Differing patterns of overweight and obesity among black men and women in Cape Town: the CRIBSA study

dc.contributor.authorPeer, Nasheetaen_ZA
dc.contributor.authorLombard, Carlen_ZA
dc.contributor.authorSteyn, Kriselaen_ZA
dc.contributor.authorGwebushe, Nomondeen_ZA
dc.contributor.authorLevitt, Naomien_ZA
dc.date.accessioned2015-12-28T06:52:16Z
dc.date.available2015-12-28T06:52:16Z
dc.date.issued2014en_ZA
dc.description.abstractObjectives To ascertain the prevalence and determinants of overweight/obesity in the 25-74-year-old urban black population of Cape Town and examine the changes between 1990 and 2008/09. METHODS: In 2008/09, a representative cross-sectional sample, stratified for age and sex, was randomly selected from the same townships sampled in 1990. Data were collected by questionnaires, clinical measurements and biochemical analyses. Gender-specific linear regression models evaluated the associations with overweight/obesity. RESULTS: There were 1099 participants, 392 men and 707 women (response rate 86%) in 2008/09. Mean body mass index (BMI) and waist circumference (WC) were 23.7 kg/m 2 (95% confidence interval (CI): 23.1-24.2) and 84.2 cm (95% CI: 82.8-85.6) in men, and 33.0 kg/m 2 (95% CI: 32.3-33.7) and 96.8 cm (95% CI: 95.5-98.1) in women. Prevalence of BMI ≥25 kg/m 2 and raised WC were 28.9% (95% CI: 24.1-34.3) and 20.1% (95% CI: 15.9-24.9) in men, and 82.8% (95% CI: 79.3-85.9) and 86.0% (95% CI: 82.9-88.6) in women. Among 25-64-year-olds, BMI ≥25 kg/m 2 decreased between 1990 (37.3%, 95% CI: 31.7-43.1) and 2008/09 (27.7%, 95% CI: 22.7-33.4) in men but increased from 72.7% (95% CI: 67.6-77.2) to 82.6% (95% CI: 78.8-85.8) in women. In the regression models for men and women, higher BMI was directly associated with increasing age, wealth, hypertension and diabetes but inversely related to daily smoking. Also significantly associated with rising BMI were raised low-density lipoprotein cholesterol and being employed compared to unemployed in men, and having >7 years of education in women. CONCLUSIONS: Overweight/obesity, particularly in urban black women, requires urgent action because of the associations with cardiovascular disease risk factors and their serious consequences.en_ZA
dc.identifier.apacitationPeer, N., Lombard, C., Steyn, K., Gwebushe, N., & Levitt, N. (2014). Differing patterns of overweight and obesity among black men and women in Cape Town: the CRIBSA study. <i>PLoS One</i>, http://hdl.handle.net/11427/16074en_ZA
dc.identifier.chicagocitationPeer, Nasheeta, Carl Lombard, Krisela Steyn, Nomonde Gwebushe, and Naomi Levitt "Differing patterns of overweight and obesity among black men and women in Cape Town: the CRIBSA study." <i>PLoS One</i> (2014) http://hdl.handle.net/11427/16074en_ZA
dc.identifier.citationPeer, N., Lombard, C., Steyn, K., Gwebushe, N., & Levitt, N. (2013). Differing patterns of overweight and obesity among black men and women in Cape Town: the CRIBSA study. PloS one, 9(9), e107471. doi:10.1371/journal.pone.0107471en_ZA
dc.identifier.ris TY - Journal Article AU - Peer, Nasheeta AU - Lombard, Carl AU - Steyn, Krisela AU - Gwebushe, Nomonde AU - Levitt, Naomi AB - Objectives To ascertain the prevalence and determinants of overweight/obesity in the 25-74-year-old urban black population of Cape Town and examine the changes between 1990 and 2008/09. METHODS: In 2008/09, a representative cross-sectional sample, stratified for age and sex, was randomly selected from the same townships sampled in 1990. Data were collected by questionnaires, clinical measurements and biochemical analyses. Gender-specific linear regression models evaluated the associations with overweight/obesity. RESULTS: There were 1099 participants, 392 men and 707 women (response rate 86%) in 2008/09. Mean body mass index (BMI) and waist circumference (WC) were 23.7 kg/m 2 (95% confidence interval (CI): 23.1-24.2) and 84.2 cm (95% CI: 82.8-85.6) in men, and 33.0 kg/m 2 (95% CI: 32.3-33.7) and 96.8 cm (95% CI: 95.5-98.1) in women. Prevalence of BMI ≥25 kg/m 2 and raised WC were 28.9% (95% CI: 24.1-34.3) and 20.1% (95% CI: 15.9-24.9) in men, and 82.8% (95% CI: 79.3-85.9) and 86.0% (95% CI: 82.9-88.6) in women. Among 25-64-year-olds, BMI ≥25 kg/m 2 decreased between 1990 (37.3%, 95% CI: 31.7-43.1) and 2008/09 (27.7%, 95% CI: 22.7-33.4) in men but increased from 72.7% (95% CI: 67.6-77.2) to 82.6% (95% CI: 78.8-85.8) in women. In the regression models for men and women, higher BMI was directly associated with increasing age, wealth, hypertension and diabetes but inversely related to daily smoking. Also significantly associated with rising BMI were raised low-density lipoprotein cholesterol and being employed compared to unemployed in men, and having >7 years of education in women. CONCLUSIONS: Overweight/obesity, particularly in urban black women, requires urgent action because of the associations with cardiovascular disease risk factors and their serious consequences. DA - 2014 DB - OpenUCT DO - 10.1371/journal.pone.0107471 DP - University of Cape Town J1 - PLoS One LK - https://open.uct.ac.za PB - University of Cape Town PY - 2014 T1 - Differing patterns of overweight and obesity among black men and women in Cape Town: the CRIBSA study TI - Differing patterns of overweight and obesity among black men and women in Cape Town: the CRIBSA study UR - http://hdl.handle.net/11427/16074 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/16074
dc.identifier.urihttp://dx.doi.org/10.1371/journal.pone.0107471
dc.identifier.vancouvercitationPeer N, Lombard C, Steyn K, Gwebushe N, Levitt N. Differing patterns of overweight and obesity among black men and women in Cape Town: the CRIBSA study. PLoS One. 2014; http://hdl.handle.net/11427/16074.en_ZA
dc.language.isoengen_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.publisher.departmentDepartment of Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an open-access article distributed under the terms of the <a href=en_ZA
dc.rights.holder© 2014 Peer et alen_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/4.0en_ZA
dc.sourcePLoS Oneen_ZA
dc.source.urihttp://journals.plos.org/plosoneen_ZA
dc.subject.otherObesityen_ZA
dc.subject.otherBody mass indexen_ZA
dc.subject.otherSmoking habitsen_ZA
dc.subject.otherDiabetes mellitusen_ZA
dc.subject.otherHypertensionen_ZA
dc.subject.otherBody weighten_ZA
dc.subject.otherLinear regression analysisen_ZA
dc.subject.otherConfidence intervalsen_ZA
dc.titleDiffering patterns of overweight and obesity among black men and women in Cape Town: the CRIBSA studyen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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