Body mass index and waist circumference in Mozambique: urban/rural gap during epidemiological transition
Identifieur interne : 005055 ( Main/Exploration ); précédent : 005054; suivant : 005056Body mass index and waist circumference in Mozambique: urban/rural gap during epidemiological transition
Auteurs : A. Gomes [Portugal] ; A. Damasceno [Mozambique] ; A. Azevedo [Portugal] ; A. Prista [Mozambique] ; C. Silva-Matos [Mozambique] ; S. Saranga [Mozambique] ; N. Lunet [Portugal]Source :
- Obesity Reviews [ 1467-7881 ] ; 2010-09.
Descripteurs français
- Wicri :
- geographic : Mozambique.
- topic : Santé publique.
English descriptors
- KwdEn :
- Abdominal girth, Abdominal obesity, African nations, Annual family income, Annual income, Authors obesity reviews, Average waist circumference, Blood pressure, Body composition, Body mass index, Categorical, Chronic disease risk factor surveillance, Circumference, Clin nutr, Democratic republic, Early stages, Epidemiological transition, Expert panel, Family income, Formal education, Gender, Gomes, High blood cholesterol, Higher prevalence, Higher prevalences, International association, Ivory coast, Light clothing, Lutte contre, Morbid obesity, Mozambican, Mozambican adult population, Mozambique, National cholesterol education program, Obesity, Obesity reviews, Obesity reviews obesity, Physical activity, Prevalence, Prevalence ratio, Prevalence ratios, Public health, Rural areas, Rural counterparts, Rural obesity, Rural women, Smaller divergences, Socioeconomic status, States dollars, Steps instrument, Third report, Urban areas, Urban women, Waist circumference, Waist circumferences, West province, Western lifestyle, World health organ tech, World health organization.
- Teeft :
- Abdominal girth, Abdominal obesity, African nations, Annual family income, Annual income, Authors obesity reviews, Average waist circumference, Blood pressure, Body composition, Body mass index, Categorical, Chronic disease risk factor surveillance, Circumference, Clin nutr, Democratic republic, Early stages, Epidemiological transition, Expert panel, Family income, Formal education, Gender, Gomes, High blood cholesterol, Higher prevalence, Higher prevalences, International association, Ivory coast, Light clothing, Lutte contre, Morbid obesity, Mozambican, Mozambican adult population, Mozambique, National cholesterol education program, Obesity, Obesity reviews, Obesity reviews obesity, Physical activity, Prevalence, Prevalence ratio, Prevalence ratios, Public health, Rural areas, Rural counterparts, Rural obesity, Rural women, Smaller divergences, Socioeconomic status, States dollars, Steps instrument, Third report, Urban areas, Urban women, Waist circumference, Waist circumferences, West province, Western lifestyle, World health organ tech, World health organization.
Abstract
In 2005 we evaluated a nationally representative sample of the Mozambican adult population (n = 2913; 25–64 years old) following the STEPwise approach to chronic disease risk factor surveillance to estimate urban–rural differences in overweight and obesity and waist circumferences. The prevalences of obesity and overweight were, respectively, 6.8% (95% CI: 5.1–8.6) and 11.8% (95% CI: 8.4–15.4) among women, and 2.3% (95% CI: 1.1–3.6) and 9.4% (95% CI: 5.7–13.1) among men. Overweight/obesity was more frequent in urban settings (age‐, income‐ and education‐adjusted prevalence ratios; women, 2.76, 95% CI: 1.82–4.18; men, 1.76, 95% CI: 0.80–3.85). The average waist circumference in Mozambique was 75.2 cm (95% CI: 74.3–76.0) in women, significantly higher in urban than rural areas (age‐, income‐ and education‐adjusted β = 3.6 cm, 95% CI: 1.6–5.5) and 76.1 cm (95% CI: 75.0–77.3) in men, with no urban–rural differences (adjusted β = 1.3 cm, 95% CI: −0.9 to 3.5). Our results show urban–rural differences, as expected in a country under epidemiological transition, with urban areas presenting a higher prevalence of overweight/obesity, but age‐ and education‐specific estimates suggesting a trend towards smaller divergences. The development and implementation of strategies to manage the foreseeable obesity‐related healthcare demands are needed.
Url:
DOI: 10.1111/j.1467-789X.2010.00739.x
Affiliations:
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<front><div type="abstract" xml:lang="en">In 2005 we evaluated a nationally representative sample of the Mozambican adult population (n = 2913; 25–64 years old) following the STEPwise approach to chronic disease risk factor surveillance to estimate urban–rural differences in overweight and obesity and waist circumferences. The prevalences of obesity and overweight were, respectively, 6.8% (95% CI: 5.1–8.6) and 11.8% (95% CI: 8.4–15.4) among women, and 2.3% (95% CI: 1.1–3.6) and 9.4% (95% CI: 5.7–13.1) among men. Overweight/obesity was more frequent in urban settings (age‐, income‐ and education‐adjusted prevalence ratios; women, 2.76, 95% CI: 1.82–4.18; men, 1.76, 95% CI: 0.80–3.85). The average waist circumference in Mozambique was 75.2 cm (95% CI: 74.3–76.0) in women, significantly higher in urban than rural areas (age‐, income‐ and education‐adjusted β = 3.6 cm, 95% CI: 1.6–5.5) and 76.1 cm (95% CI: 75.0–77.3) in men, with no urban–rural differences (adjusted β = 1.3 cm, 95% CI: −0.9 to 3.5). Our results show urban–rural differences, as expected in a country under epidemiological transition, with urban areas presenting a higher prevalence of overweight/obesity, but age‐ and education‐specific estimates suggesting a trend towards smaller divergences. The development and implementation of strategies to manage the foreseeable obesity‐related healthcare demands are needed.</div>
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