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2. Socio-demographic and behavioural determinants of body mass index among an adult population in rural Northern Ghana : the AWI-Gen study

Author

Nonterah, Engelbert Adamwaba, Debpuur, Cornelius, Agongo, Godfred, Amenga-Etego, Lucas, Crowther, Nigel J., Ramsay, Michèle, Rexford Oduro, Abraham, and as members of AWI-Gen and the H3Africa Consortium

Subjects
BMI, socio-demographic and behavioural risk, Health Policy, Public Health, Environmental and Occupational Health, pesticides, rural Northern Ghana, Cardiometabolic diseases
Abstract

Background: Obesity and associated cardiometabolic diseases are increasing in urban sub-Saharan Africa due to a complex epidemiological and nutritional transition. Related data on rural communities is scarce. Objectives: The study characterized the socio-demographic and behavioural factors influencing body mass index (BMI) among adults in rural Northern Ghana Methods: A population-based cross-sectional study involving adults aged 40–60 years residing in the Kassena-Nankana districts was undertaken. Demographic, socio-economic and behavioural data were collected along with measures of anthropometry. We determined factors associated with BMI among women and men. Results: A total of 2014 adults were studied. The median age was 51 (IQR 45–57) years and 54% were women. The prevalence of overweight/obesity was higher among women than men (18.4% vs. 7.2%; p

Published
2018

5. Socio-demographic and behavioural determinants of body mass index among an adult population in rural Northern Ghana: the AWI-Gen study

Author

Global Health, Nonterah, Engelbert Adamwaba, Debpuur, Cornelius, Agongo, Godfred, Amenga-Etego, Lucas, Crowther, Nigel J., Ramsay, Michèle, Rexford Oduro, Abraham, as members of AWI-Gen and the H3Africa Consortium, Global Health, Nonterah, Engelbert Adamwaba, Debpuur, Cornelius, Agongo, Godfred, Amenga-Etego, Lucas, Crowther, Nigel J., Ramsay, Michèle, Rexford Oduro, Abraham, and as members of AWI-Gen and the H3Africa Consortium

Published
2018

6. The burden of dyslipidaemia and factors associated with lipid levels among adults in rural northern Ghana: An AWI-Gen sub-study.

Author

Agongo, Godfred, Nonterah, Engelbert Adamwaba, Debpuur, Cornelius, Amenga-Etego, Lucas, Ali, Stuart, Oduro, Abraham, Crowther, Nigel J., Ramsay, Michèle, and null, null

Subjects
*LIPID metabolism, *HEART metabolism disorders, *ABDOMINAL adipose tissue, *SMOKING, *CARDIOVASCULAR diseases
Abstract

Dyslipidaemia is a primary risk factor for cardiometabolic disease, causing over 17 million deaths globally in 2015. However, the burden of dyslipidaemia and factors associated with lipid levels remain unknown in many rural African populations. Therefore, this study evaluated the association of socio-demographic, anthropometric and behavioural factors with lipid levels in rural Ghana. The prevalence of hypercholesterolaemia, hypertriglyceridaemia and elevated LDL-C in the total population of 1839 (846 men and 993 women) was 4.02%, 2.12%, and 5.55% respectively and did not differ between genders. The prevalence of low HDL-C levels was 60.30% and differed (p = 0.005) between men (56.86%) and women (63.24%). Subcutaneous abdominal fat was associated with TC (β = 0.067, p = 0.015) and TG (β = 0.137, p<0.001) among women and LDL-C (β = 0.139, p = 0.006) and TC (β = 0.071, p = 0.048) among men. Body mass index was associated with TC (β = 0.010, p = 0.043) among men while waist circumference was associated with LDL-C (β = 0.116, p<0.001) and TG (β = 0.094, p<0.001) among women. Hip circumference was negatively associated (β = -0.053, p = 0.043) while visceral fat was positively associated with TG (β = 0.033, p = 0.022) among women. Socioeconomic status, education, being unmarried and employment were associated with HDL-C (β = 0.081, p = 0.004), LDL-C (β = 0.095, p = 0.004) and TG (β = 0.095, p = 0.001) all among women, and TC (β = 0.070, p = 0.010) among men, respectively. Nankana women had lower TC (β = -0.069, p = 0.001), and men lower TG levels (β = -0.084, p = 0.008) than the other ethnic groups. Tobacco smoking (β = 0.066, p = 0.024) and alcohol intake (β = 0.084, p = 0.001) were associated with HDL-C levels among men and women respectively. Further studies are required to investigate whether high prevalence of low HDL-C levels in this population presents with any adverse cardiovascular disease outcomes. Associations of education, employment and adiposity with lipid levels suggest that future societal advances and increases in the prevalence of obesity may lead to associated adverse health consequences. Monitoring and interventions are required to limit these effects. [ABSTRACT FROM AUTHOR]

Published
2018
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