Anthropometry measures and prevalence of obesity in the urban adult population of Cameroon: an update from the Cameroon Burden of Diabetes Baseline Survey
Anthropometry measures and prevalence of obesity in the urban adult population of Cameroon: an update from the Cameroon Burden of Diabetes Baseline Survey
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DOI：
10.1186/1471-2458-6-228
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发表时间：
2006-09-13
影响因子：
4.5
通讯作者：
Mbanya, Jean-Claude
中科院分区：
文献类型：
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作者：
Kamadjeu, Raoul M.;Edwards, Richard;Mbanya, Jean-Claude
背景：本研究的目的是利用喀麦隆城市成人人口的不同人体测量方法，提供超重和肥胖患病率和分布的基线和参考数据。方法：喀麦隆糖尿病负担基线调查是一项横断面研究，在喀麦隆的 4 个城市地区（雅温得、杜阿拉、加鲁阿和巴门达）进行，采用 WHO Step 方法对心血管危险因素进行基于人群的评估。使用标准化方法测量体重指数、腰围和腰臀比。总体而言，来自 4,189 个家庭、15 岁及以上的 10,011 名个人（6,004 名女性和 4,007 名男性）参与了研究。结果：根据体重指数，超过 25% 的城市男性和近一半的城市女性超重或肥胖，其中 6.5% 的男性和 19.5% 的女性肥胖。肥胖患病率在两性中随年龄的变化呈现出相当大的差异。使用体重指数得出的男性肥胖患病率最高（6.5%），腰臀比患病率最低（3.2%）。在女性中，使用腰臀比和腰围得出的肥胖患病率最高（28%），体重指数最低（19.5%）。两性的超重或肥胖奇数比均随受教育年限的增加而呈增加趋势。结论：该研究提供了喀麦隆城市人口的人体测量和肥胖的最新数据，发现超重和肥胖的患病率很高，尤其是 35 岁以上的人群和女性。患病率根据所采用的措施而有所不同。我们的研究结果强调需要在喀麦隆和其他撒哈拉以南非洲人群中开展进一步研究，为识别有肥胖相关疾病风险的人群提供适当的分界点，并表明需要采取干预措施来扭转不断上升的肥胖水平。
Background: The objective of the study was to provide baseline and reference data on the prevalence and distribution of overweight and obesity, using different anthropometric measurements in adult urban populations in Cameroon.Methods: The Cameroon Burden of Diabetes Baseline Survey was a cross-sectional study, conducted in 4 urban districts (Yaounde, Douala, Garoua and Bamenda) of Cameroon, using the WHO Step approach for population-based assessment of cardiovascular risk factors. Body mass index, waist circumference and waist-to-hip ratio were measured using standardized methods. Overall, 10,011 individuals, 6,004 women and 4,007 men, from 4,189 households, aged 15 years and above participated.Results: Based on body mass index, more than 25% of urban men and almost half of urban women were either overweight or obese with 6.5% of men and 19.5% of women being obese. The prevalence of obesity showed considerable variation with age in both genders. Using body mass index provided the highest prevalence of obesity in men ( 6.5%) and waist-to-hip ratio the lowest prevalence (3.2%). Among women, using waist-to-hip ratio and waist circumference yielded the highest prevalence of obesity (28%) and body mass index the lowest ( 19.5%). There was a trend towards an increase in age-adjusted odd ratios of being overweight or obese with duration of education in both sexes.Conclusion: The study provides current data on anthropometric measurements and obesity in urban Cameroonian populations, and found high prevalences of overweight and obesity particularly over 35 years of age, and among women. Prevalence varied according to the measure used. Our findings highlight the need to carry out further studies in Cameroonian and other Sub-Saharan African populations to provide appropriate cut-off points for the identification of people at risk of obesity-related disorders, and indicate the need to implement interventions to reverse increasing levels of obesity.