Endocrinology Department, Wilford Hall Medical Center/SAMMC, Uniformed Services University of the Health Sciences, Lackland AFB, Texas, USA.
Obes Rev. 2011 Apr;12(4):233-41. doi: 10.1111/j.1467-789X.2010.00801.x. Epub 2010 Sep 6.
Obesity is increasingly a major health problem in parts of the developing world. It has reached epidemic proportions among Africans living in the Western Hemisphere; similar potential may exist in urban Africa. We explored this possibility in an urban setting in Nigeria, Africa's most populous nation. A screening survey was carried out among randomly selected 998 civil servants, 581 men and 417 women, in Ibadan, a major Nigerian city. Biographical data were collected using standardized questionnaires, and measurements of anthropometric indices, blood pressures and plasma glucose concentration. Obesity and overweight were defined by body mass index based on international criteria. Prevalence of obesity was 8.82% (confidence interval [CI]=7.13%, 10.75%), overweight 17.45% (CI=15.12%, 19.95%), and overweight plus obesity=26.18% (CI=23.47%, 29.03%). Prevalence of obesity among the women was 17.27% (CI=13.76%, 21.24%) and for men 2.75% (CI=1.58%, 4.43%). Among the women 42% were obese or overweight compared with 15% of the male population. Obesity and overweight were associated with higher socioeconomic status. Prevalence of obesity and overweight in the study population is comparable to rates seen in many industrialized countries, and rapidly emerging urbanized populations in Africa.
肥胖症在发展中国家的某些地区日益成为一个主要的健康问题。它在居住在西半球的非洲人中已达到流行程度；在非洲城市中也可能存在类似的潜在风险。我们在非洲人口最多的国家尼日利亚的一个城市环境中探讨了这种可能性。在伊巴丹市对随机抽取的 998 名公务员（581 名男性和 417 名女性）进行了筛选调查。使用标准化问卷收集了传记数据，并测量了人体测量指数、血压和血浆葡萄糖浓度。肥胖症和超重是根据国际标准的体重指数定义的。肥胖症的患病率为 8.82%（置信区间[CI]=7.13%，10.75%），超重为 17.45%（CI=15.12%，19.95%），超重加肥胖为 26.18%（CI=23.47%，29.03%）。女性的肥胖症患病率为 17.27%（CI=13.76%，21.24%），男性为 2.75%（CI=1.58%，4.43%）。女性中有 42%的人肥胖或超重，而男性人口中有 15%的人肥胖或超重。肥胖症和超重与较高的社会经济地位有关。该研究人群的肥胖症和超重患病率与许多工业化国家以及非洲迅速城市化的人口中的发病率相当。
