Four-year trends in adiposity and its association with hypertension in serial groups of young adult university students in urban Cameroon: a time-series study.
| Autor: | Choukem SP; Department of Internal Medicine and Pediatrics, Faculty of Health Sciences, University of Buea, P.O. Box 4856, Douala, Buea, Cameroon. schoukem@gmail.com.; Health and Human Development (2HD) Research Network, Douala, Cameroon. schoukem@gmail.com.; Diabetes and Endocrine Unit, Department of Internal Medicine, Douala General Hospital, Douala, Cameroon. schoukem@gmail.com., Kengne AP; South African Medical Research Council, University of Cape Town, Cape Town, South Africa., Nguefack ML; Higher Institute of Health Sciences, Université des Montagnes, Bangangte, Cameroon., Mboue-Djieka Y; Health and Human Development (2HD) Research Network, Douala, Cameroon., Nebongo D; Health and Human Development (2HD) Research Network, Douala, Cameroon., Guimezap JT; University of Montreal, Montreal, QC, Canada., Mbanya JC; National Center of Obesity, Diabetes and Endocrinology Yaoundé Central Hospital, Yaoundé, Cameroon.; Laboratory of molecular and metabolic medicine, Biotechnology Center, University of Yaoundé 1, Yaoundé, Cameroon.; Department of Internal Medicine and Subspecialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon. |
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| Jazyk: | angličtina |
| Zdroj: | BMC public health [BMC Public Health] 2017 May 23; Vol. 17 (1), pp. 499. Date of Electronic Publication: 2017 May 23. |
| DOI: | 10.1186/s12889-017-4449-7 |
| Abstrakt: | Background: Obesity is a major risk factor for non-communicable diseases (NCDs) and is growing rapidly globally including in sub-Saharan Africa (SSA). We aimed to assess the trend in adiposity markers in Cameroonian university students, and investigated their associations with hypertension. Methods: From 2009 to 2012, we annually measured weight, height, blood pressure, waist (WC) and hip circumferences, and calculated the body mass index (BMI) and other indices of adiposity in consecutive students aged 18 years or above, during their registration. Time-trends in prevalence of overweight and obesity were estimated, and their associations with prevalent hypertension investigated. Results: Among the 2726 participants, the overall prevalence of obesity, overweight and obesity combined, and hypertension was 3.5%, 21.0% and 6.3% respectively. From 2009 to 2012, the prevalence of overweight and obesity increased in men only, from 13.1% to 20.9% (p-trend = 0.002), whereas prevalent abdominal obesity increased in women only, from 6.5% to 11.7% (p-trend = 0.027). The BMI and the WC were independent predictors of hypertension; each kg/m 2 higher BMI was associated with 11% higher odds of hypertension, and each centimeter higher WC was associated with 9% higher odds of hypertension. Conclusion: Our results show that overweight and obesity are rapidly increasing in this population of young sub-Saharan African adults, and are contributing to an increasing burden of hypertension. |
| Databáze: | MEDLINE |
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