Félix Assah|Ulf Ekelund|Søren Brage|Jean Claude Mbanya|Nicholas J. Wareham
Urbanization, Physical Activity, and Metabolic Health in Sub-Saharan Africa
MRC Epidemiology Unit|Addenbrooke's Hospital|Medical Research Council|Université de Yaoundé I|MRC Epidemiology Unit|Addenbrooke's Hospital|Medical Research Council|MRC Epidemiology Unit|Addenbrooke's Hospital|Medical Research Council|Université de Yaoundé I|MRC Epidemiology Unit|Addenbrooke's Hospital|Medical Research Council
examined independent associations objectively measured freeliving physical activity energy expenditure paee metabolic syndrome adults rural urban cameroonpaee measured 552 rural urban dwellers using combined heart rate movement sensing 7 continuous days metabolic syndrome defined using national cholesterol education programadult treatment panel iii criteriaurban dwellers significantly lower paee rural dwellers 442 210 vs 596 237 kjkgday p 0001 higher prevalence metabolic syndrome 177 vs 35 p 0001 multivariate regression models adjusted possible confounders kjkgday paee associated 21 lower risk prevalent metabolic syndrome odds ratio 098 p 003 implies 65 kjkgday difference paee equivalent 30 minday brisk walking corresponds 137 lower risk prevalent metabolic syndrome population attributable fraction prevalent metabolic syndrome due lowest quartile paee 263 253 women 357 menurban compared rural residence associated lower paee higher prevalence metabolic syndrome paee strongly independently associated prevalent metabolic syndrome adult cameroonians modest populationwide changes paee may significant benefits terms reducing emerging burden metabolic diseases subsaharan africa