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Prevalence and time trends in obesity among adult West African populations : a meta-analysis

Abubakari, A.R and Lauder, W. and Agyemang, C. and Jones, M. and Kirk, A. and Bhopal, R.S. (2008) Prevalence and time trends in obesity among adult West African populations : a meta-analysis. Obesity Reviews, 9 (4). pp. 297-311. ISSN 1467-7881

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Abstract

The objective of this study was to determine the distribution of and trends in obesity in adult West African populations. Between February and March 2007, a comprehensive literature search was conducted using four electronic databases. Journal hand searches, citations and bibliographic snowballing of relevant articles were also undertaken. To be included, studies had to be population-based, use well-defined criteria for measuring obesity, present data that allowed calculation of the prevalence of obesity and sample adult participants. Studies retrieved were critically appraised. Meta-analysis was performed using the DerSimonian-Laird random effect model. Twenty-eight studies were included. Thirteen studies were conducted in urban settings, 13 in mixed urban/rural and one in rural setting. Mean body mass index ranged from 20.1 to 27.0 kg(2). Prevalence of obesity in West Africa was estimated at 10.0% (95% CI, 6.0-15.0). Women were more likely to be obese than men, odds ratios 3.16 (95% CI, 2.51-3.98) and 4.79 (95% CI, 3.30-6.95) in urban and rural areas respectively. Urban residents were more likely to be obese than rural residents, odds ratio 2.70 (95% CI, 1.76-4.15). Time trend analyses indicated that prevalence of obesity in urban West Africa more than doubled (114%) over 15 years, accounted for almost entirely in women. Urban residents and women have particularly high risk of overweight/obesity and obesity is rising fast in women. Policymakers, politicians and health promotion experts must urgently help communities control the spread of obesity in West Africa.

Item type: Article
ID code: 27139
Keywords: time trends, prevalence, obesity, west african , populations, adult, systematic review, west africans, Public health. Hygiene. Preventive Medicine, Recreation Leisure
Subjects: Medicine > Public aspects of medicine > Public health. Hygiene. Preventive Medicine
Geography. Anthropology. Recreation > Recreation Leisure
Department: Strathclyde Business School > Marketing
Faculty of Humanities and Social Sciences (HaSS) > School of Psychological Science and Health > Physical Activity for Health
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    Depositing user: Mr Martin Harvey
    Date Deposited: 01 Sep 2010 10:21
    Last modified: 13 Mar 2014 12:29
    URI: http://strathprints.strath.ac.uk/id/eprint/27139

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