Prevalence of overweight and obesity, and associations with socio-demographic factors in Kuwait

Abstract Background Kuwait is amongst countries in the Gulf region with high income economy. According to the World Health Organisation (WHO), one in five adults in the Gulf region is obese. This study sought to evaluate the prevalence and magnitude of association between overweight, obesity, central obesity, and socio-demographic factors in Kuwait. Methods A population-based cross-sectional survey of diabetes and obesity in Kuwait – part of the Kuwait Diabetes Epidemiology Program – was conducted between 2011 and 2014, targeting adults aged 18–82 years using the WHO STEPwise approach to non-communicable disease surveillance. Body mass index (BMI) was calculated to classify overweight and obesity, and waist circumference (WC) used to express central obesity. Multivariable logistic regression was used to estimate relationships between socio-demographic factors, overweight (25.0–29.9 kg/m2), obesity (≥30.0 kg/m2) or central obesity (WC ≥ 80 cm women; WC ≥ 94 cm men). Results Records for gender (56% Men), age, BMI, governorate, and nationality existed for 4901 individuals. Mean age and BMI were 43 years and 30 kg/m2, respectively. Non-Kuwaiti nationals were more prevalent than Kuwaitis (76% vs 24%). Prevalence rates for overweight, obesity and central obesity were 40.6% (95%CI: 38.4–42.8%), 42.1% (95%CI: 40.0–44.3%) and 73.7% (95%CI: 71.7–75.6%), respectively. The youngest age group (18–29 years) had rates of 38.2% (95%CI: 29.2–47.7%), 27.2% (95%CI: 19.0–36.7%) and 49.9% (95%CI: 40.6–59.1%) for overweight, obesity and central obesity, respectively. In covariate-adjusted analyses, the odds of being overweight was 26% greater for men than for women. Conversely, women had a 54% (95%CI: 19–99%) and 7-fold (95%CI, 5–10-fold) greater odds of obesity/central obesity, respectively, than men. Greater educational attainment, physical activity, and non-Kuwaiti status were associated with lower odds of obesity/central obesity. History of smoking, elevated blood pressure, higher income, being married, greater age and female sex related to greater odds of obesity/central obesity. Conclusion Overweight was greater in men, obesity greater in women. Overweight and obesity prevalence were high in young adults aged 18–29 years, a significant public health concern. Efforts to integrate mandatory physical education to the school curriculum and promoting the creation of recreation spaces/parks to promote physical activities, will play a vital role in the early prevention of overweight/obesity in Kuwait.

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Prevalence of Overweight and Obesity, and Associations with Socio-Demographic Factors in Kuwait

10.21203/rs.3.rs-39485/v1 ◽

2020 ◽

Author(s):

Victor M Oguoma ◽

Neil Coffee ◽

Saad Alsharrah ◽

Mohamed Abu-Farha ◽

Faisal H Al-Refaei ◽

...

Keyword(s):

Central Obesity ◽

Communicable Disease ◽

Demographic Factors ◽

World Health Organisation ◽

Overweight And Obesity ◽

World Health ◽

Health Concern ◽

Obesity Prevalence ◽

Gulf Region ◽

Socio Demographic Factors

Abstract Background: Kuwait is amongst countries in the Gulf region with high income economy. According to the World Health Organisation (WHO), one in five adults in the Gulf region is obese. The aim of this study was to estimate the prevalence of both overweight and obesity, and their relationships with socio-demographic factors, in Kuwait.Methods:A population-based survey of diabetes and obesity in Kuwait – part of the Kuwait Diabetes Epidemiology Program – was conducted between 2011-2013, targeting adults aged 18-82 years using the WHO STEPwise approach to non-communicable disease surveillance. Body mass index (BMI) was calculated to classify overweight and obesity, and waist circumference (WC) used to expressed central obesity. Multivariable logistic regression was used to estimate relationships between socio-demographic factors, overweight (25.0-29.9 kg/m2), obesity (≥30.0 kg/m2) or central obesity (WC≥80cm women; WC≥94cm men).Results:Records for gender (57% Men), age, BMI, governorate and nationality existed for 4963 individuals. Mean age and BMI were 43 years and 30kg/m2, respectively. Non-Kuwaiti nationals were more prevalent than Kuwaitis (87% vs 13%). Prevalence rates for overweight, obesity and central obesity were 38% (95%CI: 37-40%), 42% (95%CI: 41-44%) and 75% (95%CI: 73-76%), respectively. The youngest age group (18-29 years) had rates of 33% (95%CI: 28-39%), 25% (95%CI: 20-30%) and 49% (95%CI:43-55%) for overweight, obesity and central obesity, respectively. In covariate-adjusted analyses, the odds of being overweight was 23% greater for men than for women. Conversely, women had a 29% (95%CI: 4-60%) and 6-fold (95%CI: 5-9-fold) greater odds of obesity/central obesity, respectively, than men. Greater educational attainment, physical activity, and non-Kuwaiti status were associated with lower odds of obesity/central obesity. History of smoking, elevated blood pressure, higher income, being married, greater age and female sex related to greater odds of obesity/central obesity.Conclusion:Overweight was greater in men, obesity greater in women. Overweight and obesity prevalence were high in young adults ages 18-29 years, a significant public health concern. Efforts to integrate mandatory physical education to the school curriculum and promoting the creation of recreation spaces/parks to promote physical activities, will play a vital role in the early prevention of overweight/obesity in Kuwait.

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A study on prevalence of overweight and obesity in school going adolescents and its association with socio-demographic factors in Lucknow district

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20193972 ◽

2019 ◽

Vol 6 (9) ◽

pp. 3792

Author(s):

Sudhanshu Mishra ◽

Pratibha Gupta ◽

Mrinal Ranjan Srivastava ◽

Beena Sachan ◽

Zeashan Haider Zaidi

Keyword(s):

Public Health ◽

Social Class ◽

Sample Size ◽

Rural Areas ◽

Demographic Factors ◽

Overweight And Obesity ◽

Health Concern ◽

Public Health Issue ◽

Global Public Health ◽

Socio Demographic Factors

Background: Overweight and obesity are defined as abnormal or excessive fat accumulation that presents a risk to health. Obesity has become a global public health issue and is widely recognized as a key risk factor for coronary heart disease, hypertension, diabetes and many other health problems. The objectives of present study were to assess the prevalence of overweight and obesity and its association with socio-demographic factors amongst school-going adolescents in Lucknow district.Methods: This study was a school-based cross-sectional study and was carried out in urban and rural areas of Lucknow, from January 2018 to June 2018. Sample size was 620. A multi-stage random sampling technique has been used to select the required sample size. Data analysis was done using software MS Office excel and SPSS 18 for windows.Results: A total of 620 adolescents were studied. Majority (82.1%) of adolescents were found to be non-overweight/obese while 17.9% were found to be overweight/obese. Majority (66.7%) of students were overweight or obese, belonging to social class I while only 15.7% students were overweight or obese belonging to social class V.Conclusions: The results of our study show that overweight/obesity continues to be a public health concern in adolescents. The current study shows that adolescent overweight and obesity are increasing even in low socio-economic status. Emphasis should be placed on awareness program for obesity prevention among school students by strengthening lifestyle change.

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THE PREVALENCE OF, AND FACTORS ASSOCIATED WITH, OVERWEIGHT AND OBESITY IN BOTSWANA

Journal of Biosocial Science ◽

10.1017/s0021932010000519 ◽

2010 ◽

Vol 43 (1) ◽

pp. 75-84 ◽

Cited By ~ 33

Author(s):

GOBOPAMANG LETAMO

Keyword(s):

Demographic Factors ◽

Public Health Problem ◽

Overweight And Obesity ◽

Obese Women ◽

Cross Sectional Survey ◽

Important Public Health Problem ◽

Cross Sectional ◽

Factors Associated ◽

Socio Demographic Factors ◽

Multistage Sampling

SummaryThe aim of this study was to estimate the prevalence of, and socio-demographic factors associated with, overweight and obesity in Botswana. A cross-sectional survey was conducted in 2007 using a multistage sampling method to select a representative sample of 4107 men and 4916 women aged 20–49 years. Logistic regression analysis was used to identify the socio-demographic factors associated with overweight and obesity. Mean BMI values for men and women were 21.7 kg/m2 and 24.4 kg/m2, respectively. Both overweight and obesity levels were higher among women than men. Overall, 23% of women were overweight compared with 13% of men. Obese women constituted about 15% compared with only 3% of men. However, 19% of men were underweight compared with 12% of women. The main socio-demographic factors associated with overweight and obesity were being older, living in a city/town, being married and having attained higher levels of education, and these relationships were statistically significant at the 5% level. Although over-nutrition is prevalent among adult female Batswana, underweight remains an important public health problem for males. Programmes and other interventions aimed at concurrently addressing both under-nutrition and overweight need to be developed.

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Socio-demographic determinants of motorcycle speeding in Maha Sarakham, Thailand

PLoS ONE ◽

10.1371/journal.pone.0243930 ◽

2020 ◽

Vol 15 (12) ◽

pp. e0243930

Author(s):

Vennis Hong ◽

Sage K. Iwamoto ◽

Rei Goto ◽

Sean Young ◽

Sukhawadee Chomduangthip ◽

...

Keyword(s):

Socioeconomic Status ◽

Social Network ◽

Road Traffic ◽

Demographic Factors ◽

World Health ◽

Health Concern ◽

Linear Network ◽

Time Discounting ◽

Road Traffic Crashes ◽

Socio Demographic Factors

Thailand has the highest road traffic fatality rate in Southeast Asia, making road safety a critical public health concern. A 2015 World Health Organization (WHO) Report showed that speeding behavior was the most important determinant for road traffic crashes in Thailand. Here, we aimed to examine associations of socio-demographic factors (gender, age, socioeconomic status) with self-reported motorcycle speeding behavior. Additionally, we examined a potential role of time discounting and risk preference as mediators in the association of socio-demographic factors with speeding. We used data obtained from the Mahasarakham University Social Network Survey 2018 (MSUSSS) (N = 150). We ran linear network autocorrelation models (lnam) to account for the data's social network structure. We found that males are more likely than females to engage in speeding behavior (β = 0.140, p = 0.001) and to discount the future (β = 5.175, p = 0.017). However, further causal mediation analysis showed that time discounting does not mediate the gender-speeding association (p for mediation = 0.540). Although socioeconomic status (subjective social class) was not associated with speeding (β = 0.039, p = 0.177), age was marginally associated with speeding (β = 0.005, p = 0.093). Future studies may consider using a larger sample.

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Observed magnitude and trends in socioeconomic and geographic area inequalities in obesity prevalence among non-pregnant women in Chad: evidence from three waves of Chad demographic and health surveys

Archives of Public Health ◽

10.1186/s13690-021-00658-5 ◽

2021 ◽

Vol 79 (1) ◽

Author(s):

Gebretsadik Shibre ◽

Betregiorgis Zegeye ◽

Gashaw Garedew Woldeamanuiel ◽

Wassie Negash ◽

Gorems Lemma ◽

...

Keyword(s):

Pregnant Women ◽

Health Surveys ◽

Population Attributable Risk ◽

Population Attributable Fraction ◽

Overweight And Obesity ◽

World Health ◽

Demographic And Health Surveys ◽

Obesity Prevalence ◽

Place Of Residence ◽

Urban Rural

Abstract Background While the prevalence of obesity is increasing worldwide, the growing rates of overweight and obesity in developing countries are disquieting. Obesity is widely recognized as a risk factor for non-communicable diseases (NCDs), including diabetes, cancer and cardiovascular diseases. Available evidence on whether obesity has been more prevalent among higher or lower socioeconomic groups, across regions and urban-rural women’s are inconsistent. This study examined magnitude of and trends in socioeconomic, urban-rural and sub-national region inequalities in obesity prevalence among non-pregnant women in Chad. Method Using cross-sectional data from Chad Demographic and Health Surveys (DHSs) conducted in 1996, 2004 and 2014; we used the World Health Organization (WHO) Health Equity Assessment Toolkit (HEAT) to analyze socio-economic, urban-rural and regional inequalities in obesity prevalence among non-pregnant women aged 15–49 years. Inequalities were assessed using four equity stratifiers namely wealth index, educational level, place of residence and subnational region. We presented inequalities using simple and complex as well as relative and absolute summary measures such as Difference (D), Population Attributable Risk (PAR), Population Attributable Fraction (PAF) and Ratio (R). Results Though constant pattern overtime, both wealth-driven and place of residence inequality were observed in all three surveys by Difference measure and in the first and last surveys by Ratio measure. Similarly, including the recent survey (D = -2.80, 95% CI:-4.15, − 1.45, R = 0.37, 95% CI: 0.23, 0.50) absolute (in 1996 & 2014 survey) and relative (in all three surveys) educational status inequality with constant pattern were observed. Substantial absolute (PAR = -2.2, 95% CI: − 3.21, − 1.34) and relative (PAF = − 91.9, 95% CI: − 129.58, − 54.29) regional inequality was observed with increasing and constant pattern by simple (D) and complex (PAR, PAF) measures. Conclusion The study showed socioeconomic and area-based obesity inequalities that disfavored women in higher socioeconomic status and residing in urban areas. Prevention of obesity prevalence should be government and stakeholders’ priority through organizing the evidence, health promotion and prevention interventions for at risk population and general population.

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Prevalence of overweight and obesity and anthropometric reference centiles for Albanian children and adolescents living in four Balkan nation-states

Journal of Pediatric Endocrinology and Metabolism ◽

10.1515/jpem-2018-0253 ◽

2018 ◽

Vol 0 (0) ◽

Cited By ~ 1

Author(s):

Jakob Tarp ◽

Juel Jarani ◽

Florian Muca ◽

Andi Spahi ◽

Anders Grøntved

Keyword(s):

Public Health ◽

Children And Adolescents ◽

Task Force ◽

Overweight And Obesity ◽

World Health ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Nation States ◽

Country Differences ◽

Age And Sex

Abstract Background The extent of the obesity epidemic among youth is an important public health statistic which provides an indication of the future burden of non-communicable diseases. Many developing countries, including Albania, do not have systematic and repeated monitoring systems in operation. Methods The Balkan Survey of Inactivity in Children study is a population-based cross-sectional survey including Albanian children living in the four Balkan nation-states of Albania, Kosovo, FYR Macedonia and Montenegro. In total, 19,850 children from 49 schools were approached. The LMS method was used to provide body mass index (BMI), height, weight and waist circumference reference centiles for boys and girls. The World Health Organisation (WHO) and International Obesity Task Force (IOTF) age- and sex-specific BMI cut-points were applied to evaluate adiposity levels. Results A sample of 18,460 participants aged 6–16 years old was available for creation of the BMI for age and sex reference centiles. The prevalence of overweight (including obesity) in the full sample was 21% (95% CI: 20%–21%) according to IOTF cut-off points and 28% (95% CI: 28%–29%) at WHO cut-off points. Overweight/obesity levels where higher in boys than in girls irrespective of the cut-off points applied (p<0.001). Noticeable between-country differences were observed with a prevalence of overweight/obesity of 40% (95% CI: 38%–42%) in Montenegro but only 20% (95% CI: 19%–21%) in Kosovo (WHO cut-off points). Conclusions Overweight/obesity is highly prevalent in Albanian children and adolescents. The apparent sex and country differences may inform public health actions.

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Evaluation of the roles of HIV co-infection and socio-demographic factors as determinants of Quality of Life among Nigerians with Tuberculosis

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v17i1.35274 ◽

2018 ◽

Vol 17 (1) ◽

pp. 21-29

Author(s):

Peter J Olagunju ◽

Olukemi O Odukoya ◽

Andrew T Olagunju ◽

Mobolanle R Balogun

Keyword(s):

Quality Of Life ◽

Medical Science ◽

Demographic Factors ◽

Public Health Problem ◽

World Health ◽

Physical Aspect ◽

Global Public Health ◽

World Health Organization Quality ◽

Socio Demographic Factors

Background: Tuberculosis [TB] remains a major global public health problem, and particularly in resource-restricted settings with disproportionately high burden. This study is aimed at assessing quality of life [QoL] and the roles of HIV co-infection along with socio-demographic factors on QoL among subjects with TB.Methodology: This is a multi-center cross-sectional study among 440 participants recruited by multi-stage sampling technique across 40 Directly Observed Treatment Short-course [DOTS] centres. Interviews were done using designed questionnaire to collect information on socio-demographic and clinical details of respondents. Subsequently, the World Health Organization Quality of Life-BREF [WHOQOL-BREF] questionnaire was used to evaluate QoL.Results: Most (61.1%) of the participants was aged between 21 and 40 years, 61.6% were married and 74.5% had a paid job. Majority of the subjects reported fair QoL across all domains. Employment status and monthly income were significantly associated with participants overall QoL and their satisfaction with health (p<0.05). Also, age, gender, marital status, ethnicity and educational status were significantly associated with the social domain of QoL. The HIV co-infection was found to be significantly associated with the physical aspect of their QoL (p<0.05).Conclusion: Optimal treatment of HIV co-infection and incorporation of psychosocial medicine into TB management are indicated for improved QoL. Similarly, routine assessment of QoL is desirable.Bangladesh Journal of Medical Science Vol.17(1) 2018 p.21-29

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High BMI: an important health risk factor among older adults in Ghana

Public Health Nutrition ◽

10.1017/s1368980020003717 ◽

2020 ◽

pp. 1-8

Author(s):

E Yorke ◽

J Tetteh ◽

Vincent Boima ◽

AE Yawson

Keyword(s):

Risk Factor ◽

Health Risk ◽

Prevalence Rate ◽

Chronic Conditions ◽

Communicable Disease ◽

Normal Weight ◽

Overweight And Obesity ◽

World Health ◽

Health Risk Factor ◽

The Individual

Abstract Objective: We examined BMI as a health risk factor for self-reported diabetes mellitus, angina, strokes and arthritis among older Ghanaians aged 50 years and above. Design: We analysed the individual-level data from the World Health Organization Study on global AGEing and adult health Ghana Wave 2 (2014/2015). The influence of BMI on self-reported chronic conditions including diabetes, angina, stroke and arthritis was examined. Setting: Households from all the administrative regions of Ghana. Participants: Included 3350 adults aged 50 years and older. Results: The prevalence of overweight and obesity among participants was 22·8 % (95 % CI 20·6, 25·2) and 13·2 %, respectively (95 % CI 11·5, 15·1). With respect to individual chronic conditions, arthritis emerged with the highest prevalence rate of 7·3 (95 % CI 5·3, 9·9), while the prevalence rate of diabetes, angina and stroke was 2·8 % (95 % CI 2·0, 3·9), 1·7 % (95 % CI 1·1, 2·6) and 1·3 % (95 % CI 1·0, 1·8), respectively. The risk of diabetes among overweight and obesity was over three and two times, respectively, higher compared with participants with normal weights. Overweight and obesity were significantly more than two and three times likely to experience angina, respectively, compared with participants with normal weight. Obesity significantly influences arthritis with approximately two times increased odds compared with normal weight participants. Conclusion: Prevalence of obesity and overweight in Ghana is high and increasing, which poses a health risk at the individual and population levels. Inter-sectorial and multidisciplinary measures in line with the national non-communicable disease policies aimed at curbing this trend are imperative.

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Essential Medicines at the National Level: The Global Asthma Network’s Essential Asthma Medicines Survey 2014

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16040605 ◽

2019 ◽

Vol 16 (4) ◽

pp. 605 ◽

Cited By ~ 4

Author(s):

Karen Bissell ◽

Philippa Ellwood ◽

Eamon Ellwood ◽

Chen-Yuan Chiang ◽

Guy Marks ◽

...

Keyword(s):

Inhaled Corticosteroids ◽

Communicable Disease ◽

Action Plan ◽

National Level ◽

Essential Medicines ◽

World Health ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Middle Income ◽

Poor Access

Patients with asthma need uninterrupted supplies of affordable, quality-assured essential medicines. However, access in many low- and middle-income countries (LMICs) is limited. The World Health Organization (WHO) Non-Communicable Disease (NCD) Global Action Plan 2013–2020 sets an 80% target for essential NCD medicines’ availability. Poor access is partly due to medicines not being included on the national Essential Medicines Lists (EML) and/or National Reimbursement Lists (NRL) which guide the provision of free/subsidised medicines. We aimed to determine how many countries have essential asthma medicines on their EML and NRL, which essential asthma medicines, and whether surveys might monitor progress. A cross-sectional survey in 2013–2015 of Global Asthma Network principal investigators generated 111/120 (93%) responses—41 high-income countries and territories (HICs); 70 LMICs. Patients in HICs with NRL are best served (91% HICs included ICS (inhaled corticosteroids) and salbutamol). Patients in the 24 (34%) LMICs with no NRL and the 14 (30%) LMICs with an NRL, however no ICS are likely to have very poor access to affordable, quality-assured ICS. Many LMICs do not have essential asthma medicines on their EML or NRL. Technical guidance and advocacy for policy change is required. Improving access to these medicines will improve the health system’s capacity to address NCDs.

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Measuring overweight and obesity in Chinese American children using US, international and ethnic-specific growth charts

Public Health Nutrition ◽

10.1017/s1368980020000919 ◽

2020 ◽

Vol 23 (15) ◽

pp. 2663-2670

Author(s):

Jennifer D Lau ◽

Laminasti Elbaar ◽

Eda Chao ◽

Olivia Zhong ◽

Chihang Ray Yu ◽

...

Keyword(s):

Specific Growth ◽

Task Force ◽

Health Centre ◽

Chinese American ◽

Overweight And Obesity ◽

World Health ◽

Specific Reference ◽

Obesity Prevalence ◽

American Children ◽

Overweight Prevalence

AbstractObjective:The aim is to determine the disparity between the overweight and obesity prevalence of Chinese American school-aged children and adolescents as measured by the Centers for Disease Control and Prevention (CDC) growth reference and the prevalence as measured by international and ethnic-specific-growth references.Design:This retrospective, cross-sectional study measured overweight and obesity prevalence among a paediatric population using the CDC, International Obesity Task Force (IOTF), World Health Organization (WHO) and an ethnic Chinese growth curve.Setting:A community health centre in New York City, USA.Participants:Chinese American children aged 6–17 years in 2017 (N 9160).Results:The overweight prevalence was 24 % (CDC), 23 % (IOTF), 30 % (WHO) and 31 % (China). The obesity prevalence was 10 % (CDC), 5 % (IOTF), 10 % (WHO) and 10 % (China). When disaggregated by age and sex, the difference was the most prominent in girls; using the China reference compared with using the CDC reference almost doubles the overweight prevalence (school-aged: 31 v. 17 %, P < 0·001, adolescent: 27 v. 14 %, P < 0·001) and the obesity prevalence (school-aged: 11 v. 5 %, P < 0·001, adolescent: 7 v. 4 %, P < 0·001).Conclusions:Use of the CDC reference compared with the Chinese ethnic-specific reference results in lower overweight and obesity prevalence in Chinese American girls. Almost half of the girls who were overweight and half of the girls who were obese were not identified using the CDC reference. Using ethnic-specific references or ethnic-specific cut-points may help improve overweight identification for Chinese American children.

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