Distribution and Determinants of Obesity among Adults Attending Health Facilities of a Medical College in Ujjain

Main Article Content

Kirti Deshpande
Archit Khardenavis

Abstract

Introduction: Obesity is a significant risk factor for various serious health conditions, including
hypertension, diabetes, cardiovascular diseases, and cancers. With increasing socio-economic status
and life expectancy in India, the prevalence of obesity is on the rise, contributing to the burden of
lifestyle-related disorders. This study aims to investigate the distribution and determinants of obesity
among apparently healthy adults attending health facilities in a medical college located in a rural area
adjoining Ujjain city.
Methods: A cross-sectional study was conducted within the field practice area of the Department of
Community Medicine at R.D. Gardi Medical College. A sample size of 354 participants was determined
and data was collected through structured interviews covering socio-demographic information,
medical history, anthropometric measurements, and determinants of health. Body mass index (BMI)
was computed and participants were classified based on established cut-off points for Asian Indians.
Results: Out of 310 fully completed questionnaires, 47.4% of participants were overweight or obese.
Age was significantly associated with obesity, with prevalence increasing from 34.1% in the 18 to 30
age group to 75% in participants over 60 years. Urban residents had a higher prevalence of obesity
compared to rural residents (53.8 vs 44.1%). Higher educational status, overeating between meals, and
watching television while eating was significantly associated with obesity. Physical inactivity was more
prevalent among overweight or obese participants (59.7 vs 26.3%).
Conclusion: The study finds the need for tailored interventions to combat obesity, especially among
females, older individuals, urban residents, and those with higher education. Addressing lifestyle
factors such as overeating and sedentary behavior is essential in the battle against obesity and associated
chronic diseases.

Article Details

How to Cite
Deshpande, K., & Khardenavis, A. (2023). Distribution and Determinants of Obesity among Adults Attending Health Facilities of a Medical College in Ujjain. Central India Journal of Medical Research, 2(03), 17–21. https://doi.org/10.58999/cijmr.v2i03.146
Section
Original Research Articles
Author Biographies

Kirti Deshpande, Department of Community Medicine, RD Gardi Medical College, Ujjain, MP, India

Professor, Community Medicine

Archit Khardenavis, RD GARDI MEDICAL COLLEGE

Senior Resident, Community Medicine

References

Luhar S, Timæus IM, Jones R, Cunningham S, Patel SA, Kinra S, Clarke L, Houben R. Forecasting the prevalence of overweight and obesity in India to 2040. PLoS One. 2020 Feb 24;15(2):e0229438. doi: 10.1371/journal.pone.0229438. PMID: 32092114; PMCID: PMC7039458. Accessed on 16/05/23

Pradeepa R, Anjana RM, Joshi SR, Bhansali A, Deepa M, Joshi PP, Dhandania VK, Madhu SV, Rao PV, Geetha L, Subashini R, Unnikrishnan R, Shukla DK, Kaur T, Mohan V, Das AK; ICMR-INDIAB Collaborative Study Group. Prevalence of generalized & abdominal obesity in urban & rural India--the ICMR-INDIAB Study (Phase-I) [ICMR- NDIAB-3]. Indian J Med Res. 2015 Aug;142(2):139-50. doi: 10.4103/0971-5 916.164234. PMID: 26354211; PMCID: PMC4613435. Accessed on 17/05/23

Ahirwar R, Mondal PR. Prevalence of obesity in India: A systematic review. Diabetes Metab Syndr. 2019 Jan-Feb;13(1):318-321. doi: 10.1016/j.dsx.2018.08.032. Epub 2018 Sep 21. PMID: 30641719. Accessed on 17/05/23

Chaudhary M & Sharma P. Abdominal obesity in India: analysis of the National Family Health Survey-5 (2019–2021) data. The Lancet Regional Health - Southeast Asia. 14. 100208. 10.1016/j.lansea.2023.100208. Choudhary M, Sharma P. Abdominal obesity in India: analysis of the National Family Health Survey-5 (2019-2021) data. Accessed on 30/10/23.

Kapoor N, Arora S, Kalra S. Gender Disparities in People Living with Obesity - An Unchartered Territory. J Midlife Health. 2021 Apr-Jun;12(2):103-107. doi: 10.4103/jmh.jmh_48_21. Epub 2021 Jul 27. PMID: 34526743; PMCID: PMC8409720.

Das Gupta, Rajat & Tamanna, Nowrin & Siddika, Nazeeba & Haider, Shams & Hoque Apu, Ehsanul & Haider, Mohammad Rifat. (2023). Obesity and Abdominal Obesity in Indian Population: Findings from a Nationally Representative Study of 698,286 Participants. Epidemiologia. 4. 10.3390/epidemiologia4020017. Rajat Das Gupta et al 2023

Börnhorst, C., Russo, P., Veidebaum, T. et al. The role of lifestyle and non-modifiable risk factors in the development of metabolic disturbances from childhood to adolescence. Int J Obes 44, 2236–2245 (2020). https://doi.org/10.1038/s41366-020-00671-8

Behl S, Misra A. Management of obesity in adult Asian Indians. Indian Heart J. 2017 Jul-Aug;69(4):539-544. doi: 10.1016/j.ihj.2017.04.015. Epub 2017 May 11. PMID: 28822528; PMCID: PMC5560889.

Mahajan K, Batra A. Obesity in adult asian indians- the ideal BMI cut-off. Indian Heart J. 2018 Jan-Feb;70(1):195. doi: 10.1016/j.ihj.2017.11.020. Epub 2017 Nov 27. PMID: 29455779; PMCID: PMC5903015

Verma, Madhur & Das, Milan & Sharma, Priyanka & Kapoor, Nitin & Kalra, Sanjay. (2021). Epidemiology of overweight and obesity in Indian adults - A secondary data analysis of the National Family Health Surveys. Diabetes and Metabolic Syndrome Clinical Research and Reviews. 15. 10.1016/j.dsx.2021.06.003.