Pattern of specific comorbidities and the association with overweight and obesity in adults attending a tertiary hospital in Rivers State, Nigeria (original) (raw)
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Babcock University Medical Journal (BUMJ)
Objective: The study assessed the prevalence of obesity and its co-morbidities among patients attending the dietetics outpatient clinic of the hospital. Methods: The prevalence of obesity and its co-morbidities were assessed in this retrospective study from the available in the outpatient clinic of the Dietetics Department in University College Hospital Ibadan, Oyo State. Age, gender, occupation, religion, height, weight, diagnosed diseases were extracted from the record of individuals who presented at the clinic over 72 months. Data obtained was analyzed using the Statistical Package for Social Sciences (SPSS) version 20. Result: A total of 3248 patients’ records were assessed. Of these, 1174 (36.15%) patients met the criteria for obesity according to their recorded BMI; 614(52.3%) had obesity class I (BMI 30–34.9), 343(29.2%) had obesity class II (BMI 35–39.9) and 217(18.5%) had obesity class III (BMI ≥40). Obesity was significantly higher amongst females than males (p<0.05). T...
Int Arch …, 2011
Background: Obesity is assuming an epidemic dimension globally. It is important to appreciate factors associated with the disease so that a holistic approach can be taken in tackling the rising burden. The objective of this study was to determine the prevalence of overweight and obesity and the factors independently associated with obesity in an urban Nigerian population. Methods: A cross-sectional study of 300 healthy adult subjects was conducted in the urban city of Katsina, northern Nigeria. Relevant sociodemographic and clinical information were obtained. Screening for obesity was done using the Body Mass Index while relevant laboratory investigations were conducted. Univariate and multivariate logistic regression analyses were performed to determine the predictors of obesity. Results: Overweight and obesity was found in 53.3% and 21.0% respectively with a significantly higher prevalence in females compared to males (overweight: 62.0% vs 41.9%, p < 0.001; obesity: 29.8% vs 9.3%, p < 0.001). In univariate analysis, the odds of obesity were higher in women and in the presence of hypertension, hypercholesterolaemia and hyperuricaemia. However, in multivariate analysis, factors independently associated with obesity were female sex (OR 6.119, 95% CI 2.705-13.842, p < 0.001), hypercholesterolaemia (OR 2.138, 95% CI 1.109-4.119, p = 0.023) and hyperuricaemia (OR 2.906, 95% CI 1.444-5.847, p = 0.003). Conclusion: There is a high prevalence of obesity in northern Nigeria and women are significantly more affected. The high prevalence is independently associated with female sex, hypercholesterolaemia and hyperuricaemia. Public health education is urgently needed in order to reduce this burden and prevent other non-communicable cardiovascular disorders.
Nigerian Journal of Clinical Practice, 2011
Objectives: This study was generally aimed at determining the prevalence and pattern of obesity using body mass index (BMI) criterion and specifically screening for its common primary co-morbidities among adult Nigerians attending a rural Mission General Hospital in Imo state, SouthEastern Nigeria. Materials and Methods: A descriptive study was carried out from June 2008 to May 2009. A total of 2156 consecutive new adult patients aged 18-90 years were screened for obesity using the BMI criterion, and 129 patients had BMI ≥30 kg/m 2 and met the inclusion criteria. The data collected included age, sex, marital status, education, occupation, social class, weight, height and blood pressure, fasting blood sugar and lipid profile. Results: The prevalence of obesity was 6.0%, with class I obesity (86.1%) being the most common pattern. Hypertension (16.3%) was the most common primary co-morbidity; others included low high-density lipoprotein-cholesterol (21.7%), high low-density lipoprotein-cholesterol (9.3%), high total cholesterol (7.8%), high triglyceridemia (4.7%) and diabetes mellitus (3.9%). Conclusions: This study has shown that obesity and its primary co-morbidities are emerging as a serious health problem among the study population, with class I obesity being the most common pattern and hypertension being the most common primary co-morbidity. Anthropometric determination of obesity and screening for its common primary co-morbidities should be integrated as part of the clinic baseline assessment of adult Nigerians attending rural hospitals to facilitate their early detection and institutionalization of appropriate preventive and therapeutic measures.
SOCIO-DEMOGRAPHIC PREDICTORS OF OVERWEIGHT AND OBESITY AMONG ADULTS IN EKPOMA, NIGERIA
Background: Being overweight and obese are major causes of weight related health risks which are linked to morbidity and mortality. It is also rated as the sixth most essential threat in terms of number of deaths in the world and a major public health challenge globally. While this epidemic is prominent among developed countries, the prevalence is also increasing in developing countries such as Nigeria. The objective of this study is to determine the prevalence of overweight and obesity among adults in Ekpoma, Nigeria and also its sociodemographic predictors. Materials and Method: A cross sectional study was conducted in 2017 among adults in Ekpoma, Nigeria. The inclusion criteria included adults aged between 18-65 years. Data was collected using a pretested self-administered questionnaire and analysed using IBM SPSS version 22. Respondents' body mass index (BMI) was categorised into 2 categories namely 'overweight and obese' and 'not overweight and obese'. Chi square, simple and multiple logistic regressions were used to determine socio-demographic associations and predictors of 'overweight and obesity' among the respondents. Results: A total of 445 respondents were recruited. Most respondents' were aged between 18-44 years (69.2%), female (51.2%), single (50.8%) and from the Edo ethnic group (72.1%), with 60.7% of them found to be 'overweight and obese'. There were statistically significant associations between 'overweight and obese' with age (p = 0.001), gender (p = 0.033), marital status (p = 0.001) and ethnicity (p = 0.008). However the significant predictor for 'overweight and obese' was only marital status (AOR = 0.238, 95% CI = 0.143-0.398). Conclusion: The findings in this study showed that there is a high prevalence of overweight and obesity among adults in Ekpoma, Nigeria, and it is significantly associated with age, gender, marital status, and ethnicity, but only marital status is a significant predictor.
Prevalence and Socio-Demographic Determinants of Overweight and Obesity in a Nigerian Population
Objective: This survey explored prevalence of overweight and obesity and their associations with sociodemographic variables in a Nigerian population. Methods: This cross-sectional survey involved 1521 adults in Nnewi. Age, sex, educational and occupational status, and BMI were recorded. Results: Prevalence of overweight was higher in males (32.3%; 95% CI, 29.5%–35.2%) than in females (29.8%; 95% CI, 26.8%–33.0%); the reverse was the case for prevalence of obesity (19.6%; 95% CI, 17.3%–22.2% in males and 36.0%; 95% CI, 32.8%–39.4% in females). Higher odds ratios (ORs) for overweight and obesity were observed in participants aged 41–60 years (OR 2.03; 95% CI, 1.57–2.61 for overweight and OR 4.29; 95% CI, 3.25–5.67 for obesity) and those >60 years (OR 1.72; 95% CI, 1.21–2.43 for overweight and OR 4.21; 95% CI, 2.86–6.19 for obesity) compared to those aged 18–40 years. Female sex was associated with higher ORs for overweight (OR 1.20; 95% CI, 0.96–1.51) and obesity (OR 2.21; 95% CI, 1.73–2.83). Participants with secondary education had marginally higher ORs for overweight (OR 1.15; 95% CI, 0.88–1.51) and obesity (OR 1.17; 95% CI, 0.86–1.59) than those with tertiary education, and so were those with primary education for obesity (OR 1.19; 95% CI, 0.74–1.89) but higher OR for overweight (OR 1.44; 95% CI, 0.98–2.13). Unskilled participants had about the same OR for overweight and obesity as professionals, and while skilled participants had about the same OR for overweight as professionals, their OR for obesity (OR 1.27; 95% CI, 0.67–2.43) was fairly higher than that for professionals. Conclusions: Prevalence of overweight is higher in males than in females, but the reverse is the case for prevalence of obesity. Older age and female sex are associated with increased risk of overweight and obesity, while working at a skilled occupation is associated with obesity, and tertiary educational attainment is associated with overweight.
Journal of family medicine and primary care, 2013
Obesity once thought the medical problem of affluent countries now exist in Nigeria and has been described as a time bomb for the future explosion in the frequency of cardio-metabolic diseases. The most deleterious health consequences of obesity are on the cardiovascular system and associated disorder of lipid and glucose homeostasis. This study was designed to determine the magnitude of obesity and its cardio-metabolic co-morbidities among adult Nigerians in a primary care clinic of a tertiary hospital South-Eastern, Nigeria. A cross-sectional study carried out on 2391 adult Nigerians who were assessed for obesity using body mass index (BMI) criterion. 206 patients who had BMI ≥30kg/m(2) were screened for cardio-metabolic co-morbidities. The data collected included basic demographic variables, weight, height, blood pressure; fasting plasma glucose and lipid profile. The prevalence of obesity was 8.6%. Grade I obesity (67.5%) was the most common pattern; others included grade II obe...
Annals of African Medical Research
Obesity is an epidemic disease in many developed countries and an emerging public health problem in developing countries, particularly in urban settings.The aim of this study was to determine the prevalence of overweight and obesity and the associated factors among adult residentsin Goni Gora community in Kaduna State. The study was conducted in Goni Gora a semi-urban setting in Chikun Local Government Area of Kaduna State, Northwestern Nigeria in January 2017. A multi-stage sampling technique was used to select 192 adult residents in the community. Data was collected using structured, pretested and interviewer-administered questionnaire using mobile data collection method (Epiinfo™ version 7.2). Data were analyzed using the Statistical Package for Social Sciences (SPSS) software version 21. The level of significance was set at a P value of ≤0.05. The majority of the respondents (32.3%) were within the age group of 20-29 years. The mean age of respondents was 34.6±13.1 years and mal...
Zenodo (CERN European Organization for Nuclear Research), 2022
Obesity occurs when someone eats more calories than use. The balance between calories-in and calories-out differs for each person. Factors that might affect weight include genetic makeup, overeating, eating high-fat foods, and not being physically active. Obesity increases the risk of many diseases. Fat is deposited on our bodies when the energy (kilojoules) we consume from food and drink is greater than the energy used in activities and at rest. The study aimed at determines the prevalence of obesity among the respondents and to determine the awareness and associated factors with obesity. This study was carried out in a Tertiary Health facility in Ado-Ekiti; Ekiti State. A total of 202 completely filled, validated, semi structured interviewer administered questionnaires was used for data collection. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 21.Cross tabulations of variables were done. Chi square and p-values were used to calculate statistical significance. This study revealed that 51 % of the respondents are male and 49% female. The prevalence of obesity and overweight in the study was 25.2% and 35.6% respectively. Very few (1 .5%) are underweight. A larger percentage of female were obese and overweight. The prevalence of obesity increases with age and positive family history especially in the mother. Hypertension was the most prevalent disease among the studied population. The awareness of obesity was high among the study population with proportion of 59.4%. Majority of the respondent, 57.4% knows that obesity means too much of body fat in the body. In conclusion, the prevalence of obesity is high in the population studied. Timely intervention needs to be taken by the individual, government and health workers and to prevent obesity and its associated co-morbidity and mortality.
Prevalence of overweight and obesity in Maiduguri, North-Eastern Nigeria
Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria
The prevalence of obesity is on the increase worldwide including in many developing countries. There is no report on the magnitude of obesity among adults in Maiduguri, a major city in northeastern Nigeria. We selected a sample of 1650 men and women aged 15 years and above resident in Gwange ward in Maiduguri metropolitan council using a multistage sampling technique. Height, weight, waist (WC) and hip circumferences w measured. Body mass index (BMI) and waist-to-hip ratio (WHR) were calculated. Data were analyzed using SPSS version13. The ethics committee of the University of Maiduguri Teaching Hospital approved the study and consent was sought individually from the participants before being enlisted. The mean (SD) age of the respondents was 36.2 (14.4) years, with a range of 15 to 70 years. The mean (SD) ages of the males and females were 34.9 4.3) and 38.9 (14.0) years, respectively, (p < 0.001). The overall crude prevalence rates of overweight and obesity were 27.1% and 17.1%...
Overweight and obesity profiles in Niger Delta Region, Nigeria
African Journal of Primary Health Care & Family Medicine, 2014
Introduction: Overweight and obesity are global public health problems because of their effect on individuals, families and communities. The objective of this study was to describe the profile of overweight and obesity amongst adult out patients in Uyo in the Niger Delta region of Nigeria.Method: This was a cross-sectional descriptive study done between October 2011 and March 2012. Using a systematic sampling technique, 584 subjects aged 18–65 years were recruited; data were collected with a structured questionnaire. Subjects were measured for height, weight, waist and hip circumferences. Body mass index (BMI) and waist–hip ratio (WHR) were calculated. Subjects with a BMI of 25.0 kg/m2 – 29.9 kg/m2 were regarded as being overweight whilst a BMI of > 30.0 kg/m2 was regarded as obese. Subjects with a WHR of > 0.90 for men or > 0.85 for women were regarded as having abnormal WHR.Results: Of the 584 subjects, 196 (36.6%) were men and 388 (66.4%) women. The mean age for men and ...