OBJECTIVE: To compare the 10-year changes in the distribution of adiposity in rural and urban Cameroonian populations. METHODS AND PROCEDURES: Two cross-sectional surveys of populations in the same rural and urban areas of Cameroon, aged>or=24 years, were carried out in 1994 (1,762 subjects) and 2003 (1,398 subjects) using similar methodology. All eligible subjects answered a structured questionnaire on their educational level, alcohol consumption, and tobacco smoking and weight, height, and waist circumference (WC) were measured. RESULTS: Between 1994 and 2003, the age-standardized prevalence of BMI>or=25 kg/m2 increased significantly only in the rural area (+54% for women and +82% for men), while the age-standardized prevalence of central obesity (WC>or=80 cm (women), >or=94 cm (men)) increased significantly only in the urban population (+32% for women and +190% for men). These differences persisted after adjustments for age group, alcohol consumption, tobacco smoking, and level of education, and within almost all the strata of the studied risk factors. DISCUSSION: Changes in adiposity over time in Cameroon were characterized by an increase of BMI in the rural area and of WC in the urban area.
OBJECTIVE: To compare the 10-year changes in the distribution of adiposity in rural and urban Cameroonian populations. METHODS AND PROCEDURES: Two cross-sectional surveys of populations in the same rural and urban areas of Cameroon, aged>or=24 years, were carried out in 1994 (1,762 subjects) and 2003 (1,398 subjects) using similar methodology. All eligible subjects answered a structured questionnaire on their educational level, alcohol consumption, and tobacco smoking and weight, height, and waist circumference (WC) were measured. RESULTS: Between 1994 and 2003, the age-standardized prevalence of BMI>or=25 kg/m2 increased significantly only in the rural area (+54% for women and +82% for men), while the age-standardized prevalence of central obesity (WC>or=80 cm (women), >or=94 cm (men)) increased significantly only in the urban population (+32% for women and +190% for men). These differences persisted after adjustments for age group, alcohol consumption, tobacco smoking, and level of education, and within almost all the strata of the studied risk factors. DISCUSSION: Changes in adiposity over time in Cameroon were characterized by an increase of BMI in the rural area and of WC in the urban area.
Authors: Rhonda BeLue; Titilayo A Okoror; Juliet Iwelunmor; Kelly D Taylor; Arnold N Degboe; Charles Agyemang; Gbenga Ogedegbe Journal: Global Health Date: 2009-09-22 Impact factor: 4.185
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