Lifestyle and Dietary Factors Associated with the Evolution of Cardiometabolic Risk over Four Years in West-African Adults: The Benin Study
Aim. To assess in adults from Benin changes in cardiometabolic risk (CMR) using both the Framingham risk score (FRS) and metabolic syndrome (MetS) and to examine the effects of diet, and lifestyles, controlling for location and socioeconomic status. Methods. Apparently healthy subjects (n=541) aged...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2013/298024 |
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| author | Charles Sossa Hélène Delisle Victoire Agueh Roger Sodjinou Gervais Ntandou Michel Makoutodé |
| author_facet | Charles Sossa Hélène Delisle Victoire Agueh Roger Sodjinou Gervais Ntandou Michel Makoutodé |
| author_sort | Charles Sossa |
| collection | DOAJ |
| description | Aim. To assess in adults from Benin changes in cardiometabolic risk (CMR) using both the Framingham risk score (FRS) and metabolic syndrome (MetS) and to examine the effects of diet, and lifestyles, controlling for location and socioeconomic status. Methods. Apparently healthy subjects (n=541) aged 25–60 years and randomly selected in the largest city, a small town, and rural areas were included in the four-year longitudinal study. Along with CMR factors, socioeconomic, diet and lifestyle data were collected in individual interviews. A food score based on consumption frequency of four “sentinel” food groups (meat and poultry, dairy, eggs, and vegetables) was developed. Lifestyle included physical activity, alcohol and tobacco use. Education and income (proxy) were the socioeconomic variables. Results. Among the subjects with four-year follow-up data (n=416), 13.5% were at risk at baseline, showing MetS or FRS ≥ 10%. The incidence of MetS and FRS ≥ 10% during follow-up was 8.2% and 5%, respectively. CMR deteriorated in 21% of subjects. Diet and lifestyle mediated location and income effects on CMR evolution. Low food scores and inactivity increased the likelihood of CMR deterioration. Conclusion. Combining MetS and FRS might be appropriate for surveillance purposes in order to better capture CMR and inform preventive measures. |
| format | Article |
| id | doaj-art-bff6129d25004d93adf77ffe53356176 |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-bff6129d25004d93adf77ffe533561762025-02-03T01:02:40ZengWileyJournal of Obesity2090-07082090-07162013-01-01201310.1155/2013/298024298024Lifestyle and Dietary Factors Associated with the Evolution of Cardiometabolic Risk over Four Years in West-African Adults: The Benin StudyCharles Sossa0Hélène Delisle1Victoire Agueh2Roger Sodjinou3Gervais Ntandou4Michel Makoutodé5TRANSNUT, WHO Collaborating Centre on Nutrition Changes and Development, Department of Nutrition, Faculty of Medicine, University of Montreal, CP 6128, Succursale Centre-Ville, Montréal, QC, H3C 3J7, CanadaTRANSNUT, WHO Collaborating Centre on Nutrition Changes and Development, Department of Nutrition, Faculty of Medicine, University of Montreal, CP 6128, Succursale Centre-Ville, Montréal, QC, H3C 3J7, CanadaDepartment of Health Promotion, Regional Institute for Public Health, University of Abomey-Calavi, 01 BP 918 Cotonou, BeninUnited Nations International Children's Emergency Fund, BP 1146 N'Djamena, ChadBioversity International, West and Central Africa, c/o IITA, 08 BP 0932 Cotonou, BeninDepartment of Health and Environment, Regional Institute for Public Health, University of Abomey-Calavi, 01 BP 918 Cotonou, BeninAim. To assess in adults from Benin changes in cardiometabolic risk (CMR) using both the Framingham risk score (FRS) and metabolic syndrome (MetS) and to examine the effects of diet, and lifestyles, controlling for location and socioeconomic status. Methods. Apparently healthy subjects (n=541) aged 25–60 years and randomly selected in the largest city, a small town, and rural areas were included in the four-year longitudinal study. Along with CMR factors, socioeconomic, diet and lifestyle data were collected in individual interviews. A food score based on consumption frequency of four “sentinel” food groups (meat and poultry, dairy, eggs, and vegetables) was developed. Lifestyle included physical activity, alcohol and tobacco use. Education and income (proxy) were the socioeconomic variables. Results. Among the subjects with four-year follow-up data (n=416), 13.5% were at risk at baseline, showing MetS or FRS ≥ 10%. The incidence of MetS and FRS ≥ 10% during follow-up was 8.2% and 5%, respectively. CMR deteriorated in 21% of subjects. Diet and lifestyle mediated location and income effects on CMR evolution. Low food scores and inactivity increased the likelihood of CMR deterioration. Conclusion. Combining MetS and FRS might be appropriate for surveillance purposes in order to better capture CMR and inform preventive measures.http://dx.doi.org/10.1155/2013/298024 |
| spellingShingle | Charles Sossa Hélène Delisle Victoire Agueh Roger Sodjinou Gervais Ntandou Michel Makoutodé Lifestyle and Dietary Factors Associated with the Evolution of Cardiometabolic Risk over Four Years in West-African Adults: The Benin Study Journal of Obesity |
| title | Lifestyle and Dietary Factors Associated with the Evolution of Cardiometabolic Risk over Four Years in West-African Adults: The Benin Study |
| title_full | Lifestyle and Dietary Factors Associated with the Evolution of Cardiometabolic Risk over Four Years in West-African Adults: The Benin Study |
| title_fullStr | Lifestyle and Dietary Factors Associated with the Evolution of Cardiometabolic Risk over Four Years in West-African Adults: The Benin Study |
| title_full_unstemmed | Lifestyle and Dietary Factors Associated with the Evolution of Cardiometabolic Risk over Four Years in West-African Adults: The Benin Study |
| title_short | Lifestyle and Dietary Factors Associated with the Evolution of Cardiometabolic Risk over Four Years in West-African Adults: The Benin Study |
| title_sort | lifestyle and dietary factors associated with the evolution of cardiometabolic risk over four years in west african adults the benin study |
| url | http://dx.doi.org/10.1155/2013/298024 |
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