Overweight and obesity in south central Uganda: A population-based study.
Overweight and obesity in south central Uganda: A population-based study.
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DOI：
10.1371/journal.pgph.0001051
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发表时间：
2022
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肥胖是一个迅速增长的全球健康挑战，但在撒哈拉以南非洲的非城市环境中，很少有人口水平的研究。我们使用Rakai社区队列研究2018年5月至2020年11月的数据评估了超重(BMI>；25公斤/平方米)、肥胖(BMI>；30公斤/平方米)及相关因素的患病率。Rakai社区队列研究是一项基于人口的队列研究，年龄在15岁至49岁之间，生活在乌干达中南部的41个渔业、贸易和农业社区。使用改进的泊松回归估计18079名参与者的调整流行风险比(PRR)和95%可信区间(CI)。总体平均体重指数为22.9 kg/m2。平均体重指数男性为21.5 kg/m2，女性为24.1 kg/m2。超重和肥胖患病率分别为22.8%和6.2%。女性超重/肥胖的概率高于男性(PRR：4.11，CI：2.98~5.68)。女性参与者，年龄增加，社会经济地位较高，居住在贸易或渔业社区(PRR：1.25，CI 1.16-1.35和PRR：1.17，CI 1.10-1.25)，目前或以前结婚(PRR：1.22，CI 1.07-1.40和PRR：1.16，CI 1.01-1.34)，在酒吧/餐馆工作(PRR：1.29，CI 1.17-1.45)，贸易/商店经营(PRR：1.38，CI1.29~1.48)、最近一年饮酒(PRR：1.21，CI1.10~1.33)是超重/肥胖的危险因素。对于男性参与者，年龄增加、社会经济地位较高、已婚(PRR：1.94，CI 1.50-2.50)、居住在渔业社区(PRR：1.68，CI 1.40-2.02)、在酒吧/餐馆工作(PRR：2.20，CI 1.10-4.40)、经营贸易/商店(PRR：1.75，CI 1.45-2.11)或钓鱼(PRR：1.32，CI 1.03-1.69)增加了超重/肥胖的概率。非穆斯林参与者、男性吸烟者和艾滋病毒阳性女性超重/肥胖的可能性较低。超重/肥胖在非城市乌干达人中的流行率很高。需要对这一人群中的高危亚群进行有针对性的干预。
Obesity is a rapidly growing global health challenge, but there are few population-level studies from non-urban settings in sub-Saharan Africa. We evaluated the prevalence of overweight (body mass index (BMI)>25 kg/m2), obesity (BMI>30 kg/m2), and associated factors using data from May 2018 to November 2020 from the Rakai Community Cohort Study, a population-based cohort of residents aged 15 to 49 living in forty-one fishing, trading, and agrarian communities in South Central Uganda. Modified Poisson regression was used to estimate adjusted prevalence risk ratios (PRR) and 95% confidence intervals (CI) in 18,079 participants. The overall mean BMI was 22.9 kg/m2. Mean BMI was 21.5 kg/m2 and 24.1 kg/m2 for males and females, respectively. The prevalence of overweight and obesity were 22.8% and 6.2%, respectively. Females had a higher probability of overweight/obesity (PRR: 4.11, CI: 2.98–5.68) than males. For female participants, increasing age, higher socioeconomic status, residing in a trading or fishing community (PRR: 1.25, CI 1.16–1.35 and PRR: 1.17, CI 1.10–1.25, respectively), being currently or previously married (PRR: 1.22, CI 1.07–1.40 and PRR: 1.16, CI 1.01–1.34, respectively), working in a bar/restaurant (PRR: 1.29, CI 1.17–1.45), trading/shopkeeping (PRR: 1.38, CI 1.29–1.48), and reporting alcohol use in the last year (PRR: 1.21, CI 1.10–1.33) were risk factors for overweight/obese. For male participants, increasing age, higher socioeconomic status, being currently married (PRR: 1.94, CI 1.50–2.50), residing in a fishing community (PRR: 1.68, CI 1.40–2.02), working in a bar/restaurant (PRR: 2.20, CI 1.10–4.40), trading/shopkeeping (PRR: 1.75, CI 1.45–2.11), or fishing (PRR: 1.32, CI 1.03–1.69) increased the probability of overweight/obesity. Non-Muslim participants, male smokers, and HIV-positive females had a lower probability of overweight/obese. The prevalence of overweight/obesity in non-urban Ugandans is substantial. Targeted interventions to high-risk subgroups in this population are needed.