Prevalence of obesity and associated sociodemographic and lifestyle factors in Morocco

Rhazi, Karima El; Nejjari, Chakib; Zidouh, Ahmed; Bakkali, R.; Berraho, M.; Gateau, P. Barberger

doi:10.1017/s1368980010001825

Cited by 71 publications

(68 citation statements)

References 31 publications

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“…Taking into account an increased risk for obese women to develop GDM (10), the actual prevalence of GDM might be even higher in Morocco, where already 55% of women aged 25–44 years are overweight or obese (11). Despite a substantial number of affected women, there is to date no research being conducted that examines the actual situation of screening and management of GDM in Morocco outside larger university settings.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis a posteriori? Assessing gestational diabetes screening and management in Morocco

Utz

Assarag

Essolbi

et al. 2016

Global Health Action

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BackgroundIn Morocco, gestational diabetes affects 1 in 10 pregnant women, but knowledge about screening and management practices outside university settings is limited.ObjectiveTo provide a comprehensive picture about the current situation of screening and management of gestational diabetes at different levels of care and to highlight existing challenges.DesignWe conducted a descriptive mixed methods study in the districts of Al Haouz and Marrakech by using both quantitative and qualitative methods, including document reviews of 369 antenatal cards and 299 hospital files, health facility inventories related to resource availability, 20 key informant interviews as well as focus group discussions with 32 pregnant women and exit interviews with 122 antenatal care (ANC) clients. Quantitative data were descriptively analyzed using STATA Version 13, whereas qualitative data were thematically analyzed using NVIVO Version 10.ResultsThe findings revealed that sensitization of women about gestational diabetes is low, and only 34.4% have ever heard about it before attending ANC. Fasting blood sugar is used for screening, and women are sent to external laboratories for testing. A fasting blood sugar of 0.92 g/l and above was documented in 12.3% of all antenatal cards examined. Women diagnosed with gestational diabetes are usually referred to a specialist despite general practitioners at health center level being responsible for the management of non-pregnant diabetic patients.ConclusionsDecentralization of screening for gestational diabetes and initial management of uncomplicated cases at the primary level of care could ease access to care and reduce the number of mothers who are diagnosed after a complication occurred.

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Section: Introductionmentioning

confidence: 99%

Diagnosis a posteriori? Assessing gestational diabetes screening and management in Morocco

Utz

Assarag

Essolbi

et al. 2016

Global Health Action

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“…In this context, we aimed to study this double burden in women of child-bearing age. For the purposes of this analysis, we define double burden as overweight or increased risk abdominal obesity and anemia or ID in Morocco and Tunisia, 2 North African transition countries where both conditions are prevalent (3,19,(33)(34)(35)(36)(37). The objectives of the present study were to assess the magnitude of this relatively unknown double burden, both at the population and individual levels, and to explore the identification of household and subjectlevel sociodemographic factors associated with this double burden of malnutrition among women in urban areas where the burden of noncommunicable diseases is particularly acute.…”

Section: Introductionmentioning

confidence: 99%

A Double Burden of Overall or Central Adiposity and Anemia or Iron Deficiency Is Prevalent but with Little Socioeconomic Patterning among Moroccan and Tunisian Urban Women

Gartner

Ati

Traissac

et al. 2014

The Journal of Nutrition

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In North Africa, overnutrition has dramatically increased with the nutrition transition while micronutrient deficiencies persist, resulting in clustering of opposite types of malnutrition that can present a unique difficulty for public health interventions. We assessed the magnitude of the double burden of malnutrition among urban Moroccan and Tunisian women, as defined by the coexistence of overall or central adiposity and anemia or iron deficiency (ID), and explored the sociodemographic patterning of individual double burden. In cross-sectional surveys representative of the region around the capital city, we randomly selected 811 and 1689 nonpregnant women aged 20-49 y in Morocco and Tunisia, respectively. Four double burdens were analyzed: overweight (body mass index ≥25 kg/m(2)) or increased risk abdominal obesity (waist circumference ≥80 cm) and anemia (blood hemoglobin <120 g/L) or ID (C-reactive protein-corrected serum ferritin <15 μg/L). Adjusted associations with 9 sociodemographic factors were estimated by logistic regression. The prevalence of overweight and ID was 67.0% and 45.2% in Morocco, respectively, and 69.5% and 27.0% in Tunisia, respectively, illustrating the population-level double burden. The coexistence of overall or central adiposity with ID was found in 29.8% and 30.1% of women in Morocco, respectively, and in 18.2% and 18.3% of women in Tunisia, respectively, quite evenly distributed across age, economic, or education groups. Generally, the rare, associated sociodemographic factors varied across the 4 subject-level double burdens and the 2 countries and differed from those usually associated with adiposity, anemia, or ID. Any double burden combining adiposity and anemia or ID should therefore be taken into consideration in all women. This trial was registered at clinicaltrials.gov as NCT01844349.

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“…The prevalence of obesity and overweight is 43.4% (El Rhazi et al, 2010), and diabetes and hypercholesterolemia affect 6.6% and 29% of the population respectively (Tazi et al, 2003). However, it is not known how physical inactivity is affecting the Moroccan population.…”

Section: Introductionmentioning

confidence: 99%

Correlates of physical activity in Morocco

Najdi

Achhab

Nejjari

et al. 2011

Preventive Medicine

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Prevalence of obesity and associated sociodemographic and lifestyle factors in Morocco

Cited by 71 publications

References 31 publications

Diagnosis a posteriori? Assessing gestational diabetes screening and management in Morocco

Diagnosis a posteriori? Assessing gestational diabetes screening and management in Morocco

A Double Burden of Overall or Central Adiposity and Anemia or Iron Deficiency Is Prevalent but with Little Socioeconomic Patterning among Moroccan and Tunisian Urban Women

Correlates of physical activity in Morocco

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