A, Snehalatha C. Rising burden of obesity

in Asia. Journal of obesity.2010

Jafar TH, Chaturvedi N, Pappas G. Prevalence of overweight

and obesity and their association with hypertension

and diabetes mellitus in an Indo-Asian population.

Canadian Med Assoc J 2006; 175:1071-7

Chasan-Taber L, Marcus BH, Rosal MC. ProyectoMamá:

a lifestyle intervention in overweight and obese Hispanic

women: a randomised controlled trial - study protocol.

BMC Pregnancy and Childbirth. 2015;15:157. doi:10.1

/s12884-015-0575-3

Javed A, Jumean M, Murad MH, Okorodudu D, Kumar

S, Somers VK et al. Diagnostic performance of body mass index to identify obesity as defined by body adiposity

in children and adolescents: a systematic review

and meta-analysis.Pediatric obesity. 2015;10(3):234-44

Bergman, Richard N. A Better Index of Body Adiposity.

Obesity (Silver Spring, Md.) 19.5 (2011): 1083-9. Accessed

on PMC. Web. 18 Feb. 2016

Shah NR, Braverman ER.Measuring Adiposity in Patients:

The Utility of Body Mass Index (BMI), Percent

Body Fat, and Leptin. PLoS ONE. 2012; 7(4): e33308

Djibo DA, Araneta MR, Kritz-Silverstein D, Barrett-

Connor E, Wooten W. Body adiposity index as a risk

factor for the metabolic syndrome in postmenopausal

Caucasian, African American, and Filipina women. Diabetes

& Metabolic Syndrome: Clinical Research & Reviews.

; 9(2):108-13

Rush EC, Freitas I, Plank LD. Body size, body composition

and fat distribution: comparative analysis of European,

Maori, Pacific Island and Asian Indian adults.

Br J Nutr 2009;102:632-41

Lear SA, Birmingham CL, Chockalingam A, Humphries

KH. Study design of the Multicultural Community Health

Assessment Trial (M-CHAT): Ethin Dis 2006; 16: 96-

Phillips CM, Tierney AC, Perez-Martinez P, Defoort C,

Blaak EE, Gjelstad IM et al. Obesity and body fat

classification in the metabolic syndrome: impact on cardio-

metabolic riskmetabotype. Obesity. 2013;21(1):E154-

Carpenter CL, Yan E, Chen S, Hong K, Arechiga A, Kim

WS et al. Body fat and body mass index among a multiethnic

sample of college-age men and women. Journal

of obesity. 2013

Heymsfield, S B, Peterson C M, Thomas D M, Heo M

Jr. Schuna, JM Why are there race/ethnic differences in

adult body mass index–adiposity relationships? A quantitative

critical review. Obesity Reviews, 2016; 17: 262-

Kahn HS, Bullard KM. Beyond Body Mass Index: Advantages

of Abdominal Measurements for Recognizing

CardiometabolicDisorders.The American journal of medicine.

;129(1):74-81

WHO. Non communicable diseases country profiles.

Geneva, Switzerland: WHO press; 2013

AkterJ, Shahjahan M, Hossain S. Determinants of overweight

and obesity among Bangladeshi diabetic women

of reproductive age.BMC Research Notes. 2014;7:513.

doi:10.1186/1756-0500-7-513

Sengupta P, Chaudhuri P, Bhattacharya K. Screening

obesity by direct and derived anthropometric indices

with evaluation of physical efficiency among female

college students of Kolkata. Ann Med Health Sci Res

;3:517-22

Cardozo ER, Dune TJ, Neff LM, Brocks ME, Ekpo GE,

Barnes RB, et al. Knowledge of obesity and its impact

on reproductive health outcomes among urban women.

Journal of community health.2013; 38(2):261-7

National Health Survey of Pakistan;2011 Government

of Pakistan, Ministry of Population and Development.

Wimalawansa SJ. Visceral adiposity and cardiometabolic

risks: epidemic of abdominal obesity in North America.

Research and Reports in Endocrine Disorders2013.3:1-

Johnston LM, Finegood DT. Cross-sector partnerships

and public health: challenges and opportunities for addressing

obesity and noncommunicable diseases through

engagement with the private sector. Annual review of

public health. 2015;36:255-71

Lovejoy JC, Champagne CM, de Jonge L, Xie H, Smith

SR. Increased visceral fat and decreased energy expenditure

during the menopausal transition. Int J Obes 2008;

: 949-58

Gray LJ, Yates T, Davies MJ, Brady E, Webb DR, Sattar

N, et al. Defining Obesity Cut-Off Points for Migrant

South Asians. PLoS ONE. 2011; 6(10):e26464

World Health Organization. WHO STEP wise approach

to chronic disease risk factor surveillance- Instrument

v2.0. Department of Chronic Diseases and Health Promotion.

World Health Organization. 20 Avenue Appia,

Geneva 27, Switzerland. Available from:

http://www.who.int/chp/steps

Gupta S, Kapoor S. Body adiposity index: its relevance

and validity in assessing body fatness of adults. Obesity,

:243294

Nishtar S. Health Indicators of Pakistan – Gateway Paper

II. Islamabad, Pakistan: Heartfile; 2007

Alberti K, Zimmet P, Shaw J. Metabolic syndrome-a

new world-wide definition. A consensus statement from

the international diabetes federation. Diabetic Medicine.

;23(5):469-80

Noroozi M, Rastegari Z, Paknahad Z. Type of body fat

distribution in postmenopausal women and its related

factors. Iranian Journal of Nursing and Midwifery Research,

; 15(1), 27-31

Dagan SS, Segev S, Novikov I, Dankner R. Waist circumference

v/s body mass index in association with cardio

respiratory fitness in healthy men and women: a cross

sectional analysis of 403 subjects. Nutrition Journal.

;12:12doi: 10.1186/1475-2891-12-12

Hirose K, Tajima K, Hamajima N, Takezaki T, Inoue

M, Kuroishi T, et al. Effect of body size on breast-cancer

risk among Japanese women. Int J Cancer. 1999;80:349-

Wijeyaratne CN, Seneviratne R A, Dahanayake S, Kumarapeli

V, Palipane E, Kuruppu N, et al. Phenotype and

metabolic profile of South Asian women with polycystic

ovary syndrome (PCOS): results of a large database

from a specialist Endocrine Clinic. Hum Reprod 2011;

: 202-13

Misra A, Khurana L. Obesity-related non-communicable

diseases: South Asians vs. White Caucasians. Int J Obes

; 35: 167-87

Kumarapeli V, Seneviratne Rde A, Wijeyaratne C. Healthrelated

quality of life and psychological distress in

polycystic ovary syndrome: a hidden facet in South

Asian women. Br J Obstet Gynaecol 2011; 118: 319-28

Belen A H, Richard A. Impact of obesity on female reproductive

health: British fertility society; policy and

practice guidelines . J Hum Fertil. 2007;10:195-206

Coyne K, Whigham LD, O'Leary K, Yaklic JK, Maxwell

RA, Lindheim SR. Gestational carrier BMI and reproductive,

fetal and neonatal outcomes: are the risks the same

with increasing obesity&quest. International Journal of

Obesity. 2016;40(1):171-5

Diabetes Prevention Program Research Group. Reduction

in the incidence of type 2 diabetes with lifestyle intervention

or metformin. N Engl J Med 2002; 346: 393-403

Nawaz FH, Rizvi J. Continuation of metformin reduces

early pregnancy loss in obese Pakistani women with

polycystic ovarian syndrome. Gynecol Obstet Invest

; 69: 184-9

Irwin ML, Yasui Y, Ulrich CM, Bowen D, Rudolph RE,

Schwartz RS, et al. Effect of exercise on total and intraabdominal

body fat in postmenopausal women: a randomized

controlled trial. JAMA 2003; 89: 323-30

Crosignani PG, Colombo M, Vegetti W, Somigliana E,

Gessati A,Ragni G. Overweight and obese anovulatory

patients with polycystic ovaries: parallel improvements

in anthropometric indices, ovarian physiology and fertility

rate induced by diet. Hum Reprod 2003; 18,1928-32

Reeves GK, Pirie K, Beral V, Green J, Spencer E, Bull

D. Cancer incidence and mortality in relation to body

mass index in the Million Women Study: cohort study.

Bmj. 2007 Nov 29;335(7630):1134

Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman

D. Global cancer statistics. CA Cancer J Clin 2011;61:69-90

Singh P, Kapil U, Shukla NK, Deo SV, Dwivedi SN.

Association of overweight and obesity with breast cancer

in India. Indian Journal of Community Medicine. 2011

Oct 1;36(4):259-62

Murthy N S, Mukherjee S, Ray G, Ray A. Dietary factors

and cancer chemoprevention: An overview of obesityrelated

malignancies. J Postgrad Med 2009;55:45-54

Neamat-Allah J, Wald D, Sing A, Teucher B, Wendt A,

Delorme S, et al. Validation of Anthropometric Indices

of Adiposity against Whole-Body Magnetic Resonance

Imaging“A Study within the German European Prospective

Investigation into Cancer and Nutrition (EPIC)

Cohorts. PloS one 2014 9(3):e91586

Undaram S, Johnson AR, Makowski L. Obesity, metabolism

and the microenvironment: Links to cancer. J Carcinog

;12:19doi: 10.4103/1477-3163-119606

Youlden DR, Cramb SM, Yip CH, Baade PD. Incidence

and mortality of female breast cancer in the Asia-Pacific

region. Cancer biology & medicine. 2014;11(2):101-15

Stockwell S. Online First: Evidence that Obesity Raises

Risk of Death in Young Women with ER-Positive Breast

Cancer. Oncology Times,2014

Sparano JA, Wang M, Zhao F, Stearns V, Martino S, Ligibel

JA, et al. Obesity at diagnosis is associated with

inferior outcomes in hormone receptor-positive operable

breast cancer.Cancer 2012;118:5937-46

Roberts DL, Dive C, Renehan AG. Biological mechanisms

linking obesity and cancer risk: new perspectives.

Annual review of medicine2010.61:301-16

IfardMN, Nazem M, Sarrafzadegan N, Nouri F, Sajjadi

F, Maghroun M, et al. Body Mass Index, Waistcircumference

and Cardiovascular Disease Risk Factors in

Iranian Adults: Isfahan Healthy Heart Program. Journal

of health, population, and nutrition 2013.31(3):388-97

Klein S, Allison DB, Heymsfield SB, Kelley DE, Leibel

RL, Nonas C, et al. Waist circumference and cardiometabolic

risk: a consensus statement from shaping America's

health: Association for Weight Management and Obesity

Prevention; NAASO, the Obesity Society; the American

Society for Nutrition; and the American Diabetes Association.

Obesity. 2007;15(5):1061-7

Nazare JA, Smith J, Borel AL, Aschner P, Barter P, Van

Gaal L, et al. Usefulness of measuring both body mass

index and waist circumference for the estimation of

visceral adiposity and related cardiometabolic risk profile

(from the INSPIRE ME IAA study). The American journal

of cardiology. 2015 Feb 1;115(3):307-15

Lindquist R, Witt DR, Boucher JL. Preventing cardiovascular

disease in women: how can we do better? Current

opinion in cardiology2012;27(5):542-9

Evaluating a brief anti-weight bias intervention British

journal of healthpsychology 2011; 16: 846 -61

Claudia S, Melanie L, Marie K, Heide G, Georg S, Hans-

Helmut K et al. The stigma of obesity in the general

public and its implications for public health -A systematic

review BMC Public Health 2011; 11:661-6

Kasen S P, Cohen H, Chen A. Obesity and psychopathology

in women. Int J Obes 2008; 32: 558-66

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Published

2021-03-12

How to Cite

Noreen, K. ., Khalid, N. ., & Shaikh, I. . (2021). Increasing Burden of Abdominal Obesity in Females and its Aftermaths. Journal of Bahria University Medical and Dental College, 6(1), 03–08. Retrieved from https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/149

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