Optimal waist circumference cut-off points for predicting metabolic syndrome among low-income black South African adults

Owolabi, Eyitayo Omolara; Goon, Daniel Ter; Adeniyi, Oladele Vincent; Ajayi, Anthony Idowu

doi:10.1186/s13104-018-3136-9

Cited by 29 publications

(21 citation statements)

References 34 publications

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“…A high prevalence of abdominal obesity among HIV-infected women who were N number of study participants, n number of elements in a sample, OR odds ratio, 95% CI 95% confidential interval, aOR adjusted odds ratio, P value probability value, HEPA health-enhancing physical activity, ART anti-retroviral therapy, PI protease inhibitor, WHO stage WHO clinical staging of HIV/AIDS for adults and adolescent, OI opportunistic infection not taking PIs is compatible with the findings of a previous study reporting a positive association between abdominal obesity and HIV infection with an ART regimen, even with minor metabolic side effects [24]. Second, abdominal obesity among women was defined as WC ≥ 80 cm [17]; however, this cutoff point is controversial [25][26][27][28][29]. The WC cutoff point for abdominal obesity among sub-Saharan African populations is based on the cutoff point obtained from studies conducted among European populations [17].…”

Section: Discussionsupporting

confidence: 77%

HIV infection, and overweight and hypertension: a cross-sectional study of HIV-infected adults in Western Kenya

Saito¹,

Karama²,

Kamiya³

2020

Trop Med Health

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Background: Non-communicable diseases (NCDs) are increasing in Kenya, where HIV/AIDS remains a leading cause of death; however, few studies have investigated obesity and hypertension among adults with HIV infection. We conducted a cross-sectional study in Homa Bay, Western Kenya, during 2015 to determine the prevalence of overweight/obesity and hypertension among HIV-infected adults and to identify their risk factors. Results: Anthropometric measurements and a structured questionnaire were administered to adults with HIV infection receiving care at Mbita Sub-county Hospital. A total of 251 HIV-positive individuals were enrolled. More women were overweight (17.2%) and obese (3.6%) than underweight (8.3%). The prevalence of abdominal obesity was high in women (62.7%), especially those aged 30-39 years. The prevalence of hypertension was 9.8% and 11.8% in men and women, respectively. Male participants tended to develop hypertension at an early age. Multivariate analysis showed that female sex was significantly associated with abdominal obesity. Regarding clinical factors, we identified an association between overweight and a history of opportunistic infections, as well as between hypertension and World Health Organization clinical stage. Sixty percent of HIV-infected participants assumed that a very thin body size indicated HIV infection. Conclusions: The main findings of this study include a greater prevalence of overweight than underweight as well as a high prevalence of abdominal obesity among women. Social perception toward body size among people with HIV infection might remain problematic. Individuals living with HIV in Kenya should receive preventive intervention for overweight and abdominal obesity, with consideration of relevant social and cultural aspects.

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Section: Discussionsupporting

confidence: 77%

HIV infection, and overweight and hypertension: a cross-sectional study of HIV-infected adults in Western Kenya

Saito¹,

Karama²,

Kamiya³

2020

Trop Med Health

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“…This prevalence is lower than the prevalence shown in South African coloured participants in the Erasmus et al (2011) [ 33 ] study, but higher than the prevalence shown in black (9.5% for females and 6.8% for males) North West residents participating in the Hoebel et al (2011) [ 32 ] study. Additionally, overall participants in the current study had a higher MetS prevalence than that reported in low-income black South Africans in the study by Owolabi et al [ 40 ]. However, males in the current study had a lower MetS prevalence than males in Owolabi et al’s study.…”

Section: Discussioncontrasting

confidence: 39%

The risk of metabolic syndrome as a result of lifestyle among Ellisras rural young adults

et al. 2018

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The study aimed to investigate the association between metabolic syndrome (MetS) and lifestyle risk factors among Ellisras adults. A cross-sectional study was conducted on 624 adults (306 males and 318 females). MetS was defined according to the criteria of the International Diabetes Federation. The prevalence of MetS was 23.1% (8.6% males and 36.8 % females). Females appeared to have higher mean values for waist circumference (WC), fasting blood glucose (FBG), total cholesterol (TCHOL) and low-density lipoprotein cholesterol (LDL-C), while males had high mean values for high-density lipoprotein cholesterol (HDL-C), triglycerides (TG), systolic blood pressure (SBP) and diastolic blood pressure (DBP). No significant age and gender differences were observed for dietary intake. Significantly more females (51.9%) presented with increased WC than males (4.6%). Participants who had a high dietary energy intake were significantly less likely to present with larger WC (OR: 0.250 95% CI [0.161; 0.389]), low HDL-C (OR: 0.306 95% CI [0.220; 0.425]) and high LDL-C (OR: 0.583 95% CI [0.418; 0.812]) but more likely to present with elevated FBG (OR: 1.01 95% CI [0.735; 1.386]), high TCHOL (OR: 1.039 95% CI [0.575; 1.337]), high TG (OR: 1.186 95% CI [0.695; 2.023]) and hypertension (OR: 5.205 95% CI [3.156; 8.585]). After adjusting for age, gender, smoking, and alcohol status, high energy intake was more than two times likely to predict MetS in adults with a large WC (OR: 2.766 95% CI [0.863; 3.477] and elevated FBG (OR: 2.227 95% CI [1.051; 3.328]). Therefore, identifying groups that are at an increased risk and those that are in their early stages of MetS will help improve and prevent the increase of the MetS in the future.

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“…[34][35][36][37] In the African population the waist circumference is a crucial determinant factor of MetS. 38 Females are seldom allowed to do physical exercise in Ethiopia. They are supposed to stay home, look after children, and take care of household chores.…”

Section: Discussionmentioning

confidence: 99%

<p>Metabolic Syndrome Among Working Adults in Eastern Ethiopia</p>

Motuma¹,

Gobena²,

Roba³

et al. 2020

DMSO

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Purpose Metabolic syndrome (MetS) has become a public health challenge in low-income countries due to changing lifestyle and the food environment. However, studies on the prevalence of metabolic syndrome and associated factors are limited in Ethiopia. Therefore, this study assessed the prevalence of MetS and its associated factors among working adults in eastern Ethiopia. Methods A cross-sectional study was conducted involving 1,164 working adults from December 2018 to February 2019. Data were collected following the World Health Organization (WHO) STEPwise approach. The data collection tools include a structured questionnaire, anthropometric, and biochemical measurements. Prevalence was calculated using International Diabetes Federation criteria. A Poisson regression model with robust variance estimation was used to investigate the independent variable’s association with MetS. An adjusted prevalence ratio with 95% confidence interval was reported to show associations. Results The prevalence of MetS was 20.1% (95% CI=17.8–22.4) among the participants. It was more prevalent among females (APR:=1.62, 95% CI=1.31–2.00), those of 35–44 years of age (APR:=3.14, 95% CI=1.19–8.28), 45–54 years of age (APR=4.42, 95% CI=1.66–11.77), and 55–64 years of age (APR=6.03, 95% CI=2.27–16.06), khat chewers (APR=1.30, 95% CI=1.06–1.60), those with 8 or more hours of sedentary behavior (APR=2.29, 95% CI=1.88–2.80), and those consuming alcohol 5–6 days per week (APR=1.81, 95% CI=1.20–2.74). The prevalence was significantly lower in those eating five or more fruits and vegetables servings per day (APR=0.04, 95% CI=0.01–0.27). Conclusion A high prevalence of MetS was observed among working adults in eastern Ethiopia. Strengthening workplace health promotion programs is necessary to reduce the negative consequences of MetS in workplaces and protect productivity.

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Optimal waist circumference cut-off points for predicting metabolic syndrome among low-income black South African adults

Cited by 29 publications

References 34 publications

HIV infection, and overweight and hypertension: a cross-sectional study of HIV-infected adults in Western Kenya

HIV infection, and overweight and hypertension: a cross-sectional study of HIV-infected adults in Western Kenya

The risk of metabolic syndrome as a result of lifestyle among Ellisras rural young adults

<p>Metabolic Syndrome Among Working Adults in Eastern Ethiopia</p>

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