School of Public Health, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan Teferi, Ethiopia.
School of Medicine, Faculty of Health, Deakin University, Waurn Ponds, VIC, Australia.
Front Public Health. 2024 Oct 18;12:1400066. doi: 10.3389/fpubh.2024.1400066. eCollection 2024.
Abdominal obesity, excess fat around the abdomen, is more harmful than other fat types and is a key diagnostic criterion for metabolic syndrome. It poses a growing global public health concern. This study aimed to assess the prevalence of and determinants of abdominal obesity among adults in southwest Ethiopia.
A cross-sectional study involving 624 adults in Semen Bench district, southwest Ethiopia was conducted from May 23 to June 23, 2022. The data was gathered using questionnaires and anthropometric measurements. The data were analyzed using Stata version 18. A robust Poisson regression was used due to the abdominal obesity prevalence exceeding 10%. Variables with -values < 0.25 in the bivariate analysis were included in the multivariable analysis. The adjusted prevalence ratio (APR) and 95% confidence interval were reported to indicate statistical significance and the strength of associations.
The prevalence of abdominal obesity was 18% (95% CI: 15-21%). After adjusting for confounding variables, the determinants of abdominal obesity included participants aged 31-50 (APR = 3.62, 95% CI: 2.67-8.95) and 51-65 (APR = 3.24, 95% CI: 2.51-8.69), being female (APR = 2.65, 95% CI: 1.63-4.98), having a low wealth index (APR = 1.46, 95% CI: 1.19-3.76), physical inactivity (APR = 1.39, 95% CI: 1.06-4.18), lack of adequate dietary diversity (APR = 3.08, 95% CI: 2.09-6.42), and food insecurity (APR = 2.84, 95% CI: 1.82-7.68).
The research revealed that 18% of the participants exhibited abdominal obesity. Factors such as advanced age, being female, having a low wealth index, physical inactivity, insufficient dietary diversity, and food insecurity were identified as contributors to abdominal obesity. Therefore, it is crucial to develop targeted interventions to address modifiable factors, as this can also help prevent the onset of non-communicable chronic diseases associated with abdominal obesity.
腹部肥胖，即腹部周围多余的脂肪，比其他类型的脂肪更具危害性，是代谢综合征的一个关键诊断标准。它是一个日益严峻的全球公共卫生问题。本研究旨在评估埃塞俄比亚西南部成年人腹部肥胖的流行情况及其决定因素。
2022 年 5 月 23 日至 6 月 23 日，在埃塞俄比亚西南部的 Semen Bench 区进行了一项横断面研究，涉及 624 名成年人。使用问卷和人体测量学方法收集数据。使用 Stata 版本 18 进行数据分析。由于腹部肥胖的流行率超过 10%，因此使用了稳健泊松回归。在单变量分析中 -值<0.25 的变量被纳入多变量分析。报告调整后的患病率比 (APR) 和 95%置信区间以表明统计学意义和关联强度。
腹部肥胖的流行率为 18%（95%CI：15-21%）。在调整混杂变量后，腹部肥胖的决定因素包括年龄在 31-50 岁（APR=3.62，95%CI：2.67-8.95）和 51-65 岁（APR=3.24，95%CI：2.51-8.69）、女性（APR=2.65，95%CI：1.63-4.98）、低财富指数（APR=1.46，95%CI：1.19-3.76）、身体活动不足（APR=1.39，95%CI：1.06-4.18）、饮食多样性不足（APR=3.08，95%CI：2.09-6.42）和粮食不安全（APR=2.84，95%CI：1.82-7.68）。
研究表明，18%的参与者存在腹部肥胖。年龄较大、女性、低财富指数、身体活动不足、饮食多样性不足和粮食不安全等因素被确定为腹部肥胖的促成因素。因此，制定针对这些可改变因素的干预措施至关重要，因为这也有助于预防与腹部肥胖相关的非传染性慢性疾病的发生。
