Predictors of overweight and obesity in adult women in Nairobi Province, Kenya
Predictors of overweight and obesity in adult women in Nairobi Province, Kenya
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DOI：
10.1186/1471-2458-12-823
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发表时间：
2012-09-25
影响因子：
4.5
通讯作者：
Steyn, Nelia P.
中科院分区：
文献类型：
--
作者：
Mbochi, Regina W.;Kuria, Elizabeth;Steyn, Nelia P.
背景资料：由于肥胖症在城市妇女是普遍存在的，在肯尼亚的研究，旨在确定超重和肥胖的预测因素在城市Kenyan women.Methods：一个横断面研究进行了内罗毕省。有目的地选择该省是因为该省是肯尼亚超重和肥胖患病率最高的省份。共有365名年龄在25-54岁的女性被随机选择参加研究。年龄越大、社会经济地位越高、产次越多、房间越多、支出越多，平均体重指数（BMI）越高，%体脂和腰围（WC）处于高度显著水平（p < 0.001）。BMI的大部分变异依次由年龄、总体力活动量、脂肪消耗百分比、产次和SE组解释，共占BMI变异的18%。结果表明，年龄是最显着的预测所有的因变量出现在所有的模型中，而胎次是一个显着的预测BMI和WC。高两个SE组的平均蛋白质（p < 0.05）、胆固醇（p < 0.05）和酒精（p < 0.001）摄入量显著高于低SE组;而低SE组的平均纤维（p < 0.001）和碳水化合物（p < 0.05）摄入量显著高于低SE组。脂肪摄入量大于100%的DRI膳食参考摄入量（DRI）有一个显着更大的平均BMI（p < 0.05）比脂肪摄入量小于DRI.Conclusions：超重和肥胖的预测因素表明，城市化和营养转型是建立在高SE组研究的妇女样本。与低SE组相比，他们表现出久坐不动的生活方式，饮食中能量、蛋白质、脂肪、胆固醇和酒精含量高，纤维和碳水化合物含量低。
Background: Since obesity in urban women is prevalent in Kenya the study aimed to determine predictors of overweight and obesity in urban Kenyan women.Methods: A cross-sectional study was undertaken in Nairobi Province. The province was purposively selected because it has the highest prevalence of overweight and obesity in Kenya.A total of 365 women aged 25-54 years old were randomly selected to participate in the study.Results: Higher age, higher socio-economic (SE) group, increased parity, greater number of rooms in the house, and increased expenditure showed greater mean body mass index (BMI),% body fat and waist circumference (WC) at highly significant levels (p < 0.001). Most of the variance in BMI was explained by age, total physical activity, percentage of fat consumed, parity and SE group in that order, together accounting for 18% of the variance in BMI. The results suggest that age was the most significant predictor of all the dependent variables appearing first in all the models, while parity was a significant predictor of BMI and WC. The upper two SE groups had significantly higher mean protein (p < 0.05), cholesterol (p < 0.05) and alcohol (p < 0.001) intakes than the lower SE groups; while the lower SE groups had significantly higher mean fibre (p < 0.001) and carbohydrate (p < 0.05) intakes. A fat intake greater than 100% of the DRI dietary reference intake (DRI) had a significantly greater mean BMI (p < 0.05) than a fat intake less than the DRI.Conclusions: The predictors of overweight and obesity showed that urbanization and the nutrition transition were well established in the sample of women studied in the high SE groups. They exhibited a sedentary lifestyle and consumed a diet high in energy, protein, fat, cholesterol, and alcohol and lower in fibre and carbohydrate compared with those in the low SE groups.