Food intake and cardiometabolic risk factors in rural Uganda

Archives of Public Health

Therese L. F. Holmager¹  Dan W. Meyrowitsch²  Jannie Nielsen³  Silver Bahendeka⁴ 

[1] Centre for Epidemiological Research, Nykøbing Falster Hospital, University of Copenhagen, Ejegodvej 63, DK-4800, Nykøbing Falster, Denmark;Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark;Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark;Hubert Department of Global Health, Rollins School of Global Health, Emory University, Atlanta, GA, USA;Mother Kevin Post Graduate Medical School, Uganda Martyrs University, Kampala, Uganda;

关键词: Type 2 diabetes;    Overweight;    Cardiometabolic;    Diet;    Sub-Saharan Africa;   

DOI  :  10.1186/s13690-021-00547-x

来源: Springer

【 摘 要 】

BackgroundAlong with a nutritional transition in Sub-Saharan Africa, the prevalence of non-communicable diseases is increasing rapidly. We assess the association between food intake and cardiometabolic risk factors in a rural population in Uganda.MethodsThe present study was based on data from a household-based case-control study of diabetic and non-diabetic households in Southwestern Uganda, 2012–2013. We analysed food intake in 359 individuals age ≥ 13 years from 87 households, using a household food frequency questionnaire, and measures of glycated haemoglobin (HbA1c), height and weight. We used multinomial logistic regression to model abnormal HbA1c (≥5.7%) and weight status (underweight, normal weight and overweight) as an outcome of total food intake and by nine food groups. Results were reported as odds ratios (OR) with 95% confidence intervals (CI). Models were adjusted for three nested sets of covariates.ResultsThe diet primarily consisted of staple food (cassava and plantain). High-Glycaemic Index staple food was the most consumed food group (median = 14 servings/week, p25-p75: 11–17). Milk, meat, fish and vegetables were the least consumed food groups (medians: 0–3 servings/week). Median intake of sugary food was 6 servings/week (p25-p75: 2–9). The OR of having abnormal HbA1c or being overweight increased with every weekly serving of food (1.02, 95% CI: 1.00–1.04 and 1.01 95% CI: 1.00–1.03, respectively). Of specific food groups, each weekly serving of meat increased the OR of being overweight with 33% (95% CI: 1.08–1.64), and fruit intake decreased the OR of abnormal HbA1c (0.94, 95% CI: 0.88–1.00), though this latter association was attenuated after adjustment for weight status, aerobic capacity, and socioeconomic status.ConclusionDiet was monotonous, mainly consisting of cassava and plantain, and increasing food intake was associated with abnormal HbA1c and overweight. To prevent non-communicable diseases a diet with higher intake of fish and vegetables, and less sugary food is recommended.

【 授权许可】

CC BY