Predictors of Abdominal Obesity among Adult Nigerians in a Resource-poor Environment of a Rural Hospital in Eastern Nigeria
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2014, Vol 4, Issue 12
Abstract
Background: Abdominal obesity once considered an aesthetic rather than a pathological condition is now recognized as a principal risk factor for metabolic syndrome and magnifies the risk of cardiovascular diseases. As the case detection rate of abdominal obesity increases in Nigeria determining its predictors remain relevant for proactive control intervention. Aim: This study was designed to determine the predictors of abdominal obesity among adult Nigerians in a resource-poor environment of a rural hospital in Eastern Nigeria. Study Design: A hospital based case-control study carried out on 700 adult patients aged 18-91 years who were screened for abdominal obesity using the third report of National Cholesterol Education Panel (NCEP) in adult (ATP III) criterion and 350 patients who had waist circumference (WC) ≥102cm and ≥88cm for men and women respectively and met the inclusion criteria were matched for age and sex with 350 non-obese, non-hypertensive and non-diabetic control. Place and Duration of Study: The study was carried out at a rural hospital in Eastern Nigeria between June 2008 and June 2011. Methodology: Predictor variables were assessed using a pretested, structured and interviewer-administered questionnaire. Hypertension and diabetes mellitus were defined using JNC 7 and American Diabetic Association criteria respectively. Results: Abdominal obesity was significantly associated with physical inactivity (p=.002) and family history of obesity (p=.036). The most significant predictor of abdominal obesity was physical inactivity (OR=4.19, p=.001). The abdominally obese patients were four times more likely to be physically inactive compared to their non-abdominally obese counterparts. Conclusion: This study has shown that the predictors of abdominal obesity among the study population were physical inactivity and family history of obesity. The interventional control programs for abdominal obesity should consider these predictive variables alongside the complex of other cardiovascular risk factors.
Authors and Affiliations
Gabriel Uche Pascal Iloh, Agwu Nkwa Amadi, Abali Chuku, Augustine Obiora Ikwudinma, Orji Udo Nnorom
Keywords
Related Articles
- EP ID EP348907
- DOI 10.9734/BJMMR/2014/7971
- Views 61
- Downloads 0
Prevalence of Hashimoto’s Thyroiditis and Its Association with Vitamin D Deficiency in West Bengal, India
Objective: The aim of our study is to screen the prevalence of Hashimoto’s Thyroiditis and to evaluate a correlation between 25(OH)Vitamin D deficiency and AITD in hypothyroid patients of West Bengal. Study Design: Ethic...
Can 0.025-inch Guidewire VisiGlideTM become a Standard in the ERCP-related Procedures? VIP Study
Aims: With the progress of development of 0.025-inch guidewire (GW), various treatments with 0.025-inch GW have become possible. To date, however, there has been no multicenter cooperative prospective study using 0.025-i...
Eye Care Service Utilization among Health Workers in Mercy Hospital, Abak
Background: The assessment of the level of and barriers to utilization of eye care services is paramount in combating visual impairment and blindness which are major health problems worldwide. Objectives: To determine th...
A Simplified Method of Constructing an Open Hollow Bulb Using Tissue Conditioning Material for Maxillary Defect in Complete Edentulous Patient
Introduction: Maxillary resection in completely edentulous arch gives a challenging condition for an obturator to achieve maximum seal and retention. But one of the major concerns of the prosthesis is it often get heavy...
Comparison of DNA Extraction Methods for Human Oral Microbiome Research
The oral micro biome is highly diverse and its composition is associated with oral disease and potentially diseases at other sites. Our objective is to evaluate DNA extraction methods potentially suitable for population-...