Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
The Impact of Obesity on Hypertension and Diabetes Control Following Healthy Lifestyle Intervention Program in a Developing Country Setting



Tavassolia A1 ; Gharipour M2 ; Toghianifarc N3 ; Sarrafzadegand N4 ; Khosravi A5 ; Zolfaghari B6 ; Zarfeshani S2
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Cardiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. General Practitionere and Researcher, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Director of Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Head of Hypertension Research Center, Isfahan Cardiovascular Research Institute, Isfahan, Iran
  6. 6. Department of Pharmacognosy, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Research in Medical Sciences Published:2011

Abstract

BACKGROUND: The aim of this study was to evaluate the impact of obesity and overweight on diabetes mellitus (DM) and hypertension (HTN) control in a healthy lifestyle intervention program in Iran. METHODS: Within the framework of the Isfahan Healthy Heart Program (IHHP), a community trial that was conducted to prevent and control cardiovascular disease and its risk factors, two intervention counties (Isfahan and Najafabad) and one reference county (Arak) were selected. Demographic information, medical history, anti-diabetic and antihypertensive medications use were asked by trained interviewers in addition to physical examination and laboratory tests for 12514 adults aged more than 19 years in 2001 and were repeated for 9572 adults in 2007. RESULTS: In women, the frequency of HTN control change significantly neither in normal weight nor in those with high body mass index (BMI), waist circumference (WC) or waist to hip ratio (WHR). In men, the frequency of HTN control was only significant among those with high WHR, whereas the interaction between changes in intervention compared to reference area from 2001 to 2007 was significant in men with normal or high WC or WHR. In intervention area, the number of women with high BMI who controlled their DM increased significantly from 2001 to 2007 (p = 0.008), however, this figure decreased in men. In reference area, obesity indices had no significant association with DM control. The percentage of diabetic subjects with high WC who controlled their DM decreased non-significantly in intervention area compared to reference area in 2007. A non-significant increase in controlled DM among men and women with high WHR was observed between intervention and reference areas. CONCLUSIONS: Our lifestyle interventions did not show any improving effect on HTN or DM control among obese subjects based on different obesity indices. Other lifestyle intervention strategies are suggested.
Related Docs
View other Related Docs
1. Isfahan Healthy Heart Program, Sample Size and Sampling Structure: A Comprehensive Report, Journal of Isfahan Medical School (2016)
2. How Does the Impact of a Community Trial on Cardio-Metabolic Risk Factors Differ in Terms of Gender and Living Area? Findings From the Isfahan Healthy Heart Program, Journal of Research in Medical Sciences (2012)
3. Outcomes of a Comprehensive Healthy Lifestyle Program on Cardiometabolic Risk Factors in a Developing Country: The Isfahan Healthy Heart Program, Archives of Iranian Medicine (2013)
4. Methods of Sampling and Sample Size Determination of a Comprehensive Integrated Community-Based Interventional Trial: Isfahan Healthy Heart Program, ARYA Atherosclerosis (2018)
5. The Impact of a Community Trial on the Pharmacological Treatment in the Individuals With the Metabolic Syndrome: Findings From the Isfahan Healthy Heart Program, 2001-2007, Archives of Medical Science (2012)
6. Stress As a Risk Factor for Noncompliance With Treatment Regimens in Patients With Diabetes and Hypertension, ARYA Atherosclerosis (2016)
7. Socioeconomic Disparities and Smoking Habits in Metabolic Syndrome: Evidence From Isfahan Healthy Heart Program, Iranian Red Crescent Medical Journal (2011)
8. Prevalence, Awareness, Treatment, Control, and Risk Factors of Hypertension Among Adults: A Cross-Sectional Study in Iran, Epidemiology and Health (2018)
Experts (# of related papers)
View all Related Experts
Nizal Sarrafzadegan (172)
Roya Kelishadi (157)
Other Related Docs
9. Metabolic Syndrome: An Emerging Public Health Problem in Iranian Women: Isfahan Healthy Heart Program, International Journal of Cardiology (2008)
10. Incident Hypertension and Its Predictors: The Isfahan Cohort Study, Journal of Hypertension (2014)
11. Determinants of Uncontrolled Hypertension in an Iranian Population, ARYA Atherosclerosis (2014)
12. Metabolic Syndrome in Iranian Elderly, ARYA Atherosclerosis (2012)
13. Sex Based Pharmacological Treatment in Patients With Metabolic Syndrome: Findings From the Isfahan Healthy Heart Program, African Journal of Pharmacy and Pharmacology (2011)
14. The Effects of a Comprehensive Community Trial on Cardiometabolic Risk Factors in Adolescents: Isfahan Healthy Heart Program, ARYA Atherosclerosis (2012)
15. Awareness, Treatment and Control of Hypertension, Dyslipidaemia and Diabetes Mellitus in an Iranian Population: The Ihhp Study, Eastern Mediterranean Health Journal (2009)
16. The First Iranian Recommendations on Prevention, Evaluation and Management of High Blood Pressure, ARYA Atherosclerosis (2012)
17. Body Mass Index, Waist-Circumference and Cardiovascular Disease Risk Factors in Iranian Adults: Isfahan Healthy Heart Program, Journal of Health, Population and Nutrition (2013)
18. Lifestyle Interventions for Hypertension Treatment Among Iranian Women in Primary Health-Care Settings: Results of a Randomized Controlled Trial, Journal of Research in Medical Sciences (2015)
19. Anthropometric Indices Predicting Incident Hypertension in an Iranian Population: The Isfahan Cohort Study, Anatolian Journal of Cardiology (2019)
20. Hypertension in Non-Type 2 Diabetes in Isfahan, Iran: Incidence and Risk Factors, International Journal of Hypertension (2017)
21. Salt Intake, Obesity, and Pre-Hypertension Among Iranian Adults: A Cross-Sectional Study, Pakistan Journal of Medical Sciences (2012)
22. Determinants of Changes in Metabolic Syndrome Components in a 12-Year Cohort of Iranian Adults, Metabolic Syndrome and Related Disorders (2019)
23. Dietary Habits and the 10-Year Risk of Overweight and Obesity in Urban Adult Population: A Cohort Study Predicated on Yazd Healthy Heart Project, Diabetes and Metabolic Syndrome: Clinical Research and Reviews (2020)
24. Metabolic Syndrome and Health-Related Quality of Life in Iranian Population, Journal of Research in Medical Sciences (2011)
25. Management of High Blood Pressure: The First Iranian High Blood Pressure Guideline (Summary), Iranian Heart Journal (2013)
26. Determinants of Weight Change in a Longitudinal Study of Iranian Adults: Isfahan Cohort Study, Archives of Iranian Medicine (2014)
27. Cardiovascular Disease Risk Factors, Metabolic Syndrome and Obesity in an Iranian Population, Eastern Mediterranean Health Journal (2008)
28. Does the Impact of Metabolic Syndrome on Cardiovascular Events Vary by Using Different Definitions? Chronic Disease Epidemiology, BMC Public Health (2015)
29. Prevalence of Pre-Hypertension and Hypertension, Awareness, Treatment, and Control of Hypertension, and Cardiovascular Risk Factors in Postmenopausal Women, ARYA Atherosclerosis (2021)
30. The Assessment of Family Physicians' Performance in Screening of Hypertension and Diabetes Mellitus in Rural Areas of Isfahan County: A 5-Year Survey, Journal of Isfahan Medical School (2012)
31. The Prevalence and Correlated Determinants of Hypertension and Type 2 Diabetes:A Large Community-Based Study in Isfahan, Iran, Pakistan Journal of Medical Sciences (2012)
32. Obesity and Cardiometabolic Risk Factors in a Representative Population of Iranian Adolescents and Adults in Comparison to a Western Population: The Isfahan Healthy Heart Programme, Public Health Nutrition (2010)
33. The Changes in Cardiovascular Disease Risk Factors After the Implementation of the Package of Essential Non-Communicable Disease Control, Journal of Cardiovascular and Thoracic Research (2024)
34. Explaining the Decline in Coronary Heart Disease Mortality Rate Using Impact Model: Estimation of the Changes in Risk Factors and Treatment Uptake in Iran Between 2007 and 2016, ARYA Atherosclerosis (2023)
35. Nationwide Survey of Prevalence and Risk Factors of Prehypertension and Hypertension in Iranian Adults, Journal of Hypertension (2008)
36. Metabolic Syndrome in Type 2 Diabetes Mellitus in Isfahan, Iran: Prevalence and Risk Factors, Metabolic Syndrome and Related Disorders (2007)
37. High Blood Pressure and Associated Cardiovascular Risk Factors in Iran: Isfahan Healthy Heart Programme, Medical Journal of Malaysia (2004)
38. Anthropometric Assessment to Predict Hypertension Among Women in Tehran, Iran, Tehran University Medical Journal (2008)
39. Impact of Metabolic Syndrome on Ischemic Heart Disease - a Prospective Cohort Study in an Iranian Adult Population: Isfahan Cohort Study, Nutrition, Metabolism and Cardiovascular Diseases (2012)
40. The Relationship Between Social Factors and Blood Glucose Control in Patients With Type Ii Diabetes in Isfahan Township, Iran, Journal of Isfahan Medical School (2017)
41. Glycemic Control Among Iranian People With Type 2 Diabetes: A Systematic Review and Meta-Analysis, International Journal of Diabetes in Developing Countries (2023)
42. Food Intake Patterns May Explain the High Prevalence of Cardiovascular Risk Factors Among Iranian Women, Journal of Nutrition (2008)
43. Prevalence of Hypertension and Associated Risk Factors in Isfahan, Islamic Republic of Iran, Eastern Mediterranean Health Journal (1999)
44. Diabetes and Associated Cardiovascular Risk Factors in Iran: The Isfahan Healthy Heart Programme, Annals of the Academy of Medicine Singapore (2007)
45. Association of Glycaemic Index and Glycaemic Load With Metabolic Syndrome in an Iranian Adult Population: Isfahan Healthy Heart Program, Nutrition and Dietetics (2017)
46. Factors Affecting Uncontrolled Hypertension in an Iranian Population, Iranian Heart Journal (2013)
47. Hypertension in Type 2 Diabetes Mellitus in Isfahan, Iran: Incidence and Risk Factors, Diabetes Research and Clinical Practice (2005)
48. Hypertension Control in Industrial Employees: Findings From Shimsco Study, ARYA Atherosclerosis (2012)
49. Evaluating Factors Associated With Uncontrolled Hypertension: Isfahan Cohort Study, Iran, ARYA Atherosclerosis (2014)
50. The Relationship Between Hematologic Variables and Metabolic Syndrome, Iranian Heart Journal (2011)