Waist Circumference, Blood Pressure and Lifestyle of Sudanese Population, Khartoum Locality, Sudan 2016

Main Article Content

Asma Abdelaal Abdalla
Siham Ahmed Balla
Amna Abdalla Babiker
Safaa Abdelhameed Medani
Rania Abdalla Osman Khalfa
Ibtisam Ahmed Ali

Abstract

Aims: To measure the waist circumference of Sudanese adults in Khartoum Locality and its relationship to blood pressure and lifestyle  during celebration of international day of hypertension in May 2016 .

Study Design: It was a descriptive cross-sectional study.

Place of the Celebration: Khartoum Locality at Alsahaa Alkhadraa (The Green Park).

Methodology: A total of 364 adult participants, 196 men and 168 women were interviewed using structured questionnaire. Blood pressure (BP) was measured considering hypertension as ≥ 140 mmHg and ≥ 90 mmHg for systole and diastole BP respectively. Waist circumference was measured using an anthropometric measuring tape at cut-off point of 94 cm and 80 cm for men and women respectively. Data was managed by SPSS version 20 and Chi-square test at 95% CL was used to test the association between waist circumference, blood pressure and life style characteristics.

Results: Age distribution of the study population showed 48.2% females and 45.4% males in the middle age group (38-57 years). Two thirds of the study population were hypertensive, 62.8% of males and 64.3% of females. The mean waist circumference of men was 97.82 cm + 16.7, mean Systolic BP was 127 + 22 and mean Diastolic BP was 85 + 15. The mean waist circumference of women was 99.31 + 16.2, mean Systolic was 128 + 24 and mean Diastolic BP was 84 +17.

Abnormal waist circumference was found in 61.2% of males and 86.9% of females. Fifty nine (30.1%) of the males and 86 (51.2%) of the females with abnormal waist circumference were hypertensive. The association between abnormal waist circumference and high blood pressure was significant among both sexes, P value = 0.001.

Physical exercise and fat and salt foods were not significantly associated waist circumference in both men and women.

Conclusion: Two thirds of women and men in the celebrating areas were hypertensive.  Half of women and one third of men were significantly hypertensive and having abnormal waist circumference. Doing physical exercise, avoiding fat and salt foods was insignificantly associated with normal waist circumference. Large survey with representative sample is needed to estimate the real Sudanese waist circumference.  

Keywords:
Waist circumference, blood pressure, lifestyle.

Article Details

How to Cite
Abdalla, A., Balla, S., Babiker, A., Medani, S., Khalfa, R. A., & Ali, I. (2019). Waist Circumference, Blood Pressure and Lifestyle of Sudanese Population, Khartoum Locality, Sudan 2016. Journal of Advances in Medicine and Medical Research, 29(11), 1-8. https://doi.org/10.9734/jammr/2019/v29i1130139
Section
Original Research Article

References

Midha T, Krishna V, Nath B, Kumari R, Rao YK, Pandey U, et al. Cut-off of body mass index and waist circumference to predict hypertension in Indian adults. World Journal of Clinical Cases: WJCC. 2014;2(7):272.

Dong B, Wang Z, Yang Y, Wang H-J, Ma J. Intensified association between waist circumference and hypertension in abdominally overweight children. Obesity Research & Clinical Practice. 2016;10(1):24-32.

Dimitriadis K, Tsioufis C, Mazaraki A, Liatakis I, Koutra E, Kordalis A, et al. Waist circumference compared with other obesity parameters as determinants of coronary artery disease in essential hypertension: a 6-year follow-up study. Hypertension research: Official Journal of the Japanese Society of Hypertension. 2016;39(6):475.

Seo DC, Choe S, Torabi MR. Is waist circumference >/ = 102/88 cm better than body mass index >/ = 30 to predict hypertension and diabetes development regardless of gender, age group, and race/ethnicity? Meta-analysis. Preventive Medicine. 2017;97:100-8.

Ashwell M, Gibson S. A proposal for a primary screening tool: 'Keep your waist circumference to less than half your height'. BMC medicine. 2014;12:207
DOI: 10.1186/s12916-014-0207-1

Heart foundation. Waist circumference. Web page.
Available:https://www.heartfoundation.org.au/your-heart/know-your-risks/healthy-weight/waist-measurement
(Accessed on April 2019)

Derby CA, Zilber S, Brambilla D, et al. Body mass index, waist circumference and waist to hip ratio and change in sex steroid hormones: the Massachusetts Male Ageing Study. Clinical Endocrinology. 2006;65(1):125‐131.

Lassek WD, Gaulin SJ. Changes in body fat distribution in relation to parity in American women: A covert form of maternal depletion. American Journal of Physical Anthropology. 2006;131(2):295-302.

Yamaoka K, Tango T. Effects of lifestyle modification on metabolic syndrome: a systematic review and meta-analysis. BMC Medicine. 2012;10:138.

Ahmed MH, Ali YA, Awadalla H, Elmadhoun WM, Noor SK, Almobarak AO. Prevalence and trends of obesity among adult Sudanese individuals: Population based study. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2017;11:S963-S7.

WHO. Waist circumference and waist-hip ratio: Report of a WHO expert consultation, Geneva. 2008;8-11.
Issued: 2011
Available:https://apps.who.int/iris/bitstream/handle/10665/44583/9789241501491_eng.pdf

El Bcheraoui C, Memish ZA, Tuffaha M, Daoud F, Robinson M, Jaber S, et al. Hypertension and its associated risk factors in the Kingdom of Saudi Arabia, 2013: A National Survey. International Journal of Hypertension. 2014;564679. DOI: 10.1155/2014/564679

Musoke D, Boynton P, Butler C, Musoke MB. Health seeking behaviour and challenges in utilising health facilities in Wakiso district, Uganda. African Health Sciences. 2014;14(4):1046–1055.
DOI: 10.4314/ahs.v14i4.36

Kandala NB, Stranges S. Geographic variation of overweight and obesity among women in Nigeria: a case for nutritional transition in Sub-Saharan Africa. PLoS One. 2014;9(6):e101103.

Neupane S, Prakash K, Doku DT. Overweight and obesity among women: analysis of demographic and health survey data from 32 Sub-Saharan African Countries. BMC Public Health. 2016;16: 30.
DOI: 10.1186/s12889-016-2698-5

Ford ES, Maynard LM, Li C. Trends in mean waist circumference and abdominal obesity among US adults, 1999-2012. Jama. 2014;312(11):1151-3.

Bacopoulou F, Efthymiou V, Landis G, Rentoumis A, Chrousos GP. Waist circumference, waist-to-hip ratio and waist-to-height ratio reference percentiles for abdominal obesity among Greek adolescents. BMC Paediatrics. 2015;15(1):50.

Funtikova AN, Subirana I, Gomez SF, Fitó M, Elosua R, Benítez-Arciniega AA, et al. Soft drink consumption is positively associated with increased waist circumference and 10-year incidence of abdominal obesity in Spanish adults. The Journal of Nutrition. 2014;145(2):328-34.

Wang J, Zhang L, Wang F, Liu L, Wang H. Prevalence, awareness, treatment and control of hypertension in China: Results from a national survey. American Journal of Hypertension. 2014;27(11):1355-61.

Yousefi M, Yaseri M, Nabizadeh R, Hooshmand E, Jalilzadeh M, Mahvi AH, et al. Association of hypertension, body mass index, and waist circumference with fluoride intake; water drinking in residents of fluoride endemic areas, Iran. Biological Trace Element Research. 2018;185(2):282-8.

Joshi MD, Ayah R, Njau EK, Wanjiru R, Kayima JK, Njeru EK, et al. Prevalence of hypertension and associated cardiovascular risk factors in an urban slum in Nairobi, Kenya: a population-based survey. BMC public health. 2014;14(1):1177.

Muxfeldt ES, Margallo VS, Guimarães GM, Salles GF. Prevalence and associated factors of obstructive sleep apnea in patients with resistant hypertension. American Journal of Hypertension. 2014;27(8):1069-78.

Moinuddin A, Gupta R, Saxena Y. Assessment of anthropometric indices, salt intake and physical activity in the aetiology of prehypertension. J Clin Diagn Res. 2016;10(2):CC11–CC14. DOI: 10.7860/JCDR/2016/17482.7200

Lisko I, Stenholm S, Raitanen J, Hurme M, Hervonen A, Jylhä M, et al. Association of body mass index and waist circumference with physical functioning: the vitality 90+ study. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences. 2014;70(7):885-91.

Haidari F, Shirbeigi E, Cheraghpour M, Mohammadshahi M. Association of dietary patterns with body mass index, waist circumference, and blood pressure in an adult population in Ahvaz, Iran. Saudi Medical Journal. 2014;35(9):967-74.

Johnson C, Raj TS, Trudeau L, Bacon SL, Padwal R, Webster J, et al. The science of salt: a systematic review of clinical salt studies 2013 to 2014. The Journal of Clinical Hypertension. 2015;17(5):401-11.