Overweight and obesity among Ghanaian residents in The Netherlands: how do they weigh against their urban and rural counterparts in Ghana?
Overweight and obesity among Ghanaian residents in The Netherlands: how do they weigh against their urban and rural counterparts in Ghana?
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DOI：
10.1017/s1368980008003510
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发表时间：
2009-07-01
影响因子：
3.2
通讯作者：
Stronks, Karien
中科院分区：
文献类型：
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作者：
Agyemang, Charles;Owusu-Dabo, Ellis;Stronks, Karien
目的：研究在荷兰的第一代荷兰-加纳移民与他们在加纳的农村和城市移民在超重和肥胖方面的差异。设计：横断面研究。对象：共1471名加纳人年龄≥ 17岁（农村加纳人，n 532;城市加纳人，n 787;荷兰-加纳人，n 152）。88888主要结果指标：超重（BMI >= 25 kg/m2）和肥胖（BMI >= 30 kg/m（2））。荷兰裔加纳人的超重和肥胖患病率明显更高（男子69.1%，妇女79.5%）高于城市加纳人（男子22.0%，妇女50.0%）和农村加纳人（男子10.3%，妇女19.0%）。城市加纳人和妇女的超重和肥胖患病率也明显高于农村加纳人。在调整年龄和教育的logistic回归分析中，与加纳农村相比，加纳城市男性超重或肥胖的比值比为3.10（95%CI 1.75，5.48），荷兰-加纳男性为1906（95%CI 8.98，40.43）。在女性中，超重和肥胖的比值比为3.84（95% CI 2.66，5.53），加纳城市居民;（95% CI 5.97，22.07）与加纳农村居民相比。我们目前的研究结果证实了早期关于超重/肥胖患病率增加的报告。肥胖与非洲内部的城市化和向工业化国家的移民有关。这些研究结果表明，迫切需要进一步评估导致非西方背景移民超重和肥胖增加的移民相关因素，以及这些因素对这些人群中超重和肥胖相关疾病（如糖尿病）的影响。
Objective: To investigate differences in overweight and obesity between first-generation Dutch-Ghanaian migrants in The Netherlands and their rural and urban cotunterparts in Ghana.Design: Cross-sectional study.Subjects: A total of 1471 Ghanaians (rural Ghanaians, n 532; urban Ghanaians, n 787; Dutch-Ghanaians, n 152) aged >= 17 years.88888Main outcome measures: Overweight (BMI >= 25 kg/m(2)) and obesity (BMI >= 30 kg/m(2)).Results: Dutch-Ghanaians had a significantly higher prevalence of overweight and obesity (men 69.1%, women 79.5%) than urban Ghanaians (men 22.0%, women 50.0%) and rural Ghanaians (men 10.3%, women 19.0%). Urban Ghanaian then and women also had a significantly higher prevalence of overweight and obesity than their rural Ghanaian counterparts. In a logistic regression analysis adjusting for age and education, the odds ratios for being overweight or obese were 3.10 (95% CI 1.75, 5.48) for urban Ghanaian men and 1906 (95% CI 8.98, 40.43) for Dutch-Ghanaian men compared with rural Ghanaian risen. Among women, the odds ratios for being overweight and obese were 3.84 (95% CI 2.66, 5.53) for urban Ghanaians;and 11.4 (95% CI 5.97, 22.07) for Dutch-Ghanaians compared with their rural Ghanaian counterparts.Conclusion: Our current findings give credence to earlier reports of an increase in the prevalence of overweight/obesity with urbanization within Africa and migration to industrialized countries. These findings indicate an urgent need to further assess migration-related factors that lead to these increases in overweight and obesity among migrants with non-Western background, and their impact on overweight- and obesity-related illnesses such as diabetes among these populations.