High prevalence of obesity among women in urban Haiti: Findings from a population-based cohort.

Autor:	Dade E; Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti., Metz M; Center for Global Health, Department of Medicine, Weill Cornell Medicine, New York, NY, United States., Pierre JL; Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti., Rouzier V; Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.; Center for Global Health, Department of Medicine, Weill Cornell Medicine, New York, NY, United States., Sufra R; Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti., Fox E; Department of Public and Ecosystem Health, Cornell University, Ithaca, NY, United States., Preval F; Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti., St-Preux S; Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti., Zephir JR 2nd; Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti., Ariste W; Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti., Rasul R; Institute for Implementation Science in Population Health, City University of New York, New York, NY, United States., Sabwa S; Center for Global Health, Department of Medicine, Weill Cornell Medicine, New York, NY, United States., Roberts N; Center for Global Health, Department of Medicine, Weill Cornell Medicine, New York, NY, United States., Deschamps MM; Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti., Severe P; Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti., Fitzgerald D; Center for Global Health, Department of Medicine, Weill Cornell Medicine, New York, NY, United States.; Division of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, United States., Pape JW; Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.; Center for Global Health, Department of Medicine, Weill Cornell Medicine, New York, NY, United States., Yan LD; Center for Global Health, Department of Medicine, Weill Cornell Medicine, New York, NY, United States.; Division of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, United States., McNairy ML; Center for Global Health, Department of Medicine, Weill Cornell Medicine, New York, NY, United States.; Division of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2022 Oct 05; Vol. 10, pp. 976909. Date of Electronic Publication: 2022 Oct 05 (Print Publication: 2022).
DOI:	10.3389/fpubh.2022.976909
Abstrakt:	Introduction: Obesity is associated with increased risk of non-communicable diseases and death and is increasing rapidly in low- and middle-income countries, including Haiti. There is limited population-based data on body mass index (BMI) and waist circumference (WC) and associated risk factors in Haiti. This study describes BMI and WC, and factors associated with obesity using a population-based cohort from Port-au-Prince. Methods: Baseline sociodemographic and clinical data were collected from participants in the Haiti CVD Cohort Study between March 2019 and August 2021. Weight was categorized by BMI (kg/m 2 ) with obesity defined as ≥30 kg/m 2 . Abdominal obesity was defined using WC cutoffs of ≥80 cm for women and ≥94 cm for men based on WHO guidelines. Sociodemographic and behavioral risk factors, including age, sex, educational attainment, income, smoking status, physical activity, fat/oil use, daily fruit/vegetable consumption, and frequency of fried food intake were assessed for their association with obesity using a Poisson multivariable regression. Results: Among 2,966 participants, median age was 41 years (IQR: 28-55) and 57.6% were women. Median BMI was 24.0 kg/m 2 (IQR: 20.9-28.1) and 508 (17.1%) participants were obese. Women represented 89.2% of the population with BMI ≥30 kg/m 2 . A total of 1,167 (68.3%) women had WC ≥80 cm and 144 (11.4%) men had WC ≥94 cm. BMI ≥30 kg/m 2 was significantly more prevalent among women than men [PR 5.7; 95% CI: (4.3-7.6)], those 40-49 years compared to 18-29 years [PR 3.3; 95% CI: (2.4-4.6)], and those with income >10 USD per day compared to ≤1 USD [PR 1.3; 95% CI: (1.0-1.6)]. There were no significant associations with other health and behavioral risk factors. Discussion: In Haiti, women have an alarming 6-fold higher obesity prevalence compared to men (26.5 vs. 4.3%) and 89.2% of participants with obesity were women. Abdominal obesity was high, at 44.3%. Haiti faces a paradox of an ongoing national food insecurity crises and a burgeoning obesity epidemic. Individual, social, and environmental drivers of obesity, especially among women, need to be identified. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Dade, Metz, Pierre, Rouzier, Sufra, Fox, Preval, St-Preux, Zephir, Ariste, Rasul, Sabwa, Roberts, Deschamps, Severe, Fitzgerald, Pape, Yan and McNairy.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu