The magnitude of abdominal adiposity and atherogenic dyslipidemia among geriatric Nigerians with arterial hypertension in a rural hospital in South-eastern Nigeria

Abstract

This study has shown that abdominal adiposity and dyslipidemia exist among geriatric hypertensives in the study area with abdominal obesity being the most common abdominal adiposity and low HDL-C being the most frequent lipid abnormality. This study therefore urges the necessity to consider abdominal obesity and dyslipidemia in geriatric hypertensives in rural Nigeria alongside the complex of other cardiovascular risk factors.

Prevalence and Family Biosocial Predictors of Abdominal Obesity among Adult Nigerian Africans in a Resource Constrained Setting of a Rural Hospital in Eastern Nigeria

“…[1][2][3] It is a medical problem in which excess fat has accumulated in the abdomen to the extent that it may have an adverse effect on health and/or increase medical problems. [1,2] It was once thought the health problem of affluent advanced countries but now exists in Nigeria in varying prevalence ranges [1][2][3]5] and has been described as a time bomb for the future explosion in the frequency of cardiovascular disease and metabolic syndrome. [1,4,5] Globally, in the past, abdominal obesity was viewed as a sign of wealth and wellness.…”

“…[1,2] It was once thought the health problem of affluent advanced countries but now exists in Nigeria in varying prevalence ranges [1][2][3]5] and has been described as a time bomb for the future explosion in the frequency of cardiovascular disease and metabolic syndrome. [1,4,5] Globally, in the past, abdominal obesity was viewed as a sign of wealth and wellness. [1,3,6] However, in the present, public perceptions of healthy body shape and weight have changed significantly since the beginning of the epidemic of obesity, metabolic syndrome and cardiovascular diseases.…”

“…[1,4,5] Globally, in the past, abdominal obesity was viewed as a sign of wealth and wellness. [1,3,6] However, in the present, public perceptions of healthy body shape and weight have changed significantly since the beginning of the epidemic of obesity, metabolic syndrome and cardiovascular diseases. [6][7][8] Normal adiposity of the abdomen (flat abdomen) is viewed as the ideal abdominal adiposity in western societies [6,7] in contrast to the perception in traditional Nigerian societies where protruding abdomen (abdominal obesity) is culturally perceived as a symbol of good health and wealth.…”

“…[6][7][8] Normal adiposity of the abdomen (flat abdomen) is viewed as the ideal abdominal adiposity in western societies [6,7] in contrast to the perception in traditional Nigerian societies where protruding abdomen (abdominal obesity) is culturally perceived as a symbol of good health and wealth. [1,3,5] The clinical criteria for defining obesity have been variously described including anthropometric measurement of body mass index, [9,10,11] waist circumference (WC), [1,5] waist hip ratio, [2] neck circumference [12] among others and imaging techniques such as computed tomography scan and magnetic resonance imaging. [1,2] Although, the imaging methods are the gold standard for assessing abdominal adiposity, they are expensive for large scale epidemiological studies.…”

“…[1,3,5] The clinical criteria for defining obesity have been variously described including anthropometric measurement of body mass index, [9,10,11] waist circumference (WC), [1,5] waist hip ratio, [2] neck circumference [12] among others and imaging techniques such as computed tomography scan and magnetic resonance imaging. [1,2] Although, the imaging methods are the gold standard for assessing abdominal adiposity, they are expensive for large scale epidemiological studies. [1,2] Waist circumference is therefore one of the most popular measures of abdominal adiposity and the simplest anthropometric index of abdominal obesity.…”