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Body mass index and waist circumference in Mozambique: urban/rural gap during epidemiological transition

Body mass index and waist circumference in Mozambique: urban/rural gap during epidemiological... In 2005 we evaluated a nationally representative sample of the Mozambican adult population (n = 2913; 25–64 years old) following the STEPwise approach to chronic disease risk factor surveillance to estimate urban–rural differences in overweight and obesity and waist circumferences. The prevalences of obesity and overweight were, respectively, 6.8% (95% CI: 5.1–8.6) and 11.8% (95% CI: 8.4–15.4) among women, and 2.3% (95% CI: 1.1–3.6) and 9.4% (95% CI: 5.7–13.1) among men. Overweight/obesity was more frequent in urban settings (age‐, income‐ and education‐adjusted prevalence ratios; women, 2.76, 95% CI: 1.82–4.18; men, 1.76, 95% CI: 0.80–3.85). The average waist circumference in Mozambique was 75.2 cm (95% CI: 74.3–76.0) in women, significantly higher in urban than rural areas (age‐, income‐ and education‐adjusted β = 3.6 cm, 95% CI: 1.6–5.5) and 76.1 cm (95% CI: 75.0–77.3) in men, with no urban–rural differences (adjusted β = 1.3 cm, 95% CI: −0.9 to 3.5). Our results show urban–rural differences, as expected in a country under epidemiological transition, with urban areas presenting a higher prevalence of overweight/obesity, but age‐ and education‐specific estimates suggesting a trend towards smaller divergences. The development and implementation of strategies to manage the foreseeable obesity‐related healthcare demands are needed. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Obesity Reviews Wiley

Body mass index and waist circumference in Mozambique: urban/rural gap during epidemiological transition

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References (44)

Publisher
Wiley
Copyright
"Copyright © 2010 Wiley Subscription Services, Inc., A Wiley Company"
ISSN
1467-7881
eISSN
1467-789X
DOI
10.1111/j.1467-789X.2010.00739.x
pmid
20406415
Publisher site
See Article on Publisher Site

Abstract

In 2005 we evaluated a nationally representative sample of the Mozambican adult population (n = 2913; 25–64 years old) following the STEPwise approach to chronic disease risk factor surveillance to estimate urban–rural differences in overweight and obesity and waist circumferences. The prevalences of obesity and overweight were, respectively, 6.8% (95% CI: 5.1–8.6) and 11.8% (95% CI: 8.4–15.4) among women, and 2.3% (95% CI: 1.1–3.6) and 9.4% (95% CI: 5.7–13.1) among men. Overweight/obesity was more frequent in urban settings (age‐, income‐ and education‐adjusted prevalence ratios; women, 2.76, 95% CI: 1.82–4.18; men, 1.76, 95% CI: 0.80–3.85). The average waist circumference in Mozambique was 75.2 cm (95% CI: 74.3–76.0) in women, significantly higher in urban than rural areas (age‐, income‐ and education‐adjusted β = 3.6 cm, 95% CI: 1.6–5.5) and 76.1 cm (95% CI: 75.0–77.3) in men, with no urban–rural differences (adjusted β = 1.3 cm, 95% CI: −0.9 to 3.5). Our results show urban–rural differences, as expected in a country under epidemiological transition, with urban areas presenting a higher prevalence of overweight/obesity, but age‐ and education‐specific estimates suggesting a trend towards smaller divergences. The development and implementation of strategies to manage the foreseeable obesity‐related healthcare demands are needed.

Journal

Obesity ReviewsWiley

Published: Sep 1, 2010

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