Department of Nutrition and Dietetics, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
College of Nursing, University of Saskatchewan, Saskatchewan, Canada.
PLoS One. 2021 Mar 8;16(3):e0247960. doi: 10.1371/journal.pone.0247960. eCollection 2021.
The prevalence of abdominal obesity has been dramatically increasing both in developed and developing countries, including Ethiopia. It is an independent risk factor for cardiovascular diseases, type-2 diabetes mellitus, high blood pressure, and cancer. However, there is inadequate data regarding the prevalence and associated factors of abdominal obesity among adult population in Ethiopia.
This study aimed to assess the prevalence and associated factors of abdominal obesity among the adult population in Woldia town, Northeast Ethiopia in 2020.
A community-based cross-sectional study was conducted in Woldia town from March 20 to April 20, 2020. Data on socio-demographic, dietary history, and anthropometric characteristics were collected from 802 adults using the World Health Organization stepwise technique. Multi-stage sampling was employed to select the study subjects. Data were cleaned, coded, and entered by EPI-info Version 7 and were exported to SPSS Version 20 for further analysis. To indicate the strength of association, odds ratios (OR) and 95% confidence intervals (95% CI) were used.
From a total of 823 respondents 802 were involved with a response rate of 97.4%. The overall prevalence of central obesity based on waist to hip ratio was 16.5% with 95% CI (14.2-19.2). Female sex [AOR = 13.3, 95% CI: 7.01-25.39), high wealth rank (AOR = 2.95, 95% CI: 1.21-7.17), single marital status (AOR = 0.16, 95%CI: 0.04-0.58), age from 35 to 55 years (AOR = 4.3, 95% CI: 2.22-7.99), age greater than 55 years (AOR = 3.8, 95%CI: 1.36-10.78), secondary educational level (AOR = 1.83, 95% CI: 1.05-3.18), eat more protein (AOR = 4.22, 95% CI: 1.26-14.22), and consumption of snacks (AOR = 2.78, 95% CI: 1.68-4.61) were significantly associated with abdominal obesity.
The prevalence of abdominal obesity among adults in Woldia town is high, and has become an emerging nutrition-related problem. Being female, older age, being in a high wealth rank, consuming more meat, having secondary education level, and consuming snacks were the risk factors of abdominal obesity. Nutrition interventions should target adults mainly focusing on the alarmingly increase in nutrition problems, such as abdominal obesity, in Ethiopia with specific attention to females.
腹部肥胖在发达国家和发展中国家都呈显著上升趋势，包括埃塞俄比亚。它是心血管疾病、2 型糖尿病、高血压和癌症的独立危险因素。然而，关于埃塞俄比亚成年人中腹部肥胖的患病率及其相关因素的数据还不够充分。
本研究旨在评估 2020 年在埃塞俄比亚沃尔迪亚镇成年人中腹部肥胖的患病率及其相关因素。
这是一项于 2020 年 3 月 20 日至 4 月 20 日在沃尔迪亚镇进行的基于社区的横断面研究。采用世界卫生组织逐步技术，从 802 名成年人中收集了社会人口统计学、饮食史和人体测量特征数据。采用多阶段抽样选择研究对象。数据采用 EPI-info 版本 7 进行清理、编码和录入，并导出到 SPSS 版本 20 进行进一步分析。为了表示关联的强度，使用了比值比（OR）和 95%置信区间（95%CI）。
在总共 823 名受访者中，有 802 名参与了调查，应答率为 97.4%。根据腰围与臀围比值，中心性肥胖的总患病率为 16.5%，95%CI（14.2-19.2）。女性（OR=13.3，95%CI：7.01-25.39）、高财富等级（OR=2.95，95%CI：1.21-7.17）、单身婚姻状况（OR=0.16，95%CI：0.04-0.58）、35-55 岁年龄组（OR=4.3，95%CI：2.22-7.99）、55 岁以上年龄组（OR=3.8，95%CI：1.36-10.78）、中等教育水平（OR=1.83，95%CI：1.05-3.18）、摄入更多蛋白质（OR=4.22，95%CI：1.26-14.22）和食用零食（OR=2.78，95%CI：1.68-4.61）与腹部肥胖显著相关。
沃尔迪亚镇成年人中腹部肥胖的患病率较高，已成为一个新出现的营养相关问题。女性、年龄较大、财富等级较高、摄入更多肉类、接受中等教育和食用零食是腹部肥胖的危险因素。营养干预应针对成年人，主要关注营养问题的惊人增加，如腹部肥胖，在埃塞俄比亚，特别关注女性。
