Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-23T09:14:02.942Z Has data issue: false hasContentIssue false

SOCIOECONOMIC CHANGES AS COVARIATES OF OVERWEIGHT AND OBESITY AMONG TANGKHUL NAGA TRIBAL WOMEN OF MANIPUR, NORTH-EAST INDIA

Published online by Cambridge University Press:  18 January 2010

N. K. MUNGREIPHY
Affiliation:
Department of Anthropology, University of Delhi, Delhi-110007, India
SATWANTI KAPOOR
Affiliation:
Department of Anthropology, University of Delhi, Delhi-110007, India

Summary

The prevalence of overweight/obesity is increasing worldwide. Although countries like India are typically thought of as having a high prevalence of undernutrition, significant proportions of overweight/obese now co-exist with the undernourished. This study aims to find the prevalence of overweight/obesity, and its association with socioeconomic change, among Tangkhul women in India. The cross-sectional study was carried out among 346 Tangkhul women aged 20–70 years, who were divided into five 10-year age groups. Mean BMI was found to be lowest among the youngest age group, and it increased with age until the age of 59 and then declined. The prevalence of overweight and obesity was found to be 27.1%, as assessed from the Asian cut-off point. Although the prevalence of obesity (2.0%) was low when compared with Indian non-tribal female populations, the prevalence of overweight (25.1%) was not far behind. Overweight and obesity were found to be associated with age, marital status, physical activity level, lifestyle and improvement in socioeconomic status, especially occupation and income. When compared with urban non-tribal Indian females, who have a higher socioeconomic status, the prevalence of overweight/obesity among Tangkhul females is lower, indicating its association with socioeconomic status. Tangkhul Naga is a population where the majority are believed to be thin traditionally owing to the difficult hilly terrain and their physically active lifestyle. With urbanization and economic development, nutritional transition, improved socioeconomic status and an increasingly sedentary lifestyle have been observed, which have contributed to the increasing prevalence of overweight/obesity among Tangkhul Naga women.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aiken, L. R. (1995) Aging: An Introduction to Gerontology. Sage Publications, New York.CrossRefGoogle Scholar
Asthana, S., Gupta, V. M. & Misra, R. N. (1998) Screening for obesity in affluent females: body mass index and its comparison with skinfold thickness. Indian Journal of Public Health 42, 3741.Google Scholar
Banerji, M. A., Faridi, N., Atluri, R., Chaiken, R. L. & Lebovitz, H. E. (1999) Body composition, visceral fat, leptin and insulin resistance in Asian Indian men. Journal of Clinical Endocrinology and Metabolism 84, 137144.Google ScholarPubMed
Bhalla, R., Kapoor, A. K., Satwanti & Singh, I. P. (1983) The distribution of subcutaneous fat with reference level of physical activity in adult females. Zeitschrift fur Morphologie und Anthropologie 24, 191197.CrossRefGoogle Scholar
Bhardwaj, S. & Kapoor, S. (2007) Nutritional anthropometry and health status: a study among Dhanka Tribals of Rajasthan. Anthropologist 9(3), 211214.CrossRefGoogle Scholar
Bovet, P., Ross, A. G., Gervasoni, J. P. et al. (2002) Distribution of blood pressure, body mass index and smoking habits in the urban population of Dar es Salaam, Tanzania, and associations with socioeconomic status. International Journal of Epidemiology 31, 240247.CrossRefGoogle Scholar
Brahmam, G. N. V. (1994) Nutritional Status of the Aged in Public Health Implication of Ageing in India. Indian Council of Medical Research, New Delhi, pp. 9298.Google Scholar
Brown, W. J. & Jones, P. R. M. (1977) The distribution of body fat in relation to habitual activity. Annals of Human Biology 4, 537550.CrossRefGoogle ScholarPubMed
Bunker, C. H., Ukoli, F. A., Nwankwo, M. U. et al. (1992) Factors associated with hypertension in Nigerian civil servants. Preventative Medicine 21, 710722.CrossRefGoogle ScholarPubMed
Census of India (2001) Census of India 2001. URL: http://www.censusindia.gov.in/Google Scholar
Chandalia, M., Abate, N., Garg, A., StrayGundersen, J. & Grundy, S. M. (1999) Relationship between generalized and upper body obesity to insulin resistance in Asian Indian men. Journal of Clinical Endocrinology and Metabolism 84, 23292335.Google ScholarPubMed
Depress, J. P., Bouchard, C., Trembley, A., Savard, R. & Marcotte, M. (1985) Effect of aerobic training on fat distribution in male subjects. Medicine & Science in Sports & Exercise 17, 113118.Google Scholar
Fezeu, L., Minkoulou, E., Balkau, B. et al. (2005) Association between socioeconomic status and adiposity in urban Cameroon. International Journal of Epidemiology 35, 105111.CrossRefGoogle ScholarPubMed
Gallagher, D., Heymsfield, S. B., Heo, M., Jebb, S. A., Murgatroyd, P. R. & Sakamoto, Y. (2000) Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. American Journal of Clinical Nutrition 72, 694701.CrossRefGoogle ScholarPubMed
Garn, S. M. (1954) Fat patterning and fat intercorrelation in adult males. Human Biology 26, 5969.Google Scholar
Gilberts, E. C., Arnold, M. J. & Grobbee, D. E. (1994) Hypertension and determinants of blood pressure with special reference to socioeconomic status in a rural south Indian community. Journal of Epidemiology and Community Health 48, 258261.CrossRefGoogle Scholar
Gopinath, N., Chadha, S. L., Jain, P., Shekhawat, S. & Tandon, R. (1994a) An epidemiological study of obesity in adults in the urban population of Delhi. Journal of the Association of Physicians of India 42(3), 212215.Google ScholarPubMed
Gopinath, N., Chadha, S. L., Sood, A. K. et al. (1994b) Epidemiological study of hypertensives in young Delhi urban population. Indian Journal of Medical Research 99, 3237.Google ScholarPubMed
Griffiths, P. L. & Bentley, M. E. (2001) The nutrition transition is underway in India. Nutrition 131(10), 26922700.Google ScholarPubMed
Joyce, K. P. & Kapoor, S. (1996) Pattern of subcutaneous fat distribution, its variation with age among young Rajput females of Pauri Garhwal, India. Journal of Human Ecology 7, 4549.Google Scholar
Kapoor, S., Kapoor, A. K. & Durnin, J. V. G. A. (1999) Variation in body composition. In Bhatnagar, D. P., Verma, S. K. & Mokha, R. (eds) Human Growth – A Multidisciplinary Approach. Exercise Science Publication Society, Patiala, pp. 1221.Google Scholar
Kapoor, S. & Tyagi, S. (2002) Fatness, fat patterns and changing body dimensions with age in adult males of a high altitude population. In Bhasin, M. K. & Malik, S. L. (eds) Science of Man in the Service of Man, vol. 8, pp. 129136.Google Scholar
Khongsdier, R. (2001) Body mass index of adult males in 12 populations of Northeast India. Annals of Human Biology 28, 374383.CrossRefGoogle ScholarPubMed
Kruger, H. S., Venter, C. S., Vorster, H. H. & Margetts, B. M. (2002) Physical inactivity is the major determinant of obesity in black women in the North West province, South Africa: the Thusa study. Transition and health during urbanisation of South Africa. Nutrition 18, 422427.CrossRefGoogle ScholarPubMed
Mckeigue, P. M., Shah, B. & Marmott, M. G. (1991) Relationship of central obesity and insulin resistance with high diabetes prevalence and cardiovascular risk in South Asians. Lancet 337, 382386.CrossRefGoogle Scholar
Majumdar, D. N. (1950) The Affairs of a Tribe: A Case Study in Tribal Dynamics. Universal Publisher, Lucknow.Google Scholar
Martikainen, P. T. & Marmot, M. G. (1999) Socioeconomic differences in weight gain and determinants and consequences of coronary risk factors. American Journal of Clinical Nutrition 69, 719726.CrossRefGoogle ScholarPubMed
Misra, A., Pandey, R. M., Devi, J. R., Sharma, R., Vikram, N. K. & Khanna, N. (2001) High prevalence of diabetes, obesity and dyslipidaemia in urban slum population in northern India. International Journal of Obesity and Related Metabolic Disorders 25(11), 17221729.CrossRefGoogle ScholarPubMed
National Research Council (1989) Committee on Diet and Health. Implications for Reducing Chronic Disease Risk. National Academy Press, Washington, DC.Google Scholar
NFHS-2 (1999) National Family Health Survey 1998–99. IIPS and ORC Macro, Mumbai.Google Scholar
NFHS-3 (2007) National Family Health Survey 2005–06. IIPS and ORC Macro, Mumbai.Google Scholar
NFI (National Foundation of India) (1991) Obesity in the urban middle class in Delhi. Science Reports Series 15, 126.Google Scholar
Norgan, N. G. (1990) Body mass index and body energy stores in developing countries. European Journal of Clinical Nutrition 44, S7984.Google ScholarPubMed
Orden, A. B. & Oyhenart, E. E. (2006) Prevalence of overweight and obesity among Gurani-Mbya from Misiones, Argentina. American Journal of Human Biology 18, 590599.CrossRefGoogle ScholarPubMed
Popkin, B. M. (2002) The shift in stages of the nutritional transition in the developing world differs from past experiences! Public Health Nutrition 5(1A), 205214.CrossRefGoogle ScholarPubMed
Rao, V., Balakrishna, N. & Shatrugna, V. (1995) Variation in forms of malnutrition in well-to-do adults and the associated factors. Man in India 75(3), 241249.Google Scholar
Satwanti, Bharadwaj H. & Singh, I. P. (1977) Relationship of body density to body measurements in young Punjabi women: applicability of body composition prediction equations developed for women of European Descent. Human Biology 49, 203213.Google ScholarPubMed
Satwanti, Kapoor A. K., Bhalla, R. & Singh, I. P. (1984) A study of the distribution pattern of fat in male gymnasts. Anthropology Anzieger 42, 131136.Google ScholarPubMed
Satwanti, Singh I. P. & Bharadwaj, H. (1980) Fat distribution in lean and obese young Indian women: a densitometric and anthropometric evaluation. American Journal of Physical Anthropology 53, 611616.Google ScholarPubMed
Sidhu, S. & Kaur, H. T. (2002) Prevalence of overweight and obesity among adult urban females of Punjab: a cross-sectional study. The Anthropologist, Special Issue No. 1 (Anthropology: Trends and Applications), pp. 101103.CrossRefGoogle Scholar
Sidhu, S., Kaur, A. & Prabhjot (2005) Prevalence overweight and obesity among urban and rural adult females of Punjab. Anthropology Anzieger 63(3), 341345.Google Scholar
Singh, R. B., Beehom, R., Verma, S. P., Haque, M., Singh, R., Mehta, A. S. et al. (2000) Association of dietary factors and other coronary risk factors with social class in women in five Indian cities. Asia Pacific Journal of Clinical Nutrition 9(4), 298302.CrossRefGoogle ScholarPubMed
Singh, R. B., Ghosh, S., Beegom, R., Mehta, A. S., De, A. K., Haque, M. et al. (1998) Prevalance and determinants of central obesity and age-specific waist: hip ratio of people in five cities: the Indian women's health study. Journal of Cardiovascular Risk 5, 7377.CrossRefGoogle ScholarPubMed
Sinha, R. & Kapoor, S. (2005) Fat patterning among Indian adolescent boys and girls. Indian Journal of Physical Anthropology and Human Genetics 24, 135141.Google Scholar
Sinha, R. & Kapoor, S. (2006) Parent–child correlation for various indices of adiposity in an endogamous Indian Population. Collegium Antropologicum 30, 291296.Google Scholar
Sobal, J. & Stunkard, A. J. (1989) Socioeconomic status and obesity: a review of the literature. Psychological Bulletin 105, 260275.CrossRefGoogle ScholarPubMed
Strickland, S. S. & Tuffrey, V. R. (1997) Form and Function: A Study of Nutrition, Adaptation and Social Inequality in Three Gurung Villages of the Nepal Himalayas. Smith-Gordon, London.Google Scholar
Tandon, K. (2006) Obesity, its distribution pattern and health implications among Khatri population. PhD thesis, Department of Anthropology, University of Delhi.Google Scholar
Tyagi, R. & Kapoor, S. (1999) Morpho-physiological changes with age among high altitude females. Man in India 79(1&2), 173178.Google Scholar
Tyagi, R., Kapoor, S. & Kapoor, A. K. (2005) Body composition and fat distribution pattern of urban elderly females, Delhi, India. Collegium Antropologicum 29, 493498.Google ScholarPubMed
Verma, S., Kapoor, S. & Singh, I. P. (1987) A study of age changes in physical fitness (as measured by rapid fitness index) and its relationship with other body measurements among Lodha tribals of West Bengal. Indian Anthropologist 17, 101108.Google Scholar
Wardle, J., Wrightson, K. & Gibson, L. (1996) Body fat distribution in South Asian children. International Journal of Obesity 20, 267271.Google Scholar
Weiner, J. S. & Lourie, J. A. (1981) Practical Human Biology. Academic Press, New York.Google Scholar
WHO (2000) The Asia–Pacific Perspective: Redefining Obesity and its Treatment. WHO, Geneva.Google Scholar
WHO (2000) WHO Recommendations: Obesity: Preventing and Managing the Global Epidemic. Technical Report Series No. 894, WHO, Geneva.Google Scholar
WHO (2003) Diet, Nutrition and the Prevention of Chronic Diseases. Report of a joint WHO/FAO expert consultation. Technical Report Series No. 916, WHO, Geneva.Google Scholar
WHO (2005) Obesity and Overweight. URL: http://www.who.int/Google Scholar
WHO Expert Consultation (2004) Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363(9403), 157163. Review. Erratum in: Lancet 363 (9412), p. 902.CrossRefGoogle Scholar
WHO MONICA Project (1989) Risk factors. International Journal of Epidemiology 18, S4655.CrossRefGoogle Scholar
Zargar, A. H., Masoodi, S. R., Laway, B. A., Khan, A. K., Wani, A. I., Bashir, M. I. & Akhtar, S. (2000) Prevalence of obesity in adults – an epidemiological study from Kashmir Valley of Indian subcontinent. Journal of the Association of Physicians of India 48(12), 11701174.Google ScholarPubMed