Obesity and type 2 diabetes in sub-Saharan Africans - Is the burden in today's Africa similar to African migrants in Europe? The RODAM study.
Obesity and type 2 diabetes in sub-Saharan Africans - Is the burden in today's Africa similar to African migrants in Europe? The RODAM study.
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DOI：
10.1186/s12916-016-0709-0
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发表时间：
2016-10-21
期刊：
影响因子：
9.3
通讯作者：
Stronks K
中科院分区：
文献类型：
--
作者：
Agyemang C;Meeks K;Beune E;Owusu-Dabo E;Mockenhaupt FP;Addo J;de Graft Aikins A;Bahendeka S;Danquah I;Schulze MB;Spranger J;Burr T;Agyei-Baffour P;Amoah SK;Galbete C;Henneman P;Klipstein-Grobusch K;Nicolaou M;Adeyemo A;van Straalen J;Smeeth L;Stronks K
肥胖和 2 型糖尿病 (T2D) 发病率的上升正对非洲人口的健康构成迫在眉睫的重大威胁，但非洲农村和城市环境之间以及移民到欧洲后的差异程度尚不清楚。我们评估了生活在加纳农村和城市的加纳人以及生活在不同欧洲国家的加纳移民的肥胖和 T2D 负担。对居住在加纳农村和城市以及三个欧洲城市（阿姆斯特丹、伦敦和柏林）的 25-70 岁加纳成年人（n = 5659）进行了一项多中心横断面研究。使用患病率（PR）进行组间比较，并调整年龄和教育程度。在加纳农村地区，男性肥胖率为 1.3%，女性肥胖率为 8.3%。加纳城市的患病率要高得多（男性，6.9%；PR：5.26，95% CI，2.04–13.57；女性，33.9%；PR：4.11，3.13–5.40），在欧洲，尤其是伦敦（男性，21.4%；PR：15.04， 5.98–37.84；女性，54.2%；PR：6.63，5.04–8.72）。加纳农村男性和女性的 T2D 患病率较低，分别为 3.6% 和 5.5%，加纳城市居民的患病率有所上升（男性，10.3%；PR：3.06；1.73–5.40；女性，9.2%；PR：1.81、1.25–2.64），柏林最高（男性，15.3%；PR： 4.47；2.50–7.98；女性，10.2%；PR：2.21、1.30–3.75）。与加纳农村地区相比，仅阿姆斯特丹和伦敦的男性空腹血糖受损患病率相对较高。我们的研究表明，生活在欧洲的撒哈拉以南非洲人群患肥胖和 T2D 的风险很高。在加纳，城市环境中的肥胖率也很高，而在农村地区，女性肥胖率已经很高。由于城市化，撒哈拉以南非洲地区也可能出现类似的移民后肥胖和 T2D 沉重负担的过程。本文的在线版本 (doi:10.1186/s12916-016-0709-0) 包含补充材料，可供授权用户使用。
Rising rates of obesity and type 2 diabetes (T2D) are impending major threats to the health of African populations, but the extent to which they differ between rural and urban settings in Africa and upon migration to Europe is unknown. We assessed the burden of obesity and T2D among Ghanaians living in rural and urban Ghana and Ghanaian migrants living in different European countries. A multi-centre cross-sectional study was conducted among Ghanaian adults (n = 5659) aged 25–70 years residing in rural and urban Ghana and three European cities (Amsterdam, London and Berlin). Comparisons between groups were made using prevalence ratios (PRs) with adjustments for age and education. In rural Ghana, the prevalence of obesity was 1.3 % in men and 8.3 % in women. The prevalence was considerably higher in urban Ghana (men, 6.9 %; PR: 5.26, 95 % CI, 2.04–13.57; women, 33.9 %; PR: 4.11, 3.13–5.40) and even more so in Europe, especially in London (men, 21.4 %; PR: 15.04, 5.98–37.84; women, 54.2 %; PR: 6.63, 5.04–8.72). The prevalence of T2D was low at 3.6 % and 5.5 % in rural Ghanaian men and women, and increased in urban Ghanaians (men, 10.3 %; PR: 3.06; 1.73–5.40; women, 9.2 %; PR: 1.81, 1.25–2.64) and highest in Berlin (men, 15.3 %; PR: 4.47; 2.50–7.98; women, 10.2 %; PR: 2.21, 1.30–3.75). Impaired fasting glycaemia prevalence was comparatively higher only in Amsterdam, and in London, men compared with rural Ghana. Our study shows high risks of obesity and T2D among sub-Saharan African populations living in Europe. In Ghana, similarly high prevalence rates were seen in an urban environment, whereas in rural areas, the prevalence of obesity among women is already remarkable. Similar processes underlying the high burden of obesity and T2D following migration may also be at play in sub-Saharan Africa as a consequence of urbanisation. The online version of this article (doi:10.1186/s12916-016-0709-0) contains supplementary material, which is available to authorized users.
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影响因子：
16.2
作者：
通讯作者：
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影响因子：
5.1
作者：
Amoah, AGB;Owusu, SK;Adjei, S
通讯作者：
Adjei, S
影响因子：
5.2
作者：
Abubakari, A. R.;Lauder, W.;Bhopal, R. S.
通讯作者：
Bhopal, R. S.
影响因子：
16.2
作者：
Mbanya, JCN;Cruickshank, JK;Wilks, R
通讯作者：
Wilks, R
影响因子：
2.9
作者：
Agyemang C;Beune E;Meeks K;Owusu-Dabo E;Agyei-Baffour P;Aikins Ad;Dodoo F;Smeeth L;Addo J;Mockenhaupt FP;Amoah SK;Schulze MB;Danquah I;Spranger J;Nicolaou M;Klipstein-Grobusch K;Burr T;Henneman P;Mannens MM;van Straalen JP;Bahendeka S;Zwinderman AH;Kunst AE;Stronks K
通讯作者：
Stronks K