Lipid Profiles And Blood Pressure In Relation To Body Mass Index

      576 Faculty of Tropical Medicine LIPID PROFILES AND BLOOD PRESSURE IN RELATION TO BODY MASS INDEX (BMI) OF OVERWEIGHT AND OBESE THAI IN BANGKOK Ariya Lertchavanakul1, Onarmon Maleehuan1, Praneet Pongpaew2, Rungsunn Tungtrongchitr2, Samnieng Vutikes3, Frank Peter Schelp4 1 Out-patient Department, General Practice Section, Rajvithi Hospital, Rajthevee, Bangkok 10400, Thailand; 2 Department of Tropical Nutrition and Food Science, Faculty of Tropical Medicine, Mahidol University; 3 Department of Clinical Tropical Medicine and Hospital for Tropical Diseases, Faculty of Tropical Medicine, Mahidol University; 4 Department of Epidemiology, Institute of Social Medicine, Free University, Berlin, Germany.

Key words: Lipid profiles, Anthropometry, Obese                     The lipid patterns, anthropometric measurements, including waist/hip ratio of 40 male and 166 female overweight (BMI ³³ 25.00) Thai volunteers who came for a physical check up at the Out-patient Department, General Practice Section, Rajvithi Hospital, Bangkok during the period March-October, 1998, were investigated. There was no significant difference between the median of age between sexes. The medians of height, weight and waist/hip ratio of males were significantly higher than those of female overweight and obese subjects.

The prevalence of hypertension based on systolic and diastolic blood pressure of systolic ³³ 160 mmHg and diastolic ³³ 95 mmHg , were 12.5% and 42.5% for males and 7.8% and 22.

3% for females respectively. Overweight and obese males had statistically significantly higher LDL-C, LDL-C/HDL-C ratios and TG, whereas HDL-C was lower when compared with females. Higher prevalence of LDL-C ³³ 150 mg/dl in males was found when compared with females. However, the opposite result was also observed for the prevalence of low HDL-C (HDL-C ££ 35 mg/dl), and 17.

5% of total overweight and obese subjects were found to be hypertriglyceridemic (TG ³³ 200 mg/dl).                     In obese subjects (selected only obese subject whose BMI ³³ 30.00), the statistically significant relations between systolic, diastolic blood pressure and all serum lipid profiles were found. Waist/hip ratio was found to be inversely related with HDL-C, however, the positively relation with TG was also determined.

(Published in Internal Medicine 1998;14:-)
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