{"id":16477,"date":"2016-10-01T00:00:00","date_gmt":"2018-12-03T18:39:20","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/urban-rural-and-geographic-differences-in-overweight-and\/"},"modified":"2018-12-03T19:39:20","modified_gmt":"2018-12-03T18:39:20","slug":"urban-rural-and-geographic-differences-in-overweight-and","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/urban-rural-and-geographic-differences-in-overweight-and\/","title":{"rendered":"Urban-rural and geographic differences in overweight and obesity in four sub-Saharan African adult populations: a multi-country cross-sectional study."},"content":{"rendered":"<p style=\"text-align:justify\"><strong>BACKGROUND<\/strong><br \/>\nOverweight and obesity are on the rise in developing countries including sub-Saharan Africa. We undertook a four-country survey to show the collective burden of these health conditions as they occur currently in sub-Saharan Africa and to determine the differences between urban and rural populations and other socio-economic factors.<\/p>\n<p style=\"text-align:justify\"><strong>METHODS<\/strong><br \/>\nParticipants were nurses in two hospitals in Nigeria (200), school teachers in South Africa (489) and Tanzania (229), and village residents in one peri-urban (297) and one rural location in Uganda (200) who completed a standardised questionnaire. Their height and weight were measured and body mass index calculated. Factor analysis procedure (Principal component) was used to generate a wealth index. Univariate and multivariate analyses with binary logistic regression models were conducted to examine the associations between potential correlates and the prevalence of overweight and obesity with 95&nbsp;% confidence intervals.<\/p>\n<p style=\"text-align:justify\"><strong>RESULTS<\/strong><br \/>\nThe prevalence of overweight and obese (combined) was 46&nbsp;%, 48&nbsp;%, 68&nbsp;%, 75&nbsp;% and 85&nbsp;% in rural Uganda, peri-urban Uganda, Nigeria, Tanzania and South Africa (SA), respectively. Rural Uganda, Peri- urban Uganda, Nigeria, Tanzania and SA had obesity prevalence of 10&nbsp;%, 14&nbsp;%, 31&nbsp;%, 40&nbsp;% and 54&nbsp;%, respectively (p&thinsp;&lt;&thinsp;0.001). Overall, prevalence of overweight was 374 (31&nbsp;%) and obesity, 414 (34&nbsp;%). Female sex was a predictor of overweight and obesity (combined) in peri-urban Uganda [AOR&thinsp;=&thinsp;8.01; 95 % CI: 4.02, 15.96) and obesity in rural Uganda [AOR&thinsp;=&thinsp;11.22; 95%CI: 2.27, 55.40), peri-urban Uganda [AOR&thinsp;=&thinsp;27.80; 95 % CI: 7.13, 108.41) and SA [AOR&thinsp;=&thinsp;2.17; 95 % CI: 1.19, 4.00). Increasing age was a predictor of BMI&thinsp;&gt;&thinsp;=25&nbsp;kg\/m(2) in Nigeria [Age&thinsp;&gt;&thinsp;=45 &#8211; AOR&thinsp;=&thinsp;9.11; 95 % CI: 1.72, 48.16] and SA [AOR&thinsp;=&thinsp;6.22; 95 % CI: 2.75, 14.07], while marital status was predictor of BMI&thinsp;&gt;&thinsp;=25&nbsp;kg\/m(2) only in peri-urban Uganda. [Married &#8211; AOR&thinsp;=&thinsp;4.49; 95 % CI: 1.74, 11.57]. Those in Nigeria [AOR&thinsp;=&thinsp;2.56; 95 % CI: 1.45, 4.53], SA [AOR&thinsp;=&thinsp;4.97; 95 % CI: 3.18, 7.78], and Tanzania [AOR&thinsp;=&thinsp;2.68; 95 % CI: 1.60, 4.49] were more likely to have BMI&thinsp;&gt;&thinsp;=25&nbsp;kg\/m(2) compared with the rural and peri-urban sites.<\/p>\n<p style=\"text-align:justify\"><strong>CONCLUSION<\/strong><br \/>\nThe high prevalence of overweight and obesity in these sub-Saharan African countries and the differentials in prevalence and risk factors further highlights the need for urgent focused intervention to stem this trend, especially among women, professionals and urban dwellers.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-16477","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria. ikeajayi2003@yahoo.com","annee":"2016","mois":"10","numero":"16:1","page":"1126","auteurs":[{"ID":16459,"post_author":"0","post_date":"2018-12-03 19:39:05","post_date_gmt":"2018-12-03 18:39:05","post_content":"","post_title":"Hans-Olov Adami","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"hans-olov-adami","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:05","post_modified_gmt":"2018-12-03 18:39:05","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/hans-olov-adami\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16460,"post_author":"0","post_date":"2018-12-03 19:39:06","post_date_gmt":"2018-12-03 18:39:06","post_content":"","post_title":"Donna Spiegelman","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"donna-spiegelman","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:06","post_modified_gmt":"2018-12-03 18:39:06","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/donna-spiegelman\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16461,"post_author":"0","post_date":"2018-12-03 19:39:06","post_date_gmt":"2018-12-03 18:39:06","post_content":"","post_title":"IkeOluwapo O Ajayi","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"ikeoluwapo-o-ajayi","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:06","post_modified_gmt":"2018-12-03 18:39:06","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/ikeoluwapo-o-ajayi\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16462,"post_author":"0","post_date":"2018-12-03 19:39:07","post_date_gmt":"2018-12-03 18:39:07","post_content":"","post_title":"Clement Adebamowo","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"clement-adebamowo","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:07","post_modified_gmt":"2018-12-03 18:39:07","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/clement-adebamowo\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16463,"post_author":"0","post_date":"2018-12-03 19:39:08","post_date_gmt":"2018-12-03 18:39:08","post_content":"","post_title":"Shona Dalal","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"shona-dalal","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:08","post_modified_gmt":"2018-12-03 18:39:08","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/shona-dalal\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16464,"post_author":"0","post_date":"2018-12-03 19:39:09","post_date_gmt":"2018-12-03 18:39:09","post_content":"","post_title":"Megan B Diamond","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"megan-b-diamond","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:09","post_modified_gmt":"2018-12-03 18:39:09","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/megan-b-diamond\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16465,"post_author":"0","post_date":"2018-12-03 19:39:09","post_date_gmt":"2018-12-03 18:39:09","post_content":"","post_title":"Francis Bajunirwe","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"francis-bajunirwe","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:09","post_modified_gmt":"2018-12-03 18:39:09","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/francis-bajunirwe\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16466,"post_author":"0","post_date":"2018-12-03 19:39:10","post_date_gmt":"2018-12-03 18:39:10","post_content":"","post_title":"David Guwatudde","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"david-guwatudde","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:10","post_modified_gmt":"2018-12-03 18:39:10","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/david-guwatudde\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16467,"post_author":"0","post_date":"2018-12-03 19:39:11","post_date_gmt":"2018-12-03 18:39:11","post_content":"","post_title":"Marina Njelekela","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"marina-njelekela","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:11","post_modified_gmt":"2018-12-03 18:39:11","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/marina-njelekela\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16468,"post_author":"0","post_date":"2018-12-03 19:39:12","post_date_gmt":"2018-12-03 18:39:12","post_content":"","post_title":"Joan Nankya-Mutyoba","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"joan-nankya-mutyoba","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:12","post_modified_gmt":"2018-12-03 18:39:12","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/joan-nankya-mutyoba\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16469,"post_author":"0","post_date":"2018-12-03 19:39:13","post_date_gmt":"2018-12-03 18:39:13","post_content":"","post_title":"Faraja S Chiwanga","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"faraja-s-chiwanga","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:13","post_modified_gmt":"2018-12-03 18:39:13","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/faraja-s-chiwanga\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16470,"post_author":"0","post_date":"2018-12-03 19:39:14","post_date_gmt":"2018-12-03 18:39:14","post_content":"","post_title":"Jimmy Volmink","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"jimmy-volmink","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:14","post_modified_gmt":"2018-12-03 18:39:14","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/jimmy-volmink\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16471,"post_author":"0","post_date":"2018-12-03 19:39:14","post_date_gmt":"2018-12-03 18:39:14","post_content":"","post_title":"Robert Kalyesubula","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"robert-kalyesubula","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:14","post_modified_gmt":"2018-12-03 18:39:14","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/robert-kalyesubula\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16472,"post_author":"0","post_date":"2018-12-03 19:39:15","post_date_gmt":"2018-12-03 18:39:15","post_content":"","post_title":"Carien Laurence","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"carien-laurence","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:15","post_modified_gmt":"2018-12-03 18:39:15","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/carien-laurence\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16473,"post_author":"0","post_date":"2018-12-03 19:39:16","post_date_gmt":"2018-12-03 18:39:16","post_content":"","post_title":"Todd G Reid","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"todd-g-reid","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:16","post_modified_gmt":"2018-12-03 18:39:16","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/todd-g-reid\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16474,"post_author":"0","post_date":"2018-12-03 19:39:17","post_date_gmt":"2018-12-03 18:39:17","post_content":"","post_title":"Douglas Dockery","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"douglas-dockery","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:17","post_modified_gmt":"2018-12-03 18:39:17","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/douglas-dockery\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16475,"post_author":"0","post_date":"2018-12-03 19:39:18","post_date_gmt":"2018-12-03 18:39:18","post_content":"","post_title":"David Hemenway","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"david-hemenway","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:18","post_modified_gmt":"2018-12-03 18:39:18","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/david-hemenway\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16476,"post_author":"0","post_date":"2018-12-03 19:39:19","post_date_gmt":"2018-12-03 18:39:19","post_content":"","post_title":"Michelle D Holmes","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"michelle-d-holmes","to_ping":"","pinged":"","post_modified":"2018-12-03 19:39:19","post_modified_gmt":"2018-12-03 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