Prevalence and correlates of abdominal obesity among adults in Uganda: findings from a national cross-sectional, population based survey 2014
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Date
2018
Journal Title
Journal ISSN
Volume Title
Publisher
BMC obesity
Abstract
Overweight and obesity are associated with health complications the gravity of which, vary with the
regional deposition of the excess fat. The Body Mass Index (BMI) is often used to measure obesity although is an
inferior predictor of cardiovascular disease risk mortality and morbidity compared with measures of abdominal
obesity. We analyzed data from Uganda’s 2014 World Health Organization (WHO) STEPwise approach to surveillance
of Non-communicable diseases (NCDs) survey to estimate the prevalence of abdominal obesity and associated
factors to provide information on the prevention and control of overweight and obesity.
Methods: Data were collected using the WHO STEPS protocol. Waist measurement was taken using a non-stretchable
standard tape measure mid-way between the lowest rib and iliac crest with the subject standing at the end of gentle
expiration. Participants with waist circumference > 102 cm for men and 88 cm for women were classified as abdominally
obese. We used weighted modified Poisson regression with robust error variance to estimate the prevalence of
abdominal obesity and associated factors.
Results: Of the 3676 participants, 432 (11.8%) were abdominally obese; with the prevalence higher among females 412
(19.5%) compared with males 20 (1.3%). Compared with males, female participants were more likely to be abdominally
obese Adjusted Prevalence Rate Ratio (APRR) 7.59 [5.58–10.33]. Participants who were married or cohabiting APRR 1.82 [1.
29–2.57] and participants who were separated or divorced APRR 1.69 [1.17–2.46] were more likely to be abdominally
obese compared with those who had never married before. Compared with rural dwellers, participants from urban
areas were more likely to be abdominally obese APRR 1.29 [1.09–1.53]. Compared with participants with normal blood
pressure, those with elevated blood pressure were more likely to be abdominally obese APRR 1.83 [1.57–2.14].
Compared with participants without any education, those with secondary education were more likely to be
abdominally obese APRR 1.42 [1.12–1.78].
Conclusions: There is a high prevalence of abdominal obesity among adults in Uganda which puts many at risk of
developing associated metabolic complications. These data provide useful information for developing interventions
and formulation of policies for the control and prevention of abdominal obesity in Uganda.
Description
Keywords
Abdominal obesity, Non-communicable diseases, WHO STEPs methodology, Sub-Saharan Africa, Uganda
Citation
Kabwama, S. N., Kirunda, B., Mutungi, G., Wesonga, R., Bahendeka, S. K., & Guwatudde, D. (2018). Prevalence and correlates of abdominal obesity among adults in Uganda: findings from a national cross-sectional, population based survey 2014. BMC obesity, 5(1), 1-9. https://doi.org/10.1186/s40608-018-0217-1