Obesity and risk for hypertension and diabetes among Kenyan adults: Results from a national survey.
Obesity and risk for hypertension and diabetes among Kenyan adults: Results from a national survey.
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DOI：
10.1097/md.0000000000027484
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发表时间：
2021-10-08
期刊：
影响因子：
1.6
通讯作者：
Kibachio J
中科院分区：
文献类型：
--
作者：
Temu TM;Macharia P;Mtui J;Mwangi M;Ngungi PW;Wanjalla C;Bloomfield GS;Farquhar C;Nyanjau L;Gathecha GK;Kibachio J
尽管预计全球肥胖负担将增加，特别是在低收入国家，但关于肥胖对非洲心脏代谢疾病的影响的数据有限。我们检查了参与2015年国家慢性病风险因素监测调查的肯尼亚成年人的人群样本。测量体重和身高，计算体重指数（BMI），并将其用作一般肥胖的衡量标准。腰围（WC），中心性肥胖的临床指标也进行了测量。Logistic回归分析用于评估肥胖与高血压、糖尿病和血脂异常风险之间的关系。在4276名参与者中，中位（IQR）年龄为36（27-47）岁，41%为男性。三分之一（37%）的参与者是中心性肥胖，而10%是一般性肥胖。女性、40岁以上的成年人和财富最高的四分之一人群中超重和一般肥胖的几率最高。 通过WC和BMI评估的中心性和全身性肥胖与高血压和血脂异常相关，但与糖尿病无关。与正常体重的成年人相比，BMI ≥30 kg/m2的个体患高血压的比值比为2.39（95%置信区间[CI]，1.82-3.12），患血脂异常的比值比为2.24（95% CI，1.70-2.96）。 肥胖症在肯尼亚的流行率很高，与高血压和血脂异常有关，但与糖尿病无关。我们的研究结果表明，迫切需要制定公共卫生干预措施，以解决肥胖和预防共病的发展。
Despite the anticipated growth in the global burden of obesity especially in low-income countries, limited data exist on the contribution of obesity to cardiometabolic diseases in Africa. We examined population-based samples of Kenyan adults who participated in the 2015 national chronic disease risk factor surveillance survey. Weight and height were measured, and body mass index (BMI) was calculated and used as a measure for general obesity. Waist circumference (WC), a clinical measure of central obesity was also measured. Logistic regression was used to assess the association between obesity with hypertension, diabetes, and dyslipidemia risk. Of the 4276 participants, the median (IQR) age was 36 (27–47) years, 41% were men. One-third (37%) of the participants were centrally obese, whereas 10% were generally obese. The odds for overweight and general obesity were highest among females, adults >40 years, and those in the highest wealth quartile. Central and general obesity, assessed by WC and BMI, were associated with hypertension and dyslipidemia but not diabetes for both sexes. Compared with adults of normal weight, individuals with a BMI of ≥30 kg/m2 had an odds ratio of 2.39 (95% confidence interval [CI], 1.82–3.12) for hypertension and 2.24 (95% CI, 1.70–2.96) for dyslipidemia. Obesity prevalence is high in Kenya and is associated with hypertension and dyslipidemia but not diabetes. Our findings indicate an urgent need to develop public health interventions to address obesity and prevent the development of comorbid conditions.