Abdominal vs. overall obesity among women in a nutrition transition context: geographic and socio-economic patterns of abdominal-only obesity in Tunisia

Population Health Metrics
Pierre TraissacBernard Maire

Abstract

Most assessments of the burden of obesity in nutrition transition contexts rely on body mass index (BMI) only, even though abdominal adiposity might be specifically predictive of adverse health outcomes. In Tunisia, a typical country of the Middle East and North Africa (MENA) region, where the burden of obesity is especially high among women, we compared female abdominal vs. overall obesity and its geographic and socio-economic cofactors, both at population and within-subject levels. The cross-sectional study used a stratified, three-level, clustered sample of 35- to 70-year-old women (n = 2,964). Overall obesity was BMI = weight/height(2) ≥ 30 kg/m(2) and abdominal obesity waist circumference ≥ 88 cm. We quantified the burden of obesity for overall and abdominal obesity separately and their association with place of residence (urban/rural, the seven regions that compose Tunisia), plus physiological and socio-economic cofactors by logistic regression. We studied the within-subject concordance of the two obesities and estimated the prevalence of subject-level "abdominal-only" obesity (AO) and "overall-only" obesity (OO) and assessed relationships with the cofactors by multinomial logistic regression. Abdominal obesity was much m...Continue Reading

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Citations

Sep 18, 2015·Frontiers in Physiology·Marina C Dos Santos MoreiraGustavo R Pedrino
Jun 7, 2016·The British Journal of Nutrition·Pierre TraissacFrancis Delpeuch
Aug 1, 2018·Nursing Open·Berit MunckPetra Wagman
Aug 21, 2016·European Journal of Public Health·Inbar Zucker, Tamar Shohat
Jun 3, 2021·International Journal of Environmental Research and Public Health·Fatma Ben CherifaPierre Traissac

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