High prevalence of obesity among women in urban Haiti: Findings from a population-based cohort.
Front Public Health
; 10: 976909, 2022.
Article
em En
| MEDLINE
| ID: mdl-36276356
ABSTRACT
Introduction:
Obesity is associated with increased risk of non-communicable diseases and death and is increasing rapidly in low- and middle-income countries, including Haiti. There is limited population-based data on body mass index (BMI) and waist circumference (WC) and associated risk factors in Haiti. This study describes BMI and WC, and factors associated with obesity using a population-based cohort from Port-au-Prince.Methods:
Baseline sociodemographic and clinical data were collected from participants in the Haiti CVD Cohort Study between March 2019 and August 2021. Weight was categorized by BMI (kg/m2) with obesity defined as ≥30 kg/m2. Abdominal obesity was defined using WC cutoffs of ≥80 cm for women and ≥94 cm for men based on WHO guidelines. Sociodemographic and behavioral risk factors, including age, sex, educational attainment, income, smoking status, physical activity, fat/oil use, daily fruit/vegetable consumption, and frequency of fried food intake were assessed for their association with obesity using a Poisson multivariable regression.Results:
Among 2,966 participants, median age was 41 years (IQR 28-55) and 57.6% were women. Median BMI was 24.0 kg/m2 (IQR 20.9-28.1) and 508 (17.1%) participants were obese. Women represented 89.2% of the population with BMI ≥30 kg/m2. A total of 1,167 (68.3%) women had WC ≥80 cm and 144 (11.4%) men had WC ≥94 cm. BMI ≥30 kg/m2 was significantly more prevalent among women than men [PR 5.7; 95% CI (4.3-7.6)], those 40-49 years compared to 18-29 years [PR 3.3; 95% CI (2.4-4.6)], and those with income >10 USD per day compared to ≤1 USD [PR 1.3; 95% CI (1.0-1.6)]. There were no significant associations with other health and behavioral risk factors.Discussion:
In Haiti, women have an alarming 6-fold higher obesity prevalence compared to men (26.5 vs. 4.3%) and 89.2% of participants with obesity were women. Abdominal obesity was high, at 44.3%. Haiti faces a paradox of an ongoing national food insecurity crises and a burgeoning obesity epidemic. Individual, social, and environmental drivers of obesity, especially among women, need to be identified.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Obesidade Abdominal
/
Obesidade
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Incidence_studies
/
Observational_studies
/
Prevalence_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Male
País/Região como assunto:
Caribe
/
Haiti
Idioma:
En
Revista:
Front Public Health
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Haiti