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Overweight and obesity in south central Uganda: A population-based study
- Ayoola, A (author)
- Ssekubugu, R (author)
- Grabowski, MK (author)
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- Ssekasanvu, J (author)
- Kigozi, G (author)
- Mustapha, A (author)
- Reynolds, SJ (author)
- Enriquez, R (author)
- Gray, RH (author)
- Wawer, MJ (author)
- Kagaayi, J (author)
- Post, WS (author)
- Chang, LW (author)
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- (creator_code:org_t)
- 2022-11-21
- 2022
- English.
- In: PLOS global public health. - : Public Library of Science (PLoS). - 2767-3375. ; 2:11, s. e0001051-
- Journal article (peer-reviewed)
Abstract
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- 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.
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- Ayoola, A
- Ssekubugu, R
- Grabowski, MK
- Ssekasanvu, J
- Kigozi, G
- Mustapha, A
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- Reynolds, SJ
- Ekstrom, AM
- Nordenstedt, H
- Enriquez, R
- Gray, RH
- Wawer, MJ
- Kagaayi, J
- Post, WS
- Chang, LW
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