Sociodemographic and behavioural risk factors for obesity among community-dwelling older adults in Ghana and Nigeria: A secondary analysis of data from the SIREN study

Objectives To explore the prevalence and risk factors of obesity among older adults from low- and middle-income countries (LMICs). Methods This is a secondary analysis of data obtained from the SIREN study through in-person interviews and measurements from healthy stroke-free older adults (≥60 years...

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Published in:Chronic illness 2023-03, Vol.19 (1), p.40-55
Main Authors: Akpa, Onoja M., Okekunle, Akinkunmi P., Sarfo, Fred S., Akinyemi, Rufus O., Akpalu, Albert, Wahab, Kolawole W., Komolafe, Morenikeji, Obiako, Reginald, Owolabi, Lukman, Jenkins, Carolyn, Abiodun, Adeoye, Ogbole, Godwin, Fawale, Bimbo, Akinyemi, Joshua, Agunloye, Atinuke, Uvere, Ezinne O., Fakunle, Adekunle, Ovbiagele, Bruce, Owolabi, Mayowa O.
Format: Article
Language:English
Subjects:
Aged
Body Mass Index
Female
Ghana - epidemiology
Humans
Independent Living
Male
Nigeria - epidemiology
Obesity
Obesity - epidemiology
Obesity, Abdominal - epidemiology
Older people
Overweight
Overweight - epidemiology
Risk behavior
Risk Factors
Sociodemographics
Waist
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cited_by cdi_FETCH-LOGICAL-c368t-3634277cf9034c22548e92ca79f62f80bc566daab6ab4f821ebafa3229c00db33
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container_issue 1
container_start_page 40
container_title Chronic illness
container_volume 19
creator Akpa, Onoja M.
Okekunle, Akinkunmi P.
Sarfo, Fred S.
Akinyemi, Rufus O.
Akpalu, Albert
Wahab, Kolawole W.
Komolafe, Morenikeji
Obiako, Reginald
Owolabi, Lukman
Jenkins, Carolyn
Abiodun, Adeoye
Ogbole, Godwin
Fawale, Bimbo
Akinyemi, Joshua
Agunloye, Atinuke
Uvere, Ezinne O.
Fakunle, Adekunle
Ovbiagele, Bruce
Owolabi, Mayowa O.
description Objectives To explore the prevalence and risk factors of obesity among older adults from low- and middle-income countries (LMICs). Methods This is a secondary analysis of data obtained from the SIREN study through in-person interviews and measurements from healthy stroke-free older adults (≥60 years). Overweight/obesity was defined as body mass index ≥25 kg/m2. Abdominal obesity was defined as waist-to-hip ratio (WHR) of >0.90 for males and >0.85/females or waist circumference (WC) of >102 cm for males/>88 cm for females. Adjusted odds ratio (aORs) with 95% confidence interval (CIs) of the relationship between obesity and sociodemographic factors were assessed at P $100/month (aOR: 1.53; CI: 1.19–1.96), and having formal education (aOR: 1.42; CI: 1.08–1.87) were associated with overweight/obesity. Conclusion Living in urban settings, earning a higher income, and having a formal education were associated with a higher odds of obesity among older adults from LMICs.
doi_str_mv 10.1177/17423953211054023
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Methods This is a secondary analysis of data obtained from the SIREN study through in-person interviews and measurements from healthy stroke-free older adults (≥60 years). Overweight/obesity was defined as body mass index ≥25 kg/m2. Abdominal obesity was defined as waist-to-hip ratio (WHR) of &gt;0.90 for males and &gt;0.85/females or waist circumference (WC) of &gt;102 cm for males/&gt;88 cm for females. Adjusted odds ratio (aORs) with 95% confidence interval (CIs) of the relationship between obesity and sociodemographic factors were assessed at P &lt; 0.05. Results Overall, 47.5% of participants were overweight/obese, 76.6% had a larger than recommended WHR, and 54.4% had a larger than recommended WC. Abdominal obesity (WC; aOR: 9.43, CI: 6.99–12.50), being a Nigerian (aOR: 0.55; CI: 0.42–0.72), living in an urban setting (aOR: 1.92; CI: 1.49–2.46), earning &gt;$100/month (aOR: 1.53; CI: 1.19–1.96), and having formal education (aOR: 1.42; CI: 1.08–1.87) were associated with overweight/obesity. Conclusion Living in urban settings, earning a higher income, and having a formal education were associated with a higher odds of obesity among older adults from LMICs.</description><identifier>ISSN: 1742-3953</identifier><identifier>EISSN: 1745-9206</identifier><identifier>DOI: 10.1177/17423953211054023</identifier><identifier>PMID: 34787475</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aged ; Body Mass Index ; Female ; Ghana - epidemiology ; Humans ; Independent Living ; Male ; Nigeria - epidemiology ; Obesity ; Obesity - epidemiology ; Obesity, Abdominal - epidemiology ; Older people ; Overweight ; Overweight - epidemiology ; Risk behavior ; Risk Factors ; Sociodemographics ; Waist</subject><ispartof>Chronic illness, 2023-03, Vol.19 (1), p.40-55</ispartof><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-3634277cf9034c22548e92ca79f62f80bc566daab6ab4f821ebafa3229c00db33</citedby><cites>FETCH-LOGICAL-c368t-3634277cf9034c22548e92ca79f62f80bc566daab6ab4f821ebafa3229c00db33</cites><orcidid>0000-0003-4825-4934 ; 0000-0003-1146-3070 ; 0000-0002-0592-5120 ; 0000-0002-0558-5218</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,30999,79364</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34787475$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akpa, Onoja M.</creatorcontrib><creatorcontrib>Okekunle, Akinkunmi P.</creatorcontrib><creatorcontrib>Sarfo, Fred S.</creatorcontrib><creatorcontrib>Akinyemi, Rufus O.</creatorcontrib><creatorcontrib>Akpalu, Albert</creatorcontrib><creatorcontrib>Wahab, Kolawole W.</creatorcontrib><creatorcontrib>Komolafe, Morenikeji</creatorcontrib><creatorcontrib>Obiako, Reginald</creatorcontrib><creatorcontrib>Owolabi, Lukman</creatorcontrib><creatorcontrib>Jenkins, Carolyn</creatorcontrib><creatorcontrib>Abiodun, Adeoye</creatorcontrib><creatorcontrib>Ogbole, Godwin</creatorcontrib><creatorcontrib>Fawale, Bimbo</creatorcontrib><creatorcontrib>Akinyemi, Joshua</creatorcontrib><creatorcontrib>Agunloye, Atinuke</creatorcontrib><creatorcontrib>Uvere, Ezinne O.</creatorcontrib><creatorcontrib>Fakunle, Adekunle</creatorcontrib><creatorcontrib>Ovbiagele, Bruce</creatorcontrib><creatorcontrib>Owolabi, Mayowa O.</creatorcontrib><creatorcontrib>SIREN study as part of the H3Africa consortium</creatorcontrib><creatorcontrib>on behalf of the SIREN study as part of the H3Africa consortium</creatorcontrib><title>Sociodemographic and behavioural risk factors for obesity among community-dwelling older adults in Ghana and Nigeria: A secondary analysis of data from the SIREN study</title><title>Chronic illness</title><addtitle>Chronic Illn</addtitle><description>Objectives To explore the prevalence and risk factors of obesity among older adults from low- and middle-income countries (LMICs). Methods This is a secondary analysis of data obtained from the SIREN study through in-person interviews and measurements from healthy stroke-free older adults (≥60 years). Overweight/obesity was defined as body mass index ≥25 kg/m2. Abdominal obesity was defined as waist-to-hip ratio (WHR) of &gt;0.90 for males and &gt;0.85/females or waist circumference (WC) of &gt;102 cm for males/&gt;88 cm for females. Adjusted odds ratio (aORs) with 95% confidence interval (CIs) of the relationship between obesity and sociodemographic factors were assessed at P &lt; 0.05. Results Overall, 47.5% of participants were overweight/obese, 76.6% had a larger than recommended WHR, and 54.4% had a larger than recommended WC. Abdominal obesity (WC; aOR: 9.43, CI: 6.99–12.50), being a Nigerian (aOR: 0.55; CI: 0.42–0.72), living in an urban setting (aOR: 1.92; CI: 1.49–2.46), earning &gt;$100/month (aOR: 1.53; CI: 1.19–1.96), and having formal education (aOR: 1.42; CI: 1.08–1.87) were associated with overweight/obesity. Conclusion Living in urban settings, earning a higher income, and having a formal education were associated with a higher odds of obesity among older adults from LMICs.</description><subject>Aged</subject><subject>Body Mass Index</subject><subject>Female</subject><subject>Ghana - epidemiology</subject><subject>Humans</subject><subject>Independent Living</subject><subject>Male</subject><subject>Nigeria - epidemiology</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Obesity, Abdominal - epidemiology</subject><subject>Older people</subject><subject>Overweight</subject><subject>Overweight - epidemiology</subject><subject>Risk behavior</subject><subject>Risk Factors</subject><subject>Sociodemographics</subject><subject>Waist</subject><issn>1742-3953</issn><issn>1745-9206</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp1kc1u1TAQhSMEoqXwAGzQSGzYpPjfCbuqKqVS1UoU1tHEP_e6JPHFToruE_GauL2llUBdeTz65ozOnKp6S8khpVp_pFow3krOKCVSEMafVfulJ-uWEfX8rmb1LbBXvcr5mhChuNYvqz0udKOFlvvV76toQrRujKuEm3UwgJOF3q3xJsQl4QAp5B_g0cwxZfAxQexdDvMWcIzTCkwcx2Uq_9r-csMQSisO1iVAuwxzhjDB6RonvNO9CCuXAn6CI8jOxMliKjoTDtscMkQPFmcEn-II89rB1dnXkwvI82K3r6sXHofs3ty_B9X3zyffjr_U55enZ8dH57XhqplrrrhgWhvfEi4MY1I0rmUGdesV8w3pjVTKIvYKe-EbRl2PHjljrSHE9pwfVB92upsUfy4uz90YsinGcHJxyR2TbSN5w7Qs6Pt_0OtysWKmUFpJIVrKVKHojjIp5pyc7zYpjMV3R0l3m2L3X4pl5t298tKPzj5M_I2tAIc7IOPKPa59WvEPqDumcw</recordid><startdate>202303</startdate><enddate>202303</enddate><creator>Akpa, Onoja M.</creator><creator>Okekunle, Akinkunmi P.</creator><creator>Sarfo, Fred S.</creator><creator>Akinyemi, Rufus O.</creator><creator>Akpalu, Albert</creator><creator>Wahab, Kolawole W.</creator><creator>Komolafe, Morenikeji</creator><creator>Obiako, Reginald</creator><creator>Owolabi, Lukman</creator><creator>Jenkins, Carolyn</creator><creator>Abiodun, Adeoye</creator><creator>Ogbole, Godwin</creator><creator>Fawale, Bimbo</creator><creator>Akinyemi, Joshua</creator><creator>Agunloye, Atinuke</creator><creator>Uvere, Ezinne O.</creator><creator>Fakunle, Adekunle</creator><creator>Ovbiagele, Bruce</creator><creator>Owolabi, Mayowa O.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4825-4934</orcidid><orcidid>https://orcid.org/0000-0003-1146-3070</orcidid><orcidid>https://orcid.org/0000-0002-0592-5120</orcidid><orcidid>https://orcid.org/0000-0002-0558-5218</orcidid></search><sort><creationdate>202303</creationdate><title>Sociodemographic and behavioural risk factors for obesity among community-dwelling older adults in Ghana and Nigeria: A secondary analysis of data from the SIREN study</title><author>Akpa, Onoja M. ; 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Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Chronic illness</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akpa, Onoja M.</au><au>Okekunle, Akinkunmi P.</au><au>Sarfo, Fred S.</au><au>Akinyemi, Rufus O.</au><au>Akpalu, Albert</au><au>Wahab, Kolawole W.</au><au>Komolafe, Morenikeji</au><au>Obiako, Reginald</au><au>Owolabi, Lukman</au><au>Jenkins, Carolyn</au><au>Abiodun, Adeoye</au><au>Ogbole, Godwin</au><au>Fawale, Bimbo</au><au>Akinyemi, Joshua</au><au>Agunloye, Atinuke</au><au>Uvere, Ezinne O.</au><au>Fakunle, Adekunle</au><au>Ovbiagele, Bruce</au><au>Owolabi, Mayowa O.</au><aucorp>SIREN study as part of the H3Africa consortium</aucorp><aucorp>on behalf of the SIREN study as part of the H3Africa consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sociodemographic and behavioural risk factors for obesity among community-dwelling older adults in Ghana and Nigeria: A secondary analysis of data from the SIREN study</atitle><jtitle>Chronic illness</jtitle><addtitle>Chronic Illn</addtitle><date>2023-03</date><risdate>2023</risdate><volume>19</volume><issue>1</issue><spage>40</spage><epage>55</epage><pages>40-55</pages><issn>1742-3953</issn><eissn>1745-9206</eissn><abstract>Objectives To explore the prevalence and risk factors of obesity among older adults from low- and middle-income countries (LMICs). Methods This is a secondary analysis of data obtained from the SIREN study through in-person interviews and measurements from healthy stroke-free older adults (≥60 years). Overweight/obesity was defined as body mass index ≥25 kg/m2. Abdominal obesity was defined as waist-to-hip ratio (WHR) of &gt;0.90 for males and &gt;0.85/females or waist circumference (WC) of &gt;102 cm for males/&gt;88 cm for females. Adjusted odds ratio (aORs) with 95% confidence interval (CIs) of the relationship between obesity and sociodemographic factors were assessed at P &lt; 0.05. Results Overall, 47.5% of participants were overweight/obese, 76.6% had a larger than recommended WHR, and 54.4% had a larger than recommended WC. Abdominal obesity (WC; aOR: 9.43, CI: 6.99–12.50), being a Nigerian (aOR: 0.55; CI: 0.42–0.72), living in an urban setting (aOR: 1.92; CI: 1.49–2.46), earning &gt;$100/month (aOR: 1.53; CI: 1.19–1.96), and having formal education (aOR: 1.42; CI: 1.08–1.87) were associated with overweight/obesity. Conclusion Living in urban settings, earning a higher income, and having a formal education were associated with a higher odds of obesity among older adults from LMICs.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>34787475</pmid><doi>10.1177/17423953211054023</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0003-4825-4934</orcidid><orcidid>https://orcid.org/0000-0003-1146-3070</orcidid><orcidid>https://orcid.org/0000-0002-0592-5120</orcidid><orcidid>https://orcid.org/0000-0002-0558-5218</orcidid></addata></record>
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subjects Aged
Body Mass Index
Female
Ghana - epidemiology
Humans
Independent Living
Male
Nigeria - epidemiology
Obesity
Obesity - epidemiology
Obesity, Abdominal - epidemiology
Older people
Overweight
Overweight - epidemiology
Risk behavior
Risk Factors
Sociodemographics
Waist
title Sociodemographic and behavioural risk factors for obesity among community-dwelling older adults in Ghana and Nigeria: A secondary analysis of data from the SIREN study
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