Lifestyle and Dietary Factors Associated with the Evolution of Cardiometabolic Risk over Four Years in West-African Adults: The Benin Study

Aim. To assess in adults from Benin changes in cardiometabolic risk (CMR) using both the Framingham risk score (FRS) and metabolic syndrome (MetS) and to examine the effects of diet, and lifestyles, controlling for location and socioeconomic status. Methods. Apparently healthy subjects (n=541) aged...

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Bibliographic Details
Published in:Journal of Obesity 2013-01, Vol.2013 (2013), p.243-251
Main Authors: Agueh, Victoire, Sossa, Charles, Makoutodé, Michel, Ntandou, Gervais, Sodjinou, Roger, Delisle, Hélène
Format: Article
Language:English
Subjects:
Adult
Alcohol Drinking
Benin - epidemiology
Blood Pressure
Cardiovascular diseases
Cardiovascular Diseases - epidemiology
Demographic aspects
Diet
Educational Status
Exercise
Female
Health aspects
Humans
Income
Life Style
Longitudinal Studies
Male
Metabolic Syndrome - epidemiology
Middle Aged
Risk Factors
Rural Population
Sedentary Lifestyle
Smoking
Socioeconomic Factors
Urban Population
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Summary:Aim. To assess in adults from Benin changes in cardiometabolic risk (CMR) using both the Framingham risk score (FRS) and metabolic syndrome (MetS) and to examine the effects of diet, and lifestyles, controlling for location and socioeconomic status. Methods. Apparently healthy subjects (n=541) aged 25–60 years and randomly selected in the largest city, a small town, and rural areas were included in the four-year longitudinal study. Along with CMR factors, socioeconomic, diet and lifestyle data were collected in individual interviews. A food score based on consumption frequency of four “sentinel” food groups (meat and poultry, dairy, eggs, and vegetables) was developed. Lifestyle included physical activity, alcohol and tobacco use. Education and income (proxy) were the socioeconomic variables. Results. Among the subjects with four-year follow-up data (n=416), 13.5% were at risk at baseline, showing MetS or FRS ≥ 10%. The incidence of MetS and FRS ≥ 10% during follow-up was 8.2% and 5%, respectively. CMR deteriorated in 21% of subjects. Diet and lifestyle mediated location and income effects on CMR evolution. Low food scores and inactivity increased the likelihood of CMR deterioration. Conclusion. Combining MetS and FRS might be appropriate for surveillance purposes in order to better capture CMR and inform preventive measures.
ISSN:2090-0708
2090-0716
DOI:10.1155/2013/298024