Elizabeth Kimani-Murage|Kathleen Kahn|John M. Pettifor|Stephen Tollman|Kerstin Klipstein?Grobusch|Shane A. Norris
Predictors of adolescent weight status and central obesity in rural South Africa
Agincourt Health and Socio-Demographic Surveillance System|University of the Witwatersrand|African Population and Health Research Center|Agincourt Health and Socio-Demographic Surveillance System|University of the Witwatersrand|Umeå University|Indepth Network|University of the Witwatersrand|Agincourt Health and Socio-Demographic Surveillance System|University of the Witwatersrand|Umeå University|Indepth Network|University of the Witwatersrand|University of the Witwatersrand
abstract objective investigate predictors adolescent obesity rural south africa design crosssectional study height weight waist circumference measured using standard procedures overweight obesity adolescents aged 1017 years assessed using international obesity taskforce cutoffs adult cutoffs used participants aged 1820 years waisttoheight ratio gt05 defined central obesity tanner stages 35 linear logistic regression analysis used evaluate risk factors setting agincourt subdistrict rural south africa subjects participants n 1848 aged 1020 years results combined overweight obesity higher girls 15 boys 4 central obesity 15 2 respectively regard overweightobesity fourfold higher odds observed girls twofold higher odds observed participants households highest socioeconomic status ses odds overweightobesity 40 lower household head completed secondary level education central obesity odds increased 10 unit increase age girls sevenfold higher odds v boys postpubertal participants threefold higher odds v pubertal participants older mothers aged 50 years twofold higher odds v whose mothers aged 3549 years highest ses households twofold higher odds v lowest ses households conclusions rural south africa adolescent females risk obesity increases age appears associated higher ses intervene effectively essential understand household factors influence food choice diet exercise