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Generalised and abdominal obesity and risk of diabetes, hypertension and hypertension–diabetes co-morbidity in England

Bibliographic Data

ID15095674
AuthorsVasant Hirani (0000-0003-0131-3079, The Royal Free Hospital, corresponding author), Paola Zaninotto (0000-0003-3036-0499, University College London), Paola Primatesta (University College London)
Year2008
Volume11
Issue5
Pages521-527
Publication date2008-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980007000845
PMID17767799
OpenAlexW2160515525
LanguageEN
Citations received7
References cited21

Objectives To look at trends in generalised (body mass index (BMI) ≥30 kg m –2 ) and abdominal (waist circumference (WC) >102 cm in men, >88 cm in women) obesity among adults between 1993 and 2003, and to evaluate their association with diabetes, hypertension and hypertension–diabetes co-morbidity (HDC) in England. Design Analyses of nationally representative cross-sectional population surveys, the Health Survey for England (HSE). Subjects Non-institutionalised men and women aged ≥35 years. Measurements Interviewer-administered questionnaire (sociodemographic information, risk factors, doctor-diagnosed diabetes), measurements of height and weight to calculate BMI. WC and blood pressure measurements were taken by trained nurses. Results Generalised obesity increased among men from 15.8% in 1993 to 26.3% in 2003, and among women from 19.3% to 25.8%. Abdominal obesity also increased in both sexes (men: 26.2% in 1993 to 39.0% in 2003; women: 32.4% to 47.0%). In 1994, 1998 and 2003, generalised and abdominal obesity were independently associated with risk of hypertension, diabetes and HDC. The odds of diabetes associated with generalised obesity in 1994, 1998 and 2003 were 1.62, 2.26 and 2.62, respectively, in women and 1.24, 1.82 and 2.10, respectively, in men. Similar differences were observed for hypertension and HDC. Men and women with abdominal obesity also showed a higher risk for diabetes, hypertension and HDC than those with a normal WC. Conclusions If current trends in obesity continue then the risk of related morbidities may also increase. This will impact on cardiovascular disease morbidity and mortality, with cost implications for the health service. Therefore there is an urgent need to control the epidemic of obesity

Abdominal obesity · Blood pressure · Body mass index · Diabetes mellitus · Environmental health · Obesity · Odds ratio · Population · Waist · Diabetes, Cardiovascular Risks, and Lipoproteins · Medicine · Obesity and Health Practices · Obesity, Physical Activity, Diet · Endocrinology · Internal Medicine

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Unique citing works7
Citations per year0,39
Citation span2008 - 2021 (14)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 6

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