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Prevalence of obesity in panama: some risk factors and associated diseases

BACKGROUND: To estimate the prevalence of obesity in Panama and determine some risk factors and associated diseases in adults aged 18 years and older. METHODS: A cross-sectional descriptive study was conducted in the provinces of Panama and Colon where 60.4 % of all Panamanians 18 years or older res...

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Autores principales: Mc Donald, Anselmo, Bradshaw, Ryan A., Fontes, Flavia, Mendoza, Enrique A., Motta, Jorge A., Cumbrera, Alberto, Cruz, Clara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4618152/
https://www.ncbi.nlm.nih.gov/pubmed/26489845
http://dx.doi.org/10.1186/s12889-015-2397-7
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author Mc Donald, Anselmo
Bradshaw, Ryan A.
Fontes, Flavia
Mendoza, Enrique A.
Motta, Jorge A.
Cumbrera, Alberto
Cruz, Clara
author_facet Mc Donald, Anselmo
Bradshaw, Ryan A.
Fontes, Flavia
Mendoza, Enrique A.
Motta, Jorge A.
Cumbrera, Alberto
Cruz, Clara
author_sort Mc Donald, Anselmo
collection PubMed
description BACKGROUND: To estimate the prevalence of obesity in Panama and determine some risk factors and associated diseases in adults aged 18 years and older. METHODS: A cross-sectional descriptive study was conducted in the provinces of Panama and Colon where 60.4 % of all Panamanians 18 years or older reside, by administering a survey regarding the consumption of protective and predisposing foods and assessing the development of obesity by measuring the weight, height, and waist circumference of 3590 people. A single-stage, probabilistic, and randomized sampling strategy employing multivariate stratification was used. Individuals with a body mass index ≥ 30 kg/m(2) (men and women) were considered obese. Prevalence and descriptive analysis were conducted according to sex using Odds Ratio, with statistical significance set at a p value ≤ 0.05. RESULTS: The general prevalence of obesity was 27.1 % (30.9 % women and 18.3 % men). In women, obesity was associated with living in urban areas, being 40–59 years of age, being Afro-Panamanian, consuming beverages / foods rich in sugar, being physically inactive and having a family history of obesity. In men, obesity was associated with living in urban areas, consuming beverages/foods rich in sugar, and having a family history of obesity. Almost the totality of obese women (97.9 %), and 80.0 % of men with obesity had abdominal obesity according to the WHO classification. In both sexes, obesity was a risk factor associated to type 2 Diabetes Mellitus, hypertension, LDL values ≥ 100 mg/dL, and low HDL values (<50 mg/dL for women and < 40 mg/dL for men), Odds Ratio > 1.0; P < 0.05. CONCLUSIONS: Obesity represents a very serious threat to Panamanian public health. Our study confirms a direct association in Panama between excess weight, hypertension, type 2 Diabetes Mellitus, LDL values ≥ 100 mg/dL and low HDL values for women and men (<50 mg/dL and < 40 mg/dL, respectively). Intervention / treatment programs should be targeted, specially, to Afro-Panamanian women, whom are 40–59 years old, living in urban areas, and those having a family history of obesity.
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spelling pubmed-46181522015-10-25 Prevalence of obesity in panama: some risk factors and associated diseases Mc Donald, Anselmo Bradshaw, Ryan A. Fontes, Flavia Mendoza, Enrique A. Motta, Jorge A. Cumbrera, Alberto Cruz, Clara BMC Public Health Research Article BACKGROUND: To estimate the prevalence of obesity in Panama and determine some risk factors and associated diseases in adults aged 18 years and older. METHODS: A cross-sectional descriptive study was conducted in the provinces of Panama and Colon where 60.4 % of all Panamanians 18 years or older reside, by administering a survey regarding the consumption of protective and predisposing foods and assessing the development of obesity by measuring the weight, height, and waist circumference of 3590 people. A single-stage, probabilistic, and randomized sampling strategy employing multivariate stratification was used. Individuals with a body mass index ≥ 30 kg/m(2) (men and women) were considered obese. Prevalence and descriptive analysis were conducted according to sex using Odds Ratio, with statistical significance set at a p value ≤ 0.05. RESULTS: The general prevalence of obesity was 27.1 % (30.9 % women and 18.3 % men). In women, obesity was associated with living in urban areas, being 40–59 years of age, being Afro-Panamanian, consuming beverages / foods rich in sugar, being physically inactive and having a family history of obesity. In men, obesity was associated with living in urban areas, consuming beverages/foods rich in sugar, and having a family history of obesity. Almost the totality of obese women (97.9 %), and 80.0 % of men with obesity had abdominal obesity according to the WHO classification. In both sexes, obesity was a risk factor associated to type 2 Diabetes Mellitus, hypertension, LDL values ≥ 100 mg/dL, and low HDL values (<50 mg/dL for women and < 40 mg/dL for men), Odds Ratio > 1.0; P < 0.05. CONCLUSIONS: Obesity represents a very serious threat to Panamanian public health. Our study confirms a direct association in Panama between excess weight, hypertension, type 2 Diabetes Mellitus, LDL values ≥ 100 mg/dL and low HDL values for women and men (<50 mg/dL and < 40 mg/dL, respectively). Intervention / treatment programs should be targeted, specially, to Afro-Panamanian women, whom are 40–59 years old, living in urban areas, and those having a family history of obesity. BioMed Central 2015-10-21 /pmc/articles/PMC4618152/ /pubmed/26489845 http://dx.doi.org/10.1186/s12889-015-2397-7 Text en © Mc Donald et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Mc Donald, Anselmo
Bradshaw, Ryan A.
Fontes, Flavia
Mendoza, Enrique A.
Motta, Jorge A.
Cumbrera, Alberto
Cruz, Clara
Prevalence of obesity in panama: some risk factors and associated diseases
title Prevalence of obesity in panama: some risk factors and associated diseases
title_full Prevalence of obesity in panama: some risk factors and associated diseases
title_fullStr Prevalence of obesity in panama: some risk factors and associated diseases
title_full_unstemmed Prevalence of obesity in panama: some risk factors and associated diseases
title_short Prevalence of obesity in panama: some risk factors and associated diseases
title_sort prevalence of obesity in panama: some risk factors and associated diseases
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4618152/
https://www.ncbi.nlm.nih.gov/pubmed/26489845
http://dx.doi.org/10.1186/s12889-015-2397-7
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