Ezekiel Taiwo ADEBAYO, Obashina Ayodele OGUNBİYİ, Ishiaku Baba ABDULKAREEM, Nurudeen Ayoola HUSSAİN

Nijerya askeri nüfusunda obezite prevalansı

AIM: Worldwide, obesity is increasing in prevalence, nearing epidemic proportions in the United States of America. Also, there are reports of rising prevalence in Africa. Obesity is an important aetiological factor for many non-communicable diseases. Recent anecdotal reports indicate that the prevalence of non-communicable diseases such as hypertension, type 2 diabetes mellitus and bronchial asthma is increasing among Nigerian military staff; however, the rate of possible aetiological factors such as obesity is not known. Obesity can be evaluated using the body mass index (BMI), waist circumference and waist to height ratio (WHR). However, for epidemiological convenience and study within populations, the BMI is satisfactory. METHOD: This study was conducted as a cross sectional study. Data of Nigerian military personnel‟s annual medical examination conducted between January and March 2010 were retrieved to compute body mass index using World Health Organisation (WHO) criteria. RESULTS: 40.4% of personnel were overweight or obese. Most of these were aged between 30 and 39 years. While there were differences in the BMI of males and females, this did not reach statistical significance. CONCLUSİON: To manage weight problems, focussed health education, increased physical activity and nutritional advice are necessary. Modalities such as waist circumference should be added to annual medical examination of military personnel to improve the predictive value of the examination.

The prevalence of obesity in a nigerian military population

AMAÇ: Dünya çapında obezite prevalansı artıyor ve Amerika Birleşik Devletlerinde salgın boyutlarına ulaşıyor. Ayrıca, Afrikada prevalansın arttığı rapor edilmektedir. Son zamanlardaki tekil raporlar, hipertansiyon, tip 2 diabetes mellitus ve bronşial astım gibi bulaşıcı olmayan hastalıkların Nijerya askeri personelindeki sıklığının arttığını bildiriyor, bununla birlikte, obezite gibi olası etiyolojik faktörlerin sıklıkları bilinmemektedir. Obezite beden kitle indeksi (BKİ) ve bel çevresinin ve kalçanın boya oranı ile değerlendirilebilir. Bununla birlikte, epidemiyolojik uygunluk ve toplumsal çalışmalar için BKİ tatminkardır. YÖNTEM: Bu çalışma kesitsel tipte tasarlanmıştır. Veriler Nijerya askeri personelinin yıllık tıbbi muayenelerinden, Ocak-Mart 2010 arasında toplanmış, Dünya Sağlık Örgütü kriterlerine göre BKİ hesaplanmış ve değerlendirilmiştir. BULGULAR: Personelin %40,4‟ü kilolu veya şişmandı. Bu kişilerin çoğu 30-39 yaş arasındaydı. Kadın ve erkekler arasında BKİ farkı istatistiksel olarak anlamlı değildi. SONUÇ: Kilo problemlerini yönetmede sağlık eğitimi, fizik aktiviteyi arttırmak ve beslenme danışmanlığı gereklidir. Bel çevresi gibi ölçütler, muayenelerin kestirim gücünü arttırmak üzere askeri personelin yıllık muayenelerine eklenmelidir.

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