在尼日利亚东南部埃努古的一家三级医疗机构的内科门诊就诊的高血压患者中的肥胖症。

Obesity in patients with hypertension attending a medical outpatient clinic in a tertiary health facility in Enugu, Southeast Nigeria.

机构信息

Department of Medicine, University of Nigeria Teaching Hospital, Enugu, Nigeria.

Odimegwu Ojukwu University Teaching Hospital, Awka, Nigeria.

出版信息

Ann Afr Med. 2021 Apr-Jun;20(2):84-91. doi: 10.4103/aam.aam_20_20.

DOI:10.4103/aam.aam_20_20

PMID:34213473

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8378469/

Abstract

INTRODUCTION

The prevalence of obesity is increasing in sub-Saharan Africa which reflects the current global trend. Epidemiological data have consistently shown a strong relationship between obesity and hypertension in Africans, and this association is stronger for central obesity. The aim of this study was to describe the pattern of overweight/obesity among patients living with hypertension in a tertiary hospital in Enugu, Southeast Nigeria.

METHODS

This was a cross-sectional study conducted in the Medical Out-Patient Clinic of the Enugu State University Teaching Hospital in Enugu, Enugu State, Southeast Nigeria. Data were analyzed using the SPSS version 22.

RESULTS

Data were collected from a total of 450 consenting patients, most of whom 64% (288) were females. The mean body mass index (BMI) was 28.9 ± 6.1 kg/m higher in females than males (29.8 ± 6.5 kg/m vs. 26.7 ± 5.2 kg/m, P < 0.001). The gender distribution of classes of obesity showed female preponderance. A little more than one-third of the patients were overweight, whereas about four out of every ten patients were obese. While overweight did not differ significantly across gendeWr (P = 0.67), more feWmales than males were significantly obese (P < 0.001). The age distribution of BMI showed increasing rates of underweight and decreasing rate of morbid obesity with age. About 86.8% of the females had substantially increased waist circumference compared to 26.5% of the males. Overall, 53% of the males and 97.6% of the females have abnormal waist circumferences. Waist-hip ratio was equally abnormal in 89.3% of the study population even though no statistically significant difference was observed across gender.

CONCLUSION

Overweight and obesity are common among patients with hypertension as demonstrated in this study. There is need to set up an aspect of health education which specifically sensitizes the public against the untoward consequences of overweight and obesity.

摘要

简介

肥胖在撒哈拉以南非洲的流行率正在上升，这反映了当前的全球趋势。流行病学数据一直表明，肥胖与非洲人中的高血压之间存在很强的关系，而这种关联在中心性肥胖中更强。本研究的目的是描述在尼日利亚东南部埃努古州立大学教学医院的一个三级医院中，高血压患者中超重/肥胖的模式。

方法

这是在尼日利亚东南部埃努古州埃努古州立大学教学医院的医疗门诊诊所进行的横断面研究。使用 SPSS 版本 22 分析数据。

结果

共收集了 450 名同意参与的患者的数据，其中 64%（288 名）为女性。女性的平均体重指数（BMI）为 28.9 ± 6.1 kg/m，高于男性（29.8 ± 6.5 kg/m 比 26.7 ± 5.2 kg/m，P < 0.001）。肥胖程度的性别分布显示女性居多。超过三分之一的患者超重，而大约十分之四的患者肥胖。虽然超重在性别间没有显著差异（P = 0.67），但肥胖的女性明显多于男性（P < 0.001）。BMI 的年龄分布显示，随着年龄的增长，体重不足的比例增加，病态肥胖的比例降低。与男性相比，女性中有 86.8%的腰围明显增加，而男性中有 26.5%。总体而言，53%的男性和 97.6%的女性腰围异常。尽管在性别间未观察到统计学上的显著差异，但研究人群中 89.3%的人腰围-臀围比异常。