Literature DB >> 11574327

Obesity and undernutrition and cardiovascular risk factors in rural and urban Gambian communities.

M A van der Sande1, S M Ceesay, P J Milligan, O A Nyan, W A Banya, A Prentice, K P McAdam, G E Walraven.   

Abstract

OBJECTIVES: This study documented the prevalence of and cardiovascular risk factors associated with obesity and undernutrition in the Gambia.
METHODS: Adults (> or =15 years; N = 5373) from rural and urban areas completed a questionnaire; their height, weight, and waist and hip circumferences were measured, and their cardiovascular risk factors were assessed.
RESULTS: Prevalence of undernutrition (body mass index < 18 kg/m(2)) was 18.0%; all strata of society were affected. Prevalence of obesity (body mass index > or =30 kg/m(2)) was 4.0% but was higher (32.6%) among urban women 35 years or older. Cardiovascular risk factors were more prevalent among obese participants.
CONCLUSIONS: Undernutrition coexists with obesity, demonstrating a "double burden of disease." Differential interventions should focus on high-risk groups; prevention needs a multisectorial approach.

Entities:  

Mesh:

Year:  2001        PMID: 11574327      PMCID: PMC1446846          DOI: 10.2105/ajph.91.10.1641

Source DB:  PubMed          Journal:  Am J Public Health        ISSN: 0090-0036            Impact factor:   9.308


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