Maruf Fatai A, Udoji Nwannedimma V
Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, Nnamdi Azikiwe University.
J Epidemiol. 2015;25(7):475-81. doi: 10.2188/jea.JE20140099. Epub 2015 May 23.
OBJECTIVE: This survey explored prevalence of overweight and obesity and their associations with socio-demographic variables in a Nigerian population. METHODS: This cross-sectional survey involved 1521 adults in Nnewi. Age, sex, educational and occupational status, and BMI were recorded. RESULTS: Prevalence of overweight was higher in males (32.3%; 95% CI, 29.5%-35.2%) than in females (29.8%; 95% CI, 26.8%-33.0%); the reverse was the case for prevalence of obesity (19.6%; 95% CI, 17.3%-22.2% in males and 36.0%; 95% CI, 32.8%-39.4% in females). Higher odds ratios (ORs) for overweight and obesity were observed in participants aged 41-60 years (OR 2.03; 95% CI, 1.57-2.61 for overweight and OR 4.29; 95% CI, 3.25-5.67 for obesity) and those >60 years (OR 1.72; 95% CI, 1.21-2.43 for overweight and OR 4.21; 95% CI, 2.86-6.19 for obesity) compared to those aged 18-40 years. Female sex was associated with higher ORs for overweight (OR 1.20; 95% CI, 0.96-1.51) and obesity (OR 2.21; 95% CI, 1.73-2.83). Participants with secondary education had marginally higher ORs for overweight (OR 1.15; 95% CI, 0.88-1.51) and obesity (OR 1.17; 95% CI, 0.86-1.59) than those with tertiary education, and so were those with primary education for obesity (OR 1.19; 95% CI, 0.74-1.89) but higher OR for overweight (OR 1.44; 95% CI, 0.98-2.13). Unskilled participants had about the same OR for overweight and obesity as professionals, and while skilled participants had about the same OR for overweight as professionals, their OR for obesity (OR 1.27; 95% CI, 0.67-2.43) was fairly higher than that for professionals. CONCLUSIONS: Prevalence of overweight is higher in males than in females, but the reverse is the case for prevalence of obesity. Older age and female sex are associated with increased risk of overweight and obesity, while working at a skilled occupation is associated with obesity, and tertiary educational attainment is associated with overweight.
目的:本调查探讨了尼日利亚人群中超重和肥胖的患病率及其与社会人口统计学变量的关联。 方法:这项横断面调查涉及纽伊的1521名成年人。记录了年龄、性别、教育程度、职业状况和体重指数。 结果:男性超重患病率(32.3%;95%置信区间,29.5%-35.2%)高于女性(29.8%;95%置信区间,26.8%-33.0%);肥胖患病率则相反(男性为19.6%;95%置信区间,17.3%-22.2%,女性为36.0%;95%置信区间,32.8%-39.4%)。41-60岁的参与者(超重的优势比[OR]为2.03;95%置信区间,1.57-2.61,肥胖的OR为4.29;95%置信区间,3.25-5.67)和60岁以上的参与者(超重的OR为1.72;95%置信区间,1.21-2.43,肥胖的OR为4.21;95%置信区间,2.86-6.19)与18-40岁的参与者相比,超重和肥胖的OR更高。女性与超重(OR为1.20;95%置信区间,0.96-1.51)和肥胖(OR为2.21;95%置信区间,1.73-2.83)的较高OR相关。与受过高等教育的参与者相比,接受中等教育的参与者超重(OR为1.15;95%置信区间,0.88-1.51)和肥胖(OR为1.17;95%置信区间,0.86-1.59)的OR略高,接受小学教育的参与者肥胖(OR为1.19;95%置信区间,0.74-1.89)的OR也略高,但超重的OR更高(OR为1.44;95%置信区间,0.98-2.13)。非技术人员超重和肥胖的OR与专业人员大致相同,虽然技术人员超重的OR与专业人员大致相同,但他们肥胖的OR(OR为1.27;95%置信区间,0.67-2.43)比专业人员高得多。 结论:男性超重患病率高于女性,但肥胖患病率则相反。年龄较大和女性与超重和肥胖风险增加相关,而从事技术职业与肥胖相关,高等教育程度与超重相关。
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