The Association of General and Central Obesity with Dietary Patterns and Socioeconomic Status in Adult Women in Botswana
Dietary patterns and their association with general and central obesity among adult women were studied using a cross-sectional survey with multistage cluster sampling in urban and rural areas nationwide in Botswana. The participants in the study were adult women (N = 1019), 18–75 years old. The diet...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2020/4959272 |
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| author | Boitumelo Motswagole Jose Jackson Rosemary Kobue-Lekalake Segametsi Maruapula Tiyapo Mongwaketse Lemogang Kwape Tinku Thomas Sumathi Swaminathan Anura V. Kurpad Maria Jackson |
| author_facet | Boitumelo Motswagole Jose Jackson Rosemary Kobue-Lekalake Segametsi Maruapula Tiyapo Mongwaketse Lemogang Kwape Tinku Thomas Sumathi Swaminathan Anura V. Kurpad Maria Jackson |
| author_sort | Boitumelo Motswagole |
| collection | DOAJ |
| description | Dietary patterns and their association with general and central obesity among adult women were studied using a cross-sectional survey with multistage cluster sampling in urban and rural areas nationwide in Botswana. The participants in the study were adult women (N = 1019), 18–75 years old. The dietary patterns were identified using principal component analysis, and their associations with the body mass index and the weight-for-height ratio were examined. Factor analysis with varimax rotation was used to identify six dietary patterns (fast foods, refined carbohydrates, vegetables and fruits, fish and nuts, Botswana traditional foods, and organ and red meat dietary pattern). Overall, 24.5% of the women were overweight (BMI 25.0–29.99 kg/m2) and 24.5% were obese (BMI > 30 kg/m2). A waist-to-height ratio greater than 0.5 was observed for 42.2% of the women. With adjustment for age and education, individuals in the highest tertile of the Botswana traditional food pattern had a significantly higher risk of general obesity (RR = 1.40, 95% CI: 1.07–1.84) and central obesity (RR = 1.20, 95% CI: 0.97–1.48). With respect to the fish and nut pattern, a significant association was observed with central obesity only (RR = 1.43, 95% CI: 1.18–1.72). The Botswana traditional food pattern, characterised by a high carbohydrate intake, was found to be associated with a high risk of obesity in this study. However, more research is required to assess other factors contributing to obesity in women so that appropriate intervention programs can be put in place to help control this epidemic. |
| format | Article |
| id | doaj-art-11e0e74b06934c98ab9272845c626427 |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-11e0e74b06934c98ab9272845c6264272025-02-03T05:44:15ZengWileyJournal of Obesity2090-07082090-07162020-01-01202010.1155/2020/49592724959272The Association of General and Central Obesity with Dietary Patterns and Socioeconomic Status in Adult Women in BotswanaBoitumelo Motswagole0Jose Jackson1Rosemary Kobue-Lekalake2Segametsi Maruapula3Tiyapo Mongwaketse4Lemogang Kwape5Tinku Thomas6Sumathi Swaminathan7Anura V. Kurpad8Maria Jackson9National Food Technology Research Centre, Department of Nutrition and Dietetics, Private Bag 8, Kanye, BotswanaMichigan State University, Alliance for African Partnership, 427 N Shaw Lane, East Lansing, Michigan 48824, USABotswana University of Agriculture and Natural Resources, Department of Food Science and Technology, Private Bag, 0027 Gaborone, BotswanaUniversity of Botswana, Department of Family and Consumer Sciences, Private Bag, 0022 Gaborone, BotswanaNational Food Technology Research Centre, Department of Nutrition and Dietetics, Private Bag 8, Kanye, BotswanaNational Food Technology Research Centre, Department of Nutrition and Dietetics, Private Bag 8, Kanye, BotswanaSt Johns Research Institute, Koramangala, Bengaluru, Karnataka, IndiaSt Johns Research Institute, Koramangala, Bengaluru, Karnataka, IndiaSt Johns Research Institute, Koramangala, Bengaluru, Karnataka, IndiaUniversity of the West Indies, Department of Community Health and Psychiatry, Kingston, JamaicaDietary patterns and their association with general and central obesity among adult women were studied using a cross-sectional survey with multistage cluster sampling in urban and rural areas nationwide in Botswana. The participants in the study were adult women (N = 1019), 18–75 years old. The dietary patterns were identified using principal component analysis, and their associations with the body mass index and the weight-for-height ratio were examined. Factor analysis with varimax rotation was used to identify six dietary patterns (fast foods, refined carbohydrates, vegetables and fruits, fish and nuts, Botswana traditional foods, and organ and red meat dietary pattern). Overall, 24.5% of the women were overweight (BMI 25.0–29.99 kg/m2) and 24.5% were obese (BMI > 30 kg/m2). A waist-to-height ratio greater than 0.5 was observed for 42.2% of the women. With adjustment for age and education, individuals in the highest tertile of the Botswana traditional food pattern had a significantly higher risk of general obesity (RR = 1.40, 95% CI: 1.07–1.84) and central obesity (RR = 1.20, 95% CI: 0.97–1.48). With respect to the fish and nut pattern, a significant association was observed with central obesity only (RR = 1.43, 95% CI: 1.18–1.72). The Botswana traditional food pattern, characterised by a high carbohydrate intake, was found to be associated with a high risk of obesity in this study. However, more research is required to assess other factors contributing to obesity in women so that appropriate intervention programs can be put in place to help control this epidemic.http://dx.doi.org/10.1155/2020/4959272 |
| spellingShingle | Boitumelo Motswagole Jose Jackson Rosemary Kobue-Lekalake Segametsi Maruapula Tiyapo Mongwaketse Lemogang Kwape Tinku Thomas Sumathi Swaminathan Anura V. Kurpad Maria Jackson The Association of General and Central Obesity with Dietary Patterns and Socioeconomic Status in Adult Women in Botswana Journal of Obesity |
| title | The Association of General and Central Obesity with Dietary Patterns and Socioeconomic Status in Adult Women in Botswana |
| title_full | The Association of General and Central Obesity with Dietary Patterns and Socioeconomic Status in Adult Women in Botswana |
| title_fullStr | The Association of General and Central Obesity with Dietary Patterns and Socioeconomic Status in Adult Women in Botswana |
| title_full_unstemmed | The Association of General and Central Obesity with Dietary Patterns and Socioeconomic Status in Adult Women in Botswana |
| title_short | The Association of General and Central Obesity with Dietary Patterns and Socioeconomic Status in Adult Women in Botswana |
| title_sort | association of general and central obesity with dietary patterns and socioeconomic status in adult women in botswana |
| url | http://dx.doi.org/10.1155/2020/4959272 |
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