Obesity and undernutrition and cardiovascular risk factors in rural and urban Gambian communities

M A van der Sande; S M Ceesay; P J Milligan; Ousman A Nyan; W A Banya; Andrew M Prentice; Keith P W J McAdam; G E L Walraven

Obesity and undernutrition and cardiovascular risk factors in rural and urban Gambian communities

M A van der Sande
, S M Ceesay
, P J Milligan
, Ousman A Nyan
, W A Banya
, Andrew M Prentice
, Keith P W J McAdam
, G E L Walraven

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

OBJECTIVES: This study documented the prevalence of and cardiovascular risk factors associated with obesity and undernutrition in the Gambia.

METHODS: Adults (> or =15 years; N = 5373) from rural and urban areas completed a questionnaire; their height, weight, and waist and hip circumferences were measured, and their cardiovascular risk factors were assessed.

RESULTS: Prevalence of undernutrition (body mass index < 18 kg/m(2)) was 18.0%; all strata of society were affected. Prevalence of obesity (body mass index > or =30 kg/m(2)) was 4.0% but was higher (32.6%) among urban women 35 years or older. Cardiovascular risk factors were more prevalent among obese participants.

CONCLUSIONS: Undernutrition coexists with obesity, demonstrating a "double burden of disease." Differential interventions should focus on high-risk groups; prevention needs a multisectorial approach.

Original language	English
Pages (from-to)	1641-4
Number of pages	4
Journal	American journal of public health
Volume	91
Issue number	10
Publication status	Published - 2001

Keywords

Adolescent
Adult
Cardiovascular Diseases
Female
Gambia
Humans
Male
Middle Aged
Nutrition Disorders
Obesity
Prevalence
Risk Factors
Rural Health
Surveys and Questionnaires
Urban Health
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Cite this

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title = "Obesity and undernutrition and cardiovascular risk factors in rural and urban Gambian communities",

abstract = "OBJECTIVES: This study documented the prevalence of and cardiovascular risk factors associated with obesity and undernutrition in the Gambia.METHODS: Adults (> or =15 years; N = 5373) from rural and urban areas completed a questionnaire; their height, weight, and waist and hip circumferences were measured, and their cardiovascular risk factors were assessed.RESULTS: Prevalence of undernutrition (body mass index < 18 kg/m(2)) was 18.0\%; all strata of society were affected. Prevalence of obesity (body mass index > or =30 kg/m(2)) was 4.0\% but was higher (32.6\%) among urban women 35 years or older. Cardiovascular risk factors were more prevalent among obese participants.CONCLUSIONS: Undernutrition coexists with obesity, demonstrating a {"}double burden of disease.{"} Differential interventions should focus on high-risk groups; prevention needs a multisectorial approach.",

keywords = "Adolescent, Adult, Cardiovascular Diseases, Female, Gambia, Humans, Male, Middle Aged, Nutrition Disorders, Obesity, Prevalence, Risk Factors, Rural Health, Surveys and Questionnaires, Urban Health, Comparative Study, Journal Article, Research Support, Non-U.S. Gov't",

author = "\{van der Sande\}, \{M A\} and Ceesay, \{S M\} and Milligan, \{P J\} and Nyan, \{Ousman A\} and Banya, \{W A\} and Prentice, \{Andrew M\} and McAdam, \{Keith P W J\} and Walraven, \{G E L\}",

year = "2001",

language = "English",

volume = "91",

pages = "1641--4",

journal = "American journal of public health",

issn = "0090-0036",

publisher = "American Public Health Association Inc.",

number = "10",

}

TY - JOUR

T1 - Obesity and undernutrition and cardiovascular risk factors in rural and urban Gambian communities

AU - van der Sande, M A

AU - Ceesay, S M

AU - Milligan, P J

AU - Nyan, Ousman A

AU - Banya, W A

AU - Prentice, Andrew M

AU - McAdam, Keith P W J

AU - Walraven, G E L

PY - 2001

Y1 - 2001

N2 - OBJECTIVES: This study documented the prevalence of and cardiovascular risk factors associated with obesity and undernutrition in the Gambia.METHODS: Adults (> or =15 years; N = 5373) from rural and urban areas completed a questionnaire; their height, weight, and waist and hip circumferences were measured, and their cardiovascular risk factors were assessed.RESULTS: Prevalence of undernutrition (body mass index < 18 kg/m(2)) was 18.0%; all strata of society were affected. Prevalence of obesity (body mass index > or =30 kg/m(2)) was 4.0% but was higher (32.6%) among urban women 35 years or older. Cardiovascular risk factors were more prevalent among obese participants.CONCLUSIONS: Undernutrition coexists with obesity, demonstrating a "double burden of disease." Differential interventions should focus on high-risk groups; prevention needs a multisectorial approach.

AB - OBJECTIVES: This study documented the prevalence of and cardiovascular risk factors associated with obesity and undernutrition in the Gambia.METHODS: Adults (> or =15 years; N = 5373) from rural and urban areas completed a questionnaire; their height, weight, and waist and hip circumferences were measured, and their cardiovascular risk factors were assessed.RESULTS: Prevalence of undernutrition (body mass index < 18 kg/m(2)) was 18.0%; all strata of society were affected. Prevalence of obesity (body mass index > or =30 kg/m(2)) was 4.0% but was higher (32.6%) among urban women 35 years or older. Cardiovascular risk factors were more prevalent among obese participants.CONCLUSIONS: Undernutrition coexists with obesity, demonstrating a "double burden of disease." Differential interventions should focus on high-risk groups; prevention needs a multisectorial approach.

KW - Adolescent

KW - Adult

KW - Cardiovascular Diseases

KW - Female

KW - Gambia

KW - Humans

KW - Male

KW - Middle Aged

KW - Nutrition Disorders

KW - Obesity

KW - Prevalence

KW - Risk Factors

KW - Rural Health

KW - Surveys and Questionnaires

KW - Urban Health

KW - Comparative Study

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

M3 - Article

C2 - 11574327

SN - 0090-0036

VL - 91

SP - 1641

EP - 1644

JO - American journal of public health

JF - American journal of public health

IS - 10

ER -

Obesity and undernutrition and cardiovascular risk factors in rural and urban Gambian communities

Abstract

Keywords

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