Environmental factors associated with overweight among adults in Nigeria

Oyeyemi, Adewale L.; Adegoke, Babatunde O. A.; Deforche, Benedicte; Bourdeaudhuij, Ilse De; Sallis, James F.

doi:10.1186/1479-5868-9-32

Cited by 57 publications

(75 citation statements)

References 35 publications

(41 reference statements)

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“…17,43 This finding, however, contradicts that of a study conducted among adults in Nigeria where perception of high crime rate was not significantly related to overweight among participants who resided in neighborhoods of low socio-economic status. 48 The length of stay at a host location is an important determinant of the relationship between migration and health-related outcomes such as obesity 49 and is often used as a surrogate measure of acculturation. Migrants from low and middle income countries who move to high income countries appear to be more susceptible to overweight and obesity than their local counterparts.…”

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confidence: 99%

The Local Food Environment and Body Mass Index among the Urban Poor in Accra, Ghana

Dake

Thompson

et al. 2016

J Urban Health

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Obesity in the sub-Saharan Africa region has been portrayed as a problem of affluence, partly because obesity has been found to be more common in urban areas and among the rich. Recent findings, however, reveal rising prevalence among the poor particularly the urban poor. A growing body of literature mostly in Western countries shows that obesity among the poor is partly the result of an obesogenic-built environment. Such studies are lacking in the African context. This study examines the characteristics of the local food environment in an urban poor setting in Accra, Ghana and further investigates the associated risk of obesity for residents. Data on the local food environment was collected using geographic positioning system (GPS) technology. The body mass indices (BMI) of females (15-49 years) and males (15-59 years) were calculated from measured weight and height. Data on the socio-demographic characteristics and lifestyle behaviors of respondents was also collected through a household survey. Spatial analysis tools were used to examine the characteristics of the local food environment while the influence of the food environment on BMI was examined using a twolevel multilevel model. The measures of the food environment constituted the level 2 factors while individual socio-demographic characteristics and lifestyle behaviors constituted the level 1 factors. The local food environment in the study communities is suggestive of an obesogenic food environment characterized by an abundance of out-of-home cooked foods, convenience stores, and limited fruits and vegetables options. The results of the multilevel analysis reveal a 0.2 kg/m 2 increase in BMI for every additional convenience store and a 0.1 kg/m 2 reduction in BMI for every out-of-home cooked food place available in the study area after controlling for individual socio-demographic characteristics, lifestyle behaviors, and community characteristics. The findings of this study indicate that the local food environment in urban poor Accra is associated with increased risk of obesity through providing access to convenience stores. In order to reduce the risk of obesity in these urban poor communities, there is the need to regulate the availability of and access to convenience stores while also encouraging healthier offerings in convenience stores.

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confidence: 99%

The Local Food Environment and Body Mass Index among the Urban Poor in Accra, Ghana

Dake

Thompson

et al. 2016

J Urban Health

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“…Los resultados del presente estudio confirman la influencia del ambiente físico y social del barrio en la percepción de los sujetos para caminar y andar en bicicleta, aspecto reportado por investigadores de diferentes regiones del mundo (26)(27)(28) . La evidencia sugiere que residir en barrios de escasos recursos económicos confiere un mayor riesgo para inactividad física, independiente de las circunstancias socioeconómicas individuales (18) .…”

Section: Discussionunclassified

Percepción del ambiente para caminar según la localidad en Barranquilla, Colombia / Perception of the Environment for Walking According the Locality in Barranquilla, Colombia

Herazo-Beltrán¹,

Pinillos-Patiño²,

Claros³

et al. 2017

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“…However, individuals living in areas with high neighborhood aesthetics are more likely to meet recommended levels of walking [40]. In Nigeria, among young adults, seeing many people active and many interesting things to look at were significantly associated with sufficient walking [16]. Therefore, in the South African context, the population is more likely to walk in the neighborhood that is perceived to be less polluted, as compared to their counterparts in high income countries who may spend most of their time sitting in a motor vehicle each day.…”

Section: Discussionmentioning

confidence: 99%

“…However, in order to reduce the burden of CVD risk factors, environmental interventions have become 2 Advances in Epidemiology increasingly recognized as necessary approaches to support behavior change [12]. The fundamental attributes of built environments and community design [13,14] have been linked with increased risk of hypertension and cardiovascular events [15], but only a few studies have evaluated these relationships in an African context [16]. Thus, this study evaluates the association between perceived built environment attributes and the prevalence of hypertension in South African adults in both an urban (Cape Town) and a rural (Mount Frere) context.…”

Section: Introductionmentioning

confidence: 99%

Association between Perceived Built Environment and Prevalent Hypertension among South African Adults

Malambo

Kengne

Lambert

et al. 2016

Advances in Epidemiology

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Introduction. The association between perceived built environmental attributes and hypertension among adults has received little attention in an African context. We investigated the association between the perceived built environment and prevalent hypertension in adult South Africans. Method. A cross-sectional study was conducted using [2008][2009] Prospective Urban Rural Epidemiology data among South African ( = 671) adults aged ≥35 years. Perceived built environment was assessed using the neighborhood environment walkability scale questionnaire. Prevalent hypertension was defined as previously diagnosed by a physician, screen-detected hypertension as ≥140/90 mmHg, and a combination of both as any hypertension. Logistic regressions were applied for analyses. Results. In crude logistic regressions, self-reported hypertension was associated with land use mixdiversity, street connectivity, infrastructure for walking/cycling, aesthetics, traffic, and crime. In adjusted model, land use mixdiversity was significantly associated with self-reported hypertension. In similar multivariable models, the direction and magnitude of the effects were mostly similar to the outcomes of "screen-detected hypertension" which was further predicted by perceived lack of safety from traffic. Conclusion. Perceived built environment attributes were significantly associated with hypertension. This has relevance to population-based approaches to hypertension prevention and control.

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Environmental factors associated with overweight among adults in Nigeria

Cited by 57 publications

References 35 publications

The Local Food Environment and Body Mass Index among the Urban Poor in Accra, Ghana

The Local Food Environment and Body Mass Index among the Urban Poor in Accra, Ghana

Percepción del ambiente para caminar según la localidad en Barranquilla, Colombia / Perception of the Environment for Walking According the Locality in Barranquilla, Colombia

Association between Perceived Built Environment and Prevalent Hypertension among South African Adults

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