Trends in the development of obesity in elderly day care attendees in Sharpeville, South Africa, from 2007-2011

Otitoola, Olufunmilola; Oldewage‐Theron, Wilna; Egal, Abdulkadir

doi:10.1080/16070658.2015.11734520

Cited by 5 publications

(4 citation statements)

References 27 publications

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“…Our examination of biosocial and sociocultural factors showed that overweight and obese elderly women had increased expected risks of stage 1 and stage 2 hypertension, a greater likelihood of reporting difficulties with recall and learning new tasks, and deficiencies with ADLs and IADLs. Although our findings are consistent with previous work reporting that chronic conditions are gendered [ 6 , 24 , 82 ], they further demonstrate that the obese elderly women may be exposed to other forms of cardiometabolic diseases than their male counterparts. This is also consistent with recent evidence that hypertension, diabetes, and obesity are more prevalent in women over 50 compared to their male counterparts [ 83 ].…”

Section: Discussionsupporting

confidence: 93%

Obesity and the burden of health risks among the elderly in Ghana: A population study

et al. 2017

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BackgroundThe causes and health risks associated with obesity in young people have been extensively documented, but elderly obesity is less well understood, especially in sub-Saharan Africa. This study examines the relationship between obesity and the risk of chronic diseases, cognitive impairment, and functional disability among the elderly in Ghana. It highlights the social and cultural dimensions of elderly obesity and discusses the implications of related health risks using a socio-ecological model.MethodologyWe used data from wave 1 of the Ghana Study on Global Ageing and Adult Health (SAGE) survey-2007/8, with a restricted sample of 2,091 for those 65 years and older. Using random effects multinomial, ordered, and binary logit models, we examined the relationship between obesity and the risk of stage 1 and stage 2 hypertension, arthritis, difficulties with recall and learning new tasks, and deficiencies with activities of daily living and instrumental activities of daily living.FindingsElderly Ghanaians who were overweight and obese had a higher risk of stage 1 and stage 2 hypertension, and were more likely to be diagnosed with arthritis and report severe deficiencies with instrumental activities of daily living. Those who were underweight were 1.71 times more likely to report severe difficulties with activities of daily living. A sub analysis using waist circumference as a measure of body fat showed elderly females with abdominal adiposity were relatively more likely to have stage 2 hypertension.ConclusionsThese findings call for urgent policy initiatives geared towards reducing obesity among working adults given the potentially detrimental consequences in late adulthood. Future research should explore the gendered pathways leading to health disadvantages among Ghanaian women in late adulthood.

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Section: Discussionsupporting

confidence: 93%

Obesity and the burden of health risks among the elderly in Ghana: A population study

et al. 2017

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“…[56] In our studies, the majority of the adults and elderly were overweight/obese. [44,57] Although we did not report gender differences in this chapter, previous published results confirmed a higher prevalence among women in rural FS [37] and urban elderly [41] than in men. Our results further showed that the urban women in Gauteng had the highest prevalence (82.3%) of overweight/obesity, but cannot be compared to the periurban adults and urban elderly that included both men and women.…”

Section: Obesitymentioning

confidence: 58%

“…Initially it was a disease of the white population group, the affluent and older generations, but since the 2000s, it was also observed that the prevalence of CVD risk factors, such as dyslipidaemia and obesity, has increased among black Africans [20] as well as children and adolescents. [21][22][23][24] The aim of this chapter was thus to investigate the prevalence of the various cardiovascular risk factors, specifically those that are irreversible, among children (6-18 years old) in peri-urban Free State (FS), [25] rural Eastern Cape (EC), [24,[26][27][28] [38][39][40] and elderly (≥60 years) in urban Gauteng, [41][42][43] including both genders, living in poverty in SA. Gauteng was chosen as the authors both resided in Gauteng and it was the focus of the university for funding.…”

Section: Double Burden Of Poverty and Cardiovascular Disease Among Blmentioning

confidence: 99%

Double Burden of Poverty and Cardiovascular Disease Risk among Low-Resource Communities in South Africa

Oldewage‐Theron¹,

Grobler²

2021

Lifestyle and Epidemiology - Poverty and Cardiovascular Diseases a Double Burden in African Populations [Working Title]

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Limited studies evaluating the prevalence of cardiovascular risk (CVR) in resource-poor black communities in South Africa (SA), exist. The objective of this chapter is to evaluate the prevalence of CVR in a cross-sectional studies in randomly selected low income children, adults and elderly in Gauteng, Free State and Eastern Cape, SA. The test panel of CVR markers included: anthropometry, lipid profile, blood pressure, fibrinogen, high sensitive–C–reactive protein (HS–CRP), homocysteine, vitamin B12, folate, glucose and dietary intakes. The main findings indicated high CVR with prevalence of overweight/obesity, Hypertension, hyperhomocysteinaemia, increased fibrinogen and HS-CRP, as well as low intakes of dietary fibre, vitamins B6 and B12, folate and polyunsaturated- and monounsaturated fatty acids, and high intakes of dietary sodium, saturated and trans fatty acids, and added sugars. Multiple CVR factors are present among all the communities. It can thus be concluded that a double burden of poverty and risk of CVD exists across the different age groups and geographical locations in these resource-poor communities.

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“…Currently, eleven countries, including South Africa, Ghana, Mozambique, Uganda, Tanzania, Zimbabwe, Kenya, Ethiopia, Malawi, and Nigeria, have implemented ageing policies. 130,131 These countries relatively have the highest number of high-quality articles across all study design; for instance, Nigeria: 62,93,108 ; South Africa: 24,64,117,132,133 ; Tanzania: 116,134,135 ; Mozambique: 136 ; Kenya: 137,138 ; Ethiopia: 139 ; Uganda: [140][141][142] ; Ghana: [143][144][145] . Even though Rwanda and Cameroon's ageing policies are at the drafting stage, studies from these countries were not of high quality and further highlighted our assertion that implementing ageing policies could help improve the quality of ageing studies in SSA.…”

Section: Discussionmentioning

confidence: 99%

Methodology and reporting quality of 544 studies related to ageing: a continued discussion in setting priorities for ageing research in Africa

Kalu

Okeke

Okoh

et al. 2022

Journal of Global Health Economics and Policy

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Background The quality assessment provides information on the overall strength of evidence and methodological quality of a research design, highlighting the level of confidence the reader should place on the findings for decision making. This paper aimed to assess the quality (methodology and quality of reporting) of ageing studies in Sub-Saharan Africa (SSA). Method This paper is the second of a Four-Part Series paper of a previous systematic mapping review of peer-reviewed literature on ageing studies conducted in SSA. We updated the literature search to include additional 32 articles, a total of 544 articles included in this paper. Downs & Black checklist, Case Report guidelines checklist, the 45-items Lundgren et al. checklist, and the Mixed Method Appraisal Tool were used to assess the methodological quality of quantitative, case reports, qualitative, and mixed-method studies. Quality assessment was piloted and conducted in pairs for each study type. Depending on the checklist, each study was classified as excellent, good, fair, or poor. Result Of the 544 articles, we performed the quality assessment of a total of 451 quantitative studies [Randomized control trials (RCTs) and pre-post (n=15), longitudinal (n=122), case-control (n=15) and cross-sectional (n=300); 4 case reports, 74 qualitative and 15 mixed-method studies. Only 20.4% (n=111) articles were of high quality [one RCT, 27 longitudinal, 4 case-control, 48 cross-sectional studies, 19 qualitative, and 12 mixed-method studies]. The remaining 433 were rated as moderate quality (n=292, 53.7%), fair quality (n = 96, 17.7%) and poor quality (n = 45, 8.2%). Most (80%) quantitative articles’ sample size is small, resulting in insufficient power to detect a clinically or significant important effect. Three-quarter (75%) of the qualitative studies did not report their research team characteristics and a reflexivity component of the 45-items Lundgren et al. checklist. Mixed-method studies with low quality did not report the qualitative studies properly. Conclusion We conclude that the methodological and quality reporting of published studies on ageing in SSA show variable quality, albeit primarily moderate quality, against high quality. Studies with a large sample size are recommended, and qualitative researchers should provide a section on research team members’ characteristics and reflexivity in their paper or as an appendix.

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Trends in the development of obesity in elderly day care attendees in Sharpeville, South Africa, from 2007-2011

Cited by 5 publications

References 27 publications

Obesity and the burden of health risks among the elderly in Ghana: A population study

Obesity and the burden of health risks among the elderly in Ghana: A population study

Double Burden of Poverty and Cardiovascular Disease Risk among Low-Resource Communities in South Africa

Methodology and reporting quality of 544 studies related to ageing: a continued discussion in setting priorities for ageing research in Africa

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