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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Modifiable Socio-Behavioural Factors Associated with Overweight and Hypertension among Persons Aged 35 to 60 Years in Eastern Uganda
PLoS ONE, Volume 7, No. 10, Article e47632, Year 2012
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Description
Background: Few studies have examined the behavioural correlates of non-communicable, chronic disease risk in low-income countries. The objective of this study was to identify socio-behavioural characteristics associated with being overweight or being hypertensive in a low-income setting, so as to highlight possible interventions and target groups. Methods: A population based survey was conducted in a Health and Demographic Surveillance Site (HDSS) in eastern Uganda. 1656 individuals aged 35 to 60 years had their Body Mass Index (BMI) and blood pressure (BP) assessed. Seven lifestyle factors were also assessed, using a validated questionnaire. Logistic regression was used to identify socio-behavioural factors associated with being overweight or being hypertensive. Results: Prevalence of overweight was found to be 18% (25.2% of women; 9.7% of men; p<0.001) while prevalence of obesity was 5.3% (8.3% of women; 2.2% of men). The prevalence of hypertension was 20.5%. Factors associated with being overweight included being female (OR 3.7; 95% CI 2.69-5.08), peri-urban residence (OR 2.5; 95% CI 1.46-3.01), higher socio-economic status (OR 4.1; 95% CI 2.40-6.98), and increasing age (OR 1.8; 95% CI 1.12-2.79). Those who met the recommended minimum physical activity level, and those with moderate dietary diversity were less likely to be overweight (OR 0.5; 95% CI 0.35-0.65 and OR 0.7; 95% CI 0.49-3.01). Factors associated with being hypertensive included peri-urban residence (OR 2.4; 95%CI 1.60-3.66), increasing age (OR 4.5; 95% CI 2.94-6.96) and being over-weight (OR 2.8; 95% CI 1.98-3.98). Overweight persons in rural areas were significantly more likely to be hypertensive than those in peri-urban areas (p = 0.013). Conclusions: Being overweight in low-income settings is associated with sex, physical activity and dietary diversity and being hypertensive is associated with being overweight; these factors are modifiable. There is need for context-specific health education addressing disparities in lifestyles at community levels in rural Africa. © 2012 Mayega et al.
Authors & Co-Authors
Mayega, Roy William
Sweden, Stockholm
Karolinska Institutet
Uganda, Kampala
Makerere University School of Public Health
Makumbi, Fredrick Edward
Uganda, Kampala
Makerere University School of Public Health
Rutebemberwa, Elizeus
Uganda, Kampala
Makerere University School of Public Health
Uganda, Iganga
Iganga-mayuge Health and Demographic Surveillance Site
Peterson, Stefan Swartling
Sweden, Stockholm
Karolinska Institutet
Uganda, Kampala
Makerere University School of Public Health
Sweden, Uppsala
Uppsala Universitet
Östenson, Claes Göran
Sweden, Stockholm
Karolinska Institutet
Tomson, Göran B.
Sweden, Stockholm
Karolinska Institutet
Guwatudde, David
Uganda, Kampala
Makerere University School of Public Health
Statistics
Citations: 89
Authors: 7
Affiliations: 4
Identifiers
Doi:
10.1371/journal.pone.0047632
e-ISSN:
19326203
Research Areas
Noncommunicable Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Uganda
Participants Gender
Male
Female