Abstract
Background: Ethnic minorities working in the agricultural industry in Thai border communities face a crisis of obesity, hypertension, and cardiovascular disease (CVD) due to diet and less physical activity. The objective was to examine the relationship between body mass index (BMI) and lipid markers in this population.
Methods: This is an observational, cross-sectional study among ethnic minorities in Thai border communities (n=468). We collected medical history and clinical data through exams and a questionnaire. We evaluated the association between categorical variables using the Chi-square test, and the association between variables using the point-biserial correlation test.
Results: Among all participants, the average BMI was 24.68 ± 4.49 kg/m²; average total cholesterol (TC) was 202.95 ± 42.57 mg/dL; average high-density lipoprotein cholesterol (HDL-C) was 52.54 ± 12.49 mg/dL; and average low-density lipoprotein cholesterol (LDL-C) was 121.32 ± 34.08 mg/dL. BMI levels were associated with gender, TC levels, and HDL-C levels. There was a weak, positive correlation between BMI and gender (r = 0.124, p = 0.007), and between BMI and TC (r = 0.155, p = 0.001); BMI was negatively correlated with HDL-C (r = -0.182, p < 0.001). No correlation was found between BMI and LDL-C (r = 0.044, p = 0.342).
Conclusion: Associations between BMI, gender, and lipid levels were observed in this study. Being overweight and obese were common among our participants. Those with higher BMI were more likely to have dyslipidemia. Health promotion activities aimed at lowering BMI levels may improve HDL and TC levels in this population.
Keywords: Obesity, Lipid profile, Dyslipidemia, Agricultural workers, Ethnic minority
Recommended Citation
Panta P, Boonyathee S, Ong-artborirak P,
et al.
Lipid Profile in Relation to Body Mass Index among Agricultural Workers of Various Ethnicities in Thai Border ..
J Health Res.
2024;
38(3):-.
DOI: https://doi.org/10.56808/2586-940X.1075
References
[1]. Eslam M, Newsome PN, Sarin SK, Anstee QM, Targher G, Romero-Gomez M, et al. A new definition for metabolic dysfunction-associated fatty liver disease: An international expert consensus statement. J Hepatol. 2020 Jul;73(1):202-209. doi: 10.1016/j.jhep.2020.03.039.
[2]. Chaiyasong S, Gao J, Bundhamcharoen K. Estimated impacts of alcohol control policies on NCD premature deaths in Thailand. Int J Environ Res Public Health. 2022 Aug 4;19(15):9623. doi: 10.3390/ijerph19159623.
[3]. Aekplakorn W, Chariyalertsak S, Kessomboon P, Assanangkornchai S, Taneepanichskul S, Putwatana P. Prevalence of diabetes and relationship with socioeconomic status in the Thai population: National Health Examination Survey, 2004–2014. J Diabetes Res. 2018 Mar 1;2018:1654530. doi: 10.1155/2018/1654530.
[4]. Roggema R, Mallet AE, Krstikj A. Creating a Virtuous Food Cycle in Monterrey, Mexico. Sustainability. 2023;15(10):7858.
[5]. Dixon KA, Michelsen MK, Carpenter CL. Modern diets and the health of our planet: An investigation into the environmental impacts of food choices. Nutrients. 2023 Jan 30;15(3):692. doi: 10.3390/nu15030692.
[6]. World Health Organization [WHO]. Obesity: preventing and managing the global epidemic. Geneva: WHO; 2000.
[7]. Audibert G, Bannay A, Ziegler O. Obesity paradox in ICU? A topic of discussion, not a key issue! Int J Obes (Lond). 2022 Jun;46(6):1248-1249. doi: 10.1038/s41366-022-01099-y.
[8]. Dudina A, Cooney MT, Bacquer DD, Backer GD, Ducimetière P, Jousilahti P, et al. Relationships between body mass index, cardiovascular mortality, and risk factors: a report from the SCORE investigators. Eur J Cardiovasc Prev Rehabil. 2011 Oct;18(5):731-42. doi: 10.1177/1741826711412039.
[9]. Putri LA, Trilusiana N, Mumpuni H. Diagnostic value of waist-height ratio to predict cardiovascular disease risk in adults. Berita Kedokteran Masyarakat. 2020;36(2):49-54.
[10]. Schröder H, Marrugat J, Elosua R, Covas MI; REGICOR Investigators. Relationship between body mass index, serum cholesterol, leisure-time physical activity, and diet in a Mediterranean Southern-Europe population. Br J Nutr. 2003 Aug;90(2):431-9. doi: 10.1079/bjn2003899.
[11]. Boonyathee S, Ong-Artborirak P, Seangpraw K, Tonchoy P, Kantow S, Bootsikeaw S, et al. Health Behavior, Level of Hemoglobin A1c, and Quality of Life Among Agricultural Workers of Various Ethnicities in Thai Border Communities. Front Med (Lausanne). 2022 Feb 15;9:796955. doi: 10.3389/fmed.2022.796955.
[12]. Kutanan W, Kampuansai J, Colonna V, Nakbunlung S, Lertvicha P, Seielstad M, et al. Genetic affinity and admixture of northern Thai people along their migration route in northern Thailand: evidence from autosomal STR loci. J Hum Genet. 2011 Feb;56(2):130-7. doi: 10.1038/jhg.2010.135.
[13]. James WPT, Gill T. Obesity–Introduction: History and the Scale of the Problem Worldwide. Clinical Obesity in Adults and Children. 2022:1-16.
[14]. Kosmas CE, Rodriguez Polanco S, Bousvarou MD, Papakonstantinou EJ, Peña Genao E, Guzman E, Kostara CE. The Triglyceride/High-Density Lipoprotein Cholesterol (TG/HDL-C) Ratio as a Risk Marker for Metabolic Syndrome and Cardiovascular Disease. Diagnostics (Basel). 2023 Mar 1;13(5):929. doi: 10.3390/diagnostics13050929.
[15]. Hussain A, Ali I, Kaleem WA, Yasmeen F. Correlation between Body Mass Index and Lipid Profile in patients with Type 2 Diabetes attending a tertiary care hospital in Peshawar. Pak J Med Sci. 2019;35(3):591-597. doi: 10.12669/pjms.35.3.7.
[16]. Lodha NK, chand Mewara B. Correlation of HbA1c with microalbuminuria of type-2 diabetes mellitus patients. International Journal of Surgery. 2022;6(1):33-8.
[17]. Shamai L, Lurix E, Shen M, Novaro GM, Szomstein S, Rosenthal R, et al. Association of body mass index and lipid profiles: evaluation of a broad spectrum of body mass index patients including the morbidly obese. Obes Surg. 2011 Jan;21(1):42-7. doi: 10.1007/s11695-010-0170-7.
[18]. Farr OM, Upadhyay J, Rutagengwa C, DiPrisco B, Ranta Z, Adra A, et al. Longer‐term liraglutide administration at the highest dose approved for obesity increases reward‐related orbitofrontal cortex activation in response to food cues: Implications for plateauing weight loss in response to anti‐obesity therapies. Diabetes Obes Metab. 2019 Nov;21(11):2459-2464. doi: 10.1111/dom.13827.
[19]. Nansseu JR, Moor VJ, Nouaga ME, Zing-Awona B, Tchanana G, Ketcha A. Atherogenic index of plasma and risk of cardiovascular disease among Cameroonian postmenopausal women. Lipids Health Dis. 2016 Mar 9;15:49. doi: 10.1186/s12944-016-0222-7.
[20]. Hossain MS, Islam MD, Galib A, Malek R, Akter K, Khanam M. Lipid Profile in Relation to Body Mass Index among Medical College Students in Dhaka, Bangladesh. Medicine Today. 2021;33(2):114-9.
[21]. Egbe AC, Miranda WR, Lopez-Jimenez F, Connolly HM. Atherosclerotic cardiovascular disease in adults with congenital heart disease. JACC: Advances. 2022;1(2):1-8.
[22]. Landberg A, Fält A, Montgomery S, Sundqvist P, Fall K. Overweight and obesity during adolescence increases the risk of renal cell carcinoma. Int J Cancer. 2019 Sep 1;145(5):1232-1237. doi: 10.1002/ijc.32147.
[23]. Vasquez P, Ricra R, Cruz L, Vargas N. Body Mass Index an anthropometric measure associated with TG / HDL Index, a novel cardio-metabolic risk factor: Índice de Masa Corporal una medida antropométrica asociada a Índice TG/HDL, un novel factor de riesgo cardio-metabólico. Revista De La Facultad De Medicina Humana. 2020. 20(4). https://doi.org/10.25176/RFMH.v20i4.3219
[24]. Hussain A, Ali I, Kaleem WA, Yasmeen F. Correlation between Body Mass Index and Lipid Profile in patients with Type 2 Diabetes attending a tertiary care hospital in Peshawar. Pak J Med Sci. 2019;35(3):591-597. doi: 10.12669/pjms.35.3.7.
[25]. Xie F, Jiang L, Liu Y, Wang M, Liu H, Jiang F, et al. Gender differences in the associations between body mass index, depression, anxiety, and stress among endocrinologists in China. BMC Psychol. 2023 Apr 14;11(1):116. doi: 10.1186/s40359-023-01150-1.
[26]. Singh V, Pandey PT, Kislay D, Haider J. Study of Gender Correlation with Weight, Height, and BMI on Hemoglobin. International Journal of Physiology. 2018;6(3):143-7.
[27]. Wang X, Zeng Q, Ma N, Peng L, Liu L, Hong F, et al. Sex-specific differences in the association between metabolically healthy overweight/obesity and the risk of hypertension in Chinese ethnic minorities. Endocrine. 2023 May;80(2):317-327. doi: 10.1007/s12020-023-03308-8.
[28]. Ginting ST, Nasution MS. The Effect of Lifestyle Modification on Lipid Profile and Body Weight in Obese Subject. Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI). 2022;4(1):28-34.