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Kabwama SN, Kirunda B, Mutungi G, et al. Prevalence and correlates of abdominal obesity among adults in Uganda: findings from a national cross-sectional, population based survey 2014. BMC Obes. 2018;5:40doi: 10.1186/s40608-018-0217-1.
Kabwama, S. N., Kirunda, B., Mutungi, G., Wesonga, R., Bahendeka, S. K., & Guwatudde, D. (2018). Prevalence and correlates of abdominal obesity among adults in Uganda: findings from a national cross-sectional, population based survey 2014. BMC obesity, 540. https://doi.org/10.1186/s40608-018-0217-1
Kabwama, Steven Ndugwa, et al. "Prevalence and correlates of abdominal obesity among adults in Uganda: findings from a national cross-sectional, population based survey 2014." BMC obesity vol. 5 (2018): 40. doi: https://doi.org/10.1186/s40608-018-0217-1
Kabwama SN, Kirunda B, Mutungi G, Wesonga R, Bahendeka SK, Guwatudde D. Prevalence and correlates of abdominal obesity among adults in Uganda: findings from a national cross-sectional, population based survey 2014. BMC Obes. 2018 Dec 03;5:40. doi: 10.1186/s40608-018-0217-1. eCollection 2018. PMID: 30524745; PMCID: PMC6276139.
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BMC Obes. 2018 Dec 03;5:40. doi: 10.1186/s40608-018-0217-1. eCollection 2018.

Prevalence and correlates of abdominal obesity among adults in Uganda: findings from a national cross-sectional, population based survey 2014.

BMC obesity

Steven Ndugwa Kabwama, Barbara Kirunda, Gerald Mutungi, Ronald Wesonga, Silver K Bahendeka, David Guwatudde

Affiliations

  1. 1Makerere University School of Public Health, Kampala, Uganda.
  2. 2Control of Non-Communicable Diseases Desk, Ministry of Health, Kampala, Uganda.
  3. 3School of Statistics and Planning, Makerere University College of Business and Management Sciences, Kampala, Uganda.
  4. 4St. Francis Hospital, Nsambya, Kampala, Uganda.
  5. 5Department of Epidemiology & Biostatistics, School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.

PMID: 30524745 PMCID: PMC6276139 DOI: 10.1186/s40608-018-0217-1

Abstract

BACKGROUND: Overweight and obesity are associated with health complications the gravity of which, vary with the regional deposition of the excess fat. The Body Mass Index (BMI) is often used to measure obesity although is an inferior predictor of cardiovascular disease risk mortality and morbidity compared with measures of abdominal obesity. We analyzed data from Uganda's 2014 World Health Organization (WHO) STEPwise approach to surveillance of Non-communicable diseases (NCDs) survey to estimate the prevalence of abdominal obesity and associated factors to provide information on the prevention and control of overweight and obesity.

METHODS: Data were collected using the WHO STEPS protocol. Waist measurement was taken using a non-stretchable standard tape measure mid-way between the lowest rib and iliac crest with the subject standing at the end of gentle expiration. Participants with waist circumference > 102 cm for men and 88 cm for women were classified as abdominally obese. We used weighted modified Poisson regression with robust error variance to estimate the prevalence of abdominal obesity and associated factors.

RESULTS: Of the 3676 participants, 432 (11.8%) were abdominally obese; with the prevalence higher among females 412 (19.5%) compared with males 20 (1.3%). Compared with males, female participants were more likely to be abdominally obese Adjusted Prevalence Rate Ratio (APRR) 7.59 [5.58-10.33]. Participants who were married or cohabiting APRR 1.82 [1.29-2.57] and participants who were separated or divorced APRR 1.69 [1.17-2.46] were more likely to be abdominally obese compared with those who had never married before. Compared with rural dwellers, participants from urban areas were more likely to be abdominally obese APRR 1.29 [1.09-1.53]. Compared with participants with normal blood pressure, those with elevated blood pressure were more likely to be abdominally obese APRR 1.83 [1.57-2.14].Compared with participants without any education, those with secondary education were more likely to be abdominally obese APRR 1.42 [1.12-1.78].

CONCLUSIONS: There is a high prevalence of abdominal obesity among adults in Uganda which puts many at risk of developing associated metabolic complications. These data provide useful information for developing interventions and formulation of policies for the control and prevention of abdominal obesity in Uganda.

Keywords: Abdominal obesity; Non-communicable diseases; Sub-Saharan Africa; Uganda; WHO STEPs methodology

Conflict of interest statement

Written informed consent was sought from each participant prior to conducting any study procedures. The study was also reviewed and approved by the Institutional Review Committee of Nsambya Hospital,

References

  1. Circulation. 2008 Apr 1;117(13):1658-67 - PubMed
  2. Nutrition. 1993 Sep-Oct;9(5):452-9 - PubMed
  3. CMAJ. 1997 Jul 1;157 Suppl 1:S39-45 - PubMed
  4. BMC Public Health. 2015 Nov 24;15:1168 - PubMed
  5. Ann Intern Med. 1985 Dec;103(6 ( Pt 2)):1052-62 - PubMed
  6. Diabetes Care. 2014 Jan;37 Suppl 1:S14-80 - PubMed
  7. J Clin Epidemiol. 2008 Jul;61(7):646-53 - PubMed
  8. Trop Med Int Health. 2016 Mar;21(3):405-16 - PubMed
  9. PLoS One. 2015 Sep 25;10(9):e0138991 - PubMed
  10. Am J Epidemiol. 2004 Apr 1;159(7):702-6 - PubMed
  11. Adv Nutr. 2012 Jul 01;3(4):491-8 - PubMed
  12. Int J Epidemiol. 2011 Feb;40(1):160-71 - PubMed
  13. Hypertension. 2004 Dec;44(6):859-65 - PubMed
  14. Afr Health Sci. 2010 Dec;10(4):367-73 - PubMed
  15. Clin Endocrinol (Oxf). 2006 Jul;65(1):125-31 - PubMed
  16. J Clin Epidemiol. 2000 Apr;53(4):401-8 - PubMed
  17. Coron Artery Dis. 1998;9(8):473-81 - PubMed
  18. Soc Sci Med. 1992 Oct;35(7):915-23 - PubMed
  19. Int J Environ Res Public Health. 2013 Oct 11;10(10):4967-81 - PubMed
  20. BMC Obes. 2014 Jun 23;1:9 - PubMed
  21. Circulation. 2005 Oct 25;112(17):2735-52 - PubMed
  22. Br Med J (Clin Res Ed). 1984 May 12;288(6428):1401-4 - PubMed
  23. Diabetes Care. 1998 Nov;21(11):1836-42 - PubMed
  24. Int J Obes Relat Metab Disord. 2000 Feb;24(2):226-31 - PubMed
  25. BMC Public Health. 2009 Dec 15;9:465 - PubMed
  26. Int J Epidemiol. 2013 Dec;42(6):1740-53 - PubMed
  27. Am J Phys Anthropol. 2006 Oct;131(2):295-302 - PubMed
  28. Am J Epidemiol. 2011 Oct 15;174(8):984-92 - PubMed
  29. Int J Environ Res Public Health. 2011 Oct;8(10):3859-70 - PubMed
  30. Circulation. 2012 Sep 4;126(10):1301-13 - PubMed
  31. J Phys Act Health. 2016 Sep;13(9):938-45 - PubMed
  32. Int J Obes Relat Metab Disord. 2001 May;25(5):652-61 - PubMed
  33. J Clin Invest. 1983 Sep;72(3):1150-62 - PubMed
  34. BMJ. 1995 Jul 15;311(6998):158-61 - PubMed
  35. J Epidemiol Community Health. 1998 Mar;52(3):153-60 - PubMed
  36. Nutrition. 2002 May;18(5):417-21 - PubMed
  37. Arch Iran Med. 2008 May;11(3):274-81 - PubMed

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