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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Body mass index and waist circumference in Mozambique: Urban/rural gap during epidemiological transition
Obesity Reviews, Volume 11, No. 9, Year 2010
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Description
In 2005 we evaluated a nationally representative sample of the Mozambican adult population (n = 2913; 25-64 years old) following the STEPwise approach to chronic disease risk factor surveillance to estimate urban-rural differences in overweight and obesity and waist circumferences. The prevalences of obesity and overweight were, respectively, 6.8% (95% CI: 5.1-8.6) and 11.8% (95% CI: 8.4-15.4) among women, and 2.3% (95% CI: 1.1-3.6) and 9.4% (95% CI: 5.7-13.1) among men. Overweight/obesity was more frequent in urban settings (age-, income- and education-adjusted prevalence ratios; women, 2.76, 95% CI: 1.82-4.18; men, 1.76, 95% CI: 0.80-3.85). The average waist circumference in Mozambique was 75.2 cm (95% CI: 74.3-76.0) in women, significantly higher in urban than rural areas (age-, income- and education-adjusted β = 3.6 cm, 95% CI: 1.6-5.5) and 76.1 cm (95% CI: 75.0-77.3) in men, with no urban-rural differences (adjusted β = 1.3 cm, 95% CI: -0.9 to 3.5). Our results show urban-rural differences, as expected in a country under epidemiological transition, with urban areas presenting a higher prevalence of overweight/obesity, but age- and education-specific estimates suggesting a trend towards smaller divergences. The development and implementation of strategies to manage the foreseeable obesity-related healthcare demands are needed. © 2010 International Association for the Study of Obesity.
Authors & Co-Authors
Gomes, Alexandra
Portugal, Porto
Universidade do Porto
Damasceno, A. Antonio Moura
Mozambique, Maputo
Universidade Eduardo Mondlane
Azevedo, Ana Raquel
Portugal, Porto
Universidade do Porto
Prista, António
Mozambique, Maputo
Pedagogical University
Silva-Matos, Carla
Mozambique, Maputo
Mozambique Ministry of Health
Saranga, Sílvio Pedro José
Mozambique, Maputo
Pedagogical University
Lunet, Nuno
Portugal, Porto
Universidade do Porto
Statistics
Citations: 54
Authors: 7
Affiliations: 4
Identifiers
Doi:
10.1111/j.1467-789X.2010.00739.x
ISSN:
14677881
e-ISSN:
1467789X
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Cross Sectional Study
Study Locations
Mozambique
Participants Gender
Male
Female