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J Assoc Physicians India. 2009 Feb;57:163-70.

Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for Asian Indians and recommendations for physical activity, medical and surgical management.

Collaborators (250)

Chowbey P, Misra A, Makkar BM, Misra A, Ghosh A, Jhingan AK, Sidhu A, Makkar BM, Singh BI, Sivakumar B, Batra CM, Sridhar CR, Bhatia D, Toteja GS, Wasir J, Srinath J, Sawney JP, Madan J, Narwaria M, Karmarkar MG, Vikram NK, Chowbey P, Mishra P, Joshi P, Mathur P, Sharma R, Gupta R, Goel R, Sadikot S, Kale S, Joshi S, Borude S, Shah S, Madhu SV, Sharma V, Munjal YP, Gadpayle AK, Kriplani AK, Batavia A, Contractor A, Arora A, Ajmani A, Bijani A, Gainda A, Kondal A, Khare A, Gurtoo A, Sharma A, Garg A, Gupta AT, Maheshwari A, Agarwala A, Kurpad A, Prasad A, Dey A, Kohli A, Sadana A, Vashishtha A, Gupta A, Jhingan A, Das AK, Mishra A, Luthra A, Sardana A, Wadhwa A, Sivakumar B, Makkar BM, Singh B, Saboo B, Shah B, Kohli C, Ramachandran CS, Yajnik CS, Hazra DK, Rajyasree D, Singh D, Chadha, Gupta D, Khanna D, Singh D, Gaba DA, Nandan D, Kondal D, Wadhawan, Sridhar GR, Kaur GD, Ghosh G, Kaur G, Chandalia HB, Kaur H, Vardhan H, Kochar IP, Khosla I, Sharma JK, Sawhney JP, Benjamin J, Todkar J, Sood J, Aggarwal KK, Srivastava KN, Singh K, Trehan KK, Rai K, Vijay K, Dhawan K, Khanna K, Khurana L, Karmarkar MG, Mahar MS, Ramesh M, Ahmed M, Janakiraman M, Baijal M, Bansal M, Kumar M, Lall M, Mathur M, Jain M, Vasishta M, Bagchi N, Singh N, Singhi N, Bhatia N, Garg N, Gera N, Singhal N, Tandon N, Shah N, Mohanty PC, Srinath PJ, Dewan PK, Reddy PK, Patankar P, Sinha P, Sodhi PK, Kaur P, Singh P, Biswas P, Bhatia P, Ganguly P, Jain P, Choudhry P, Mohanty PCh, Kolhe P, Reddy PK, Goel P, Shah P, Nigam P, Narayan RR, Prasad RK, Kasliwal RR, Lalwani RK, Marya RK, Pandey RM, Chawla R, Bhojwani R, Khullar R, Rajput R, Gupta R, Gupta R, Kukreja R, Meswani R, Parikh R, Vaidya R, Kishore R, Jaiswal R, Khanna R, Datta R, Kapoor SK, Singh SK, Wangnoo SK, Kapoor S, Dembla SP, Arya SV, Kothari SY, Agarwal S, Dave S, Malhotra S, Chaurey S, Bhambani S, Passi SJ, Khatri S, Gulati S, Puri S, Sesikeran, Kale S, Chawla S, Gopalan S, Joshi SR, Shah S, Mathur S, Sadikot SM, Saluja S, Shipra, Chopra S, Dhorepatil S, Passi SJ, Mittal S, Lalwani S, Arya S, Aggarwal S, Kalhan SK, Tripathi S, Sehra S, Jha S, Jain S, Shah S, Kaur S, Kumar S, Abrol SK, Chhabra SK, Bhatt SP, Sharma S, John S, Chaturvedi S, Bhardwaj S, Bhave S, Kothari SY, Mittal T, Jain T, Biswal UC, Mani UV, Kapil U, Srivastava U, Prakash V, Jain V, Soni V, Verma V, Nambiar V, Ramesh V, Seth V, Kumari V, Singh VL, Viswanathan V, Ahluwalia V, Kapur V, Sabharwal V, Gujral V, Mittal V, Singhal V, Mishra V, Naik VG, Aggarwal V, Goyal VK, Gupta YK, Krishnamohan Y, Kusuma YS, Agarwala Y, Gautam Y, Sarin YK.

Author information

  • 1Department of Diabetes and Metabolic Diseases, Fortis Flt. Lt Rajan Dhall Hospital, Vasant Kunj, New Delhi.

Abstract

Asian Indians exhibit unique features of obesity; excess body fat, abdominal adiposity, increased subcutaneous and intra-abdominal fat, and deposition of fat in ectopic sites (liver, muscle, etc.). Obesity is a major driver for the widely prevalent metabolic syndrome and type 2 diabetes mellitus (T2DM) in Asian Indians in India and those residing in other countries. Based on percentage body fat and morbidity data, limits of normal BMI are narrower and lower in Asian Indians than in white Caucasians. In this consensus statement, we present revised guidelines for diagnosis of obesity, abdominal obesity, the metabolic syndrome, physical activity, and drug therapy and bariatric surgery for obesity in Asian Indians after consultations with experts from various regions of India belonging to the following medical disciplines; internal medicine, metabolic diseases, endocrinology, nutrition, cardiology, exercise physiology, sports medicine and bariatric surgery, and representing reputed medical institutions, hospitals, government funded research institutions, and policy making bodies. It is estimated that by application of these guidelines, additional 10-15% of Indian population would be labeled as overweight/obese and would require appropriate management. Application of these guidelines on countrywide basis is also likely to have a deceleration effect on the escalating problem of T2DM and cardiovascular disease. These guidelines could be revised in future as appropriate, after another large and countrywide consensus process. Till that time, these should be used by clinicians, researchers and policymakers dealing with obesity and related diseases.

PMID:
19582986
[PubMed - indexed for MEDLINE]
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