雅温得部分健康地区肥胖症的患病率及其相关因素:横断面研究

Karell Happi Tchokonte, Bérénice Déliane Dzalle Walaghue, Estelle Audrey Jidjou Lienou, Ferdinand Lanvin Edoun Ebouel, Jose Kamgang
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摘要

背景:根据世界卫生组织的定义,肥胖是指身体脂肪异常或过度堆积,对健康构成威胁。肥胖症是一个重大的公共卫生问题,其人数不断增加(超重成年人达 14 亿,肥胖者超过 5 亿)。每年至少有 280 万人因此而死亡。肥胖症在非洲成年人口中的发病率超过 61%。尽管采取了控制策略,但肥胖在喀麦隆仍是一个现实问题:本研究旨在确定各种风险因素与雅温得部分健康地区不同程度肥胖症患病率之间的关系。这项工作是在喀麦隆中部的雅温得进行的一项描述性横断面研究。通过对目标医院的肥胖患者进行面对面的问卷调查来收集数据,并测定这些患者的人体测量参数。这些数据使用 CSPRO 7.1 和 SPSS 21.0 软件进行分析:参与研究的患者总数为 267 人,其中大部分为女性(82.4%)。肥胖的主要类型是中度肥胖,占 53%,其次是重度肥胖,占 37%。与所有肥胖等级相关的因素包括女性性别(73%为中度肥胖,89%为重度肥胖,100%为病态肥胖)和遗传因素(54.6%为中度肥胖,73.5%为重度肥胖,54.6%为病态肥胖)。年龄与中度肥胖有关:受中度肥胖影响最大的年龄组为 55-65 岁(37.5%):这些结果表明,对人们进行饮食和生活方式方面的再教育以预防肥胖至关重要,包括有遗传倾向的人群,甚至是妇女,无论其身体状况如何(更年期、多产妇)。
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Prevalence and Factors Associated with Grade of Obesity in Selected Health Areas in Yaoundé: A Cross-Sectional Study
Background: According to the WHO, obesity is an abnormal or excessive accumulation of body fat that poses a health risk. It is a major public health problem with growing numbers (1,400,000,000 overweight adults and more than 500,000,000 obese). Every year, there are at least 2,800,000 associated deaths. The prevalence of obesity in Africa is above 61% in the adult population. Despite control strategies, obesity is still a real problem in Cameroon. Methodology: This study aimed to determine the relationship between various risk factors and the prevalence of different grades of obesity in selected health areas in Yaounde. This work consisted of a descriptive cross-sectional study carried out in Yaoundé, in Central Cameroon. Data were collected via a questionnaire administered face-to-face to obese patients in the target hospitals and the anthropometric parameters of these were determined. These data were analyzed using CSPRO 7.1 and SPSS 21.0 software. Results: The total number of participants in this study was 267 patients, most of whom were women (82.4%). The predominant type of obesity was moderate obesity; its frequency was 53%, followed by severe obesity, 37%. The factors associated with all grades of obesity were female gender (73% moderate obesity, 89% severe obesity, 100% morbid obesity), and genetic factors (54.6% moderate obesity, 73.5% severe obesity, 54.6% morbid obesity). Age was associated with moderate obesity: the age group most affected by moderate obesity was 55–65 years (37.5%). Conclusion: These results show that it is of paramount importance to reeducate the population on diet and lifestyle to prevent obesity, including among genetically predisposed people and even women, whatever their conditions (Menopause, multipara).
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