加纳肥胖症的流行病学。
The epidemiology of obesity in ghana.
作者信息
Biritwum Rb, Gyapong J, Mensah G
机构信息
Department of Community Health, University of Ghana Medical School, Korle Bu, Ghana.
出版信息
Ghana Med J. 2005 Sep;39(3):82-5.
SUMMARY BACKGROUND
Obesity is a very important risk factor to many diseases especially type 2 diabetes. However very little epidemiological information is available in Ghana to support intervention activities.
METHODOLOGY
Anthropometric measurements were included in a WHO nationwide survey of health status and health system responsiveness from a random sample of 5000 adults aged 18 years and older.
RESULTS
Prevalence of obesity was found to be 5.5% and higher among females 7.4% compared to males 2.8%. It was more common among the married than unmarried. Obesity was highest among the employed compared to self-employed or the not working for pay. Obesity was highest in Greater Accra 16.1% and virtually not present in Upper East or Upper West regions. By ethnicity, obesity was highest among Ga Adangbe, Ewes and Akans 14.6%, 6.6% and 6.0% respectively. Obesity was found to be less among those smoking daily than those who did not smoke. However, respondents who consumed alcohol had high proportion of overweight or obesity. The obese had less physical activity-days per week than the rest. Respondents with history of angina, or having been diagnosed with diabetes or taking insulin or blood sugar lowering medications were more obese than the others without history of the above conditions.
CONCLUSION
We urge for increased awareness, and promotion of healthy life style, including exercising and general healthy living.
摘要 背景：肥胖是许多疾病尤其是2型糖尿病的一个非常重要的风险因素。然而，加纳几乎没有流行病学信息来支持干预活动。
方法
人体测量数据纳入了世界卫生组织在全国范围内对健康状况和卫生系统响应能力的调查，该调查从5000名18岁及以上的成年人中随机抽样。
结果
发现肥胖患病率为5.5%，女性（7.4%）高于男性（2.8%）。肥胖在已婚者中比未婚者更常见。与个体经营者或无薪工作者相比，肥胖在就业者中最为普遍。肥胖率在大阿克拉地区最高，为16.1%，而在上东部或上西部地区几乎不存在。按种族划分，肥胖率在加阿丹贝族、埃维族和阿坎族中最高，分别为14.6%、6.6%和6.0%。发现每天吸烟的人比不吸烟的人肥胖率更低。然而，饮酒的受访者超重或肥胖的比例较高。肥胖者每周的体育活动天数比其他人少。有心绞痛病史、被诊断患有糖尿病、服用胰岛素或降糖药物的受访者比没有上述病史的其他人更肥胖。
结论
我们敦促提高认识，并推广健康的生活方式，包括锻炼和一般健康的生活习惯。
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