High prevalence of overweight, obesity, and hypertension with increased risk to cardiovascular disorders among adults in northwest Ethiopia: a cross sectional study

Abstract

BackgroundOverweight and obesity are components of a defined cluster of risk factors for non-communicable diseases, once problems for only the high-income countries, in recent days became rampant in developing countries. Despite the lack of extensive data on metabolic and cardio vascular disorders in Ethiopia, the prevalence of obesity among young adults (15–24 years), in a cross sectional study conducted in 1997, was 0.7% for men and 6% for women. The prevalence of hypertension (HTN) was found to be 7.1% of the population. The objective of this study was to see the prevalence and association of overweight, obesity and HTN and to check if there was any agreement among the various anthropometric measurements in detecting overweight and obesity.MethodsThis cross-sectional study was conducted in Gondar city, Northwest Ethiopia. A total of 68 participants with age >18 year were randomly selected and included. Data were collected using questionnaires and through physical measurements of weight, height and blood pressure, using the WHO recommendations.ResultThe prevalence of hypertension was 13.3% (9/68). The prevalence of overweight based on calculated body mass index (BMI) was 32.4% (22/68) while the prevalence of obesity was 16.2% (11/68). Body fat percentage (BFP) effectively classified all of the ‘overweight’ and ‘obese’ values according to the BMI as ‘overweight/obese’ (P = 0.016). Risk level classification with waist circumference enabled to correctly classify most (90.9%) and all of the ‘overweight’ and ‘obese’ BMI values as ‘increased risk/substantially increased risk’ (P < 0.001). Similarly, waist-to-height ratio (WHtR) was able to classify all ‘overweight’ and ‘obese’ BMI values as ‘increased risk/substantially increased risk’ (P < 0.001).ConclusionIn conclusion, the current study was able to detect a high prevalence of overweight, obesity, and HTN among adult population in Gondar town. There is a prevalent high level of general adiposity and central obesity. WHtR and BFP were the most efficient measurements to identify all ‘high risk’ groups of individuals as ‘high risk’ irrespective of their gender. Further study is recommended to elucidate the risk factors and complications of obesity and overweight in the study area and beyond.

Coexistence of Prehypertension and Hypertension and Obesity in Young Adults in Arar, Saudi Arabia

“…In Northwest Ethiopia: a cross sectional study showed that the prevalence of HTN, was 13.3%. The prevalence among men and women was 17.2% and 10.3% respectively [13] . In our study we found 52.1% from females were pre-hypertensive and 58.8% were males.…”

A community-based cross-sectional study of magnitude of dysglycemia and associated factors in Southwest Ethiopia

“…There are only few studies which are specifically designed to assess independent predictors of dysglycemia, as most are focused on type 2 DM rather than prediabetic states. On the other hand, there are many studies which showed that having a family history is an independent predictor of T2DM [19][20][21][22][23]. One study in Ethiopia showed that a family history of DM is an independent predictor of dysglycemia, other determinants being hypertension and age more than 45 years [20].…”

Ellisras Longitudinal Study 2017: The relationship between waist circumference, waist-to-hip ratio, skinfolds and blood pressure among young adults in Ellisras, South Africa (ELS 14)

“…37 Most studies are in agreement with our study as they have also reported the incidence of general obesity to be higher in women than in men. 38,39 Al-Hazzaa et al 40 reported that general obesity can be high in either men or women, taking into account their behavioural risk factors such as smoking and alcohol consumption.…”