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 OJEpi  Vol.10 No.3 , August 2020
Increasing Trend of Overweight and Obesity in a Rural Community in South East Nigeria
Abstract: Background: There is a global trend of increasing obesity, affecting mostly the high-and-middle income countries. Obesity was more prevalent in the urban areas but recent studies have suggested a disproportionate increase in obesity in the rural areas outstripping that of urban areas thus fueling the global obesity epidemic. This cross-sectional community study was undertaken to determine the prevalence of obesity in a rural community in South east Nigeria using Body Mass Index (BMI), waist circumference and waist-hip ratio. Materials and Methods: Adults (≥18 years) in a rural community in Enugu State were studied in July 2019. The weight, height, waist circumference and hip circumference of the participants were taken. The BMI was calculated from the weight and height and the waist-hip ratio was determined for each participant. Results: A total of 210 participants were studied and analyzed. The prevalence of obesity and overweight by BMI was 10.9% and 28.0% respectively. There was no difference in the prevalence of obesity in males and females (10.9% vs 10.9%) and overweight (27% for males and 28% for females). Significantly more females (40%) than males (7.3%) were obese by sex specific waist circumference (p < 0.001). There was no difference in the proportions of males (49%) and females (53.3%) that were obese by sex specific waist/hip ratio, P-Value 0.575. There was no difference in the BMI between the age groups for males (p = 0.629) and females (p = 0.439). However, middle aged females (40 - 59 years) had higher waist circumference than the younger and older females (p = 0.025), while the older males (60 - 79 years) had higher waist-hip ratio than younger age groups p = 0.002. Conclusions: The result of this study shows an increasing trend of obesity and overweight in a farming rural community in South east Nigeria compared with the prevalence recorded in the region in the past.
Cite this paper: Ijoma, U. , Njoku, P. , Arodiwe, E. and Ijoma, C. (2020) Increasing Trend of Overweight and Obesity in a Rural Community in South East Nigeria. Open Journal of Epidemiology, 10, 323-333. doi: 10.4236/ojepi.2020.103026.
References

[1]   WHO (2020) Obesity and Overweight Fact Sheet.

[2]   Pineda, E., Sanchez-Romero, L.M., Brown, M., Jaccard, A., Jewell, J., Galea, G., Webber, L. and Breda, J. (2018) Forecasting Future Trends in Obesity across Europe: The Value of Improving Surveillance. Obesity Facts, 11, 360-371.
https://doi.org/10.1159/000492115

[3]   Finkelstein, E.A., Khavjou, O.A., Thompson, H., Trogdon, J.G., Pan, L., Sherry, B. and Dietz, W. (2012) Obesity and Severe Obesity Forecasts through 2030. American Journal of Preventive Medicine, 42, 563-570.
https://doi.org/10.1016/j.amepre.2011.10.026

[4]   Ofori-Asenso, R., Agyeman, A.A., Laar, A. and Boateng, D. (2016) Overweight and Obesity Epidemic in Ghana—A Systematic Review and Meta-Analysis. BMC Public Health, 16, Article No. 1239.
https://doi.org/10.1186/s12889-016-3901-4

[5]   Nansseu, J.R., Noubiap, J.J. and Bigna, J.J. (2019) Epidemiology of Overweight and Obesity in Adults Living in Cameroon: A Systematic Review and Meta-Analysis. Obesity (Silver Spring), 27, 1682-1692.
https://doi.org/10.1002/oby.22566

[6]   Chukwuonye, I.I., Chuku, A., John, C., Ohagwu, K.A., Imoh, M.E., Isa, S.E., Ogah, O.S. and Oviasu, E. (2013) Prevalence of Overweight and Obesity in Adult Nigerians—A Systematic Review. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 6, 43-47.
https://doi.org/10.2147/DMSO.S38626

[7]   Central Intelligence Agency. Obesity, Adult Prevalence Rate.
http://www.cia.gov>publications>the-world-factbook>fields

[8]   Umuerri, E.M., Ayandele, C.O. and Eze, G.U. (2017) Prevalence and Sociodemographic Correlates of Obesity and Overweight in a Rural and Urban Community of Delta State, Nigeria. Sahel Medical Journal, 20, 173-178.
https://doi.org/10.4103/1118-8561.230258

[9]   Adedoyin, R.A., Mbada, C.E., Balogun, M.O., Adebayo, R.A., Martins, T. and Ismail, S. (2009) Obesity Prevalence in Adult Residents of Ile-Ife, Nigeria. Nigerian Quarterly Journal of Hospital Medicine, 19, 100-105.
https://doi.org/10.4314/nqjhm.v19i1.50211

[10]   Ijoma, U., Chime, P., Onyekonwu, C., Ezeala-Adikaibe, B., Orjioke, C., Anyim, O., Onodugo, O., Aneke, E., Nwatu, C., Young, E., Mbadiwe, N., Ekenze, O., Okoye, J., Abonyi, M., Ulasi, I., Mbah, A. and Onodugo, P. (2019) Factors Associated with Overweight and Obesity in an Urban Area of South East Nigeria. Food and Nutrition Sciences, 10, 735-749.
https://doi.org/10.4236/fns.2019.107054

[11]   Kinlen, D., Cody, D. and O’Shea, D. (2018) Complications of Obesity, QJM: An International Journal of Medicine, 111, 437-443.
https://doi.org/10.1093/qjmed/hcx152

[12]   World Health Organization (1995) Technical Report Series. World Health Organization, Geneva, Physical Status: The Use and Interpretation of Anthropometry. 854: 1-1-9950.

[13]   Bixby, H., Bentham, J., Zhou, B., et al. (2019) Rising Rural Body-Mass Index Is the Main Driver of the Global Obesity Epidemic in Adults. Nature, 569, 260-264.
https://doi.org/10.1038/s41586-019-1171-x

[14]   Iloh, G., Amadi, A.N., Nwankwo, B.O. and Ugwu, V.C. (2011) Obesity in Adult Nigerians: A Study of Its Pattern and Common Primary Co-Morbidities in a Rural Mission General Hospital in Imo State, South-Eastern Nigeria. Nigerian Journal of Clinical Practice, 14, 212-218.
https://doi.org/10.4103/1119-3077.84019

[15]   Chukwuonye, I.I., Chuku, A., Onyeonoro, U., Ukegbu, A., Anyabolu, E., et al. (2015) Body Mass Index, Prevalence and Predictors of Obesity in Urban and Rural Communities in Abia State South Eastern Nigeria. Journal of Diabetes and Metabolism, 6, 570.
https://doi.org/10.4172/2155-6156.1000570

[16]   2006 Population and Housing Census, Priority Table IV. National Population Commission, Nigeria.
http://www.population.gov.ng

[17]   Charan, J. and Biswas, T. (2013) How to Calculate Sample Size for Different Study Designs in Medical Research. Indian Journal of Psychological Medicine, 35, 121-126.
https://doi.org/10.4103/0253-7176.116232

[18]   WHO STEPwise Approach to Surveillance-Instrument V3.2.
https://www.who.int>ncds>steps

[19]   Waist Circumference and Waist-Hip Ratio: Report of a WHO Expert Consultation, Geneva, 8-11 December 2008.
https://www.who.int>obesity>who

[20]   WHO Consultation on Obesity (1999) Obesity: Preventing and Managing the Global Epidemic: Report of a WHO Consultation. WHO Technical Report Series 894. Geneva.

[21]   Alikor, C.A. and Nwafor, C.E. (2016) The Prevalence and Predictors of Generalised Obesity in a Rural Farming Community in the Niger Delta Region of Nigeria. The Nigerian Health Journal, 16.

[22]   Adebayo, R.A., Balogun, M.O., Adedoyin, R.A., Obashoro-John, O.A., Bisiriyu, L.A. and Abiodun, O.O. (2014) Prevalence and Pattern of Overweight and Obesity in Three Rural Communities in Southwest Nigeria. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 7, 153-158.
https://doi.org/10.2147/DMSO.S55221

[23]   Sola, A.O., Steven, A.O., Kayode, J.A. and Olayinka, A.O. (2011) Underweight, Overweight and Obesity in Adults Nigerians Living in Rural and Urban Communities of Benue State. Annals of African Medicine, 10, 139-143.
https://doi.org/10.4103/1596-3519.82081

[24]   Ulasi, I.I., Ijoma, C.K. and Onodugo, O.D. (2010) A Community-Based Study of Hypertension and Cardiometabolic Syndrome in Semi-Urban and Rural Communities in Nigeria. BMC Health Services Research, 10, Article No. 71.
https://doi.org/10.1186/1472-6963-10-71

[25]   Ehirim, N.C., Onyeneke, R.U., Chidiebere-Mark, N.M. and Nnabuihe, V.C. (2012) Effect and Prospect of Rural to Urban Migration on the Poverty Status of Migrants in Abia State, Nigeria. Agricultural Science Research Journal, 2, 145-153.

[26]   Ulasi, I.I., Ijoma, C.K., Onodugo, O.D., Arodiwe, E.B., Ifebunandu, N.A. and Okoye, J.U. (2013) Towards Prevention of Chronic Kidney Disease in Nigeria: A Community-Based Study in Southeast Nigeria. Kidney International Supplements, 3, 195-201.
https://doi.org/10.1038/kisup.2013.13

[27]   Akpan, E.E., Ekrikpo, U.E., Udo, A.I.A. and Bassey, B.E. (2015) Prevalence of Hypertension in Akwa Ibom State, South-South Nigeria: Rural versus Urban Communities Study. International Journal of Hypertension, 2015, Article ID: 975819.
https://doi.org/10.1155/2015/975819

 
 
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