Obesity and type 2 diabetes in sub-Saharan Africans – Is the burden in today’s Africa similar to African migrants in Europe? The RODAM study

dc.contributor.authorAgyemang, Charles
dc.contributor.authorMeeks, Karlijn
dc.contributor.authorBeune, Erik
dc.contributor.authorDabo, Ellis Owusu
dc.contributor.authorMockenhaupt, Frank P
dc.contributor.authorAddo, Juliet
dc.contributor.authorAikins, Ama de Graf
dc.contributor.authorBahendeka, Silver
dc.contributor.authorDanquah, Ina
dc.contributor.authorSchulze, Matthias B
dc.contributor.authorSpranger, Joachim
dc.contributor.authorBurr, Tom
dc.contributor.authorBaffour, Peter Agyei
dc.contributor.authorAmoah, Stephen K
dc.contributor.authorGalbete, Cecilia
dc.contributor.authorHenneman, Peter
dc.contributor.authorGrobusch, Kerstin Klipstein
dc.contributor.authorNicolaou, Mary
dc.contributor.authorAdeyemo, Adebowale
dc.contributor.authorStraalen, Jan van
dc.contributor.authorSmeeth, Liam
dc.contributor.authorStronks, Karien
dc.date.accessioned2021-10-09T06:56:18Z
dc.date.available2021-10-09T06:56:18Z
dc.date.issued2016-10-21
dc.description.abstractBackground: Rising rates of obesity and type 2 diabetes (T2D) are impending major threats to the health of African populations, but the extent to which they differ between rural and urban settings in Africa and upon migration to Europe is unknown. We assessed the burden of obesity and T2D among Ghanaians living in rural and urban Ghana and Ghanaian migrants living in different European countries. Methods: A multi-centre cross-sectional study was conducted among Ghanaian adults (n = 5659) aged 25–70 years residing in rural and urban Ghana and three European cities (Amsterdam, London and Berlin). Comparisons between groups were made using prevalence ratios (PRs) with adjustments for age and education. Results: In rural Ghana, the prevalence of obesity was 1.3 % in men and 8.3 % in women. The prevalence was considerably higher in urban Ghana (men, 6.9 %; PR: 5.26, 95 % CI, 2.04–13.57; women, 33.9 %; PR: 4.11, 3.13–5.40) and even more so in Europe, especially in London (men, 21.4 %; PR: 15.04, 5.98–37.84; women, 54.2 %; PR: 6.63, 5.04–8.72). The prevalence of T2D was low at 3.6 % and 5.5 % in rural Ghanaian men and women, and increased in urban Ghanaians (men, 10.3 %; PR: 3.06; 1.73–5.40; women, 9.2 %; PR: 1.81, 1.25–2.64) and highest in Berlin (men, 15.3 %; PR: 4.47; 2.50–7.98; women, 10.2 %; PR: 2.21, 1.30–3.75). Impaired fasting glycaemia prevalence was comparatively higher only in Amsterdam, and in London, men compared with rural Ghana. Conclusion: Our study shows high risks of obesity and T2D among sub-Saharan African populations living in Europe. In Ghana, similarly high prevalence rates were seen in an urban environment, whereas in rural areas, the prevalence of obesity among women is already remarkable. Similar processes underlying the high burden of obesity and T2D following migration may also be at play in sub-Saharan Africa as a consequence of urbanisation.en_US
dc.identifier.citationAgyemang, C., Meeks, K., Beune, E., Owusu-Dabo, E., Mockenhaupt, F.P., Addo, J., de Graft Aikins, A., Bahendeka, S., Danquah, I., Schulze, M.B. and Spranger, J., 2016. Obesity and type 2 diabetes in sub-Saharan Africans–Is the burden in today’s Africa similar to African migrants in Europe? The RODAM study. BMC medicine, 14(1), pp.1-12.en_US
dc.identifier.issn1741-7015
dc.identifier.urihttp://hdl.handle.net/20.500.12280/2842
dc.language.isoenen_US
dc.publisherBMCen_US
dc.relation.ispartofseriesBMC medicine;14:166
dc.subjectObesityen_US
dc.subjectType 2 diabetesen_US
dc.subjectMigrantsen_US
dc.subjectEthnic minority groupsen_US
dc.subjectEuropeen_US
dc.subjectSub-Saharan Africaen_US
dc.titleObesity and type 2 diabetes in sub-Saharan Africans – Is the burden in today’s Africa similar to African migrants in Europe? The RODAM studyen_US
dc.typeArticleen_US

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Bahendeka_Article_mkpgms_2016_Obesity.pdf
Size:
1.11 MB
Format:
Adobe Portable Document Format
Description:

License bundle

Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description: