Title: Sociodemographic, anthropometric and physical fitness parameters in healthy individuals with and without family history of Hypertension and/ or Type 2 Diabetes Mellitus

Authors: Dr Shivani Agarwal, Dr Monika Aggarwal, Dr Shveta Lukhmana, Dr Padmini Das

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i8.02

Abstract

Hypertension and Type 2 Diabetes Mellitus are serious health problems which are on the rise world-wide. A positive family history is a key risk factor for having these diseases later in life. The present study was attempted to compare anthropometric and physical fitness parameters in healthy individuals with and without family history of hypertension and/ or diabetes and to examine if the magnitude of relevant associations vary with sociodemographic characteristics. The study was conducted on 177 healthy subjects of both sexes. Height, weight, waist circumference and hip circumference were recorded. Body mass index (BMI), waist to hip ratio (WHR), waist to height ratio (WHtR) were calculated. Information regarding socio-economic status and family history of hypertension and / or type 2 diabetes mellitus was obtained. Subjects were made to exercise using modified Harvard step test protocol. Physical fitness index (PFI) was calculated from the total duration of stepping exercise and the post exercise pulse count during recovery. The results were analysed using unpaired students t-test and one way ANOVA to study association of family history with BMI, WHR, WHtR, PFI and socio-economic status. Observations showed that most subjects with a positive family history had significantly higher BMI, WHR, WHtR and lower PFI as compared to those without a positive family history. It can be concluded that apparently healthy individuals with a positive family history have higher anthropometric values and lower physical fitness, therefore at risk for developing these diseases later in life.

Keywords: Anthropometry, Physical fitness index, family history, hypertension, type 2 diabetes mellitus.

References

  1. World Health Organization.NCD Country Profiles, 2011.
  2. Sande MV, Walraven GL, Milligan PM, Banya WS, Caesay S, Nyan O, et al. An opportunity for early interventions and improved control of Hypertension, Obesity and Diabetes. Bull World Health Organ 2001;79:321-8.
  3. Sandvik L, Erikssen J, Thaulow E et al. Physical fitness as a predictor of mortality among healthy, middle-aged Norwegian men. New England Journal of Medicine 1993;328:533-7.
  4. Pescatello L. American College of Sports Medicine: ACSM’s guidelines for exercise testing and prescription. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health;2014
  5. Yu Z, Nissinen A, Vartiainen E, Sang G, Guo Z, Zheng G, Tuomilento J, Tian H. Association between Socioeconomic status and cardiovascular risk factors in an urban population. Bull World Health Org 2000;78:1296-1305.
  6. Lahti-Koski M, Pietenin P, Mannisto S, Vartiainen E. Trends in Waist-to-Hip ratio and its determinants in adults in Finland from 1987 to 1997. Am J ClinNutr 2000;72:1436-44.
  7. Kohli C, Kishore J, Kumar N. Kuppuswamy’s Socioeconomic scale- update for July 2015. Int J Preven Curat Comm Med.2015;1(2):26-8.
  8. Singh IP, Bhasin MK. Anthropometry, Delhi: Kamla Raj Enterprises;1968
  9. Johnson BL,Nelson JK. Practical measurements for evaluation in Physical Education.3rd New Delhi; Surjeet Publications;1988.
  10. Montoye HJ. The Harvard step test and work capacity. Rev Can Biol. 1953;11:491-9
  11. World Bank. World development report 1993. Investing in health. New York, Oxford University Press, 1993.
  12. Williams RR et al. Genetic basis of familial dyslipidemia and hypertension: 15-year results from Utah. American Journal of Hypertension.1993;6:319S-327S.
  13. Pierce M, Keen H, Bradley C. Risk of diabetes in offspring of parents with non-insulin-dependent diabetes. Diabetic Medicine.1995;12:6-13.
  14. Padaki S, Vijaykrishna K, Dambal A, Ankad R, Manjula R, Surekharani C, et al. Anthropometry and physical fitness in individuals with family history of type 2 diabetes mellitus: Acomparative study. Indian J Endocr Mtab. 2011;15:327-30.
  15. Nayak BS, Sobrian A, Latiff K, Pope D, Rampersad A, Lourenco K, Samuel N. The association of age, gender, ethnicity, family history, obesity and hypertension with type 2 diabetes in Trinidad. Diabetes and Metabolic Syndrome: Clinical research and reviews 8 (2014): 91-5.
  16. Sande MV, Walraven GL, Milligan PM, Banaya WS, Caesay S, Nyan O, et al. Family history: An opportunity for early interventions and improved control of hypertension, obesity and diabetes. Bull World Health Organ 2001;79:321-8
  17. Watt GCM. Design and interpretation of studies comparing individuals with and without a family history of high blood pressure. Journal of Hypertension, 1986;4:1-6
  18. Sawada SS, Lee I, Muto T, Mtuzaki K, Blair SN. Cardiorespiratory fitness and the incidence of type 2 diabetes. Diabetes Care 2003;26:2918-22
  19. Wei M, Gibbons LW, Mitchell TL, Kampert JB, Lee CD, Blair SN. The association between cardiorespiratory fitness and impaired fasting glucose and type 2 diabetes mellitus in men. Ann Intern Med 1999;130:89-96

Corresponding Author

Dr Shivani Agarwal

Associate Professor (Physiology)

A-502, Vidyut Apartments, Plot no. 81, IP Extension, Delhi – 110092

Contact: 9891330030, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.