Prevalence and Determinants of Overweight Among Adult Cardiac Patients who Visit the Outpatient Department of Cardiac Center Ethiopia and Black Lion Specialization Hospital.
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Date
2023
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Addis Ababa University
Abstract
Background: Overweight is an escalating problem worldwide, yet extensive evidence especially in Africa, is still lacking. Excess body weight leads to extra fat deposition and serious health consequences such as cardiovascular disease (mainly heart disease and stroke), type 2 diabetes, musculoskeletal disorders like osteoarthritis, and some cancers.
Objective: The study aimed to assess the prevalence and determinants of overweight among adult cardiac patients in a selected cardiac hospital in Addis Ababa, Ethiopia, 2023.
Method: A hospital-based cross-sectional study design was employed from February to March 2023. A total of 292 eligible participants were included using systematic sampling. Anthropometric measurements height and weight) were assessed using the World Health
Organization's recommended techniques. The data was analyzed using the statistical package for
social science (SPSS) software. The study conducted a binary logistic regression model to
examine the association between independent variables and the outcome variables. The results
were expressed as odds ratios (ORs) together with their 95% confidence intervals, first entering
each factor alone in the logistic model (crude ORs) and then including all factors to assess
potential confounding (adjusted OR). Finally, the direction and strength of the association were
expressed using the adjusted odds ratio (AOR) with a 95% confidence interval. The level of
statistical significance was considered to be 0.05.
Results: A total of 292 participants were included in the study, yielding a 100% response rate.
This study illustrated that the overall prevalence of overweight based on body mass index was
(87=28.9%) (95% CI: 24.7%–35.3%). Female sex (AOR = 1.54, 95% C.I.: 1.42, 4.07), had a
history of depression [AOR (95% C.I.): 1.03 (1.02, 1.70), high meat consumption [AOR (95%
C.I.): 1.8 (4.1, 1.48)], and high wealth rank [AOR (95% C.I.): 2.1 (1.05, 2.27)] were significantly
associated with overweight.
Conclusions: The prevalence of overweight among adult cardiac patients seeking health care in
a selected cardiac hospital in Addis Ababa, Ethiopia, was found to be high in this study,
suggesting that it is a chronic nutrition-related condition. Being female, having a history of
depression, being in a high-wealth class, and consuming more meat were the identified risk
factors. Hence, we recommend that the focus of any action be on each of the identified relevant
factors in order to reduce the magnitude of overweight among cardiac patients.
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Keywords
Prevalence, Adults, Obesity, Overweight, Cardiovascular disease