Lifestyle factors associated with the transition from healthy to unhealthy adiposity among black South African adults over 10 years

Obesity is associated with an increasing prevalence of cardiovascular diseases in Africa, but some obese individuals maintain cardiometabolic health. The aims were to track metabolically healthy overweight or obesity (MHO) over 10 years in African adults and to identify factors associated with a tra...

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Bibliographic Details
Published in:Nutrition, metabolism, and cardiovascular diseases metabolism, and cardiovascular diseases, 2021-06, Vol.31 (7), p.2023-2032
Main Authors: Kruger, Herculina S., Ricci, Cristian, Pieters, Marlien, Botha-le Roux, Shani, Moss, Sarah J., Kruger, Iolanthe M., van Zyl, Tertia, Schutte, Aletta E.
Format: Article
Language:English
Subjects:
Metabolic syndrome
Metabolically healthy obesity
South Africa
Transition
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Summary:Obesity is associated with an increasing prevalence of cardiovascular diseases in Africa, but some obese individuals maintain cardiometabolic health. The aims were to track metabolically healthy overweight or obesity (MHO) over 10 years in African adults and to identify factors associated with a transition to metabolically unhealthy overweight or obesity (MUO). The participants were the South African cohort of the international Prospective Urban and Rural Epidemiological study. From the baseline data of 1937 adults, 649 women and 274 men were followed for 10 years. The combined overweight and obesity prevalence of men (19.2%–23.8%, p = .02) and women (58%–64.7%, p 
ISSN:0939-4753
1590-3729
DOI:10.1016/j.numecd.2021.03.017