Overweight and obesity in south central Uganda: A population-based study.
Obesity is a rapidly growing global health challenge, but there are few population-level studies from non-urban settings in sub-Saharan Africa. We evaluated the prevalence of overweight (body mass index (BMI)>25 kg/m2), obesity (BMI>30 kg/m2), and associated factors using data from May 2018 to...
| Main Authors: | , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2022-01-01
|
| Series: | PLOS Global Public Health |
| Online Access: | https://doi.org/10.1371/journal.pgph.0001051 |
| _version_ | 1797699955541934080 |
|---|---|
| author | Adeoluwa Ayoola Robert Ssekubugu Mary Kathryn Grabowski Joseph Ssekasanvu Godfrey Kigozi Aishat Mustapha Steven J Reynolds Anna Mia Ekstrom Helena Nordenstedt Rocio Enriquez Ronald H Gray Maria J Wawer Joseph Kagaayi Wendy S Post Larry W Chang |
| author_facet | Adeoluwa Ayoola Robert Ssekubugu Mary Kathryn Grabowski Joseph Ssekasanvu Godfrey Kigozi Aishat Mustapha Steven J Reynolds Anna Mia Ekstrom Helena Nordenstedt Rocio Enriquez Ronald H Gray Maria J Wawer Joseph Kagaayi Wendy S Post Larry W Chang |
| author_sort | Adeoluwa Ayoola |
| collection | DOAJ |
| description | Obesity is a rapidly growing global health challenge, but there are few population-level studies from non-urban settings in sub-Saharan Africa. We evaluated the prevalence of overweight (body mass index (BMI)>25 kg/m2), obesity (BMI>30 kg/m2), and associated factors using data from May 2018 to November 2020 from the Rakai Community Cohort Study, a population-based cohort of residents aged 15 to 49 living in forty-one fishing, trading, and agrarian communities in South Central Uganda. Modified Poisson regression was used to estimate adjusted prevalence risk ratios (PRR) and 95% confidence intervals (CI) in 18,079 participants. The overall mean BMI was 22.9 kg/m2. Mean BMI was 21.5 kg/m2 and 24.1 kg/m2 for males and females, respectively. The prevalence of overweight and obesity were 22.8% and 6.2%, respectively. Females had a higher probability of overweight/obesity (PRR: 4.11, CI: 2.98-5.68) than males. For female participants, increasing age, higher socioeconomic status, residing in a trading or fishing community (PRR: 1.25, CI 1.16-1.35 and PRR: 1.17, CI 1.10-1.25, respectively), being currently or previously married (PRR: 1.22, CI 1.07-1.40 and PRR: 1.16, CI 1.01-1.34, respectively), working in a bar/restaurant (PRR: 1.29, CI 1.17-1.45), trading/shopkeeping (PRR: 1.38, CI 1.29-1.48), and reporting alcohol use in the last year (PRR: 1.21, CI 1.10-1.33) were risk factors for overweight/obese. For male participants, increasing age, higher socioeconomic status, being currently married (PRR: 1.94, CI 1.50-2.50), residing in a fishing community (PRR: 1.68, CI 1.40-2.02), working in a bar/restaurant (PRR: 2.20, CI 1.10-4.40), trading/shopkeeping (PRR: 1.75, CI 1.45-2.11), or fishing (PRR: 1.32, CI 1.03-1.69) increased the probability of overweight/obesity. Non-Muslim participants, male smokers, and HIV-positive females had a lower probability of overweight/obese. The prevalence of overweight/obesity in non-urban Ugandans is substantial. Targeted interventions to high-risk subgroups in this population are needed. |
| first_indexed | 2024-03-12T04:15:25Z |
| format | Article |
| id | doaj.art-ba7c2006e51c4c00958cc63f951e0228 |
| institution | Directory Open Access Journal |
| issn | 2767-3375 |
| language | English |
| last_indexed | 2024-03-12T04:15:25Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj.art-ba7c2006e51c4c00958cc63f951e02282023-09-03T10:39:44ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752022-01-01211e000105110.1371/journal.pgph.0001051Overweight and obesity in south central Uganda: A population-based study.Adeoluwa AyoolaRobert SsekubuguMary Kathryn GrabowskiJoseph SsekasanvuGodfrey KigoziAishat MustaphaSteven J ReynoldsAnna Mia EkstromHelena NordenstedtRocio EnriquezRonald H GrayMaria J WawerJoseph KagaayiWendy S PostLarry W ChangObesity is a rapidly growing global health challenge, but there are few population-level studies from non-urban settings in sub-Saharan Africa. We evaluated the prevalence of overweight (body mass index (BMI)>25 kg/m2), obesity (BMI>30 kg/m2), and associated factors using data from May 2018 to November 2020 from the Rakai Community Cohort Study, a population-based cohort of residents aged 15 to 49 living in forty-one fishing, trading, and agrarian communities in South Central Uganda. Modified Poisson regression was used to estimate adjusted prevalence risk ratios (PRR) and 95% confidence intervals (CI) in 18,079 participants. The overall mean BMI was 22.9 kg/m2. Mean BMI was 21.5 kg/m2 and 24.1 kg/m2 for males and females, respectively. The prevalence of overweight and obesity were 22.8% and 6.2%, respectively. Females had a higher probability of overweight/obesity (PRR: 4.11, CI: 2.98-5.68) than males. For female participants, increasing age, higher socioeconomic status, residing in a trading or fishing community (PRR: 1.25, CI 1.16-1.35 and PRR: 1.17, CI 1.10-1.25, respectively), being currently or previously married (PRR: 1.22, CI 1.07-1.40 and PRR: 1.16, CI 1.01-1.34, respectively), working in a bar/restaurant (PRR: 1.29, CI 1.17-1.45), trading/shopkeeping (PRR: 1.38, CI 1.29-1.48), and reporting alcohol use in the last year (PRR: 1.21, CI 1.10-1.33) were risk factors for overweight/obese. For male participants, increasing age, higher socioeconomic status, being currently married (PRR: 1.94, CI 1.50-2.50), residing in a fishing community (PRR: 1.68, CI 1.40-2.02), working in a bar/restaurant (PRR: 2.20, CI 1.10-4.40), trading/shopkeeping (PRR: 1.75, CI 1.45-2.11), or fishing (PRR: 1.32, CI 1.03-1.69) increased the probability of overweight/obesity. Non-Muslim participants, male smokers, and HIV-positive females had a lower probability of overweight/obese. The prevalence of overweight/obesity in non-urban Ugandans is substantial. Targeted interventions to high-risk subgroups in this population are needed.https://doi.org/10.1371/journal.pgph.0001051 |
| spellingShingle | Adeoluwa Ayoola Robert Ssekubugu Mary Kathryn Grabowski Joseph Ssekasanvu Godfrey Kigozi Aishat Mustapha Steven J Reynolds Anna Mia Ekstrom Helena Nordenstedt Rocio Enriquez Ronald H Gray Maria J Wawer Joseph Kagaayi Wendy S Post Larry W Chang Overweight and obesity in south central Uganda: A population-based study. PLOS Global Public Health |
| title | Overweight and obesity in south central Uganda: A population-based study. |
| title_full | Overweight and obesity in south central Uganda: A population-based study. |
| title_fullStr | Overweight and obesity in south central Uganda: A population-based study. |
| title_full_unstemmed | Overweight and obesity in south central Uganda: A population-based study. |
| title_short | Overweight and obesity in south central Uganda: A population-based study. |
| title_sort | overweight and obesity in south central uganda a population based study |
| url | https://doi.org/10.1371/journal.pgph.0001051 |
| work_keys_str_mv | AT adeoluwaayoola overweightandobesityinsouthcentralugandaapopulationbasedstudy AT robertssekubugu overweightandobesityinsouthcentralugandaapopulationbasedstudy AT marykathryngrabowski overweightandobesityinsouthcentralugandaapopulationbasedstudy AT josephssekasanvu overweightandobesityinsouthcentralugandaapopulationbasedstudy AT godfreykigozi overweightandobesityinsouthcentralugandaapopulationbasedstudy AT aishatmustapha overweightandobesityinsouthcentralugandaapopulationbasedstudy AT stevenjreynolds overweightandobesityinsouthcentralugandaapopulationbasedstudy AT annamiaekstrom overweightandobesityinsouthcentralugandaapopulationbasedstudy AT helenanordenstedt overweightandobesityinsouthcentralugandaapopulationbasedstudy AT rocioenriquez overweightandobesityinsouthcentralugandaapopulationbasedstudy AT ronaldhgray overweightandobesityinsouthcentralugandaapopulationbasedstudy AT mariajwawer overweightandobesityinsouthcentralugandaapopulationbasedstudy AT josephkagaayi overweightandobesityinsouthcentralugandaapopulationbasedstudy AT wendyspost overweightandobesityinsouthcentralugandaapopulationbasedstudy AT larrywchang overweightandobesityinsouthcentralugandaapopulationbasedstudy |