Skip to content
Research Article Open access CC BY 3.0

Predictors of Hypertension among Adult Tribal Males of India

A. K. Kapoor, Kiran Saluja, Deepali Verma, Satwanti Kapoor

International Journal of TROPICAL DISEASE & Health · pp. 241–256 · Published 8 Dec 2012

10.9734/IJTDH/2012/1750

Abstract

Background: Cardiovascular diseases (CVD) have increased worldwide equally burdening people from different ethnic and socio-economic groups. Hypertension is an eminent modifiable risk factor for CVD and relates to body adiposity, which can be evaluated by various anthropometric measurements. Objective: The present study reports prevalence of under nutrition and hypertension, potential predictors of hypertension and new cutoff values for various disease associated adiposity markers in six tribal populations inhabiting different states in India. Methods: Cross sectional sample of 910 adult males aged 46.98 ±17.17 years was studied. Anthropometric measurement (height, body weight, body circumferences, skinfold thicknesses), blood pressure and socio-demographic characteristics were ascertained. General and regional adiposity indices, muscle diameter and fat % were derived. Descriptive, multivariate regression analyses were performed. Receiver operating characteristics (ROC) was used to determine optimal cutoffs values. Results: Underweight (45.3%) and hypertension [Systolic blood pressure (SBP) - 15.2%, Diastolic blood pressure (DBP)-25.5%] co-exist increasing the morbidity in the tribal population under study. General adiposity measures were better predictors of hypertension. Body mass index (BMI), fat% (negatively associated), age and mid upper arm circumference (positively associated) were independent risk factor for hypertension. Out of all reported cut offs, the new BMI cutoff values (20.12 kg/m2 and 18.98 kg/m2) and for mid upper arm circumference (MUAC) (21.44cm and 21.95cm) for predicting SBP and DBP respectively corresponding nearly to earlier reported standards by World health Organization (WHO). Conclusion: The inverse association of general adiposity markers with blood pressure among the present subjects indicates that CVD is not only prevalent among the affluents but is also affecting the socio-economically and nutritionally deprived groups. Population specific cutoffs for the anthropometric markers are needed to identify individuals with different body compositions at risk. Long term treatment expenses and health burden further depletes the limited economic resources of these vulnerable groups creating a vicious cycle of CVD and under nutrition.

Hypertension under nutrition tribe India

References (44)

  1. 1 The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure The JNC 7 Report [DOI]
  2. 2 Global burden of hypertension: analysis of worldwide data [DOI]
  3. 3 Body fat assessed from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 Years [DOI]
  4. 4 Diet, nutrition and the prevention of chronic diseases : report of a Joint WHO/FAO Expert Consultation
  5. 5 Visceral Adiposity Index [DOI]
  6. 6 Preventing chronic diseases: a vital investment
  7. 7 Relation of central obesity and insulin resistance with high diabetes prevalence and cardiovascular risk in South Asians [DOI]
  8. 8 Indices of abdominal obesity are better discriminators of cardiovascular risk factors than BMI: a meta-analysis [DOI]
  9. 9 Human biology: A guide to field methods;
  10. 10 Weight, Weight Change, and Coronary Heart Disease in Women [DOI]
  11. 11 Asians have lower body mass index (BMI) but higher percent body fat than do whites: comparisons of anthropometric measurements [DOI]
  12. 12 Responding to the threat of chronic diseases in India [DOI]
  13. 13 Malnutrition and ageing [DOI]
  14. 14 Triceps skin fold and upper arm muscle size norms for assessment of nutritional status1,2 [DOI]
  15. 15 Optimal cut-off values for obesity: using simple anthropometric indices to predict cardiovascular risk factors in Taiwan [DOI]
  16. 16 Chronic diseases now a leading cause of death in rural India—mortality data from the Andhra Pradesh Rural Health Initiative [DOI]
  17. 17 Obesity: criteria and classification [DOI]
  18. 18 BMI Compared With Central Obesity Indicators in Relation to Diabetes and Hypertension in Asians [DOI]
  19. 19 Association between simple anthropometric indices and cardiovascular risk factors [DOI]
  20. 20 The superiority of waist-to-height ratio as an anthropometric index to evaluate clustering of coronary risk factors among non-obese men and women [DOI]
  21. 21 The value of arm circumference measurements in assessing chronic energy deficiency in Third World adults.
  22. 22 Definition of chronic energy deficiency in adults. Report of a working party of the International Dietary Energy Consultative Group.
  23. 23 The pattern of subcutaneous fat distribution in middle-aged men and the risk of coronary heart disease: the Paris Prospective Study.
  24. 24 Absolute fat mass, percent body fat, and body-fat distribution: which is the real determinant of blood pressure and serum glucose? [DOI]
  25. 25 Are waist circumference and body mass index independently associated with cardiovascular disease risk in Chinese adults? [DOI]
  26. 26 Relationship Between Blood Pressure and Body Mass Index in Lean Populations [DOI]
  27. 27 Predictive values of waist circumference for dyslipidemia, type 2 diabetes and hypertension in overweight White, Black, and Hispanic American adults [DOI]
  28. 28 Body mass index is a good predictor of hypertension and hyperlipidemia in a rural Japanese population [DOI]
  29. 29 The association between body mass index and hypertension is different between East and Southeast Asians [DOI]
  30. 30 Interethnic differences in the accuracy of anthropometric indicators of obesity in screening for high risk of coronary heart disease [DOI]
  31. 31 Prevalence of hypertension in some cross-cultural populations of Visakhapatnam district, South India.
  32. 32 Weight Threshold and Blood Pressure in a Lean Black Population [DOI]
  33. 33 Relation between body mass index and mortality in an unusually slim cohort [DOI]
  34. 34 Muscle wasting and protein metabolism1 [DOI]
  35. 35 Nutritional status, socio-economic status, heart rate, and blood pressure in African school children and adolescents [DOI]
  36. 36 Post-Weaning Protein Malnutrition Increases Blood Pressure and Induces Endothelial Dysfunctions in Rats [DOI]
  37. 37 Emerging health threats among a primitive tribal group of Central India.
  38. 38 SOCIOECONOMIC CHANGES AS COVARIATES OF OVERWEIGHT AND OBESITY AMONG TANGKHUL NAGA TRIBAL WOMEN OF MANIPUR, NORTH-EAST INDIA [DOI]
  39. 39 Coronary risk factors in South Asians: A prevalence study in an urban populace of Eastern India [DOI]
  40. 40 Hypertension in Orissa, India: a cross-sectional study among some tribal, rural and urban populations [DOI]
  41. 41 Nutritional Profile and Socio-Economic Status of Saharia, a Primitive Tribe of India [DOI]
  42. 42 Nutritional status and cardio-respiratory functions among adult Raji males, a hunter and gatherer tribe of the Indian Himalayas [DOI]
  43. 43 Genetic basis of morphological variation: An evaluation and application of the twin study method. [DOI]
  44. 44 Body composition from fluid spaces and density: analysis of methods. 1961.

Cited by 16

Undernutrition Among the Adult Tribal Populations of India: Review and Meta-analysis

P. Venkatramana, S. A. A. Latheef · Advances in Geographical and Environmental Sciences · 2023

Ethnic Diversity with Preventable Risk Factors for Cardiovascular Diseases

Satwanti Kapoor, Renu Tyagi, Meenal Dhall · Journal of Life Sciences · 2017

An Exploratory Study of the Non-communicable Disease Risk Factors in an Endogamous Caste Population of Reddys from Tirupati, India

S. A. A. Latheef, B. Sriteja Reddy, B. Mohan Reddy · Journal of the Anthropological Survey of India · 2023

Adult tribal malnutrition in India: an anthropometric and socio-demographic review

Subal Das, Kaushik Bose · Anthropological Review · 2015

Comparing the ability of anthropometric indicators in determining the prevalence of hypertension among Indian tribes

Gautam K. Kshatriya, Anjali Kumari, Subhendu K. Acharya · Diabetes & Metabolic Syndrome: Clinical Research & Reviews · 2019

Showing 7 of 16 known citations — external sources report more than can currently be individually listed.

Article metrics

Real usage data collected on this platform.

24

Page views

0

PDF downloads

2

Outbound clicks

16

Citations

Views over time

Views by country

Approximate, from request IP at view time — not citizenship or institution. Countries with fewer than 5 views are grouped as "Other".

Traffic sources

Referring site, by host.

Views and downloads exclude known bots/crawlers. Citations combines this platform's own DOI-resolved index with each external source's own reported total — see Cited by above for individually listed citing works. Last refreshed 0 seconds ago.