The Prevalence of Abdominal Obesity and Its Correlates among the Adults in Dodoma Region, Tanzania: A Community-Based Cross-Sectional Study

Introduction. Overweight and obesity are a threat to the public health following their association with noncommunicable diseases, such as type 2 diabetes mellitus, cardiovascular disease, and some cancers. Despite this fact, the information on overweight and obesity, particularly in most developing countries, is still scarce to address the problem. This article partly addresses the gap through the findings of a cross-sectional survey that was conducted in Dodoma Region, Central Tanzania, to determine the prevalence and correlates of abdominal obesity among adults. Methods. Using a community-based cross-sectional survey, data were generated from the participants who aged 18 years and above. Simple random sampling and Kish selection table techniques were used to get the sample who responded through a face-to-face-administered questionnaire. Waist circumference was measured using the guideline of the WHO protocol of measuring waist and hip circumference. Abdominal obesity is defined as a condition with waist circumference >102 cm for men and >88 cm for women. Prevalence was computed with a 95% confidence interval. Simple and multiple logistic regression models were fitted to identify the risk factors associated with abdominal obesity. Results. A total of 840 respondents took part in the study. The overall prevalence of abdominal obesity was found to be 24.88% (209/840). The prevalence of abdominal obesity was significantly higher among women than men (35.14% vs. 6.89%, p<0.0001) and higher among urban dwellers (33.56%) than their rural counterparts (15.56%). Correlates of abdominal obesity was found to be gender, marital status, place of residence, age, education level, and the time used in watching television. Conclusion. This study revealed a high prevalence of abdominal obesity among the people living in the Dodoma Region. Increased age, urban residence, more time spent on television, less walking per day, and being ever married were all associated with having abdominal obesity in this population.

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Setting – based prevalence and correlates of central obesity: findings from a cross-sectional study among formal sector employees in Dodoma City, Central Tanzania

BMC Public Health ◽

10.1186/s12889-020-10142-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mariam John Munyogwa ◽

Kaloli Sayi Ntalima ◽

Secilia Ng’weshemi Kapalata

Keyword(s):

Central Obesity ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Formal Sector ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Logistic Regression Models ◽

Face To Face ◽

Chi Square Test

Abstract Background Obesity at the workplace has been associated with symptoms of lower self-esteem, increased individual and employer healthcare costs, increased absenteeism and presenteeism and reduced productivity. Therefore, this study was designed to study the prevalence and correlates of central obesity among formal sector employees in Dodoma City. Methods Study design was a cross-sectional survey conducted from March to June, 2019. Participants were employees from formal sector employment defined as those paid regular monthly wage and with either a secured permanent or temporary contract. Simple random sampling was used to select four out of fifteen large buildings hosting various establishments. Respondents were obtained conveniently and interviewed face to face. Central obesity was defined as a waist circumference greater than 102 cm for males and greater than 88 cm for females. Chi-square test was conducted to assess the differences among the groups. Simple and multiple logistic regression models were fitted to identify the correlates of central obesity. Results A total of 392 respondents (98% response rate) agreed and participated in the study. The overall prevalence of central obesity was found to be 41.8% (164/392). The prevalence of central obesity was significantly higher among females (67.4% p < 0.001), respondents aged ≥51 years (60%, p = < 0.001), administrators (55.1% p = < 0.05), respondents with salary of > 1,000,000 Tanzanian Shilling (TSh.) per month (54.4%, p = < 0.05), respondents who eat homemade meals at the workplace (64.2%, p = < 0.05) and respondents with hypertension (62.5%, p = < 0.05). Correlates of central obesity were found to be female sex (AOR = 9.53; 95% CI: 5.49, 16.78), increased age, eating homemade meals at the workplace (AOR = 2.32; 95% CI: 1.04, 4.19) and hypertension (AOR = 3.15; 95% CI: 1.41, 6.91). Conclusions The present study revealed high prevalence of central obesity among formal sector employees in Dodoma City. Scholars and stakeholders are urged to generate more evidences and design appropriate interventions to curb the situation.

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Association Between Body Mass Index, Waist Circumference and Gerd-Q Scores: A Cross-Sectional Study

Natural Sciences Engineering and Technology Journal ◽

10.37275/nasetjournal.v2i1.14 ◽

2021 ◽

Vol 2 (1) ◽

pp. 74-79

Author(s):

Aurel Feodora Tantoro ◽

Alwi Shahab ◽

Syarif Husin ◽

Ratna Maila Dewi Anggraini ◽

Liniyanti D. Oswari

Keyword(s):

Waist Circumference ◽

Abdominal Obesity ◽

Significant Relationship ◽

Adult Population ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Cross Sectional ◽

Cross Sectional Design ◽

The Relationship ◽

Gerd Symptoms

The prevalence of GERD has continued to increase in Asian countries in recent decades. The incidence of overweight and obesity continues to increase. Many studies have revealed that obesity in general or abdominal obesity causes a significant increase in the risk of GERD symptoms. The research objective was to determine the relationship between BMI and waist circumference with the incidence of GERD in the adult population of Palembang city.An analytic observational with a cross-sectional design. The population were all adults(≥20 years) of Palembang. The number of samples were 400 people. Data were taken from a self-completed questionnaire, distributed through various social media, then analyzed using logistic regression analysis.Among 400 subjects in the study, there were 81 subjects (20.3%) diagnosed with GERD, 43 subjects (10.8%) were overweight, 79 subjects (19.8%) were obese, and 160 subjects(40%) have had abdominal obesity. There was a significant relationship between obesity and diagnosis of GERD (p=0,001; OR =2,799; CI95% = 1,545-5,069). In contrast, there were no significant relationship between overweight and diagnosis of GERD. There were also no significant relationship between abdominal obesity and diagnosis of GERD. Obesity has a significant association with the diagnosis of GERD, but the absence of an association between overweight and diagnosis of GERD implies that increased BMI is not an independent risk factor in diagnosis of GERD.

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Anthropometry and Twin Epidemic of Malnutrition among Urban Population of Varanasi

The Indian Journal of Nutrition and Dietetics ◽

10.21048/ijnd.2017.54.4.15842 ◽

2017 ◽

Vol 54 (4) ◽

pp. 435

Author(s):

Shikha Singh ◽

Ravi Shankar

Keyword(s):

Waist Circumference ◽

Abdominal Obesity ◽

Urban Population ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Asia Pacific ◽

Related Factors ◽

Cross Sectional ◽

Energy Deficiency ◽

Male Subjects

As life expectancies increase the major causes of death shift to the chronic and non communicable diseases, Indian population is increasingly facing modern risks due to overweight and obesity and other diet-related factors. As a result, people are facing a growing burden from the modern risks to health, while still fighting an unfinished battle with the traditional risks that results in dual burden of risks and diseases. This study aims at estimating the prevalence of under nutrition and over nutrition based on anthropometric indices. A community based cross-sectional study with multi-stage sampling design was conducted among urban population of Varanasi aged 25-64 years living in the selected area. A pre designed and pre tested proforma was used to collect the basic characteristics of 640 study subjects. Anthropometric measurements (height, weight, waist circumference and hip circumference) were recorded by following standard procedures. WHO International and Asia pacific guidelines for BMI were used to define Chronic Energy Deficiency (CED), overweight and obesity. Waist circumference and WHR for identifying abdominal obesity were defined by Indian guidelines. Mean height and weight of male subjects (n=301) were 167.5 ± 7.5 cm and 66.8 ± 12.5 kg, respectively and height and weight of female subjects (n=339) were 153.5 ± 6.01 cm and 57.6 ± 10.2 kg, respectively. Mean BMI was higher among female (24.4 ± 3.92 kg/m2) than male subjects (23.8 ± 3.95 kg/m2). The prevalence of CED, overweight and obesity were 8.6, 22.8 and 38.3% respectively by Asian classification and 8.6, 29.1 and 9.3% respectively by Global classification. The prevalence of thinness was higher among males, whereas prevalence of overweight and obesity was higher among females. Prevalence of abdominal obesity was higher among females as compared to their male counterparts.

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The Association Between Single-Child Status and Risk of Abdominal Obesity: Result From a Cross-Sectional Study of China

Frontiers in Pediatrics ◽

10.3389/fped.2021.697047 ◽

2021 ◽

Vol 9 ◽

Author(s):

Di Gao ◽

Yanhui Li ◽

Zhaogeng Yang ◽

Ying Ma ◽

Manman Chen ◽

...

Keyword(s):

Logistic Regression ◽

Abdominal Obesity ◽

Regression Models ◽

Weight Status ◽

Cross Sectional Study ◽

High Risk Population ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Logistic Regression Models ◽

Single Child

Background: Obesity has become a serious problem threatening the health of children and adolescents, and China's one-child policy has affected family structure and parenting practice, which may result in several adverse health outcomes. The present study aims to investigate the association between single-child status and the risk of abdominal obesity in Chinese adolescents and also to compare the differences in the risk of unideal energy-related behaviors.Methods: Data were obtained from a school-based cross-sectional survey conducted in seven provinces of China, in 2012. A total of 31,291 students aged 7–17 years were recruited in this study. Anthropometric measurements were conducted to assess height and waist circumference, and questionnaires were used to obtain information of single-child status, parental educational attainment, parental weight status, and offspring energy-related behaviors. Multivariate logistic regression models were used to estimate the odds ratio (OR) and 95% confidence intervals (95% CI) of single-child status and odds of childhood abdominal obesity and energy-related behaviors.Results: The prevalence of abdominal obesity was 18.2% in single children, which was higher than that of non-single children (13.7%). The prevalence was also higher in single children in different sex and residence subgroups. Logistic regression models showed that single children had 1.33 times (OR: 1.33, 95% CI: 1.24–1.43, P < 0.001) higher odds of abdominal obesity compared to non-single children. Single children had 1.08 times higher odds of physical inactivity (OR: 1.08, 95% CI: 1.03–1.14, P = 0.004), 1.13 times higher odds of excessive sugar-sweetened beverages (SSBs) consumption (OR: 1.13, 95% CI: 1.05–1.23, P = 0.002), and 1.08 times more likely to eat out (OR: 1.08, 95% CI: 1.02–1.13, P = 0.006). Those associations were more remarkable in single girls.Conclusion: Being a single child may be associated with a higher odds of childhood abdominal obesity and unhealthy energy-related behaviors. Future interventions and strategies to prevent abdominal obesity should focus on this high-risk population.

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Alarming Rates of Obesity and Diabetes in Urban Africa: A Case Study in Bamako, Mali

Current Developments in Nutrition ◽

10.1093/cdn/nzaa043_066 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 215-215

Author(s):

Yves Kameli ◽

Joseph Meunier ◽

Stephane BESANCON ◽

Mathilde Savy ◽

Yves Martin-Prevel

Keyword(s):

At Risk ◽

Waist Circumference ◽

Abdominal Obesity ◽

Task Force ◽

Overweight And Obesity ◽

Age Group ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Cut Points ◽

Obesity And Diabetes

Abstract Objectives Sahelian cities are growing very fast with changes in lifestyles and rise in obesity and associated chronic diseases. Reliable data on the nutritional situation in African cities is dreadfully missing. The aim of this study was to estimate overweight and obesity rates and the risk of pre-diabetes and diabetes in Bamako in order to trigger appropriate prevention measures. Methods From November 2019 to January 2020, a cross-sectional survey was conducted among a representative sample of 2040 households in Bamako, Mali. In each household, a random selection of individuals was stratified on age groups: 12–17 y, 18–29 y, 30–49 y, ≥50 y. Anthropometric measurements (weight, height, waist circumference) and plasma fasting glycemia (PFG) using Hemocue® devices were performed according to international procedures. The prevalence of overweight and obesity were defined by Body Mass Index (BMI) values using WHO cut-points for adults (25 kg/m2 ≤ BMI < 30 kg/m2 and BMI ≥ 30 kg/m2, respectively) and International Obesity Task Force cut-points for adolescents (IOTF-25 and IOTF-30, respectively). Abdominal obesity was defined by a waist circumference ≥88 cm for women and ≥102 cm for men. Risks of pre-diabetes and diabetes were defined by a PFG between 100 and 125 mg/dl and ≥126 mg/dl, respectively. Results All ages combined, the prevalence of overweight was 19.5% among men (n = 1933) and 24.4% among women (n = 2724) (P < 0.0001). The prevalence of obesity was 6.2% among men and 21.0% among women (P < 0.0001). We also found that 29.9% of women presented abdominal obesity vs 5.7% in men (P < 0.0001). Women older than 30 y (n = 1395) were the most affected, however women aged 12–17 y (n = 670) and 18–29 y (n = 881) presented alarming figures too (11.5% and 21.2% of them were overweight, respectively). Globally, 13.3% of individuals were at risk of pre-diabetes and 2.5% at risk of diabetes, with no significant gender differences. The risk of pre-diabetes ranged from 10.2% in the 12–17 y age-group to 17.8% in the ≥50 y age-group. Conclusions Our data calls for urgent actions to tackle the burden of overweight and obesity, especially among women, and to minimize the risk of diabetes and other associated non-communicable diseases in Bamako. Funding Sources French Embassy of Mali, French Institute of Research for sustainable Development (IRD).

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Electronic cigarette marketing and smoking behaviour in adolescence: a cross-sectional study

ERJ Open Research ◽

10.1183/23120541.00155-2018 ◽

2018 ◽

Vol 4 (4) ◽

pp. 00155-2018 ◽

Cited By ~ 3

Author(s):

Julia Hansen ◽

Reiner Hanewinkel ◽

Matthis Morgenstern

Keyword(s):

Cross Sectional Study ◽

Smoking Behaviour ◽

Electronic Cigarette ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Mixed Effect ◽

Logistic Regression Models ◽

Tobacco Control Policies ◽

Contact Frequency ◽

Cross Sectional Design

The aim of this study was to investigate the association between exposure to electronic cigarette (e-cigarette) advertisements and use of e-cigarettes, combustible cigarettes and hookahs.A cross-sectional survey of 6902 German students (mean age 13.1 years, 51.3% male) recruited in six German states was performed. Exposure to e-cigarette advertisements was measured with self-rated contact frequency to three advertising images. Multilevel mixed-effect logistic regression models were used to assess associations between exposure to e-cigarette advertisement and use of e-cigarettes, combustible cigarettes and hookahs (ever and past 30 days).Overall, 38.8% of the students were exposed to e-cigarette advertisements; ever-use of e-cigarettes was 21.7%, of combustible cigarettes was 21.8% and of hookahs was 23.2%, and poly-use of all three products was 12.4%. Exposure to e-cigarette advertisements was positively related to ever and past 30-day use of e-cigarettes, combustible cigarettes, hookahs and combined use.We concluded that a considerable number of German teenagers are exposed to e-cigarette advertisement. There was a clear exposure–behaviour link, indicating that advertising contact was associated with different kinds of “vaping” and also smoking behaviour. Although causal interpretation is not possible due to the cross-sectional design, findings raise concerns about the current tobacco control policies.

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Daily branch chained amino acid intakes and the risk of obesity among women with prior gestational diabetes mellitus

10.21203/rs.3.rs-202675/v1 ◽

2021 ◽

Author(s):

Xiaoyun Yang ◽

Weiqin Li ◽

Wei Li ◽

Huikun Liu ◽

Leishen Wang ◽

...

Keyword(s):

Diabetes Mellitus ◽

Amino Acid ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Abdominal Obesity ◽

Cross Sectional Study ◽

Dietary Intakes ◽

Cross Sectional ◽

Logistic Regression Models ◽

Daily Energy

Abstract Background Some studies have found that branched amino acid (BCAA) is associated with the risk of obesity among general population, however, not all the results were consistent. The present study aimed to investigate the association of daily BCAA intakes with the risk of postpartum overweight and abdominal obesity among women with prior gestational diabetes mellitus (GDM). Methods We performed a cross-sectional study of 1263 women with prior GDM at 1–5 years post-delivery. Logistic regression models were used to estimate the association of daily dietary intakes of BCAAs with the risk of overweight and abdominal obesity. Results The multivariable-adjusted odds ratio (OR) across quartiles of daily BCAA intakes were 1.42 (95% confidence interval [CI] 1.02–1.97), 1.00 (reference), 1.21 (95% CI 0.88–1.68), and 1.31 (95% CI 0.95–1.81) for general overweight, and 1.38 (95% CI 0.99–1.90), 1.00, 1.19 (95% CI 0.86–1.64), and 1.43 (95% CI 1.04–1.98) for abdominal obesity, respectively. Only women with the lowest quartile of daily BCAA intakes significantly increased the risks of general overweight (OR 1.49; 95 %CI 1.06–2.09) and abdominal obesity (OR 1.50; 95 %CI 1.08–2.11) compared with women at quartile 2 of daily BCAA intakes after further adjustment of daily energy intake. Conclusions The present study indicated U-shaped associations between daily BCAA intakes and the risk of general overweight and abdominal obesity among women with prior GDM.

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Nutritional status of Tunisian adolescents: associated gender, environmental and socio-economic factors

Public Health Nutrition ◽

10.1017/s1368980008002693 ◽

2008 ◽

Vol 11 (12) ◽

pp. 1306-1317 ◽

Cited By ~ 44

Author(s):

Hajer Aounallah-Skhiri ◽

Habiba Ben Romdhane ◽

Pierre Traissac ◽

Sabrina Eymard-Duvernay ◽

Francis Delpeuch ◽

...

Keyword(s):

Nutritional Status ◽

Abdominal Obesity ◽

Rural Areas ◽

Urban Areas ◽

Eating Habits ◽

Public Health Problem ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Cultural Tradition ◽

Cross Sectional

AbstractObjectiveTo assess the nutritional status of Tunisian adolescents and associated factors.DesignA cross-sectional study based on a national stratified random cluster sample.Subjects and methodsIn all, 1295 boys and 1577 girls aged 15–19 years, of whom 28·4 % had already left school. Socio-economic characteristics of the parents, anthropometric measurements, food behaviours and physical activity of the adolescents were recorded during home visits.ResultsPrevalence of underweight, overweight and obesity (WHO/National Center for Health Statistics reference) were, respectively, 8·1 %, 17·4 % and 4·1 % among boys and 1·3 %, 20·7 % and 4·4 % among girls; abdominal obesity was highly prevalent among both sexes. Prevalence of overweight differed by region (from 11·5 % to 22·2 %) and was higher in urban v. rural areas for males (21·7 % v. 10·4 %) but not for females (21·7 % v. 19·2 %). These differences were partially mediated by socio-economic and lifestyle factors for males. For females, influence of cultural factors is hypothesised. In rural areas, overweight was more prevalent among boys of higher economic level households, having a working mother or a sedentary lifestyle; for girls, prevalence increased with the level of education of the mother. In urban areas, prevalence of overweight was related to eating habits: it was higher for boys with irregular snacking habits and for girls skipping daily meals. Urban girls having left school were also more overweight.ConclusionOverweight and abdominal obesity in late adolescence have become a true public health problem in Tunisia with the combined effects of cultural tradition for girls in rural areas, and of rapid economic development for boys and girls in cities.

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Association between Eating Away from Home and Hyperuricemia: A Population-Based Nationwide Cross-Sectional Study in China

BioMed Research International ◽

10.1155/2019/2792681 ◽

2019 ◽

Vol 2019 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Zifeng Liu ◽

Xiaoting Su ◽

Mianli Xiao ◽

Peien Zhou ◽

Jianwei Guo ◽

...

Keyword(s):

Regression Models ◽

Population Based ◽

Cross Sectional Study ◽

Noncommunicable Diseases ◽

Sectional Study ◽

Nutrition Survey ◽

Cross Sectional ◽

Logistic Regression Models ◽

Health And Nutrition ◽

Home Food

Hyperuricemia (HU) is a risk factor for different kinds of chronic noncommunicable diseases, and eating away from home (EAFH) may play an important role in their development, which has been ignored greatly so far. This study aimed to investigate the association between EAFH and HU in different models. A cross-sectional study involving 8,322 participants of the China Health and Nutrition Survey (CHNS) was conducted. Logistic regression models were used to analyze the data. We found that participants who consumed more away-from-home food had a higher risk for HU, and the adjusted odds ratio (aOR) and 95% confidence interval (CI) (for each increment in grades of EAFH) were 1.11 (1.02, 1.20) in a multiadjusted model (adjusted for age, gender, province, net individual income, body mass index, smoking, leisure-time physical activities, energy intake, and sleep duration). As for stratified analyses, the aOR (95% CI) of EAFH was 1.12 (1.01, 1.24) for men and 1.06 (0.92, 1.21) for women. Similar results can be found in the middle-aged and obese population, with aOR (95% CI) of EAFH as 1.17 (1.05, 1.30) and 1.15 (1.03, 1.29), respectively. In conclusion, EAFH is positively associated with the prevalence of HU.

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Frequency of television viewing and association with overweight and obesity among women of the reproductive age group in Myanmar: results from a nationwide cross-sectional survey

BMJ Open ◽

10.1136/bmjopen-2018-024680 ◽

2019 ◽

Vol 9 (3) ◽

pp. e024680 ◽

Cited By ~ 7

Author(s):

Rajat Das Gupta ◽

Ibrahim Hossain Sajal ◽

Mehedi Hasan ◽

Ipsita Sutradhar ◽

Mohammad Rifat Haider ◽

...

Keyword(s):

Rural Women ◽

Television Viewing ◽

Wealth Index ◽

Educational Status ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Reproductive Age ◽

Secondary Outcome ◽

Cross Sectional Survey ◽

Cross Sectional

ObjectivesThis study aimed to discern the association between the frequency of television viewing and overweight and obesity among reproductive age women of Myanmar.DesignThis was a cross-sectional study.SettingThis study used Myanmar Demographic and Health Survey (2015–2016) data.ParticipantsTotal of 12 021 women both aged 15–49 years and also not pregnant or did not deliver a child within the 2 months prior to the survey were included.Primary and secondary outcome measuresThe primary outcome was overweight (23.0 kg/m2to <27.5 kg/m2) and obesity (≥27.5 kg/m2), which was measured using the Asian body mass index cut-off. Ordered logistic regression analysis was conducted to find the association between the explanatory and outcome variables. The potential confounders controlled in the multivariable analyses were age, place of residence, region of residence, highest educational status, current employment status, wealth index, parity and number of household members.ResultsThe prevalence of overweight was 26.5% and obesity was 12.2% among the study participants. The odds of being overweight and obese were 20% higher (adjusted OR (AOR) 1.16, 95% CI 1.02 to 1.32; p=0.023) among those who watched television at least once a week compared with those who did not watch television at all. Rural women who watched television at least once a week were 1.2 times more likely to be obese (AOR 1.16, 95% CI 1.01 to 1.34; p=0.040) compared with those who did not watch television at all.ConclusionsFrequent television watching was associated with obesity among rural women of reproductive age in Myanmar.

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