The prevalence and Predictors of generalised obesity in a rural farming community in the Niger Delta Region of Nigeria.

Authors

  • Chizindu A Alikor Department of Medicine, College of Health Sciences, University of Port Harcourt.
  • Chibuike Eze Nwafor Department of Medicine, College of Health Sciences, University of Port Harcourt.

Keywords:

Prevalence, Predictors, generalised obesity, rural, Niger Delta

Abstract

Background

Obesity, an independent risk factor for cardiovascular diseases has become a global epidemic even in the developing nations of the world. Epidemiologic transition is a variable implicated in this. The prevalence of obesity a risk factor for cardiovascular disorders like hypertension, heart failure, etc has not been richly studied in the rural setting of the Nigerian Niger Delta region despite the increasing urbanisation in same region. Aim is to determine the prevalence and predictors of obesity in a rural farming community of the Niger Delta region of Nigeria

Methods

A cross sectional study involving 388 subjects aged 15 years and above. Demographic, social and relevant medical information were obtained using a questionnaire administered by face-to-face interview. Anthropometric (height, weight, waist circumference, Waist-Hip-Ratio) and blood pressure measurements were done. Blood sample taken for fasting blood sugar.

Results

The overall mean age of the study subjects was 40.88±16.52. The mean age for males was 40.66±17.23 and females 40.98±16.17. Male to female ratio was 1:2.1. The prevalence of generalised obesity was 3.4% .Females had higher prevalence than males (p= 0.02).  The prevalence of obesity highest in the 50 to 59 years age group. Correlation analysis of BMI with other parameters revealed that educational status, waist circumference, and hypertension had significant association while logistic regression confirmed these variables as predictors of obesity.

Conclusion

The prevalence of obesity in this rural community is 3.4% and educational status, waist circumference and hypertension are important predictors.

References

REFERENCES

Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults, 1999–2000. JAMA. 2002; 288: 1723–1727.

Agyemang C, Owusu-Dabo E, de Jonge A, Martins D, Ogedegbe G, Stronk K: Overweight and obesity among Ghanaian residents in The Netherlands: how do they weigh against their urban and rural counterparts in Ghana? Public Health Nutr 2008:1-8.

Rotimi CN, Cooper RS, Ataman SL, Osotimehin B, Kadiri S, Muna W,

Kingue S, Fraser H, McGee D: Distribution of anthropometic variables and the prevalence of obesity in populations of Prevalence of the metabolic syndrome in Benin, West Africa. Nutr Res. 2009, 29(3):180-189.

Ntandou G, Delisle H, Agueh V, Fayomi B: Abdominal obesity explains the positive rural-urban gradient in the prevalence of the metabolic syndrome in Benin, West Africa. Nutr Res 2009, 29(3):180-189

Kaufman JS, Rotimi CN, Brieger WR, Oladokum MA, Kadiri S, Osotimehin BO, Cooper RS: Determinants of Hypertension in West Africa: Contribution of anthropometric and dietary risk factors to urban-rural and socioeconomic gradients.American Journal of Epidemiology 1996, 143:1203-1218.

WHO (2006) Global Info Base.

Agyemang C, Owusu-Dabo E, de Jonge A, Martins D, Ogedegbe G, Stronk K: Overweight and obesity among Ghanaian residents in The Netherlands: how do they weigh against their urban and rural counterparts in Ghana? Public Health Nutr 2008:1-8.

Rotimi CN, Cooper RS, Ataman SL, Osotimehin B, Kadiri S, Muna W,

Kingue S, Fraser H, McGee D: Distribution of anthropometic variables and the prevalence of obesity in populations of Prevalence of the metabolic syndrome in Benin, West Africa. Nutr Res. 2009, 29(3):180-189.

Fezeu L, Assah F, Balkau B, Mbanya D, Kengne A, Awah P, Mbanya J:

Ten-year changes in central obesity and BMI in rural and urban Cameroon. Obesity 2008, 16(5):1144-1147.

Christensen DL, Eis J, Hansen AW, Larsson MW, Mwaniki DL, Kilonzo B, Tetens I, Boit MK, Kaduka L, Borch-Johnsen K, et al.: Obesity and regional fat distribution in Kenyan populations: impact of ethnicity and urbanization. Ann Hum Biol 2008,

(2):232-249.

Siminialayi I, Emem-Chioma P, Dapper D: The prevalence of obesity as indicated by BMI and waist circumference among Nigerian adults attending family medicine clinics as outpatients in Rivers State. Niger, J Med 2008, 17(3):340-345.

Bibbins-Domingo, K., Coxson, P., Pletcher, M.J., Lightwood, J. and Goldman, L. 2007. Adolescent Overweight and Future Adult Coronary Heart Disease. Engl J Med (357):2371-9.

Ulasi II, Ijoma CK,Onwubere BJC, Arodiwe E, Onodugo O, Okafor C. High Prevalence and Low Awareness of Hypertension in a Market Population in Enugu, Nigeria. International Journal of Hypertension 2011; 2011:869675

Stamler R, Stamler J, Riedlinger WF, Algera G, Roberts RH. Weight and blood pressure: findings in hypertension screening of 1 million Americans. JAMA. 1978; 240: 1607–1610.

World Health Organization, “Obesity Preventing and Managing the Global Epidemic,” Report of a WHO Consultation on ObesityWHO/NUT/NCD/98.1, Geneva, Switzerland, 1997.

Waist Circumference and Waist–Hip Ratio:Report of a WHO Expert Consultation

Geneva, 8–11 December 2008

Chobanian, AV, Bakris, GL, Black, HR, Cushman, WC. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: The JNC 7 Report. JAMA 2003; 289:2560.

Okesina AB, Oparinde DP, Akindoyin KA, Erasmus RT. Prevalence of some risk factors of coronary heart disease in a rural Nigerian population. East Afr Med J 1999; 76:212-6.

Ezenwaka EC, AkanjiAO , Akanji BO ,Unwin NC , Adejuwon CA. The prevalence of insulin resistance and other cardiovascular disease risk factors in healthy elderly southwestern nigerians Atherosclerosis 1997; 128 (2 ) 201-211.

Mahmoud U Sani , Kolawole W Wahab , Bashir O Yusuf , Maruf Gbadamosi , Omolara V Johnson and Akeem Gbadamosi; Modifiable cardiovascular risk factors among apparently healthy adult Nigerian population - a cross sectional study. BMC Research Notes 2010; 3:11

Yusuf S,Reddy S, Stephanie. O, Sonia. A: Global Burden of Cardiovascular Diseases Part I: General Considerations, The Epidemiologic Transition, Risk Factors, and the Impact of Urbanization. Circulation 2001, 104:2746-22753.

Akter1 SF, Fauzi ARM, Nordin MS, Satwi S, Mohamed A, Aznan MA and Samsu D.Prevalence of cardiovascular risk factors in a selected community at Kuantan, Pahang, Malaysia International Journal of Medicine and Medical Sciences Vol. 2(10), pp. 322-328, October 2010

Mokdad AH, Serdula MK, Dietz WH, Bowman BA, Marks JS, Koplan JP. The spread of the obesity epidemic in the United States, 1991–1998. JAMA. 1999; 282: 1519–1522.

Downloads

Published

2016-10-25

How to Cite

Alikor, C. A., & Nwafor, C. E. (2016). The prevalence and Predictors of generalised obesity in a rural farming community in the Niger Delta Region of Nigeria. The Nigerian Health Journal, 16(3), 142. Retrieved from https://tnhjph.com/index.php/tnhj/article/view/245

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.