Department of internal medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam Tanzania.
BMC Public Health. 2011 May 23;11:365. doi: 10.1186/1471-2458-11-365.
Obesity is on the rise worldwide, not sparing developing countries. Both demographic and socio-economic factors play parts in obesity causation. Few surveys have been conducted in Tanzania to determine the magnitude of obesity and its association with these risk factors. This study aimed at determining the prevalence of obesity and its associated risk factors among adults aged 18 - 65 years in Kinondoni municipality, Dar es Salaam, Tanzania from April 2007 to April 2008.
Random sampling of households was performed. Interviews and anthropometric measurement were carried out to eligible and consenting members of the selected households. Obesity was defined using Body Mass Index (BMI).
Out of 1249 subjects recruited, 814 (65.2%) were females. The overall prevalence of obesity was 19.2% (240/1249). However, obesity was significantly more prevalent in women (24.7%) than men (9%), p < 0.001, among respondents with high socio-economic status (29.2%) as compared to those with medium (14.3%) and low socio-economic status (11.3%), p value for trend < 0.001, and among respondents with light intensity activities (26.0%), p value for trend < 0.001.
This study revealed a higher prevalence of obesity among Kinondoni residents than previously reported in other parts of the country. Independent predictors of obesity in the population studied were increasing age, marriage and cohabitation, high SES, female sex and less vigorous physical activities.
肥胖在全球范围内呈上升趋势,发展中国家也未能幸免。人口统计学和社会经济因素在肥胖的成因中都起着一定的作用。坦桑尼亚进行的关于肥胖及其与这些危险因素之间关系的调查很少。本研究旨在确定坦桑尼亚达累斯萨拉姆基特多尼市 18-65 岁成年人中肥胖的流行程度及其相关危险因素。
对家庭进行随机抽样。对选定家庭中合格且同意的成员进行访谈和人体测量。肥胖的定义采用体重指数(BMI)。
在招募的 1249 名受试者中,有 814 名(65.2%)为女性。肥胖的总患病率为 19.2%(240/1249)。然而,女性肥胖的患病率明显高于男性(24.7%比 9%),p < 0.001,在高社会经济地位(29.2%)的受访者中比中社会经济地位(14.3%)和低社会经济地位(11.3%)的受访者中更为常见,p 值趋势<0.001,在低体力活动强度(26.0%)的受访者中更为常见,p 值趋势<0.001。
本研究显示,基特多尼居民的肥胖患病率高于该国其他地区先前报道的患病率。该人群中肥胖的独立预测因素是年龄增长、婚姻和同居、高社会经济地位、女性性别和较少剧烈的体力活动。