Abstract
Background Fat in certain body compartments has a significant contribution to dyslipidemia. Objective The objective was to determine the fat distribution in various body compartments among management assistants (clerks: sedentary occupational group), from the Anuradhapura Municipal Council area, Sri Lanka and to estimate their lipid profiles for any correlation with fat distribution. Methods In this descriptive cross-sectional study [n=78; males=15(mean age=38(11) years); females=63 (mean age=39(9) years)], weight, height, waist and hip circumferences were measured using standard WHO methods. Body fat was measured using 8 electrode bio impedance analyzer system (HBF375 Karada Scan, Japan). Lipid profile was estimated using colorimetric assay kit methods. Results According to the BMI, 57% of females were obese and 13% were overweight, and 67% of males were obese and 20% were overweight. Abdominal obesity [WC>90cm males; >80cm females] was present in 73% of males and 81% of females. Based on total BF% (males>25%; females>35%-obese), 73% males and 65% females were obese. Twenty nine percent of females and 73% of males had a high visceral fat percentage (>10%). Among the females, 68%, 17%, 92% and among males, 73%, 27%, 80% had hypercholesterolaemia, hypertriglyceridemia and high LDL levels, respectively. Low HDL levels were observed in 47% of males and 68% of females. Conicity index (CI) and body adiposity index (BAI) were at high risk level in 93% of males and 75% of females and 27% of males and 56% of females, respectively. Conclusion The prevalence of overweight and obesity was high among the individuals of the study group and a majority were unaware that they were dyslipidemic.
Highlights
Contribution of fat depots in the body on non-communicable diseases (NCDs)The incidence of overweight and obesity among Sri Lankans are reported to be 25.2% and 9.2% respectively[1]
Overweight and obesity due to high body fat is associated with many metabolic disorders including diabetes mellitus, hypertension and cardiovascular diseases (CVD)[2]
Dyslipidemia which leads to many of the non-communicable diseases (NCDs) in obesity and overweight is mainly due to circulating free fatty acid (FFA) levels which act upon muscles, pancreatic beta cells and vascular endothelium
Summary
Contribution of fat depots in the body on NCDs. The incidence of overweight and obesity among Sri Lankans are reported to be 25.2% and 9.2% respectively[1]. Obesity and overweight are mainly instigated by excess body fat (BF) deposition. Overweight and obesity due to high body fat is associated with many metabolic disorders including diabetes mellitus, hypertension and cardiovascular diseases (CVD)[2]. There is a failure in regulation of FFA release in response to insulin/ meal ingestion. This can be explained by understanding the metabolic activity of different fat depots in the human body[3]. Fat in certain body compartments has a significant contribution to dyslipidemia
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