Gender differentials of abdominal obesity among the adults in the district of Colombo, Sri Lanka

Arambepola, Carukshi; Ekanayake, Ruvan; Fernando, Dulitha

doi:10.1016/j.ypmed.2006.11.004

Cited by 23 publications

(31 citation statements)

References 23 publications

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“…But according to the study done by Arambepola et al . [22] the prevalence of central obesity in Colombo district in Sri Lanka based on Asian cut-offs was 34.9%. In the present study, we only recruited pre-menopausal middle-aged women and used waist circumference, to assess the central adiposity.…”

Section: Discussionmentioning

confidence: 99%

High carbohydrate diet and physical inactivity associated with central obesity among premenopausal housewives in Sri Lanka

2014

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BackgroundPrevalence of obesity and overweight is rising in developing countries, including Sri Lanka at a rapid pace due to dietary and lifestyle changes. This study aimed to assess the association between high carbohydrate diet, physical inactivity and central obesity among premenopausal housewives in Sri Lanka.MethodsThis study was conducted as a cross-sectional study. A sample of 100 premenopausal women with home duties aged between 20 to 45 years were selected randomly from two divisional secretariats (DS), representing urban and rural sectors in Sri Lanka. Data on basic characteristics, anthropometric measurements, dietary assessment and physical activity were collected. We defined central obesity as a waist circumference ≥80 cm, which is the WHO recommended cut-off. Independent sample t test was used to compare the mean values. Linear and binary logistic regression analyses were performed to find out the relationship and the magnitude of association between central obesity and percentage of energy contributed from carbohydrate and physical activity level, respectively.ResultsThe women reported an average of 18 starch portions per day, which was well above the national recommendations. Seventy percent of energy in the diet came from carbohydrate. The mean BMI and waist circumference of total sample was 25.4 kgm-2 and 78.5 cm, respectively. Prevalence of overweight, obesity and centrally obesity among total sample was 38%, 34% and 45%, respectively. A significant positive correlation observed between high carbohydrate diet and waist circumference (r = 0.628, p < 0.0001). There was a significant negative correlation between energy expenditure from physical activity and waist circumference (r = -0.742, p < 0.0001). High carbohydrate diet and physical inactivity were significantly associated with central obesity (OR = 6.26, p = 0.001, 95% CI-2.11-18.57, OR = 3.32, p = 0.028, 95% CI-1.14-9.68).ConclusionHigh carbohydrate diet and physical inactivity are possible explanations for the high prevalence of central obesity. There is an urgent need to implement effective specific public health interventions at household level to reverse this trend among the housewives in Sri Lanka.

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Section: Discussionmentioning

confidence: 99%

High carbohydrate diet and physical inactivity associated with central obesity among premenopausal housewives in Sri Lanka

2014

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“…We used multi-stage, stratified, probability sampling to identify 1400 subjects who were representative of the adult population of Colombo by age, sex and sector (Arambepola et al 2007). The final stage of sampling included 40 Grama-Niladari (GN) divisions (smallest administrative units of approximately 4000 population) stratified by urban and rural sectors.…”

Section: Sampling Methodsmentioning

confidence: 99%

“…Based on previous work that identified gender-specific determinants of obesity in the same population, the analyses were conducted separately for men and women (Arambepola et al 2007). anova tests were used to compare the mean BMI levels and 95% confidence intervals (CI) between urban and rural sectors, and in a univariate analysis to compare the mean BMI levels of the strata of each of the population and lifestyle factors between these two factors.…”

Section: Statistical Analysesmentioning

confidence: 99%

Urban living and obesity: is it independent of its population and lifestyle characteristics?

Arambepola

Allender

Ekanayake

et al. 2008

Tropical Med Int Health

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Summaryobjectives Living in an urban area influences obesity. However, little is known about whether this relationship is truly independent of, or merely mediated through, the demographic, socio-economic and lifestyle characteristics of urban populations. We aimed to identify and quantify the magnitude of this relationship in a Sri Lankan population.methods Cross-sectional study of adults aged 20-64 years representing the urban (n = 770) and rural (n = 630) populations, in the district of Colombo in 2004. Obesity was measured as a continuous variable using body mass index (BMI). Demographic, socio-economic and lifestyle factors were assessed. Gender-specific multivariable regression models were developed to quantify the independent effect of urban ⁄ rural living and other variables on increased BMI. conclusions Urban living is associated with obesity independently of most other demographic, socioeconomic and lifestyle characteristics of the population. Targeting urban populations may be useful for consideration when developing strategies to reduce the prevalence of obesity.

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“…As a result, abdominal obesity has been directly linked to increased overall mortality independent of overall obesity (Jacobs et al 2010;Pischon et al 2008). The prevalence of abdominal obesity has increased in recent decades (Visscher and Seidell 2004;Walls et al 2011), and this condition is more common in women than in men (Arambepola, Ekanayake, and Fernando 2007;Linhares et al 2012;Macagnan et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Physical Activity in Adolescence and Abdominal Obesity in Adulthood: A Case-Control Study Among Women Shift Workers

et al. 2015

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Physical activity may have a protective effect against abdominal obesity, an important risk factor for cardiometabolic diseases. Thus, the aim of this study was to examine the association between the practice of physical activities in adolescence and abdominal obesity in adulthood among women shift workers in Southern Brazil in 2011. This case-control study included 215 cases (waist circumference greater than or equal to 88 cm) and 326 controls. For both the case and control groups, participation in leisure-time physical activities was most frequent in adolescence and was significantly less in adulthood. After adjusting for potential confounding factors, women who participated in five or more physical activities in adolescence were 50 percent less likely to have abdominal obesity than women who participated in one activity or no physical activities (Odds Ratio = 0.50; 95% confidential interval: 0.27-0.93, p value = .029). Participation in various types of leisure-time physical activities in adolescence may protect against abdominal obesity in adulthood, even if the number of physical activities decreases over time. This finding demonstrated the importance of physical activity as well as the period of life in which these should be encouraged for the prevention of health disorders, such as abdominal obesity.

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Gender differentials of abdominal obesity among the adults in the district of Colombo, Sri Lanka

Cited by 23 publications

References 23 publications

High carbohydrate diet and physical inactivity associated with central obesity among premenopausal housewives in Sri Lanka

High carbohydrate diet and physical inactivity associated with central obesity among premenopausal housewives in Sri Lanka

Urban living and obesity: is it independent of its population and lifestyle characteristics?

Physical Activity in Adolescence and Abdominal Obesity in Adulthood: A Case-Control Study Among Women Shift Workers

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