Socio-demographic and behavioural determinants of body mass index among an adult population in rural Northern Ghana

The AWI-Gen study

Dados Bibliográficos

ID19530860
AutoresEngelbert A Nonterah (0000-0001-8491-6478, Utrecht University, autor correspondente), Cornelius Debpuur (0000-0003-0968-5280, Navrongo Health Research Centre), Godfred Agongo (0000-0002-4218-5424, University of the Witwatersrand), Lucas Amenga–Etego (0000-0003-4468-0506, Navrongo Health Research Centre), Lucas Amenga-Etego, Nigel J Crowther (0000-0002-5766-1745, National Health Laboratory Service), Michèle Ramsay (0000-0002-4156-4801, University of the Witwatersrand), Abraham Oduro (0000-0002-4191-7419, Navrongo Health Research Centre), Abraham Rexford Oduro
Ano2018
Volume11
Fascículosup2
Páginas1467588
Data de publicação2018-11-16
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoGlobal Health Action (JOURNAL)
Identificadores do periódicoISSN: 1654-9716 • E-ISSN: 1654-9880
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/16549716.2018.1467588
PMID29992851
OpenAlexW2846157579
IdiomaEN
Citações recebidas9
Referências citadas53

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 < 0.001), whilst underweight was more prevalent in men (18.3% vs. 13.1%; p = 0.001). Participants with the highest level of education and a high household socio-economic status had higher BMIs than those in the lowest strata in both men (β = 0.074, p = 0.028 and β = 0.072, p < 0.001, respectively) and women (β = 0.174, p = 0.001 and β = 0.109, p < 0.001, respectively). Men (β = -0.050; p < 0.001) and women (β = -0.073; p < 0.001) of the Nankana ethnic group had a lower BMI than the Kassena ethnic group. Among men, alcohol consumption (β = -0.021; p = 0.001) and smoking (β = -0.216; p < 0.001) were associated with lower BMI. Smokeless tobacco was associated with lower BMI among women. Pesticide exposure was associated with higher BMI (β = 0.022; p = 0.022) among men. CONCLUSION: Age, sex, ethno-linguistic group and prevailing socio-demographic and behavioural factors within this rural community in Northern Ghana influence BMI. The observed positive association between pesticide use and BMI warrants further investigation

Body mass index · Geography · Population · Rural area · Rural population · Socioeconomics · Sociology · Child Nutrition and Water Access · Demography · Diabetes, Cardiovascular Risks, and Lipoproteins · Medicine · Obesity, Physical Activity, Diet · Gerontology