Prevalence and correlates of abdominal obesity among adults in Uganda: findings from a national cross-sectional, population based survey 2014

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dc.contributor.authorNdugwa Kabwama, Steven
dc.contributor.authorKirunda, Barbara
dc.contributor.authorMutungi, Gerald
dc.contributor.authorWesonga, Ronald
dc.contributor.authorBahendeka, Silver K.
dc.contributor.authorGuwatudde, David
dc.date.accessioned2022-04-29T21:16:36Z
dc.date.available2022-04-29T21:16:36Z
dc.date.issued2018
dc.description.abstractOverweight 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.en_US
dc.identifier.citationKabwama, 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/s40608-018-0217-1en_US
dc.identifier.urihttps://doi.org/10.1186/s40608-018-0217-1
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/3019
dc.language.isoenen_US
dc.publisherBMC obesityen_US
dc.subjectAbdominal obesityen_US
dc.subjectNon-communicable diseasesen_US
dc.subjectWHO STEPs methodologyen_US
dc.subjectSub-Saharan Africaen_US
dc.subjectUgandaen_US
dc.titlePrevalence and correlates of abdominal obesity among adults in Uganda: findings from a national cross-sectional, population based survey 2014en_US
dc.typeArticleen_US
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