Setting – based prevalence and correlates of central obesity: findings from a cross-sectional study among formal sector employees in Dodoma City, Central Tanzania

Munyogwa, Mariam John; Ntalima, Kaloli Sayi; Kapalata, Secilia Ng’weshemi

doi:10.1186/s12889-020-10142-4

Cited by 7 publications

(6 citation statements)

References 36 publications

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“…The overall magnitude of central obesity among adults attending public health facilities in Adama town was 40%. The result reported in this study is comparable with the nding from the studies done in India (46.6%), central Tanzania (41.8%), Gonder, and Dabat town (37.6%), South East Ethiopia (39%) [25][26][27][28], but higher than the studies conducted in Burkina Faso (22.5%) [6], Nekemte town, West Ethiopia (28.4%) [17], Woldia town, Northeast Ethiopia (16.5%) (29), and Dilla town South Ethiopia (24.4, %) [30].…”

Section: Discussionsupporting

confidence: 89%

Central Obesity and Associated Factors Among Adult Patients Attending Public Health Facilities in Adama Town, Oromia Region, Ethiopia

Getahun

Deybasso

Komicha

et al. 2022

Preprint

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Background Central obesity is excessive accumulation of fat around the abdomen which is associated risk of coronary heart and cerebrovascular diseases. This study determined the magnitude of central obesity among adult patients using the waist-to-hip ratio which has a superior capacity to measure the risk of developing non-communicable diseases compared to the body mass index used in previous studies in Ethiopia. Methods Institutional-based cross-sectional study was conducted among a sample of 516 adults from April 1 to May 30, 2022. A systematic random sampling technique was used to select the study participants. Data were collected by using interviewer-administered structured questionnaires and anthropometric measurements. The data were entered into EPI INFO version 7 and analyzed by Statistical Software for Social Science Version 25. The associations between independent and dependent variables were checked using bivariate and multivariate logistic regression analyses. Adjusted odds ratio and 95% confidence interval were used to measure of strengths of the association. Statistical significance was declared at a P-value of less than 0.05. Results The magnitude of central obesity in this study was 40% (51.2% and 27.4% among females and males respectively (95% CI: 36–44%). Being a female (AOR = 9.5, 95% CI: 5.22–17.9), age range 35–44 (AOR = 7, 95% CI: 2.9–16.7), 45–64 years (AOR = 10.1, 95% CI:4.0- 15.2), married (AOR = 2.5, 95% CI: 1.3–4.7), high monthly income (AOR = 3.3, 95% CI: 1.5–7.3), high consumption of milk and milk products (AOR = 0.3 ,95% CI: 0.1–0.6), family history of obesity (AOR = 1.8, 95% CI: 1.1–3.2) were significantly associated with central obesity among the study participants. Conclusion The magnitude of central obesity was higher in the study area. Sex, age, marital status, monthly income, consumption of milk and milk products, and family history of obesity were independent determinants of central obesity.

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Section: Discussionsupporting

confidence: 89%

Central Obesity and Associated Factors Among Adult Patients Attending Public Health Facilities in Adama Town, Oromia Region, Ethiopia

Getahun

Deybasso

Komicha

et al. 2022

Preprint

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“…The overall magnitude of central obesity among adults attending public health facilities in Adama town was 40% (95% CI 36–44%). The result reported in this study is comparable with the findings from the studies done in Gonder, and Dabat town (37.6%), South East Ethiopia (39%), central Tanzania (41.8%), India (46.6%) [ 20 , 29 – 31 ], but higher than the studies conducted in Nekemte town, West Ethiopia (28.4%) [ 19 ], Woldia town, Northeast Ethiopia (16.5%) [ 26 ], Dilla town South Ethiopia (24.4, %) [ 25 ] and Burkina Faso (22.5%) [ 14 ]. Differences in the cutoff value for waist circumferences could be a possible reason for variations in the magnitude of abdominal obesity between studies [ 14 , 25 ].…”

Section: Discussionsupporting

confidence: 90%

Magnitude of central obesity and associated factors among adult patients attending public health facilities in Adama town, Oromia region, Ethiopia, 2022

Getahun

Deybasso

Komicha

et al. 2023

J Health Popul Nutr

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Background Central obesity is excessive accumulation of fat around the abdomen, which is associated with the risk of coronary heart and cerebrovascular diseases. This study determined the magnitude of central obesity among adult patients using the waist-to-hip ratio, which has a superior capacity to measure the risk of developing non-communicable diseases compared to the body mass index used in previous studies in Ethiopia. Methods Institutional-based cross-sectional study was conducted among a sample of 480 adults from April 1 to May 30, 2022. A systematic random sampling technique was used to select the study participants. Data were collected by using interviewer-administered structured questionnaires and anthropometric measurements. The data were entered into EPI INFO version 7 and analyzed by Statistical Software for Social Science Version 25. The associations between independent and dependent variables were checked using bivariate and multivariate logistic regression analyses. Adjusted odds ratio and 95% confidence interval were used to measure the strengths of the association. Statistical significance was declared at a P value of less than 0.05. Results The magnitude of central obesity in this study was 40% (51.2% and 27.4% among females and males, respectively (95% CI 36–44%)). Being a female (AOR = 9.5, 95% CI 5.22–17.9), age range 35–44 (AOR = 7.0, 95% CI 2.9–16.7), 45–64 years (AOR = 10.1, 95% CI4.0–15.2), married (AOR = 2.5, 95% CI 1.3–4.7), high monthly income (AOR = 3.3, 95% CI 1.5–7.3), high consumption of milk and milk products (AOR = 0.3, 95% CI 0.1–0.6), family history of obesity (AOR = 1.8, 95% CI 1.1–3.2) were significantly associated with central obesity among the study participants. Conclusion The magnitude of central obesity was higher in the study area. Sex, age, marital status, monthly income, consumption of milk and milk products, and family history of obesity were independent determinants of central obesity. Therefore, it is important to raise awareness about central obesity through behavior change communication that targets the high-risk population.

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“…An OR of 1.42 (95% CI 1.15 to 1.75) was found for CO in men and an OR of 1.29 (95% CI 1.05 to 1.59) was found for women 17. In Dodoma (Tanzania), formal sector workers who ate more home-cooked meals/day were at higher risk of CO, with an adjusted OR of 2.32 (95% CI 1.04 to 4.19) 51. In British adults aged 19–64 years, a direct association was found among the number of meals/day, BMI-based Ob and CO 20.…”

Section: Discussionmentioning

confidence: 95%

“… 17 In Dodoma (Tanzania), formal sector workers who ate more home-cooked meals/day were at higher risk of CO, with an adjusted OR of 2.32 (95% CI 1.04 to 4.19). 51 In British adults aged 19–64 years, a direct association was found among the number of meals/day, BMI-based Ob and CO. 20 Adults from Puerto Rico aged 30–75 years, regardless of whether they skipped breakfast, had a higher risk of CO when they consumed between 1.5 and 3 meals/day (OR 2.75; 95% CI 1.23 to 6.15), or when they consumed ≥3 meals/day (OR 2.88; 95% CI 1.14 to 7.31), than when they consumed ≤1.5 meals/day. 52 …”

Section: Discussionmentioning

confidence: 99%

Meal occasion, overweight, obesity and central obesity in children and adults: a cross-sectional study based on a nationally representative survey. Colombia, 2015

Herrán

Herrán-Fonseca

2022

BMJ Open

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ObjectiveTo establish the association of the number of meals/day with overweight (Ow), obesity (Ob) and central obesity (CO).DesignCross-sectional, nationally representative surveys.SettingColombia.ParticipantsA total of 6985 children aged 5–17 years and 7846 adults aged 18–64 years were included.Main outcomes and measuresAccording to the WHO, Ow was defined in children as a body mass index (BMI)-for-age Z-score between >1 and ≤2 and in adults as a BMI between ≥25 and <30 (kg/m2). Ob was defined as a Z-score >2 in children and as a BMI ≥30 in adults. CO in children was established by sex and age using cut-off points equivalent to those of adults established by the International Diabetes Federation: ≥90 and ≥80 cm in males and females, respectively. The number of meals/day was estimated with a Food Frequency Questionnaire. Meals/day were grouped into three categories: (reference ≤3, 4 and 5+ meals/day). Crude and adjusted relative prevalence ratios (PRs) and their 95% CIs were calculated. The adjustments included usual energy intake/day and physical activity.ResultsIn children, 18.5% had Ow, 6.7% had Ob and 4.0% had CO. The adjusted PRs for five or more meals/day versus three or fewer meals/day were 1.10 (95% CI 0.79 to 1.55) for Ow, 0.95 (95% CI 0.57 to 1.59) for Ob and 1.06 (95% CI 0.72 to 1.55) for CO. In adults, 32.3% had Ow, 13.1% had Ob and 44.8% had CO. The adjusted PRs for five or more meals/day versus three or fewer meals/day were 0.58 (95% CI 0.45 to 0.76) for Ow, 0.51 (95% CI 0.36 to 0.72) for Ob and 0.70 (95% CI 0.54 to 0.92) for CO.ConclusionsIn children, meals/day were not associated with Ow, Ob or CO. In adults, this inverse relationship exists regardless of energy intake/day, whether physical activity goals are met, sex, age and other potentially confounding sociodemographic and environmental variables.

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Setting – based prevalence and correlates of central obesity: findings from a cross-sectional study among formal sector employees in Dodoma City, Central Tanzania

Cited by 7 publications

References 36 publications

Central Obesity and Associated Factors Among Adult Patients Attending Public Health Facilities in Adama Town, Oromia Region, Ethiopia

Central Obesity and Associated Factors Among Adult Patients Attending Public Health Facilities in Adama Town, Oromia Region, Ethiopia

Magnitude of central obesity and associated factors among adult patients attending public health facilities in Adama town, Oromia region, Ethiopia, 2022

Meal occasion, overweight, obesity and central obesity in children and adults: a cross-sectional study based on a nationally representative survey. Colombia, 2015

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