The Impact of Gender and Age on the Relationship between Body Mass Index and Hypertension among Middle-Aged Inhabitants of Kolkata, India

  • Anindita Gupta Department of Human Development, Acharya Prafulla Chandra College, New Barrackpore, West Bengal, India https://orcid.org/0000-0003-3797-9470
Keywords: Body Mass Index, correlation coefficients, diastolic and systolic blood pressure, hypertension, ‘t’-test

Abstract

More than one billion people are hypertensive worldwide. This makes hypertension an issue of community health. Therefore, it should be our chief concern to identify the risk factors of hypertension and suggest essential preventive measures to reduce this public health burden. Diverse inquiries have uncovered the positive correlation between being overweight, obesity, and dyslipidemia with hypertension. Research suggests that Body Mass Index (BMI) and hypertension demonstrate a significant positive correlation. Excessive weight gain or visceral fat gain is the dominant risk factor for hypertension. Apart from this, several other factors like abdominal adiposity, family history, smoking etc. may be responsible for hypertension. In light of this context, the current article explores the relationship between adult residents of Kolkata's BMI and their hypertension levels. The study was performed among two age groups viz. 35 to 44 years and 45 to 54 years, as the problem is mostly uncommon for the young generation. The sample size of the present investigation was 200, having equal representation from both age and gender groups. The subjects were from middle socio-economic status families as inferred from their occupations. Systolic blood pressure (SBP), diastolic blood pressure (DBP), height, and weight were quantified. BMI was estimated from the measured height and weight. Descriptive statistics, correlation coefficients and ‘t’ tests were calculated. Impact of age and gender was determined on BMI and hypertension scores of the subjects. The results of the present study exhibit a constructive and significant association between the relevant variables. The correlation coefficient between body mass index (BMI) and SBP was 0.74, while that between BMI and DBP was 0.734. Both correlations were statistically significant at the 0.01 level of significance. The outcomes of the t-Test indicate that significant differences exist between the BMI, SBP, and DBP scores within the gender groups. The calculated t-values for BMI, SBP, and DBP were 7.946, 7.973, and 5.296, respectively, with all of them being significant at the 0.05 level of significance. Age was found to have no substantial impact on any of the three variables. These findings can aid in identifying individuals at risk and developing preventive strategies to mitigate the prevalence of obesity or overweight and subsequently reduce blood pressure levels among adults.

References

Channanath, A.M., Farran, B., Behbehani, K., & Thanaraj, T.A. (2015). Association between BMI and onset of hypertension in men and women with and without diabetes: a cross-sectional study using national health data from the State of Kuwait in the Arabian Peninsula. BMJ Open, 5(6), e007043. https://doi.org/10.1136/bmjopen-2014-007043.

Dua, S., & Kapoor, S. (2000). Blood pressure, waist to hip ratio and BMI among affluent Punjabi girls of Delhi. Acta. Med. Auxol., 32, 153–157. https://doi.org/10.4103%2F1947-2714.127751

Fottrell, E., Ahmed, N., Shaha, S. K., Jennings, H., Kuddus, A., & Morrison, J. (2018). Distribution of diabetes, hypertension and non-communicable disease risk factors among adults in rural Bangladesh: A cross-sectional survey. BMJ Global Health, 3(4), e000891. http://dx.doi.org/10.1136/bmjgh-2018-000787

Gurven, M., Blackwell, A.D., Rodríguez, D.E., Stieglitz, J., & Kaplan, H. (2012). Does Blood Pressure Inevitably Rise With Age? Longitudinal Evidence Among Forager-Horticulturalists. Hypertension, 60, 25–33. http://doi.org/10.1161/hypertensionaha.111.189100.

Hossain, F.B., Adhikary, G., Chowdhury, A.B., & Shawon, M.S.R., (2019). Association between BMI (BMI) and hypertension in south Asian population: evidence from nationally-representative surveys. Clin. Hypertens, 25, 28. https://doi.org/10.1186/s40885-019-0134-8.

Jarrett, B. L. (2009). The influence of BMI, age and gender on current illness: A cross-sectional study. International Journal of Obesity. 34(3), 429-436. http://doi.org/10.1038/ijo.2009.258.

Karlsson, I.K., Lehto, K., Gatz, M., Reynolds, C.A., & Aslan, A.K.D. (2020). Age-dependent effects of BMI across the adult life span on the risk of dementia: a cohort study with a genetic approach. BMC Medicine, 18, 131. https://doi.org/10.1186/s12916-020-01600-2.

Kaufman, J.S., Asuzu, M.C., Mufunda, J., Forrester, T., Wilks, R., Luke, A., Long, A.E., & Cooper, R.S. (1997). Relationship between blood pressure and BMI in lean populations. Hypertension, 30(6), 1511-1516. https://doi.org/10.1161/01.HYP.30.6.1511.

Khalid, F., Siddique, A., Siddiqui, J.A., Panhwar, G., Singh, S., Adnan A.A., & Atif Hashmi A. (2020). Correlation Between BMI and Blood Pressure Levels Among Hypertensive Patients: A Gender-Based Comparison. Cureus., 12, 10. https://doi.org/10.7759/cureus.10974.

Koh, H.B., Heo, G.Y., Kim, K.W., Ha, J., Park, J.T., Han, S.H., Yoo, T.H., & Kang, S. (2022). Trends in the association between BMI and blood pressure among 19-year-old men in Korea from 2003 to 2017. Scientific Reports, 12, 6767. https://doi.org/10.1038/s41598-022-10570-9.

Landi, F., Calvani, R., Picca, A., Tosato, M., Martone, A. M., Ortolani, E.,Sisto, A., Angelo, E.D., Serafini, E., Desideri, G., Fuga, M.T., & Marzetti, E. (2018). BMI is Strongly Associated with Hypertension: Results from the Longevity Check-Up 7+ Study. Nutrients, 10(12), 1976. http://doi.org/10.3390/nu.10121976.

Linderman, G. C., Jiapeng, L., Yuan, L., Xin, S., Wei, X., Khurram, N., Wade, S., Lixin, J., & Harlan, M. K. (2018). Association of BMI With Blood Pressure Among 1.7 Million Chinese Adults. JAMA, 1(4), e181271. http://doi.org/:10.1001/jamanetworkopen.2018.1.4.1271.

Lohman, T.G., Roche, A.F., & Martorell, R. (1988). Anthropometric Standardization Reference Manual. Human Kinetics Books, Chicago.

Min, D., & Cho, E. (2018). Associations among health behaviors, body mass index, hypertension, and diabetes mellitus: A path analysis. Medicine (Baltimore), 97, e10981. http://doi.org/10.1097/MD.0000000000010981

Mohanty, P., Patnaik, L., Nayak, G., & Dutta, A. (2022). Gender difference in prevalence of hypertension among Indians across various age-groups: a report from multiple nationally representative samples. BMC Public Health. 22(1), 1524. http://doi.org/10.1186/s12889-022-13949-5.

Ravisankar, P., Madanmohan, K. U., & Sankaranarayanan, P. (2005). Correlation Between BMI And Blood Pressure Indices, Handgrip Strength And Handgrip Endurance In Underweight, Normal Weight And Overweight Adolescents. Indian J. Physiol. Pharmacol., 49(4), 455–461.

Reas, D.L., Nygård, J.F., Svensson, E., Sørensen, T., & Sandanger, I. (2007). Changes in BMI by age, gender, and socio-economic status among a cohort of Norwegian men and women (1990–2001). BMC Public Health, 7, 269. https://doi.org/10.1186/1471-2458-7-269.

Reckelhoff, J.F. (2001). Gender Differences in the Regulation of Blood Pressure. Hypertension, 37, 1199–1208. https://doi.org/10.1161/01.HYP.37.5.1199.

Rockwood, M.R.H., & Howlett, S.E. (2011). Blood Pressure in Relation to Age and Frailty. Can Geriatr J., 14(1), 2–7. http://doi.org/10.5770/cgj.v14i1.1.

Srikanth, J., Jayant, K.K., & Narasimha, N.S. (2011). Factors influencing obesity among urban high school children Bangalore City. Indian J. Nutr. Dietet., 48, 8–17.

Sun, B., Shi, X., Wang, T., & Zhang, D. (2018). Exploration of the Association between Dietary Fiber Intake and Hypertension among U.S. Adults Using 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines: NHANES 2007-2014. Nutrients, 10, 1091. http://doi.org/10.3390/nu10081091

Tang, N., Ma, J., Tao, R., Chen, Z., Yang, Y., He, Q., Lv, Y., Lan, Z., & Zhou, J. (2022). The effects of the interaction between BMI and dyslipidemia on hypertension in adults. Sci Rep., 18, 12(1), 927. http://doi.org/ 10.1038/s41598-022-04968-8.

Thapa, B.K.C.D., Shrestha, K., & Gurung, S. (2022). Association between BMI and blood pressure among adults. JGMC Nepal, 15(1), 59-62. http://doi.org/ 10.3126/jgmcn.v15i1.43157.

Vuvor, F. (2017). Correlation of BMI and blood pressure of adults of 30–50 years of age in Ghana. Journal of Health Research and Reviews in Developing Countries, 4(3), 115-121. https://www.jhrr.org/text.asp?2017/4/3/115/216068.

WHO (1995). Physical Status: The Use and Interpretation of Anthropometry, Report of the WHO Expert Committee, Technical Report Series, No. 854., World Health Organization, Geneva. https://apps.who.int/iris/handle/10665/37003.

Published
2023-04-30
How to Cite
Gupta, A. (2023). The Impact of Gender and Age on the Relationship between Body Mass Index and Hypertension among Middle-Aged Inhabitants of Kolkata, India. International Journal of Experimental Research and Review, 30, 228-235. https://doi.org/10.52756/ijerr.2023.v30.020
Section
Articles