Undernutrition, overweight and obesity prevalences among community-dwelling elderly in Africa-a systematic review
Summary: Background & aims: Undernutrition, overweight and obesity are noted among elderly people, but African data were scattered, and no structured synthesis has yet been performed to review studies on nutritional status (NS) of this population. The aim of this study was to assess NS usin...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | Clinical Nutrition Open Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667268522000456 |
| _version_ | 1811340506364379136 |
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| author | Gustave Mabiama Thierno Millimono Dieudonné Adiogo Farid Boumediene Pierre-Marie Preux Jean-Claude Desport Philippe Fayemendy Pierre Jésus |
| author_facet | Gustave Mabiama Thierno Millimono Dieudonné Adiogo Farid Boumediene Pierre-Marie Preux Jean-Claude Desport Philippe Fayemendy Pierre Jésus |
| author_sort | Gustave Mabiama |
| collection | DOAJ |
| description | Summary: Background & aims: Undernutrition, overweight and obesity are noted among elderly people, but African data were scattered, and no structured synthesis has yet been performed to review studies on nutritional status (NS) of this population. The aim of this study was to assess NS using Body Mass Index (BMI), among elderly living in communities in Africa. Methods: Literature was extracted from six databases looking for studies addressing NS among the people aged≥60y. The systematic search was performed up to January 31st, 2021. Countries and overall prevalences were calculated. Link between NS and Human Development Index (HDI) was assessed through Pearson's correlation. Results: Thirty-two studies conducted in 14 countries covering almost all socio-geographical areas of the African continent were included. The sample size was from 62 to 2091 participants and the mean age ranged from 65 to 79.7 years. Undernutrition (20.9±8.6%) was higher in Central African Republic (33.4%) and lower in South Africa (3.4%). Overweight (13.8±7.2%) was higher in South Africa (27.6%) and lower in Ethiopia (2.3%) when obesity (13.2:0.7–50.4%) was higher in South Africa (50.4%) and lower in Tanzania (0.7%). Overweight and obesity were positively correlated with HDI (r=0.7, p=0.023; r=0.7, p=0.016, respectively). This study was the first structured one about NS of elderly in Africa. Conclusion: Nearly one among five older people in Africa is undernourished and about 30% are overweight or obese. This should be a challenge to African authorities, especially since excess weight could be a problem in the future due to the nutritional transition. |
| first_indexed | 2024-04-13T18:42:57Z |
| format | Article |
| id | doaj.art-c38c094bfea245ba9bc0d4a8ec5ff582 |
| institution | Directory Open Access Journal |
| issn | 2667-2685 |
| language | English |
| last_indexed | 2024-04-13T18:42:57Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Nutrition Open Science |
| spelling | doaj.art-c38c094bfea245ba9bc0d4a8ec5ff5822022-12-22T02:34:40ZengElsevierClinical Nutrition Open Science2667-26852022-10-01454256Undernutrition, overweight and obesity prevalences among community-dwelling elderly in Africa-a systematic reviewGustave Mabiama0Thierno Millimono1Dieudonné Adiogo2Farid Boumediene3Pierre-Marie Preux4Jean-Claude Desport5Philippe Fayemendy6Pierre Jésus7Department of Family and Home Economics, Advanced Teachers Training College for Technical Education (ATTCTE), University of Douala, Cameroon; Microbiology, Immunology-Hematology and Morphologic Sciences Laboratory (LMIHSM), Doctoral Training Unit in Health Sciences (UFD-SCS), Doctoral School, Douala University, P.O. Box 2701, Douala, Cameroon; Inserm U1094, IRD U270, Univ. Limoges, CHU Limoges, EpiMaCT - Epidemiology of Chronic Diseases in Tropical Zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, France; Corresponding author. Department of Family and Home Economics, Advanced Teachers Training College for Technical Education (ATTCTE), University of Douala, Cameroon.Inserm U1094, IRD U270, Univ. Limoges, CHU Limoges, EpiMaCT - Epidemiology of Chronic Diseases in Tropical Zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, FranceMicrobiology, Immunology-Hematology and Morphologic Sciences Laboratory (LMIHSM), Doctoral Training Unit in Health Sciences (UFD-SCS), Doctoral School, Douala University, P.O. Box 2701, Douala, CameroonInserm U1094, IRD U270, Univ. Limoges, CHU Limoges, EpiMaCT - Epidemiology of Chronic Diseases in Tropical Zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, FranceInserm U1094, IRD U270, Univ. Limoges, CHU Limoges, EpiMaCT - Epidemiology of Chronic Diseases in Tropical Zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, FranceInserm U1094, IRD U270, Univ. Limoges, CHU Limoges, EpiMaCT - Epidemiology of Chronic Diseases in Tropical Zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, France; Nutrition Resources Center of the Nouvelle Aquitaine Regional Health Agency (CERENUT), Isle, FranceInserm U1094, IRD U270, Univ. Limoges, CHU Limoges, EpiMaCT - Epidemiology of Chronic Diseases in Tropical Zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, France; Nutrition Resources Center of the Nouvelle Aquitaine Regional Health Agency (CERENUT), Isle, France; Nutrition Unit, CHU Limoges, Limoges, FranceInserm U1094, IRD U270, Univ. Limoges, CHU Limoges, EpiMaCT - Epidemiology of Chronic Diseases in Tropical Zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, France; Nutrition Resources Center of the Nouvelle Aquitaine Regional Health Agency (CERENUT), Isle, France; Nutrition Unit, CHU Limoges, Limoges, FranceSummary: Background & aims: Undernutrition, overweight and obesity are noted among elderly people, but African data were scattered, and no structured synthesis has yet been performed to review studies on nutritional status (NS) of this population. The aim of this study was to assess NS using Body Mass Index (BMI), among elderly living in communities in Africa. Methods: Literature was extracted from six databases looking for studies addressing NS among the people aged≥60y. The systematic search was performed up to January 31st, 2021. Countries and overall prevalences were calculated. Link between NS and Human Development Index (HDI) was assessed through Pearson's correlation. Results: Thirty-two studies conducted in 14 countries covering almost all socio-geographical areas of the African continent were included. The sample size was from 62 to 2091 participants and the mean age ranged from 65 to 79.7 years. Undernutrition (20.9±8.6%) was higher in Central African Republic (33.4%) and lower in South Africa (3.4%). Overweight (13.8±7.2%) was higher in South Africa (27.6%) and lower in Ethiopia (2.3%) when obesity (13.2:0.7–50.4%) was higher in South Africa (50.4%) and lower in Tanzania (0.7%). Overweight and obesity were positively correlated with HDI (r=0.7, p=0.023; r=0.7, p=0.016, respectively). This study was the first structured one about NS of elderly in Africa. Conclusion: Nearly one among five older people in Africa is undernourished and about 30% are overweight or obese. This should be a challenge to African authorities, especially since excess weight could be a problem in the future due to the nutritional transition.http://www.sciencedirect.com/science/article/pii/S2667268522000456UndernutritionOverweightObesityAfricaReviewAging |
| spellingShingle | Gustave Mabiama Thierno Millimono Dieudonné Adiogo Farid Boumediene Pierre-Marie Preux Jean-Claude Desport Philippe Fayemendy Pierre Jésus Undernutrition, overweight and obesity prevalences among community-dwelling elderly in Africa-a systematic review Clinical Nutrition Open Science Undernutrition Overweight Obesity Africa Review Aging |
| title | Undernutrition, overweight and obesity prevalences among community-dwelling elderly in Africa-a systematic review |
| title_full | Undernutrition, overweight and obesity prevalences among community-dwelling elderly in Africa-a systematic review |
| title_fullStr | Undernutrition, overweight and obesity prevalences among community-dwelling elderly in Africa-a systematic review |
| title_full_unstemmed | Undernutrition, overweight and obesity prevalences among community-dwelling elderly in Africa-a systematic review |
| title_short | Undernutrition, overweight and obesity prevalences among community-dwelling elderly in Africa-a systematic review |
| title_sort | undernutrition overweight and obesity prevalences among community dwelling elderly in africa a systematic review |
| topic | Undernutrition Overweight Obesity Africa Review Aging |
| url | http://www.sciencedirect.com/science/article/pii/S2667268522000456 |
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