Abstract
We studied the prevalence and key risk factors responsible for overweight and obesity in different age and sex groups in Malakand Division Khyber Pakhtunkhwa Pakistan. Several components of lipid profile and body mass index were obtained for 562 individuals of the population using standard techniques of WHO. Preclinical data were collected based on stratified random sampling design to investigate about the lifestyle, food, blood pressure, cigarette consumption, snuff use and other diseases and life activities. The prevalence of overweight and obesity and their relationship with different gradients were investigated using multivariate analysis, i.e., cluster analysis and ordination techniques. Multivariate analysis classified the individuals into three major dichotomies (groups) and identified triglyceride, cholesterol, low-density lipoproteins and total lipids (\(P>\,0.001\)) as the most influential factors associated with the prevalence of overweight and obesity in the region. The results showed the highest percentage (40%) of obese individuals followed by overweight (38%) and normal (22%), respectively, in the age ranged from 15 to 61 years. It indicated that overweight and obesity is common and an overriding phenomenon in the area. Our findings showed that obesity is significantly higher in female particularly in married women as compare to the male individuals may be due to the unawareness, lifestyle and food. The present pilot study is the first comprehensive report that will help understanding on the prevalence and general awareness about the risk factors associated with overweight and obesity “a Non-Communicable Diseases (NCDs)” in Pakistan.
Similar content being viewed by others
Abbreviations
- BMI:
-
Body mass index
- WHO:
-
World Health Organization
- HDL:
-
High-density lipoproteins
- LDL:
-
Low-density lipoproteins
- TL:
-
Total lipids
- TG:
-
Triglyceride
- CH:
-
Cholesterol
- NCDs:
-
Non-communicable diseases
- CVD:
-
Cardiovascular diseases
References
Hossain, P.; Kawar, B.; El Nahas, M.: Obesity and diabetes in the developing world-a growing challenge. N. Engl. J. Med. 356(3), 213–215 (2007). https://doi.org/10.1056/NEJMp068177
Diet, nutrition and the prevention of chronic diseases. World Health Organ Tech Rep Ser 916, i–viii, 1–149, backcover (2003).
Popkin, B.M.; Gordon-Larsen, P.: The nutrition transition: worldwide obesity dynamics and their determinants. Int. J. Obes. 28(S3), S2 (2004)
Schmidhuber, J.; Shetty, P.: Nutrition transition, obesity and noncommunicable diseases: drivers, outlook and concerns. SCN News 29, 13–19 (2005)
Nishida, C.; Mucavele, P.: Monitoring the rapidly emerging public health problem of overweight and obesity: the WHO Global Database on Body Mass Index. SCN News 29, 5–11 (2005)
Tremblay, M.S.; Willms, J.D.: Secular trends in the body mass index of Canadian children. Can. Med. Assoc. J. 163(11), 1429–1433 (2000)
Dietz, W.H.; Robinson, T.N.: Overweight children and adolescents. N. Engl. J. Med. 352(20), 2100–2109 (2005)
Must, A.; Spadano, J.; Coakley, E.H.; Field, A.E.; Colditz, G.; Dietz, W.H.: The disease burden associated with overweight and obesity. JAMA 282(16), 1523–1529 (1999)
Viner, R.M.; Cole, T.J.: Adult socioeconomic, educational, social, and psychological outcomes of childhood obesity: a national birth cohort study. BMJ 330(7504), 1354 (2005)
Must, A.; Strauss, R.S.: Risks and consequences of childhood and adolescent obesity. Int. J. Obes. 23(S2), S2 (1999)
Dhurandhar, N.; Kulkarni, P.: Prevalence of obesity in Bombay. Int. J. Obes. Relat. Metab. Disord. 16(5), 367–375 (1992)
Deurenberg-Yap, M.; Schmidt, G.; van Staveren, W.A.; Deurenberg, P.: The paradox of low body mass index and high body fat percentage among Chinese, Malays and Indians in Singapore. Int. J. Obes. 24(8), 1011 (2000)
Keys, A.: Seven countries.A multivariate analysis of death and coronary heart disease. Harvard University Press, Cambrige (1980)
Ohlson, L.-O.; Larsson, B.; Svärdsudd, K.; Welin, L.; Eriksson, H.; Wilhelmsen, L.; Björntorp, P.; Tibblin, G.: The influence of body fat distribution on the incidence of diabetes mellitus: 13.5 years of follow-up of the participants in the study of men born in 1913. Diabetes 34(10), 1055–1058 (1985)
Barrett-Connor, E.; Khaw, K.: Is hypertension more benign when associated with obesity? Circulation 72(1), 53–60 (1985)
Elmer, P.J.; Obarzanek, E.; Vollmer, W.M.; Simons-Morton, D.; Stevens, V.J.; Young, D.R.; Lin, P.-H.; Champagne, C.; Harsha, D.W.; Svetkey, L.P.: Effects of comprehensive lifestyle modification on diet, weight, physical fitness, and blood pressure control: 18-month results of a randomized trial. Ann. Intern. Med. 144(7), 485–495 (2006)
Colditz, G.A.: Economic costs of obesity. Am. J. Clin. Nutr. 55(2), 503S–507S (1992)
Choudry, I.Y.; Mumford, D.B.: A pilot study of eating disorders in Mirpur (Pakistan) using an Urdu version of the eating attitudes test. Int. J. Eat. Disord. 11(3), 243–251 (1992)
Suhail, K.: Prevalence of eating disorders in Pakistan: relationship with depression and body shape. Eating Weight Disord.-Stud. Anorexia, Bulimia Obes. 7(2), 131–138 (2002)
P.C.R.: Population Census Report of Multan District, Punjab Bureau of Statistics, Lahore (1998)
Khan, N.; Ahmed, M.; Siddiqui, M.F.; Bibi, S.; Ahmed, I.: A phytosociological study of forest and non-forest vegetation of district Chitral, Hindukush Range of Pakistan. FUUAST J. Biol. 2(1), 91 (2012)
Legendre, P.; Legendre, L.: Numerical Ecology. Developments in Environmental Modelling, vol. 2. Elsevier Science, Amsterdam (1998)
Ter Braak, C.J.: Canonical correspondence analysis: a new eigenvector technique for multivariate direct gradient analysis. Ecology 67(5), 1167–1179 (1986)
Jones, S.E.; Shade, A.L.; McMahon, K.D.; Kent, A.D.: Comparison of primer sets for use in automated ribosomal intergenic spacer analysis of aquatic bacterial communities: an ecological perspective. Appl. Environ. Microbiol. 73(2), 659–662 (2007)
McCune, B.; Grace, J.B.; Urban, D.L.: Analysis of Ecological Communities, vol. 28. MjM software design, Gleneden Beach, OR (2002)
Friedland, O.; Nemet, D.; Gorodnitsky, N.; Wolach, B.; Eliakim, A.: Obesity and lipid profiles in children and adolescents. J. Pediatr. Endocrinol. Metab. 15(7), 1011–1016 (2002)
Garces, C.; Gutierrez-Guisado, J.; Benavente, M.; et al.: Obesity in Spanish schoolchildren: relationship with lipid profile and insulin resistance. Obes. Res. 13, 959–963 (2005)
Wattigney, W.A.; Harsha, D.W.; Srinivasan, S.R.; Webber, L.S.; Berenson, G.S.: Increasing impact of obesity on serum lipids and lipoproteins in young adults. The Bogalusa Heart Study. Arch. Intern. Med. 151(10), 2017–2022 (1991)
Sharma, M.; Majumdar, P.K.: Occupational lifestyle diseases: an emerging issue. Indian J. Occup. Environ. Med. 13(3), 109–112 (2009). https://doi.org/10.4103/0019-5278.58912
Donath, S.M.: Who’s overweight? Comparison of the medical definition and community views. Med. J. Aust. 172(8), 375–377 (2000)
Stamler, J.: Epidemic obesity in the United States. Arch. Int. Med. 153(9), 1040–1044 (1993)
Memon, A.A.; Adil, S.E.; Siddiqui, E.U.; Naeem, S.S.; Ali, S.A.; Mehmood, K.: Eating disorders in medical students of Karachi, Pakistan-a cross-sectional study. BMC Res. Notes 5, 84 (2012). https://doi.org/10.1186/1756-0500-5-84
Ricciardelli, L.A.; McCabe, M.P.: Psychometric evaluation of the body change inventory: an assessment instrument for adolescent boys and girls. Eat. Behav. 3(1), 45–59 (2002)
Grundy, S.M.: Hypertriglyceridemia, atherogenic dyslipidemia, and the metabolic syndrome. Am. J. Cardiol. 81(4A), 18B–25B (1998)
Shah, S.M.; Nanan, D.; Rahbar, M.H.; Rahim, M.; Nowshad, G.: Assessing obesity and overweight in a high mountain Pakistani population. Trop. Med. Int. Health 9(4), 526–532 (2004). https://doi.org/10.1111/j.1365-3156.2004.01220.x
Acknowledgements
The personal assistance of I.A. by KFUPM is acknowledged. Dr. Shahid Shaukat (University of Karachi) is acknowledged for the necessary guidance. Dr. Tariq (University of Malakand) is acknowledged for the English editing of the manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Imran, M., Khan, N., Shah, A.A. et al. Overweight and Obesity Prevalence Pattern and Associated Risk Factors Among the People of Malakand Division, Khyber Pakhtunkhwa Pakistan. Arab J Sci Eng 44, 65–74 (2019). https://doi.org/10.1007/s13369-018-3457-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13369-018-3457-y