Molla Meseret Derbew, Wolde Haileab Fekadu, Atnafu Asmamaw
Department of Biochemistry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Diabetes Metab Syndr Obes. 2020 Nov 6;13:4169-4178. doi: 10.2147/DMSO.S279837. eCollection 2020.
Obesity is becoming one of the most common public health problems worldwide. In particular, central obesity which indicates abnormal fat accumulation in the abdominal regions is highly associated with the risk of getting cardiometabolic diseases and their progression to end stage diseases or death. However, in developing countries, including Ethiopia less attention has been given to analyze the magnitude and associated factors of it. Therefore, we aimed to determine the prevalence of central obesity and its associated factors among adults in urban areas of Northwest Ethiopia.
A cross-sectional study was conducted among 773 adults who lived in urban areas of Northwest Ethiopia from April 1 to May 30, 2019. Central obesity was assessed using both waist to hip ratio and waist circumference of the participants. Data were analyzed using STATA 14.0. The factors associated with central obesity were identified by binary logistic regression analyses using 95% confidence interval and the degree of association of the factors was measured using adjusted odds ratio (AOR). -value <0.05 was used to declare statistical significance.
The prevalence of central obesity with waist circumference and waist to hip ratio definition criteria was 37.6% and 35.7%, respectively. According to body mass index, about 26.26% and 10.29% of the study participants were overweight and obese, respectively. A one-year increase in age (AOR=1.05; 95%CI: 1.03-1.07), being female (AOR=9.62; 95%CI: 4.84-19.12) and eating of liquid oils (AOR=2.58; 95%CI: 1.71-3.90) were found to have statistically significant variables with central obesity.
The prevalence of central obesity was relatively high in comparison with similar studies. Thus, governmental and nongovernmental organizations that work in the health system as well as health professionals should focus on the preventive measure of central obesity to control its associated disorders at an early stage.
肥胖正成为全球最常见的公共卫生问题之一。特别是，表明腹部区域脂肪异常堆积的中心性肥胖与发生心脏代谢疾病及其进展为终末期疾病或死亡的风险高度相关。然而，在包括埃塞俄比亚在内的发展中国家，对其严重程度和相关因素的分析关注较少。因此，我们旨在确定埃塞俄比亚西北部城市地区成年人中心性肥胖的患病率及其相关因素。
2019年4月1日至5月30日，对居住在埃塞俄比亚西北部城市地区的773名成年人进行了一项横断面研究。使用参与者的腰臀比和腰围来评估中心性肥胖。数据使用STATA 14.0进行分析。通过二元逻辑回归分析确定与中心性肥胖相关的因素，使用95%置信区间，并使用调整后的优势比（AOR）来衡量因素的关联程度。P值<0.05用于判定统计学显著性。
根据腰围和腰臀比定义标准，中心性肥胖的患病率分别为37.6%和35.7%。根据体重指数，分别约有26.26%和10.29%的研究参与者超重和肥胖。年龄每增加一岁（AOR=1.05；95%CI：1.03 - 1.07）、女性（AOR=9.62；95%CI：4.84 - 19.12）以及食用植物油（AOR=2.58；95%CI：1.71 - 3.90）被发现是与中心性肥胖有统计学显著意义的变量。
与类似研究相比，中心性肥胖的患病率相对较高。因此，在卫生系统工作的政府和非政府组织以及卫生专业人员应关注中心性肥胖的预防措施，以便在早期控制其相关疾病。
