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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
Agyemang, Charles ;  Meeks, Karlijn ;  Beune, Erik ;  Owusu-Dabo, Ellis ;  Mockenhaupt, Frank P. ;  Addo, Juliet ;  Aikins, Ama de Graft ;  Bahendeka, Silver ;  Danquah, Ina ;  Schulze, Matthias B. ;  Spranger, Joachim ;  Burr, Tom ;  Agyei-Baffour, Peter ;  Amoah, Stephen K. ;  Galbete, Cecilia ;  Henneman, Peter ;  Klipstein-Grobusch, Kerstin ;  Nicolaou, Mary ;  Adeyemo, Adebowale ;  van Straalen, Jan ;  Smeeth, Liam ;  Stronks, Karien

HaupttitelObesity and type 2 diabetes in sub-Saharan Africans - Is the burden in today’s Africa similar to African migrants in Europe? The RODAM study
AutorAgyemang, Charles
AutorMeeks, Karlijn
AutorBeune, Erik
AutorOwusu-Dabo, Ellis
AutorMockenhaupt, Frank P.
AutorAddo, Juliet
AutorAikins, Ama de Graft
AutorBahendeka, Silver
AutorDanquah, Ina
AutorSchulze, Matthias B.
AutorSpranger, Joachim
AutorBurr, Tom
AutorAgyei-Baffour, Peter
AutorAmoah, Stephen K.
AutorGalbete, Cecilia
AutorHenneman, Peter
AutorKlipstein-Grobusch, Kerstin
AutorNicolaou, Mary
AutorAdeyemo, Adebowale
Autorvan Straalen, Jan
AutorSmeeth, Liam
AutorStronks, Karien
Seitenzahl12 S.
Freie SchlagwörterObesity; Type 2 diabetes; Migrants; Ethnic minority groups; Europe; Sub-Saharan Africa
DDC610 Medizin und Gesundheit
Auch erschienen inBMC Medicine. - 14 (2016), Artikel Nr. 166
ZusammenfassungBackground

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.
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Fachbereich/EinrichtungMedizinische Fakultät Charité - Universitätsmedizin Berlin
Erscheinungsjahr2016
Dokumententyp/-SammlungenWissenschaftlicher Artikel
SpracheEnglisch
RechteCreative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Anmerkungen des AutorsDer Artikel wurde in einer reinen Open-Access-Zeitschrift publiziert.
Erstellt am11.11.2016 - 11:29:26
Letzte Änderung11.11.2016 - 11:31:50
 
Statische URLhttp://edocs.fu-berlin.de/docs/receive/FUDOCS_document_000000025695
DOI10.1186/s12916-016-0709-0
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