Anthropometric indices and cardiometabolic risk factors in a Ghanaian adolescent population

J Pediatr Endocrinol Metab. 2020 Oct 12;34(1):35-44. doi: 10.1515/jpem-2020-0273. Print 2021 Jan 27.

Abstract

Objectives: Adolescent overweight and obesity is a public health concern globally, especially in lower- and middle- income countries where there is an additional burden of undernutrition. The prevalence of adolescent overweight/2obesity has increased markedly over the past three decades. The transition in dietary habits coupled with reduced physical activity has been blamed for the increasing trend. Overweight/obesity in adolescence is complicated by cardiometabolic, respiratory, musculoskeletal and psychosocial disorders. Additionally, adolescent obesity is a predictor of future development of type 2 diabetes, cardiovascular diseases and metabolic disorders. The burden of cardiometabolic risk factors associated with adolescent overweight/obesity in Ghana is lacking, the project, therefore, was undertaken to add to the existing knowledge.

Methods: The study was undertaken in adolescent students of a tertiary institution in Ghana. Two hundred and one students consented to participate in the study. Questionnaires on sociodemographic characteristics, dietary and substance abuse habits were self-administered. Blood pressure, height, weight and waist circumference measures were performed and venous blood drawn for the determination of fasting serum total/LDL/HDL cholesterol and triglycerides. Body mass indices were determined as the weight per square of their heights.

Results: The prevalence of obesity was determined to be 15.81% generally, 27.71% in the females and 7.08% in the males. Diastolic blood pressure was the only cardiometabolic risk factor significantly associated with obesity in our study.

Conclusion: Overweight/obesity is common in Ghanaian adolescents, with the prevalence highest in the female population.

Keywords: Ghana; adolescent; cardiometabolic risk factors; malnutrition double burden; obesity; overweight.

MeSH terms

  • Adolescent
  • Adult
  • Anthropometry
  • Body Mass Index
  • Body Weight
  • Cardiometabolic Risk Factors*
  • Cardiovascular Diseases / epidemiology*
  • Female
  • Follow-Up Studies
  • Ghana / epidemiology
  • Humans
  • Male
  • Metabolic Diseases / epidemiology*
  • Obesity / physiopathology*
  • Overweight / physiopathology*
  • Prevalence
  • Prognosis
  • Risk Factors
  • Waist Circumference
  • Young Adult