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首页> 外文期刊>American Journal of Health Research >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
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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

机译：成年尼日利亚非洲人的腹部肥胖：尼日利亚东部农村医院资源贫乏地区的患病率和心血管代谢危险因素的同时发生

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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.
机译：背景：在尼日利亚，从社会和文化上来讲，腹部肥胖未被视为健康问题。然而，腹部肥胖对心血管疾病如高血压，血糖异常和血脂异常具有有害作用。在尼日利亚农村地区，最令人担忧的是，大多数成年的腹部肥胖患者没有得到常规诊断，因此没有得到适当的治疗。目的：本研究旨在确定尼日利亚成年非洲人中腹部肥胖的患病率及其与心血管疾病的共同发生率。方法：这是一项描述性研究，于2008年6月至2011年6月进行。该研究是尼日利亚东部某乡村医院资源贫乏地区的代谢危险因素。使用第三项筛查方法，对3012名年龄在18-91岁之间的成年患者进行了筛查美国国家胆固醇教育小组（NCEP）以成人（ATP III）为标准，对350例男女WC≥102cm和≥88cm的患者进行了心血管代谢危险因素的筛查。分别使用JNC 7，美国糖尿病协会和成人NCEP的第三次报告（ATP III）标准定义了高血压，糖尿病和血脂异常。收集的数据包括基本的人口统计学变量，血压，腰围，空腹血脂和血浆葡萄糖。结果：腹部肥胖的患病率为11.6％。同时发生的最常见的原发性心脏代谢危险因素是高血压（44.6％）。其他包括单纯性血脂异常（22.6％）和糖尿病（7.1％）。结论：研究人群中存在腹部肥胖，并发心脏代谢危险因素，其中高血压最常见，糖尿病最少。在研究区域与成年尼日利亚人进行临床接触时，应考虑腹部肥胖以及其他主要的心血管代谢危险因素。

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