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Metabolic Syndrome pp 41–53Cite as

Obesity in Sub-Saharan Africa

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Abstract

This chapter outlines the epidemiology of overweight and obesity in sub-Saharan Africa, their determinants, and the relationship with cardiovascular diseases (CVDs) and diabetes. The review shows that overweight and obesity rates are increasing in all African regions with Southern African region being the most affected. The rate of overweight and obesity is higher among women than among men and in urban areas compared to rural areas. Socioeconomic status, age, parity, marital status, physical inactivity, body weight perceptions, and increased energy are powerful predictors of overweight and obesity in sub-Saharan Africa. The rapid urbanization accompanied by nutrition transition is changing the disease landscape in sub-Saharan Africa with CVD and its related risk factors gaining prominent position. The rising levels of overweight and obesity in sub-Saharan Africa are likely to exacerbate the burden of CVD and diabetes if measures are not taken to curb the problem. Public health strategies focusing on healthy diet, physical activity, weight reduction, and maintenance strategies are urgently needed in sub-Saharan African countries.

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References

  • Abubakari AR, Lauder W, Agyemang C, et al. Prevalence and time trends in obesity among adult West African populations: a meta-analysis. Obes Rev. 2008;9:297-311.

    Article  CAS  PubMed  Google Scholar 

  • Addo J, Smeeth L, Leon DA. Obesity in urban civil servants in Ghana: association with pre-adult wealth and adult socio-economic status. Public Health. 2009;123:365-370.

    Article  CAS  PubMed  Google Scholar 

  • Afolabi WA, Addo AA, Sonibare MA. Activity pattern, energy intake and obesity among Nigerian urban market women. Int J Food Sci Nutr. 2004;55:85-90.

    Article  CAS  PubMed  Google Scholar 

  • Agbeko MP, Kumi-Kyereme A, Druye Adjei A, et al. Predictors of overweight and obesity among women in Ghana. Open Obes J. 2013;5:72-81.

    Article  Google Scholar 

  • Agyei-Mensah S, de-Graft Aikins A. Epidemiological transition and the double burden of disease in Accra, Ghana. J Urban Health. 2010;87(5):879-897.

    Article  PubMed Central  PubMed  Google Scholar 

  • Agyemang C. Rural and urban differences in blood pressure and hypertension in Ghana, West Africa. Public Health. 2006;120:525-533.

    Article  PubMed  Google Scholar 

  • Agyemang C, Owusu-Dabo E, de Jonge A, et al. Overweight and obesity among Ghanaian residents in The Netherlands: how do they weigh against their urban and rural counterparts in Ghana? Public Health Nutr. 2009;12:909-916.

    Article  PubMed  Google Scholar 

  • Alaba O, Chola L. Socioeconomic Inequalities in adult obesity prevalence in South Africa: a decomposition analysis. Int J Environ Res Public Health. 2014;11(3):3387-406.

    Article  PubMed Central  PubMed  Google Scholar 

  • Amoah AG. Sociodemographic variations in obesity among Ghanaian adults. Public Health Nutr. 2003;6:751-757.

    Article  PubMed  Google Scholar 

  • Anyanwu GE, Ekezie J, Danborno B, et al. Impact of education on obesity and blood pressure in developing countries: a study on the Ibos of Nigeria. N Am J Med Sci. 2010;2(7):320-324.

    PubMed Central  PubMed  Google Scholar 

  • Appiah CA, Steiner-Asiedu M, Otoo GE. Predictors of overweight/obesity in urban Ghanaian women. Int J Clin Nutr. 2014;2;3:60-68.

    Google Scholar 

  • Aryeetey E, Devarajan S, Kanbur R, et al. Overview. In: Aryeetey E, Devarajan S, Kanbur R, Kasekende L, eds. The Oxford Companion to the Economics of Africa. Oxford: Oxford University Press; 2012.

    Google Scholar 

  • Asfaw A. Do government food price policies affect the prevalence of obesity? Empirical evidence from Egypt. World Dev. 2007;35:687-701.

    Article  Google Scholar 

  • Atek M, Traissac P, Ati J, et al. Obesity and association with area of residence, gender and socio-economic factors in Algerian and Tunisian adults. PLoS One. 2013;8:1-10.

    Article  Google Scholar 

  • Averett SL, Stacey N, Wang Y. Decomposing race and gender differences in underweight and obesity in South Africa. Econ Hum Biol. 2014;15:23-40.

    Article  PubMed  Google Scholar 

  • Awuah RB, Anarfi J, Agyemang C, et al. Prevalence, awareness, treatment and control of hypertension in urban poor communities. J Hypertens. 2014;32:1203-1210.

    Article  CAS  PubMed  Google Scholar 

  • Ayah R, Joshi MD, Wanjiru R, et al. A population-based survey of prevalence of diabetes and correlates in an urban slum community in Nairobi, Kenya. BMC Public Health. 2013;13:371.

    Article  PubMed Central  PubMed  Google Scholar 

  • Benkeser RM, Biritwum R, Hill AG. Prevalence of overweight and obesity and perception of healthy and desirable body size in urban, Ghanaian women. Ghana Med J. 2012;46:66-75.

    PubMed Central  CAS  PubMed  Google Scholar 

  • Bertram MY, Jaswal AV, Van Wyk VP, et al. The non-fatal disease burden caused by type 2 diabetes in South Africa, 2009. Glob Health Action. 2013;6:19244.

    PubMed  Google Scholar 

  • Biritwum RB, Gyapong J, Mensah G. The epidemiology of obesity in Ghana. Ghana Med J. 2005;39(3):82-85.

    PubMed Central  PubMed  Google Scholar 

  • Brown PJ. Culture and the evolution of obesity. Hum Nat (Hawthorne). 1991;2:31-57.

    Google Scholar 

  • Case A, Menendez A. Sex differences in obesity rates in poor countries: evidence from South Africa. Econ Hum Biol. 2009;7:271-282.

    Article  PubMed Central  PubMed  Google Scholar 

  • Chukwuonye II, Chuku A, John C, et al. Prevalence of overweight and obesity in adult Nigerians – a systematic review. Diabetes Metab Syndr Obes. 2013;6:43-47.

    Article  PubMed Central  PubMed  Google Scholar 

  • Dake FAA, Tawiah EO, Badasu DM. Socio-demographic correlates of obesity among Ghananaian women. Public Health Nutr. 2010;14;7:1285-1291.

    Google Scholar 

  • Delisle H, Ntandou-Bouzitou G, Agueh V, et al. Urbanisation, nutrition transition and cardiometabolic risk: the Benin study. Br J Nutr. 2012;107:1534-1544.

    Article  CAS  PubMed  Google Scholar 

  • Duda RB, Jumah NA, Hill AG, et al. Interest in healthy living outweighs presumed cultural norms for obesity for Ghanaian women. Health Qual Life Outcomes. 2006;4:44.

    Article  PubMed Central  PubMed  Google Scholar 

  • Duda RB, Jumah NA, Hill AG, et al. Assessment of the ideal body image of women in Accra, Ghana. Trop Doct. 2007;37:241-244.

    Article  PubMed  Google Scholar 

  • Fezue L, Minkoulou E, Balkau B, et al. Association between socioeconomic status and adiposity in urban Cameroon. Int J Epidemiol. 2006;35:105-111.

    Article  Google Scholar 

  • Flegal KM, Kit BK, Orpana H, et al. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA. 2013;309:71-82.

    Article  CAS  PubMed  Google Scholar 

  • Freidberg S. French beans for the masses: a modern historical geography of food in Burkina Faso. J Hist Geogr. 2003;29:445-463.

    Article  Google Scholar 

  • Holdsworth M, Gartner A, Landais E, et al. Perceptions of healthy and desirable body size in urban Senegalese women. Int J Obes Relat Metab Disord. 2004;28:1561-1568.

    Article  CAS  PubMed  Google Scholar 

  • Iliffe J. The African Aids Epidemic: A History. Oxford: James Currey; 2006.

    Google Scholar 

  • Iloh G, Amadi AN, Nwankwo BO, et al. Obesity in adult Nigerians: a study of its pattern and common primary co-morbidities in a rural Mission General Hospital in Imo state, South-Eastern Nigeria. Niger J Clin Pract. 2011;14:212-218.

    Article  PubMed  Google Scholar 

  • Kandala NB, Stranges S. Geographic variation of overweight and obesity among women in Nigeria: a case for nutritional transition in sub-Saharan Africa. PLoS One. 2014;9:e101103.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kgaphola MS, Viljoen AT. Food habits of rural Swazi households: Part 2: social structural and ideological influences on Swazi food habits. J Fam Ecol Consum Sci. 2004;32:16-25.

    Google Scholar 

  • Kifleyesus A. Muslims and meals: the social and symbolic functions of foods in changing socio-economic environments. J Int Afr Inst. 2002;72:245-276.

    Article  Google Scholar 

  • Kimani-Murage E, Pettifor J, Tollman S, et al. Predictors of adolescent weight status and central obesity in rural South Africa. Public Health Nutr. 2011;14:1114-1122.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kruger HS, Puoane T, Senekal M, van der Merwe MT. Obesity in South Africa: challenges for government and health professionals. Public Health Nutr. 2005;8:491-500.

    Article  PubMed  Google Scholar 

  • Mackenbach JP, Cavelaars AE, Kunst AE, et al. Socioeconomic inequalities in cardiovascular disease mortality; an international study. Eur Heart J. 2000;21:1141-1151.

    Article  CAS  PubMed  Google Scholar 

  • Malhotra R, Hoyo C, Østbye T, et al. Determinants of obesity in an urban township of South Africa. South Afr J Clin Nutr. 2008;21:315-320.

    Google Scholar 

  • Manyema M, Veerman LJ, Chola L, et al. The potential impact of a 20% tax on sugar-sweetened beverages on obesity in South African adults: a mathematical model. PLoS One. 2014;9:e105287.

    Article  PubMed Central  PubMed  Google Scholar 

  • Martorell R, Khan LK, Hughes ML, Grummer-Strawn LM. Obesity in women from developing countries. Eur J Clin Nutr. 2000;54(3):247-252.

    Article  CAS  PubMed  Google Scholar 

  • Masibo PK, Buluku E, Menya D, et al. Prevalence and determinants of under-and over-nutrition among adult Kenyan women; evidence from the Kenya Demographic and Health survey 2008-09. East Afr J Public Health. 2013;10:611-622.

    Google Scholar 

  • Mayosi BM, Flisher AJ, Lalloo UG, et al. The burden of non-communicable diseases in South Africa. Lancet. 2009;374(9693):934-947.

    Article  PubMed  Google Scholar 

  • Medeiros F, Casanova MD, Fraulob JC, et al. How can diet influence the risk of stroke ? Int J Hypertens. 2012;2012:763507.

    Article  PubMed Central  PubMed  Google Scholar 

  • Micklesfield LK, Lambert EV, Hume DJ, et al. Socio-cultural, environmental and behavioural determinants of obesity in black South African women. Cardiovasc J Afr. 2013;24:369-375.

    Article  PubMed Central  PubMed  Google Scholar 

  • Mogre V, Mwinlenaa PP, Oladele J, et al. Impact of physical activity levels and diet on central obesity among civil servants in Tamale metropolis. J Med Biomed Sci. 2012;1:1-9.

    Google Scholar 

  • Mogre V, Nyaba R, Aleyira S. Lifestyle risk factors of general and abdominal obesity in students of the school of medicine and health science of the University of Development Studies, Tamale, Ghana. ISRN Obesity. 2014. doi:10.1155/2014/508382.

    Google Scholar 

  • Msyamboza PK, Kathyola D, Dzowela T. Anthropometric measurements and prevalence of underweight, overweight and obesity in adult Malawians: nationwide population based NCD STEPS survey. Pan Afr Med J. 2013;15:108.

    Article  PubMed Central  PubMed  Google Scholar 

  • Mufunda J, Mebrahtu G, Usman A, et al. The prevalence of hypertension and its relationship with obesity: results from a national blood pressure survey in Eritrea. J Hum Hypertens. 2006;20:59-65.

    Article  CAS  PubMed  Google Scholar 

  • Muhihi A J. Obesity, overweight, and perceptions about body weight among middle-aged adults in Dar es Salaam, Tanzania. Int Sch Res Netw. 2012:1-6.

    Google Scholar 

  • Njelekela MA, Mpembeni R, Muhihi A, et al. Gender-related differences in the prevalence of cardiovas-cular disease risk factors and their correlates in urban Tanzania. BMC Cardiovasc Disord. 2009;9:1-8.

    Article  Google Scholar 

  • Okpechi IG, Chukwuonye II, Tiffin N, et al. Blood pressure gradients and cardiovascular risk factors in urban and rural populations in Abia State South Eastern Nigeria using the WHO STEPwise approach. PLoS One. 2013;8:4-6.

    Article  Google Scholar 

  • Pereko KK, Setorglo J, Owusu WB, et al. Overnutrition and associated factors among adults aged 20 years and above in fishing communities in the urban Cape Coast Metropolis, Ghana. Public Health Nutr. 2013;16:591-595.

    Article  PubMed  Google Scholar 

  • Pobee RA, Owusu WB, Plahar WA. The prevalence of obesity among female teachers of child-bearing age in Ghana. Afr J Food Agric Nutr Dev. 2013; 3;3:7820-7839.

    Google Scholar 

  • Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev. 2011;70:3-21.

    Article  Google Scholar 

  • Population Reference Bureau. Washington, DC: Population Reference Bureau; 2013:10-11.

    Google Scholar 

  • Prentice AM. The emerging epidemic of obesity in developing countries. Int J Epidemiol. 2006;35:93-99.

    Article  PubMed  Google Scholar 

  • Prospective Studies Collaboration. Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet. 2009;373(9669):1083-1096.

    Article  PubMed Central  Google Scholar 

  • Puoane T, Steyn K, Bradshaw D, et al. Obesity in South Africa: the South African demographic and health survey. Obes Res. 2003;10:1038-1048.

    Article  Google Scholar 

  • Puoane TR, Fourie JM, Tsolekile L, et al. What do Black South African adolescent girls think about their body size? J Hunger Environ Nutr. 2013;8;1:85-94.

    Article  Google Scholar 

  • Rutter H. Where next for obesity? Lancet. 2011;378(9793):746-747.

    Article  PubMed  Google Scholar 

  • Sanuade OA, Anarfi JK, de-Graft Aikins A, et al. Patterns of cardiovascular disease mortality in Ghana: a 5-year review of autopsy cases at Korle-Bu Teaching Hospital. Ethn Dis. 2014;24(1):55-59.

    Google Scholar 

  • Shayo GA, Mugusi FM. Prevalence of obesity and associated risk factors among adults in Kinondoni municipal district, Dar es Salaam Tanzania. BMC Public Health. 2011;11:365.

    Article  PubMed Central  PubMed  Google Scholar 

  • Siervo M P, Grey P, Nyan OA, et al. Urbanization and obesity in the Gambia: a country in the early stages of the demographic transition. Eur J Clin Nutr. 2006;60:455-463.

    Article  CAS  PubMed  Google Scholar 

  • Steyn N, McHiza Z. Obesity and the nutrition transition in Sub-Saharan Africa. Ann N Y Acad Sci. 2014;1311:88-101.

    Article  CAS  PubMed  Google Scholar 

  • Steyn NP, Nel JH, Parker WA, et al. Dietary, social, and environmental determinants of obesity in Kenyan women. Scand J Public Health. 2011;39:88-97.

    Article  PubMed  Google Scholar 

  • Tibazarwa K, Ntyintyane L, Sliwa K, et al. A time bomb of cardiovascular risk factors in South Africa: results from the Heart of Soweto Study “Heart Awareness Days”. Int J Cardiol. 2009;132:233-239.

    Article  PubMed  Google Scholar 

  • Tlili F, Mahjoub A, Lefèvre P, et al. Tunisian women’s perceptions of desirable body size and chronic disease risk. Ecol Food Nutr. 2008;47:399-414.

    Article  Google Scholar 

  • UNESCO Institute for Statistics. Trends in tertiary education: Sub-Saharan Africa. http://www.uis.unesco.org/FactSheets/Documents/fs10-2010-en.pdf. 2010:1-7.

  • Urgently needed: a framework convention for obesity control. Lancet. 2011;378(9793):741.

    Google Scholar 

  • WHO. Obesity and overweight. WHO 2015, Fact sheet N°311. http://www.who.int/mediacentre/factsheets/fs311/en/. Accessed February 23, 2015.

  • Ziraba AK, Fotso JC, Ochako R. Overweight and obesity in urban Africa: a problem of the rich or the poor? BMC Public Health. 2009;9:465.

    Article  PubMed Central  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Public Health, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands

    Charles Agyemang

  2. Regional Institute for Population Studies, University of Ghana, Legon, Ghana

    Sandra Boatemaa, Grace Agyemang Frempong & Ama de-Graft Aikins

Authors
  1. Charles Agyemang
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  2. Sandra Boatemaa
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  3. Grace Agyemang Frempong
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  4. Ama de-Graft Aikins
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Corresponding author

Correspondence to Charles Agyemang .

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Editors and Affiliations

  1. Division of Endocrinology, Diabetes and Metabolism, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA

    Rexford S. Ahima

  2. Institute for Diabetes, Obesity and Metabolism, University of Pennsylvania, Philadelphia, PA, USA

    Rexford S. Ahima

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Agyemang, C., Boatemaa, S., Agyemang Frempong, G., de-Graft Aikins, A. (2016). Obesity in Sub-Saharan Africa. In: Ahima, R.S. (eds) Metabolic Syndrome. Springer, Cham. https://doi.org/10.1007/978-3-319-11251-0_5

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  • DOI: https://doi.org/10.1007/978-3-319-11251-0_5

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-11251-0

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