Factors associated with excessive body fat in men and women: cross-sectional data from Black South Africans living in a rural community and an urban township

 

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dc.contributor.author Okop, Kufre Joseph en_ZA
dc.contributor.author Levitt, Naomi en_ZA
dc.contributor.author Puoane, Thandi en_ZA
dc.date.accessioned 2015-12-20T16:04:20Z
dc.date.available 2015-12-20T16:04:20Z
dc.date.issued 2015 en_ZA
dc.identifier.citation Okop, K. J., Levitt, N., & Puoane, T. (2015). Factors associated with excessive body fat in men and women: cross-sectional data from Black South Africans living in a rural community and an urban township. PloS one, 10(10), e0140153. doi:10.1371/journal.pone.0140153 en_ZA
dc.identifier.uri http://hdl.handle.net/11427/15913
dc.identifier.uri http://dx.doi.org/10.1371/journal.pone.0140153
dc.description.abstract Objective To determine the factors associated with excessive body fat among black African men and women living in rural and urban communities of South Africa. METHODS: This is a cross-sectional analysis of data from the Prospective Urban and Rural Epidemiology (PURE) study, Cape Town, South Africa conducted in 2009/2010. The study sample included 1220 participants (77.2% women) aged 35-70 years, for whom anthropometric measurements were obtained and risk factors documented through face-to-face interviews using validated international PURE study protocols. Sex-specific logistic regression models were used to evaluate socio-demographic, lifestyle and psychological factors associated with three excessive body fat indicators, namely body mass index (BMI), waist circumference (WC) and body fat percent (BF%). RESULTS: The prevalence of excessive body fat based on BF%, WC and BMI cut-offs were 96.0%, 86.1%, and 81.6% for women respectively, and 62.2%, 25.9%, and 36.0% for men respectively. The significant odds of excessive body fat among the currently married compared to unmarried were 4.1 (95% CI: 1.3-12.5) for BF% and 1.9 (95% CI: 1.3-2.9) for BMI among women; and 4.9 (95% CI: 2.6-9.6), 3.2 (95% CI: 1.6-6.4) and 3.6 (95% CI: 1.9-6.8) for BF%, WC and BMI respectively among men. Age ≤50 years (compared to age >50 years) was inversely associated with excessive BF% in men and women, and less-than-a-college education was inversely associated with excessive BMI and WC in men. Tobacco smoking was inversely associated with all three excessive adiposity indicators in women but not in men. Unemployment, depression, and stress did not predict excessive body fat in men or women. CONCLUSION: The sex-differences in the socio-demographic and lifestyle factors associated with the high levels of excessive body fat in urban and rural women and men should be considered in packaging interventions to reduce obesity in these communities. en_ZA
dc.language.iso eng en_ZA
dc.publisher Public Library of Science en_ZA
dc.rights This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/4.0 en_ZA
dc.source PLoS One en_ZA
dc.source.uri http://journals.plos.org/plosone en_ZA
dc.subject.other Obesity en_ZA
dc.subject.other Body mass index en_ZA
dc.subject.other Adults en_ZA
dc.subject.other Body weight en_ZA
dc.subject.other Africans en_ZA
dc.subject.other Behavior en_ZA
dc.subject.other Depression en_ZA
dc.subject.other South Africa en_ZA
dc.title Factors associated with excessive body fat in men and women: cross-sectional data from Black South Africans living in a rural community and an urban township en_ZA
dc.type Journal Article en_ZA
dc.rights.holder © 2015 Okop et al en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Division of Endocrinology and Diabetology en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Okop, K. J., Levitt, N., & Puoane, T. (2015). Factors associated with excessive body fat in men and women: cross-sectional data from Black South Africans living in a rural community and an urban township. <i>PLoS One</i>, http://hdl.handle.net/11427/15913 en_ZA
dc.identifier.chicagocitation Okop, Kufre Joseph, Naomi Levitt, and Thandi Puoane "Factors associated with excessive body fat in men and women: cross-sectional data from Black South Africans living in a rural community and an urban township." <i>PLoS One</i> (2015) http://hdl.handle.net/11427/15913 en_ZA
dc.identifier.vancouvercitation Okop KJ, Levitt N, Puoane T. Factors associated with excessive body fat in men and women: cross-sectional data from Black South Africans living in a rural community and an urban township. PLoS One. 2015; http://hdl.handle.net/11427/15913. en_ZA
dc.identifier.ris TY - Journal Article AU - Okop, Kufre Joseph AU - Levitt, Naomi AU - Puoane, Thandi AB - Objective To determine the factors associated with excessive body fat among black African men and women living in rural and urban communities of South Africa. METHODS: This is a cross-sectional analysis of data from the Prospective Urban and Rural Epidemiology (PURE) study, Cape Town, South Africa conducted in 2009/2010. The study sample included 1220 participants (77.2% women) aged 35-70 years, for whom anthropometric measurements were obtained and risk factors documented through face-to-face interviews using validated international PURE study protocols. Sex-specific logistic regression models were used to evaluate socio-demographic, lifestyle and psychological factors associated with three excessive body fat indicators, namely body mass index (BMI), waist circumference (WC) and body fat percent (BF%). RESULTS: The prevalence of excessive body fat based on BF%, WC and BMI cut-offs were 96.0%, 86.1%, and 81.6% for women respectively, and 62.2%, 25.9%, and 36.0% for men respectively. The significant odds of excessive body fat among the currently married compared to unmarried were 4.1 (95% CI: 1.3-12.5) for BF% and 1.9 (95% CI: 1.3-2.9) for BMI among women; and 4.9 (95% CI: 2.6-9.6), 3.2 (95% CI: 1.6-6.4) and 3.6 (95% CI: 1.9-6.8) for BF%, WC and BMI respectively among men. Age ≤50 years (compared to age >50 years) was inversely associated with excessive BF% in men and women, and less-than-a-college education was inversely associated with excessive BMI and WC in men. Tobacco smoking was inversely associated with all three excessive adiposity indicators in women but not in men. Unemployment, depression, and stress did not predict excessive body fat in men or women. CONCLUSION: The sex-differences in the socio-demographic and lifestyle factors associated with the high levels of excessive body fat in urban and rural women and men should be considered in packaging interventions to reduce obesity in these communities. DA - 2015 DB - OpenUCT DO - 10.1371/journal.pone.0140153 DP - University of Cape Town J1 - PLoS One LK - https://open.uct.ac.za PB - University of Cape Town PY - 2015 T1 - Factors associated with excessive body fat in men and women: cross-sectional data from Black South Africans living in a rural community and an urban township TI - Factors associated with excessive body fat in men and women: cross-sectional data from Black South Africans living in a rural community and an urban township UR - http://hdl.handle.net/11427/15913 ER - en_ZA


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This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Except where otherwise noted, this item's license is described as This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.