Arinda Ivan Kato, Sserwanja Quraish, Nansubuga Sylvia, Mukunya David, Akampereza Phiona
Department of Nutrition Research, Nutri-worth International. Kampala, Uganda.
Department of Monitoring and Evaluation, Doctors with Africa, CUAMM, Juba, South Sudan.
Nutr Metab Insights. 2021 May 17;14:11786388211016833. doi: 10.1177/11786388211016833. eCollection 2021.
Globally and in Sub-Saharan Africa (SSA), the prevalence of overweight and obesity are on the rise. Data on overweight and obesity among men are scarce.
We aimed to determine the prevalence and factors associated with over-nutrition among men in Uganda.
We used Uganda Demographic and Health Survey (UDHS) 2016 data of 5,408 men aged 15 to 45 years. Multistage stratified sampling was used to select study participants and data were collected using validated questionnaires. Multivariable logistic regression was used to determine factors associated with over-nutrition among 15 to 54-year-old men in Uganda.
The prevalence of over nutrition was 9.1%, where that of overweight was 7.9% (95% CI 7.2-8.7 and obesity was1.2% (95% CI 0.9-1.5). Men who were aged 25 to 34 (AOR = 3.28; 95% CI: 1.92-5.59), 35-44 (AOR = 4.51; 95% CI: 2.61-7.82) and 45 to 54 (AOR = 4.28; 95% CI: 2.37-7.74) were more likely to have over-nutrition compared to those aged 15 to 24 years. Married men (AOR=2.44; 95% CI: 1.49-3.99) were 2 times more likely to have over-nutrition than men who were not married. Men in the central region (AOR = 1.78; 95% CI: 1.22-2.60) were 1.78 times more likely to have over-nutrition than men in the northern region. Men who were in the richest wealth index quintiles were 10 times more likely to have over-nutrition compared to those in the poorest wealth index quintile (AOR = 9.38: 95 % CI 5.14-17.10).
The factors associated with over-nutrition among Ugandan men in our study were increasing age, marital status, increasing wealth and region of origin. This shows the need for measures to abate the regional development inequalities, need to promote physical activity among older men and need to improve on the knowledge of nutrition and dietetic practices for married couples and men of different social classes.
在全球以及撒哈拉以南非洲地区（SSA），超重和肥胖的患病率正在上升。关于男性超重和肥胖的数据稀缺。
我们旨在确定乌干达男性营养过剩的患病率及其相关因素。
我们使用了2016年乌干达人口与健康调查（UDHS）中5408名年龄在15至45岁之间男性的数据。采用多阶段分层抽样来选择研究参与者，并使用经过验证的问卷收集数据。运用多变量逻辑回归来确定乌干达15至54岁男性中与营养过剩相关的因素。
营养过剩的患病率为9.1%，其中超重患病率为7.9%（95%置信区间7.2 - 8.7），肥胖患病率为1.2%（95%置信区间0.9 - 1.5）。与15至24岁的男性相比，年龄在25至34岁（优势比[AOR]=3.28；95%置信区间：1.92 - 5.59）、35 - 44岁（AOR = 4.51；95%置信区间：2.61 - 7.82）以及45至54岁（AOR = 4.28；95%置信区间：2.37 - 7.74）的男性更有可能出现营养过剩。已婚男性（AOR = 2.44；95%置信区间：1.49 - 3.99）出现营养过剩的可能性是未婚男性的2倍。中部地区的男性（AOR = 1.78；95%置信区间：1.22 - 2.60）出现营养过剩的可能性是北部地区男性的1.78倍。与最贫困财富指数五分位数组的男性相比，最富裕财富指数五分位数组的男性出现营养过剩的可能性高10倍（AOR = 9.38：95%置信区间5.14 - 17.10）。
在我们的研究中，与乌干达男性营养过剩相关的因素包括年龄增长、婚姻状况、财富增加和原籍地区。这表明需要采取措施减少地区发展不平等，需要促进老年男性的体育活动，并且需要提高已婚夫妇和不同社会阶层男性的营养和饮食知识。
