Abstract
Background: The prevalence of obesity is alarmingly high, affecting both developed and developing countries of all socio-economic groups, irrespective of age, sex or ethnicity. As the prevalence of obesity increases so does the burden of its associated co-morbidities. The purpose of this study was to evaluate the prevalences of overweight and obesity in our region, study the association between family history of diabetes (FHD) and body mass index (BMI) and to assess the relationship between family history of obesity and body mass index (BMI). Methods: A cross sectional population based study of 1017 randomly selected individuals was conducted. Pregnant patients and those with hypothyroidism, severe disability or severe psychiatric disturbance were excluded. Study included school going children, college going students, employees of medical college GRMC Gwalior and attendants of indoor and outdoor patients. Weight and height were measured and body mass index calculated. Patients with BMI > 23 kg/m2 were defined as overweight and those with BMI 27.5 kg/m 2 and above were labelled as obese as per the WHO recommendation for Asian population. Results: A total of 1017 patients were included in this study. There were 573 (56.34%) males and 444(43.66 %) females. Overall prevalence of overweight was 251(24.6%) and prevalence of obesity was (25) 2.4%. 93 (33.69%) of those with BMI >23 had family history of obesity while the figure was 81 (10.93%) in those with BMI <23. p value =0.000. 30 (10.86%) with BMI >23 had family history of diabetes and 40 (5.39%) with BMI <23 had the family history of diabetes. p value-0.004.18 (22.2%) with BMI >23 consumed alcohol compared to 11 (7.5%) cases with BMI <23 who did not. P value 0.004. Conclusions: The risk factors of overweight and obesity are multifactorial. The results show that the rise in the prevalence of overweight and obesity is accentuated by the presence of a positive family history of diabetes or obesity.
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