Faculty of Medicine, Gadarif University, Gadarif, Sudan.
College of Natural and Health Sciences, Zayed University, Dubai, United Arab Emirates.
PLoS One. 2020 Apr 30;15(4):e0232624. doi: 10.1371/journal.pone.0232624. eCollection 2020.
A global epidemic of obesity has been documented, particularly among African countries. While central obesity and overweight have been reported for many countries, very limited information exists about the prevalence of these health problems in Sudan, and these data are nonexistent for Eastern Sudan. The present study aimed to determine the prevalence of obesity and central obesity, as well as the factors associated with both, among adults in Gadarif, Eastern Sudan.
A cross-sectional study was conducted in Gadarif, Eastern Sudan, during the period of January through May 2018. Sociodemographic and health characteristics data were collected through a questionnaire. Body mass index (BMI) and waist circumference (WC) were measured using the standard methods. Both descriptive and inferential statics were applied to analyze the data.
A total of 594 adults participated in the study; 70.4% of them were female. The mean (standard deviation) age was 44.98 (16.64) years. Of the 594 enrolled participants, 33.7%, 7.4%, 26.8%, and 32.2% were normal weight, underweight, overweight, and obese, respectively. The prevalence of central obesity was (67.8%). Approximately, one-third of the participants (29.29%) were obese and had central obesity. In the multinomial regression, being married was the main risk factor associated with overweight, and older age, female sex, being married and hypertension were significantly associated with obesity. In the binary regression, the main risk factors associated with central obesity were female sex and being married.
The prevalence rates of both obesity and central obesity among the study participants were high. Older age and hypertension were only associated with obesity. Obesity and central obesity were significantly associated with female sex and being married. This study provided valuable baseline information to develop appropriate strategies for the prevention and control of obesity in Eastern Sudan.
肥胖已成为全球性问题，尤其在非洲国家更为严重。虽然许多国家都报道了中心性肥胖和超重问题，但苏丹，尤其是东部苏丹，对于这些健康问题的流行情况却知之甚少，更没有相关数据。本研究旨在确定东部苏丹加达里夫成年人肥胖和中心性肥胖的流行情况及其相关因素。
本研究为横断面研究，于 2018 年 1 月至 5 月在东部苏丹加达里夫进行。通过问卷收集社会人口学和健康特征数据。采用标准方法测量体重指数（BMI）和腰围（WC）。应用描述性和推断性统计分析数据。
共 594 名成年人参与了研究，其中 70.4%为女性。平均（标准差）年龄为 44.98（16.64）岁。594 名参与者中，分别有 33.7%、7.4%、26.8%和 32.2%为正常体重、体重不足、超重和肥胖。中心性肥胖的患病率为（67.8%）。约有三分之一（29.29%）的参与者肥胖且中心性肥胖。在多分类回归中，已婚是与超重相关的主要危险因素，而年龄较大、女性、已婚和高血压与肥胖显著相关。在二元回归中，与中心性肥胖相关的主要危险因素为女性和已婚。
研究参与者中肥胖和中心性肥胖的患病率均较高。年龄较大和高血压仅与肥胖相关。肥胖和中心性肥胖与性别和婚姻状况显著相关。本研究为制定适合东部苏丹的肥胖预防和控制策略提供了有价值的基线信息。
