ArticleGlobal health action2018
Determinants of body mass index by gender in the Dikgale Health and Demographic Surveillance System site, South Africa.
Article in Global health action, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- The Impact of Research Results Feedback on the Lived Experiences of Elderly Participants in the DIMAMO Health Demographic Site: A Case of AWI-Gen Participants.International journal of environmental research and public health · 2025Article
- Association Between Renal Dysfunction and Lipid Ratios in Rural Black South Africans.International journal of environmental research and public health · 2025Article
- Occupational status and health disparities among workers-An empirical study based on China health and nutrition survey data.PloS one · 2025Article
- The Association between Marital Status and Obesity: A Systematic Review and Meta-Analysis.Diseases (Basel, Switzerland) · 2024Review
- Child Nutrition Outcomes and Maternal Nutrition-Related Knowledge in Rural Localities of Mbombela, South Africa.Children (Basel, Switzerland) · 2023Article
- Self-Management of Diabetes and Associated Factors among Patients Seeking Chronic Care in Tshwane, South Africa: A Facility-Based Study.International journal of environmental research and public health · 2023Article
- Modifiable determinants of central obesity among the rural black population in the DIMAMO HDSS, Limpopo, South Africa.Frontiers in public health · 2023Article
- Development of Hypertension and Diabetes Mellitus, and Associated Factors, Among Adult HIV Patients in Ethiopia.HIV/AIDS (Auckland, N.Z.) · 2023Article
- A Retrospective Medical Record Review to Describe Health Status and Cardiovascular Disease Risk Factors of Bus Drivers in South Africa.International journal of environmental research and public health · 2022Article
- Overweight Prevalence among Rural Adolescents by Household Head Obesity and Socio-Economic Status in Limpopo, South Africa.Children (Basel, Switzerland) · 2022Article
- The prevalence of overweight/obesity and its association with household food insecurity among women living with HIV in rural Eswatini.BMC public health · 2022Article
- Wealth index and other behavioral and sociodemographic characteristics associated with body mass index in Ethiopia.SAGE open medicine · 2021Article
- The Nutritional Status of Adult Antiretroviral Therapy Recipients with a Recent HIV Diagnosis; A Cross-Sectional Study in Primary Health Facilities in Gauteng, South Africa.Healthcare (Basel, Switzerland) · 2020Article
- Descriptive epidemiology of objectively-measured, free-living sleep parameters in a rural African setting.BMC research notes · 2020Article
- Objectively-measured physical activity patterns and longitudinal weight category status in a rural setting.BMC research notes · 2019Article
- Childhood Undernutrition and Its Predictors in a Rural Health and Demographic Surveillance System Site in South Africa.International journal of environmental research and public health · 2019Article
- The double burden of malnutrition in a rural health and demographic surveillance system site in South Africa: a study of primary schoolchildren and their mothers.BMC public health · 2019Article
- Genomic and environmental risk factors for cardiometabolic diseases in Africa: methods used for Phase 1 of the AWI-Gen population cross-sectional study.Global health action · 2018Article
- Patterns of adult body mass in sub-Saharan Africa.Global health action · 2018Article
- Regional and sex-specific variation in BMI distribution in four sub-Saharan African countries: The H3Africa AWI-Gen study.Global health action · 2018Article
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4 authors.
Funding
Abstract
backgroundThe study was conducted in the Dikgale Health and Demographic Surveillance System (DHDSS) site where we have observed increasing obesity levels, particularly in women, despite evidence of high physical activity (PA) and a relatively low daily energy intake.
objectiveThis study aimed to assess the socio-demographic, behavioural and biological determinants of body mass index (BMI) in adult residents permanently residing in the DHDSS.
methodsA cross-sectional study was conducted in which socio-demographic, behavioural and biological characteristics from 1143 participants (aged 40-60 years) were collected using a paper questionnaire and standard anthropometric measures. Human immunodeficiency virus (HIV) testing was performed on all participants except those who indicated that they had tested positive. Chi-square and Mann-Whitney tests were used to analyze categorical and continuous variables, respectively, while hierarchical multivariate regression was used to analyze predictors of BMI.
resultsThe median age of women and men was 51 (46-56) and 50 (45-55) years, respectively. The prevalence of overweight-obesity was 76% in women and 21% in men. A significant negative association of BMI with HIV and smoking and a significant positive association with socio-economic status (SES) was observed in both sexes. In women, BMI was negatively associated with sleep duration (p = 0.015) and age (p = 0.012), but positively associated with sugar-sweetened beverages (SSBs) (p = 0.08). In men, BMI was negatively associated with alcohol use (p = 0.016) and positively associated with being married (p < 0.001). PA was not associated with BMI in either sexes. Full models explained 9.2% and 20% of the variance in BMI in women and men, respectively.
conclusionBMI in DHDSS adults is not associated with physical inactivity but is associated wealth, marital status, sleep, smoking, alcohol use, and HIV status. Future studies should explore the contribution of nutrition, stunting, psycho-social and genetic factors to overweight and obesity in DHDSS.
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