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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Addis Ababa University


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.



Prevalence, Adults, Obesity, Overweight, Cardiovascular disease