Zubery Dalahile, Kimiywe Judith, Martin Haikael D
Department of Food Biotechnology and Nutritional Sciences, School of Life Sciences and Bioengineering, Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania.
Department of Foods, Nutrition and Dietetics, Kenyatta University, Nairobi, Kenya.
Diabetes Metab Syndr Obes. 2021 Feb 2;14:455-465. doi: 10.2147/DMSO.S283595. eCollection 2021.
Tanzania is one of the developing countries experiencing an increasing trend of overweight and obesity among adults. Working adults have been identified as a high-risk group more exposed to the predictors of overweight and obesity than the general population. However, limited studies have been done in this group. This study aimed to identify the prevalence of overweight and obesity and its associated risk factors among health-care workers, teachers, and bankers in Arusha city council.
A descriptive cross-sectional study was conducted among health-care workers, teachers, and bankers. A total of 305 working adults aged 18-60 years participated in the study. A modified World Health Organization (WHO) STEPwise approach for chronic disease risk factor surveillance was used to collect data about socio-demographic characteristics, lifestyle behaviors, dietary practices and anthropometric measurement. The Global Physical Activity Questionnaire (GPAQ) was used to collect information about level of physical activities. The anthropometric measurement and level of physical activities were calculated and ranked according to WHO guidelines.
Overall, 68.9% (31.1% overweight and 37.8% obese) of working adults were overweight or obese. Age (adjusted odds ratio [AOR=7.73; 95% CI: 1.93-30.87]), gender (AOR=2.60; 95% CI: 1.30-5.21), marital status (AOR=2.47; 95% CI: 1.11-5.50), years spent with the current institution (AOR=4.59; 95% CI: 1.38-17.80), using private car or public transport to and from work (AOR=2.43; 95% CI: 1.10-5.39) and sedentary work (AOR=2.43; 95% CI: 1.04-5.71), were significant factors associated with overweight or obesity.
The study identified a higher prevalence of overweight and obesity in Tanzania compared with previous studies. The results from this study are useful for the education sector, financial institutions and health sector on designing workplace wellness programs to reduce the burden of overweight and obesity among this working category.
坦桑尼亚是一个发展中国家,成年人超重和肥胖呈上升趋势。在职成年人被确定为比普通人群更容易受到超重和肥胖预测因素影响的高危群体。然而,针对这一群体的研究有限。本研究旨在确定阿鲁沙市议会的医护人员、教师和银行职员中超重和肥胖的患病率及其相关危险因素。
对医护人员、教师和银行职员进行了一项描述性横断面研究。共有305名年龄在18至60岁之间的在职成年人参与了研究。采用经修改的世界卫生组织(WHO)慢性病危险因素监测逐步方法,收集有关社会人口学特征、生活方式行为、饮食习惯和人体测量数据。使用全球体力活动问卷(GPAQ)收集有关体力活动水平的信息。人体测量数据和体力活动水平根据WHO指南进行计算和排序。
总体而言,68.9%(超重占31.1%,肥胖占37.8%)的在职成年人超重或肥胖。年龄(调整后的优势比[AOR=7.73;95%可信区间:1.93-30.87])、性别(AOR=2.60;95%可信区间:1.30-5.21)、婚姻状况(AOR=2.47;95%可信区间:1.11-5.50)、在当前机构工作的年限(AOR=4.59;95%可信区间:1.38-17.80)、上下班使用私家车或公共交通工具(AOR=2.43;95%可信区间:1.10-5.39)以及久坐工作(AOR=2.43;95%可信区间:1.04-5.71),是与超重或肥胖相关的显著因素。
该研究发现坦桑尼亚超重和肥胖的患病率高于以往研究。本研究结果对于教育部门、金融机构和卫生部门设计工作场所健康计划以减轻这一工作类别中超重和肥胖的负担具有参考价值。