Dietary diversity and physical activity as risk factors of abdominal obesity among adults in Dilla town, Ethiopia

Tesfaye, Tinsae Shemelise; Mekonen, Tadesse; Alemu, Wagaye; Argaw, Dirshaye; Bedane, Tadesse Kebebe

doi:10.1371/journal.pone.0236671

Cited by 14 publications

(27 citation statements)

References 35 publications

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“…The prevalence was higher among women (27.9%) than men (3.9%). The findings from this study was lower than the report from Gondar (26.7 to 58.5%) [ 26 , 43 ], Dilla (24.4%) [ 27 ], Sudan (67.8%) [ 25 ], Tanzania (24.88%) [ 24 ], West Africa (50.8%) [ 44 ], Nigeria (52.6%) [ 49 ], South Africa (58%) [ 23 ], India (71.2%) [ 50 ], Iran (40.7%) [ 51 ], and Greece (49.7%) [ 52 ]. But, it was higher than a report from China (7.7%) [ 22 ].…”

Section: Discussioncontrasting

confidence: 88%

“…The data were collected using interview administered structured and pre-tested questionnaire which included socioeconomic characteristics, dietary history, physical activity, and behavioral characteristics adopted from previous studies [ 15 , 26 , 27 , 29 , 43 , 44 ] by eight well trained and experienced diploma nurse data collectors and two bachelor prepared nurse supervisors. The global physical activity questionnaire analysis guide [ 45 ] and the WHO steps instruments for chronic disease risk surveillance questionnaires were used after some modifications [ 46 ].…”

Section: Methodsmentioning

confidence: 99%

“…A study from Gondar, Northwest Ethiopia reports about 58.5% of adults were centrally obese [ 26 ]. Another study from Dilla, South Ethiopia reports prevalence of abdominal obesity as 24.4% [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and associated factors of abdominal obesity among the adult population in Woldia town, Northeast Ethiopia, 2020: Community-based cross-sectional study

et al. 2021

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Background The prevalence of abdominal obesity has been dramatically increasing both in developed and developing countries, including Ethiopia. It is an independent risk factor for cardiovascular diseases, type-2 diabetes mellitus, high blood pressure, and cancer. However, there is inadequate data regarding the prevalence and associated factors of abdominal obesity among adult population in Ethiopia. Objective This study aimed to assess the prevalence and associated factors of abdominal obesity among the adult population in Woldia town, Northeast Ethiopia in 2020. Method A community-based cross-sectional study was conducted in Woldia town from March 20 to April 20, 2020. Data on socio-demographic, dietary history, and anthropometric characteristics were collected from 802 adults using the World Health Organization stepwise technique. Multi-stage sampling was employed to select the study subjects. Data were cleaned, coded, and entered by EPI-info Version 7 and were exported to SPSS Version 20 for further analysis. To indicate the strength of association, odds ratios (OR) and 95% confidence intervals (95% CI) were used. Result From a total of 823 respondents 802 were involved with a response rate of 97.4%. The overall prevalence of central obesity based on waist to hip ratio was 16.5% with 95% CI (14.2–19.2). Female sex [AOR = 13.3, 95% CI: 7.01–25.39), high wealth rank (AOR = 2.95, 95% CI: 1.21–7.17), single marital status (AOR = 0.16, 95%CI: 0.04–0.58), age from 35 to 55 years (AOR = 4.3, 95% CI: 2.22–7.99), age greater than 55 years (AOR = 3.8, 95%CI: 1.36–10.78), secondary educational level (AOR = 1.83, 95% CI: 1.05–3.18), eat more protein (AOR = 4.22, 95% CI: 1.26–14.22), and consumption of snacks (AOR = 2.78, 95% CI: 1.68–4.61) were significantly associated with abdominal obesity. Conclusion The prevalence of abdominal obesity among adults in Woldia town is high, and has become an emerging nutrition-related problem. Being female, older age, being in a high wealth rank, consuming more meat, having secondary education level, and consuming snacks were the risk factors of abdominal obesity. Nutrition interventions should target adults mainly focusing on the alarmingly increase in nutrition problems, such as abdominal obesity, in Ethiopia with specific attention to females.

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Section: Discussioncontrasting

confidence: 88%

Section: Methodsmentioning

confidence: 99%

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Prevalence and associated factors of abdominal obesity among the adult population in Woldia town, Northeast Ethiopia, 2020: Community-based cross-sectional study

et al. 2021

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“…This shows a high burden of unapparent illness related to central obesity which increases the risk of a consequent problem. The prevalence of central obesity reported in this study was higher than the results of the study conducted in Ethiopia, like northwest Gondar, 15 Addis Ababa, 16 Dila, 17 Mekelle, 18 India, 46 Eastern Sudan, 47 Tanzania, 48 Uganda, 49 West Africa, 50 southeastern Nigeria 51 Spain, 52 South China, 53 and North China. 54 This finding is in line with a study done in Northwestern Iran, 55 the possible justification for these discrepancies might be attributed to the sociodemographic difference of the study population.…”

Section: Discussioncontrasting

confidence: 81%

Central Obesity and Associated Factors Among Urban Adults in Dire Dawa Administrative City, Eastern Ethiopia

Israel¹,

Hassen²,

Markos³

et al. 2022

DMSO

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Background Central obesity (CO) is a medical problem in which extra fat is accumulated in the abdomen and stomach extent that it may harm health. Furthermore, previous studies in Ethiopia predominantly relied on body mass index used to measure obesity and do not show distribution of fat. However, there is a paucity of information on the measurement of central obesity using waist circumference and associated factors in Ethiopia particularly in the study area. Hence, the purpose of this study is to assess the prevalence of central obesity and associated factors among urban adults in Dire Dawa, administrative city, Eastern Ethiopia. Methods A community-based cross-sectional study was conducted among 633 adults in selected kebeles of administrative city from October 15 to November 15, 2020. A multistage and systematic sampling procedure was used to select study participants. Central obesity is defined as a condition with waist circumference ≥83.7 cm for men and ≥78 cm for women with or without general obesity (GO). Odds ratio along with 95% confidence interval was estimated to identify factors associated with central obesity using multiple logistic regression analysis. Results The overall prevalence of central obesity was 76.1%; at 95% CI (73%, 80%). Associated factors of central obesity were age 45 years and above [AOR = 3.75, 95% CI (1.86, 7.55)], being female [AOR = 2.52, 95% CI: (1.62, 3.94)], alcohol consumption [AOR = 2.61, 95% CI: (1.69, 4.05], physical inactivity [AOR = 2.05, 95% CI: (1.23, 3.42)], and two hour and more time spent on watching television [AOR = 3.30, 95% CI: (1.59, 6.82)]. Conclusion The study shows central obesity was high in the study area. Age 45 years and above, being females, married, physically inactive, alcohol consumption, and spending a long time watching television was associated with central obesity. Having regular physical activity, limiting alcohol drinking, and limiting time spent watching television were recommended to prevent central obesity and associated risk among adults.

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“…Imbalanced dietary practices are more common in underdeveloped areas of Gansu Province. A monotonous diet usually means unhealthy eating habits, and some studies have related the DDS to higher rates of obesity [23,43] and poor nutrient adequacy [44,45].…”

Section: Discussionmentioning

confidence: 99%

Dietary Diversity and Nutrient Intake of Han and Dongxiang Smallholder Farmers in Poverty Areas of Northwest China

et al. 2021

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This study aimed to evaluate the status of dietary diversity and nutrient intake among Han and Dongxiang smallholder farmers in poor rural areas of northwest China. In this cross-sectional study, dietary intake was assessed in 499 smallholder farmers aged 18–75 years from two nationally designated impoverished counties in Gansu Province, China, using three consecutive 24 h dietary recalls. The dietary diversity score (DDS) and nutrient adequacy ratio (NAR) were adopted to assess dietary diversity and micronutrient adequacy, respectively. The mean DDS (range from 1 to 9) in participants was relatively low (3.81 ± 1.01). Consumption of grains was excessive, while consumption of vegetables, fruits, meat, beans, eggs, fish, and dairy was inadequate. The NAR values were higher in Han Chinese, with the exceptions of vitamin C, potassium, pyridoxine, and selenium (p < 0.05). For each nutrient, the high DDS group had a higher mean NAR (p < 0.05), except for pyridoxine. High household monthly income, being Han Chinese, high DDS, and being aged over 45 years were positively associated with mean adequacy ratio (MAR) of 14 micronutrients evaluated. Lack of dietary diversity and insufficient intake of essential micronutrients are public health concerns in northwest China. Nutrition education and other proper methods to address these issues are needed.

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Dietary diversity and physical activity as risk factors of abdominal obesity among adults in Dilla town, Ethiopia

Cited by 14 publications

References 35 publications

Prevalence and associated factors of abdominal obesity among the adult population in Woldia town, Northeast Ethiopia, 2020: Community-based cross-sectional study

Prevalence and associated factors of abdominal obesity among the adult population in Woldia town, Northeast Ethiopia, 2020: Community-based cross-sectional study

Central Obesity and Associated Factors Among Urban Adults in Dire Dawa Administrative City, Eastern Ethiopia

Dietary Diversity and Nutrient Intake of Han and Dongxiang Smallholder Farmers in Poverty Areas of Northwest China

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