PMID- 28112066 OWN - NLM STAT- MEDLINE DCOM- 20180410 LR - 20230616 IS - 1475-2727 (Electronic) IS - 1368-9800 (Print) IS - 1368-9800 (Linking) VI - 20 IP - 8 DP - 2017 Jun TI - Hypertension and diabetes prevalence among adults with moderately increased BMI (23.0-24.9 kg/m2): findings from a nationwide survey in Bangladesh. PG - 1343-1350 LID - 10.1017/S1368980016003566 [doi] AB - OBJECTIVE: BMI is a proxy for fat accumulation in the body. Increased diabetes and CVD risks have been observed for Asian populations at lower BMI than the WHO-recommended BMI cut-off points for overweight (>/=25.0 kg/m2) and obesity (>/=30.0 kg/m2). The current study aimed to quantify the increased hypertension (HTN) and type 2 diabetes mellitus (T2DM) prevalence in Bangladeshi adults with moderately increased BMI (23.0-24.9 kg/m2). DESIGN: Data from the most recent Bangladesh Demographic and Health Survey (2011) were analysed. Modified Poisson regression models with robust error variance were used to calculate prevalence ratios (PR) for HTN or T2DM by BMI category, considering BMI=18.5-22.9 kg/m2 as the reference. All analyses incorporated the complex sampling design of the survey. SETTING: BMI, blood pressure, blood sugar and related information were collected from a nationally representative sample. SUBJECTS: Adults (n 7433) aged>/=35 years. RESULTS: About 12 % of Bangladeshi adults, both male and female, were within the BMI range 23.0-24.9 kg/m2 or moderately overweight. Compared with the reference BMI group (18.5-22.9 kg/m2), they had an increased PR for HTN (1.55-1.77) and T2DM (1.54-1.93). These increased PR are similar to those for the WHO-defined overweight group (BMI=25.0-29.9 kg/m2). CONCLUSIONS: Our findings support the recommendation that calls for setting the optimum BMI for Asian populations to 18.5-23.0 kg/m2 for health promotion and for public health interventions like leisure-time physical activity. WHO cut-off points for overweight (>/=25 kg/m2) should be used to facilitate international comparisons. FAU - Rahman, Muntasirur AU - Rahman M AUID- ORCID: 0000-0003-3800-7489 AD - School of Public Health,The University of Queensland,Level 2,Public Health Building,Herston,QLD 4006,Australia. FAU - Williams, Gail AU - Williams G AD - School of Public Health,The University of Queensland,Level 2,Public Health Building,Herston,QLD 4006,Australia. FAU - Mamun, Abdullah Al AU - Mamun AA AD - School of Public Health,The University of Queensland,Level 2,Public Health Building,Herston,QLD 4006,Australia. LA - eng PT - Journal Article DEP - 20170123 PL - England TA - Public Health Nutr JT - Public health nutrition JID - 9808463 SB - IM MH - Adult MH - Asian People MH - Bangladesh/epidemiology MH - *Body Mass Index MH - Diabetes Mellitus, Type 2/*epidemiology MH - Exercise MH - Female MH - Health Surveys MH - Humans MH - Hypertension/*epidemiology MH - Male MH - Middle Aged MH - Nutrition Surveys MH - Obesity/epidemiology MH - Overweight/epidemiology MH - Prevalence MH - Risk Factors MH - Socioeconomic Factors PMC - PMC10261333 OTO - NOTNLM OT - BMI OT - Diabetes OT - Hypertension OT - Overweight OT - Policy OT - Public health EDAT- 2017/01/24 06:00 MHDA- 2018/04/11 06:00 PMCR- 2017/01/23 CRDT- 2017/01/24 06:00 PHST- 2017/01/24 06:00 [pubmed] PHST- 2018/04/11 06:00 [medline] PHST- 2017/01/24 06:00 [entrez] PHST- 2017/01/23 00:00 [pmc-release] AID - S1368980016003566 [pii] AID - 00356 [pii] AID - 10.1017/S1368980016003566 [doi] PST - ppublish SO - Public Health Nutr. 2017 Jun;20(8):1343-1350. doi: 10.1017/S1368980016003566. Epub 2017 Jan 23.