Abdominal Obesity in Adult Nigerian Africans: Prevalence and Co-Occurrence with Cardio-Metabolic Risk Factors in a Resource Poor Setting of a Rural Hospital in Eastern Nigeria
American Journal of Health Research
Volume 1, Issue 3, November 2013, Pages: 73-80
Received: Sep. 29, 2013; Published: Oct. 30, 2013
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Gabriel Uche Pascal Iloh, Department of Family Medicine, Federal Medical Centre, Umuahia, Abia state, Nigeria
Augustin Obiora Ikwudinma, Department of Family Medicine, Federal Teaching Hospital Abakiliki, Nigeria
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Background: Abdominal obesity is socially and culturally not recognized as a health problem in Nigeria. However, the deleterious effects of abdominal obesity are on the cardio-metabolic disorders such as hypertension, dysglycaemia and dyslipidaemia. Of great concern in rural Nigeria is that most adult patients with abdominal obesity are not routinely diagnosed and therefore do not receive appropriate management Aim: This study was designed to determine the prevalence of abdominal obesity in adult Nigerian Africans and its co-occurrence with cardio-metabolic risk factors in a resource poor setting of a rural hospital in Eastern Nigeria Methods: This was a descriptive study carried out from June 2008 to June 2011. A total of 3012 adult patients aged 18-91 years were screened for abdominal obesity using the third report of National Cholesterol Education Panel(NCEP) in adult (ATP III) criterion and 350 patients who had WC ≥102cm and ≥88cm for men and women respectively were screened for cardio-metabolic risk factors. Hypertension, diabetes mellitus and dyslipidaemia were defined using JNC 7, American Diabetic Association and the third report of NCEP in adult (ATP III) criteria respectively. The data collected included basic demographic variables, blood pressure, waist circumference, and fasting lipid profile and plasma glucose. Results: .The prevalence of abdominal obesity was 11.6%. The most common co-occurring primary cardio-metabolic risk factor was hypertension (44.6%). Others included isolated dyslipidaemia(22.6%) and diabetes mellitus(7.1%). Conclusion: Abdominal obesity exists among the study population and co-occurred with cardio-metabolic risk factors with hypertension being the most frequent and diabetes the least. Abdominal obesity should be considered during clinical encounter with adult Nigerians in the study area alongside the complex of other primary cardio-metabolic risk factors.
Abdominal Obesity, Adult Nigerians, Co-Occurring Cardio-Metabolic Risk Factors, Rural Hospital
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Gabriel Uche Pascal Iloh, Augustin Obiora Ikwudinma, Abdominal Obesity in Adult Nigerian Africans: Prevalence and Co-Occurrence with Cardio-Metabolic Risk Factors in a Resource Poor Setting of a Rural Hospital in Eastern Nigeria, American Journal of Health Research. Vol. 1, No. 3, 2013, pp. 73-80. doi: 10.11648/j.ajhr.20130103.16
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