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

Marianne van der Sande; S M Ceesay; P J Milligan; O A Nyan; W A Banya; A Prentice; K P McAdam; G E Walraven

doi:10.2105/ajph.91.10.1641

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

Marianne van der Sande, S M Ceesay, P J Milligan, O A Nyan, W A Banya, A Prentice, K P McAdam, G E Walraven

Department of Public Health

Research output: Contribution to journal › A1: Web of Science-article › 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
Journal	American Journal of Public Health
Volume	91
Issue number	10
Pages (from-to)	1641-1644
Number of pages	4
ISSN	0090-0036
DOIs	https://doi.org/10.2105/ajph.91.10.1641
Publication status	Published - 2001

Keywords

Adolescent
Adult
Cardiovascular Diseases/epidemiology
Female
Gambia/epidemiology
Humans
Male
Middle Aged
Nutrition Disorders/epidemiology
Obesity/epidemiology
Prevalence
Risk Factors
Rural Health
Surveys and Questionnaires
Urban Health

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10.2105/ajph.91.10.1641

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/epidemiology, Female, Gambia/epidemiology, Humans, Male, Middle Aged, Nutrition Disorders/epidemiology, Obesity/epidemiology, Prevalence, Risk Factors, Rural Health, Surveys and Questionnaires, Urban Health",

author = "{van der Sande}, Marianne and Ceesay, {S M} and Milligan, {P J} and Nyan, {O A} and Banya, {W A} and A Prentice and McAdam, {K P} and Walraven, {G E}",

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language = "English",

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journal = "American Journal of Public Health",

issn = "0090-0036",

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TY - JOUR

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

AU - van der Sande, Marianne

AU - Ceesay, S M

AU - Milligan, P J

AU - Nyan, O A

AU - Banya, W A

AU - Prentice, A

AU - McAdam, K P

AU - Walraven, G E

N1 - NPP

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/epidemiology

KW - Female

KW - Gambia/epidemiology

KW - Humans

KW - Male

KW - Middle Aged

KW - Nutrition Disorders/epidemiology

KW - Obesity/epidemiology

KW - Prevalence

KW - Risk Factors

KW - Rural Health

KW - Surveys and Questionnaires

KW - Urban Health

U2 - 10.2105/ajph.91.10.1641

DO - 10.2105/ajph.91.10.1641

M3 - A1: Web of Science-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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