加纳和尼日利亚社区居住老年人肥胖的社会人口学和行为风险因素：SIREN研究数据的二次分析

Sociodemographic and behavioural risk factors for obesity among community-dwelling older adults in Ghana and Nigeria: A secondary analysis of data from the SIREN study.

作者信息

Akpa Onoja M, Okekunle Akinkunmi P, Sarfo Fred S, Akinyemi Rufus O, Akpalu Albert, Wahab Kolawole W, Komolafe Morenikeji, Obiako Reginald, Owolabi Lukman, Jenkins Carolyn, Abiodun Adeoye, Ogbole Godwin, Fawale Bimbo, Akinyemi Joshua, Agunloye Atinuke, Uvere Ezinne O, Fakunle Adekunle, Ovbiagele Bruce, Owolabi Mayowa O

机构信息

Department of Epidemiology and Medical Statistics, 113092College of Medicine, University of Ibadan, Nigeria.

Center for Genomic and Precision Medicine, 113092College of Medicine, University of Ibadan, Nigeria.

出版信息

Chronic Illn. 2023 Mar;19(1):40-55. doi: 10.1177/17423953211054023. Epub 2021 Nov 17.

DOI:10.1177/17423953211054023

PMID:34787475

Abstract

OBJECTIVES

To explore the prevalence and risk factors of obesity among older adults from low- and middle-income countries (LMICs).

METHODS

This is a secondary analysis of data obtained from the SIREN study through in-person interviews and measurements from healthy stroke-free older adults (≥60 years). Overweight/obesity was defined as body mass index 25 kg/m. Abdominal obesity was defined as waist-to-hip ratio (WHR) of >0.90 for males and >0.85/females or waist circumference (WC) of >102 cm for males/>88 cm for females. Adjusted odds ratio (aORs) with 95% confidence interval (CIs) of the relationship between obesity and sociodemographic factors were assessed at 0.05.

RESULTS

Overall, 47.5% of participants were overweight/obese, 76.6% had a larger than recommended WHR, and 54.4% had a larger than recommended WC. Abdominal obesity (WC; aOR: 9.43, CI: 6.99-12.50), being a Nigerian (aOR: 0.55; CI: 0.42-0.72), living in an urban setting (aOR: 1.92; CI: 1.49-2.46, earning $100/month (aOR: 1.53; CI: 1.19-1.96), and having formal education (aOR: 1.42; CI: 1.08-1.87) were associated with overweight/obesity.

CONCLUSION

Living in urban settings, earning a higher income, and having a formal education were associated with a higher odds of obesity among older adults from LMICs.

摘要

目的

探讨低收入和中等收入国家（LMICs）老年人肥胖的患病率及危险因素。

方法

这是一项对通过面对面访谈和测量从无中风的健康老年人（≥60岁）中获得的SIREN研究数据进行的二次分析。超重/肥胖定义为体重指数≥25kg/m²。腹型肥胖定义为男性腰臀比（WHR）>0.90，女性>0.85，或男性腰围（WC）>102cm/女性>88cm。在α=0.05的水平下评估肥胖与社会人口学因素之间关系的调整优势比（aORs）及其95%置信区间（CIs）。

结果

总体而言，47.5%的参与者超重/肥胖，76.6%的人WHR高于推荐值，54.4%的人WC高于推荐值。腹型肥胖（WC；aOR：9.43，CI：6.99 - 12.50）、为尼日利亚人（aOR：0.55；CI：0.42 - 0.72）、生活在城市地区（aOR：1.92；CI：1.49 - 2.46）、月收入100美元（aOR：1.53；CI：1.19 - 1.96）以及接受过正规教育（aOR：1.42；CI：1.08 - 1.87）与超重/肥胖相关。