Annals of Indian Academy of Neurology
LETTERS TO THE EDITOR
Year
: 2019  |  Volume : 22  |  Issue : 3  |  Page : 350--351

Pattern of idiopathic intracranial hypertension in Indian population


Asutosh Pal, Prasenjit Sengupta, Debsadhan Biswas, Chetana Sen, Avik Mukherjee, Sandip Pal 
 Department of Neuromedicine, Medical College, Kolkata, West Bengal, India

Correspondence Address:
Dr. Prasenjit Sengupta
Flat 4B, Landmark Apartment, 298, NSC Bose Road, Kolkata, West Bengal - 700047
India




How to cite this article:
Pal A, Sengupta P, Biswas D, Sen C, Mukherjee A, Pal S. Pattern of idiopathic intracranial hypertension in Indian population.Ann Indian Acad Neurol 2019;22:350-351


How to cite this URL:
Pal A, Sengupta P, Biswas D, Sen C, Mukherjee A, Pal S. Pattern of idiopathic intracranial hypertension in Indian population. Ann Indian Acad Neurol [serial online] 2019 [cited 2019 Dec 14 ];22:350-351
Available from: http://www.annalsofian.org/text.asp?2019/22/3/350/257641


Full Text



Several scientific evidence suggests that Asian populations have different associations between BMI, percentage of body fat, and health risks than do European populations. However, available data do not necessarily indicate a clear BMI cut-off point for all Asians for overweight or obesity. The cut-off point for observed risk of cardiovascular diseases varies from 22 kg/m2 to 25 kg/m2 in different Asian populations; for high risk it varies from 26 kg/m2 to 31 kg/m2.[1],[2]

The Asia Pacific criteria were devised with statistics obtained from Asia Pacific and Indian Ocean countries. Because of lack of adequate data from majority of Asia, much of the recommendations had been obtained from study of the multiethnic population of Mauritius, which included Indians, Chinese, and Creoles among others. It was also noted that the Creoles and Indians had higher rates of obesity than the Chinese.[3]

A WHO expert consultation on the debate regarding the interpretation of obesity cutoffs in Asian population also concluded that the available data do not indicate a clear cutoff for obesity or overweight.[4]

Therefore, in this background of confusion regarding appropriate obesity criteria for a multi-ethnicity population like India, we chose to use the universally accepted WHO criteria for our final tabulation. We, however, did initially consider implementing the Asia Pacific criteria for our set of patients, and while doing so, the obesity and overweight proportion increased to 60% compared to the 24% by the WHO criteria, keeping it still below the global figures of obesity in IIH.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Wang J, Thornton JC, Russell M, Burastero S, Heymsfield SB, Pierson RN. Asians have lower BMI (BMI) but higher percent body fat than do Whites: Comparisons of anthropometric measurements. Am J Clin Nutr 1994;60:23-8.
2Guricci S, Hartriyanti Y, Hautvast JGAJ, Deurenberg P. Relationship between body fat and body mass index: Differences between Indonesians and Dutch Caucasians. Eur J Clin Nutr 1998;52:779-83.
3WHO/IASO/IOTF. The Asia-Pacific Perspective: Redefining Obesity and Its Treatment. Health Communications Australia: Melbourne; 2000. ISBN 0-9577082-1-1.
4WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004;363:157-63.