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BMC Public Health

, 15:1168

First Online: 24 November 2015Received: 28 April 2015Accepted: 17 November 2015DOI: 10.1186-s12889-015-2506-7

Cite this article as: Kirunda, B.E., Fadnes, L.T., Wamani, H. et al. BMC Public Health 2015 15: 1168. doi:10.1186-s12889-015-2506-7

Abstract

BackgroundIn sub-Saharan Africa SSA, the rising prevalence of overweight, obesity and non-communicable diseases co-exists with the high burden of under-nutrition. The paucity of data on adulthood overweight and obesity, disaggregated by socio-demographic characteristics and in rural settings in SSA calls for research. We determined the prevalence of underweight, overweight-obesity and associated factors among adults in peri-urban and rural Uganda.

MethodsA cross-sectional study of 1210 randomly selected adults aged ≥ 18 years was conducted in Iganga-Mayuge Health and Demographic Surveillance Site in eastern Uganda in 2013. Height, weight and socio-demographic variables were assessed. Overweight was defined as BMI = 25.0-29.99 kg-m, obesity ≥ 30 kg-m and overweight-obesity ≥ 25 kg-m. Logistic regression was used to identify factors associated with overweight-obesity.

ResultsOf the participants, 7 % were underweight 8.1 % of men; 5.9 % of women, p = 0.99; 17.8 % were overweight 12.4 % of men; 23.1 % of women, p < 0.001; and 7 % were obese 2.0 % of men; 12.7 % of women, p < 0.001. Overweight prevalence was 15.8 % and 23.8 % among rural and peri-urban adults, respectively p < 0.001. Obesity prevalence was 3.9 % and 17.8 % among rural and peri-urban adults, respectively p < 0.001. Factors associated with overweight-obesity were: being female, adjusted odds ratio AOR 4.3 95 % confidence interval PloS one 8:e75640, 20013 3.2–5.9; peri-urban residence AOR 2.6 1.9–3.6; being in age group 35–44, AOR 3.1 1.8–5.3; 45–54 AOR 4.1 2.3–7.3; 55–64 AOR 2.6 1.4–5.0; ≥ 65 years AOR 3.1 1.6–6.0; and having socio-economic status SES in the third AOR 2.8 1.7–4.6, fourth 2.5 1.5–4.2 and fifth 2.7 1.6–4.4 quintile.

ConclusionsOverweight-obesity was prevalent among adults. Overweight-obese was associated with being female, being aged 35 years and older, residing in a peri-urban area and having a higher SES. The time has come to develop interventions to prevent and control overweight-obesity.

KeywordsOverweight Obesity Associated factors Peri-urban and rural Uganda Jan Van den Broeck deceased.

Electronic supplementary materialThe online version of this article doi:10.1186-s12889-015-2506-7 contains supplementary material, which is available to authorized users.

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Autor: Barbara Eva Kirunda - Lars Thore Fadnes - Henry Wamani - Jan Van den Broeck - Thorkild Tylleskär

Fuente: https://link.springer.com/







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