Epidemiology and Biostatistics, African Institute of Public Health, Ouagadougou, Centre, Burkina Faso.
National Tuberculosis Program, Ministry of Health, Ouagadougou, Burkina Faso.
BMJ Open. 2020 Nov 18;10(11):e032953. doi: 10.1136/bmjopen-2019-032953.
The objective of this study was to determine the prevalence and predictors of overweight and obesity in Burkina Faso using a population-based countrywide sample. We hypothesise that there is a significant burden related to overweight/obesity in Burkina Faso.
Secondary analysis of a population-based countrywide cross-sectional study.
Burkina Faso, all the 13 regions including both rural and urban residential areas.
4800 participants of both sexes, aged between 25 and 64 years.
Overweight and obesity using body mass index cut-off levels of the WHO.
The prevalence of overweight and obesity in Burkina Faso were 13.82% (95% CI: 12.25 to 15.55) and 4.84% (95% CI: 3.99 to 5.86), respectively. Among men, the proportional odds of overweight/obesity increase with urban residency (p<0.001), greater age (p<0.002), marital status different from single (p≤0.007) and decrease with current smoking (p=0.009). Among women, the proportional odds of overweight/obesity increase with urban residency (p<0.001), primary educational level (p=0.01), high total blood cholesterol level (p<0.001) and high fasting blood glucose level (p=0.02), and decrease with current smoking (p<0.001).
Our study showed that nearly one person out of five in the adult population of Burkina has an abnormal weight status with women being more affected than men. Urban residency is a consistent risk factor in both men and women. Alcohol consumption and education were associated with an increased odds in only women. Overnutrition needs to be recognised as an important public health issue in Burkina Faso and nutrition interventions need to be reshaped to account for it.
本研究旨在使用基于人群的全国性样本，确定布基纳法索超重和肥胖的流行率和预测因素。我们假设布基纳法索超重/肥胖问题严重。
基于人群的全国性横断面研究的二次分析。
布基纳法索，包括农村和城市居住地区在内的 13 个地区。
4800 名男女参与者，年龄在 25 至 64 岁之间。
使用世卫组织的身体质量指数切点，评估超重和肥胖。
布基纳法索超重和肥胖的患病率分别为 13.82%（95%CI：12.25-15.55）和 4.84%（95%CI：3.99-5.86）。男性中，超重/肥胖的比例与城市居住（p<0.001）、年龄较大（p<0.002）、婚姻状况与单身不同（p≤0.007）呈正相关，与当前吸烟呈负相关（p=0.009）。女性中，超重/肥胖的比例与城市居住（p<0.001）、小学教育水平（p=0.01）、总胆固醇水平高（p<0.001）和空腹血糖水平高（p=0.02）呈正相关，与当前吸烟呈负相关（p<0.001）。
本研究表明，布基纳法索成年人口中近五分之一的人体重异常，女性受影响的程度高于男性。城市居住是男女共同的一致危险因素。仅在女性中，饮酒和教育与更高的患病风险相关。营养过剩需要被视为布基纳法索的一个重要公共卫生问题，营养干预措施需要进行调整以应对这一问题。
