Prevalence of obesity and awareness of diabetes mellitus and its relationship with obesity among undergraduate students of a private university in southern Nigeria
Abstract
Introduction: Overweight, or obesity, is characterized by an abnormal or excessive buildup of fat and is a key risk factor for the majority of Non-Communicable Diseases (NCDs). Overweight and obesity is prevalent among undergraduate students mainly due to unhealthy dietary practices. In addition, knowledge of obesity and its contribution to the onset of most NCDs is pertinent for design and implementation of health promotion and education programmes. This study examined the prevalence of obesity and awareness of diabetes mellitus and its relationship with obesity among undergraduate students in Novena University Ogume, Delta State Nigeria.
Methodology: A cross-sectional study design was used in the research. A random sample of 282 undergraduate students was used in the study, which was conducted in 2019 at Novena University. The instruments for data collection were a semi-structured questionnaire, stadiometers, weighing scale, and measuring tape. The Statistical Package for Social Sciences, version 23.0, was used to analyze the data that had been gathered. To look for relationships between the relevant variables at the P<0.05 level of significance, descriptive and inferential statistics were used.
Results: The mean age of the respondents was 26.91±6.57 years and majority (77.7%) was females. More females were overweight (28.3%) and obese (9.9%) and had waist-hip ratio (32.8%) higher than males. The respondents demonstrated good knowledge of the relationship between obesity and diabetes (50.5%). Predictors of knowledge on the relationship between obesity and diabetes were older age (Ρ=0.204, OR=2.111, 95% CI=0.667-6.682) and family history of obesity (P=0.006, OR=2.450, 95% CI=1.299-4.622) and diabetes (Ρ=0.000, OR=6.839, 95% CI=8.782-12.713).
Conclusion: Findings of the study confirmed the prevalence of overweight and obesity among the study population. Therefore, implementation of weight reduction programmes will be essential.
Received: 12 December 2023
Accepted: 20 February 2024
Published: 07 March 2024
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WHO. Health. 2021. Obesity and Overweight factsheet from the WHO.
World Health Organisation Africa. Obesity rising in Africa, WHO analysis finds. WHO Africa. 2022;
Agofure O. Prevalence of obesity among adults in Issele-Uku, Delta State Nigeria. Alexandria Journal of Medicine. 2018 Dec 1;54(4):463–8.
Wahab KW, Sani MU, Yusuf BO, Gbadamosi M, Gbadamosi A, Yandutse MI. Prevalence and determinants of obesity - a cross-sectional study of an adult Northern Nigerian population. Int Arch Med. 2011;4(1):10.
Oyeyemi AL, Adegoke BO, Oyeyemi AY, Deforche B, Bourdeaudhuij I, Sallis JF. Environmental factors associated with overweight among adults in Nigeria. International Journal of Behavioral Nutrition and Physical Activity. 2012;9(1):32.
Etukumana E, Puepet F, Obadofin M. Prevalence of Overweight and Obesity among Rural Adults in North Central Nigeria. Nigerian Journal of Family Practice. 2015;3(2).
Chinedu SN, Ogunlana OO, Azuh DE, Iweala EEJ, Afolabi IS, Uhuegbu CC, et al. Correlation between Body Mass Index and Waist Circumference in Nigerian Adults: Implication as Indicators of Health Status. J Public Health Res. 2013 Jul 27;2(2):jphr.2013.e16.
Ijoma UN, Chime P, Onyekonwu C, Ezeala-Adikaibe BA, Orjioke C, Anyim OB, et al. Factors Associated with Overweight and Obesity in an Urban Area of South East Nigeria. Food Nutr Sci. 2019;10(07):735–49.
NV A, TO U, KN O, JC E, ST E, CA N, et al. Prevalence of Overweight and Obesity among Secondary Schools Adolescents in Onitsha, Anambra State Nigeria. Int J Med Sci Clin Invent. 2022 Jan 6;9(01):5891–9.
Sabageh A, Ojofeitimi E. Prevalence of obesity among adolescents in Ile-Ife, Osun state, Nigeria using body mass index and waist hip ratio: A comparative study. Nigerian Medical Journal. 2013;54(3):153.
Adebimpe WO. Prevalence and knowledge of risk factors of childhood obesity among school-going children in Osogbo, south-western Nigeria. Malawi Medical Journal. 2019 Mar 31;31(1):19.
Adeniyi OF, Fagbenro GT, Olatona FA. Overweight and Obesity Among School-aged Children and Maternal Preventive Practices against Childhood Obesity in Select Local Government Areas of Lagos, Southwest, Nigeria. International Journal of Maternal and Child Health and AIDS (IJMA). 2019 Jun 30;8(1):70–9.
IDF. International Diabetes Atlas 10th Edition. Vol. 10th editi, Diabetes Research and Clinical Practice. 2021.
Algoblan A, Alalfi M, Khan M. Mechanism linking diabetes mellitus and obesity. Diabetes Metab Syndr Obes. 2014 Dec;587.
Kahn SE, Hull RL, Utzschneider KM. Mechanisms linking obesity to insulin resistance and type 2 diabetes. Nature. 2006 Dec 13;444(7121):840–6.
Røder ME, Porte D, Schwartz RS, Kahn SE. Disproportionately Elevated Proinsulin Levels Reflect the Degree of Impaired B Cell Secretory Capacity in Patients with Noninsulin-Dependent Diabetes Mellitus 1. J Clin Endocrinol Metab. 1998 Feb;83(2):604–8.
DHHS. National Diabetes Statistics Report, 2020. National Diabetes Statistics Report. 2020;
Kasuga M. Insulin resistance and pancreatic cell failure. Journal of Clinical Investigation. 2006 Jul 3;116(7):1756–60.
Karpe F, Dickmann JR, Frayn KN. Fatty Acids, Obesity, and Insulin Resistance: Time for a Reevaluation. Diabetes. 2011 Oct 1;60(10):2441–9.
Jelic K LSDGCJMOD. American Diabetes Association. 2007. A cross-sectional analysis of NEFA levels following standard mixed meal in a population of persons with newly diagnosed type 2 diabetes mellitus across a spectrum of glycemic control .
Gallagher D, Heymsfield SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr. 2000 Sep;72(3):694–701.
Okagua J, Alex-Hart BA, Jaja TP. Overweight and obesity status of school adolescents in Portharcourt, southern Nigeria. Niger J Med. 2016;25(1).
Ene-Obong H, Ibeanu V, Onuoha N, Ejekwu A. Prevalence of overweight, obesity, and thinness among urban school-aged children and adolescents in southern Nigeria. Food Nutr Bull. 2012;33(4).
Ubangha L, Odugbemi T, Abiola A. Diabetes mellitus: Identifying the knowledge gaps and risk factors among adolescents attending a public school in Lagos State. Journal of Clinical Sciences. 2016;13(4):193.
Agofure O OBROUAAOHDA. Knowledge of diabetes mellitus: An aggregate qualitative study of students, teachers, market women, religious organization and community youths. Ibom Med . 2021;14(2):161–9.
Agofure O OH. Knowledge of Diabetes Mellitus among Students of a Public Secondary School in Southern Nigeria: A Cross-Sectional Study. sjhr; 2022.
Omobuwa O, Alebiosu O. Awareness of diabetes amongst undergraduates in a Nigerian University, South West Nigeria. Sahel Medical Journal. 2014;17(1):29.
A. A. M. KNOWLEDGE ATTITUDE AND PERCEPTION OF DIABETES MELLITUS AMONG STUDENTS OF UNIVERSITY OF PORT HARCOURT, RIVERS STATE, SOUTH–SOUTH ZONE NIGERIA. World J Pharm Res. 2017 Oct 1;92–107.
World Medical Association Declaration of Helsinki. World Medical Association declaration of Helsinki: Ethical principles for medical research involving human subjects. Vol. 310, JAMA. 2013.
Novena University Records Department. 2019.
Lachenbruch PA, Lwanga SK, Lemeshow S. Sample Size Determination in Health Studies: A Practical Manual. J Am Stat Assoc. 1991;86(416).
Jelliffe DB. The assessment of the nutritional status of the community. WHO Monograph Series . 1966;(53).
WHO Expert Consultation. Waist Circumference and Waist-Hip Ratio Report of a WHO Expert Consultation, Geneva, 8-11 December 2008. World Health Organization . 2011;(December).
Broere-Brown ZA, Baan E, Schalekamp-Timmermans S, Verburg BO, Jaddoe VWV, Steegers EAP. Sex-specific differences in fetal and infant growth patterns: A prospective population-based cohort study. Biol Sex Differ. 2016;7(1).
Wisniewski AB, Chernausek SD. Gender in childhood obesity: Family environment, hormones, and genes. Gend Med. 2009;6(SUPPL. 1).
Campbell MK. Biological, environmental, and social influences on childhood obesity. Vol. 79, Pediatric Research. 2016.
Onyechi U, Okolo A. Prevalence of obesity among undergraduate students, living in halls of residence, University of Nigeria, Nsukka campus, Enugu state. Animal Research International. 2009 Dec 8;5(3).
Emmanuel A OEGSGJDGLDN. Prevalence of Overweight and Obesity among Undergraduate Nursing Students in Nigeria. International Journal of Nursing and Health Science. 2015;2(5):56–9.
Omage K, Omuemu VO. Assessment of dietary pattern and nutritional status of undergraduate students in a private university in southern Nigeria. Food Sci Nutr. 2018 Oct 22;6(7):1890–7.
Mitic N, Popovic L, Milic M, Radic I, Popovic B. Prevalence of Overweight and Obesity among Students of Uni-versity in Pristina/Kosovska Mitrovica, According to Different Anthropometric Indices. Iran J Public Health. 2021 Sep 6;
Uloko AE, Musa BM, Ramalan MA, Gezawa ID, Puepet FH, Uloko AT, et al. Prevalence and Risk Factors for Diabetes Mellitus in Nigeria: A Systematic Review and Meta-Analysis. Diabetes Therapy. 2018 Jun 14;9(3):1307–16.
Asiimwe D, Mauti GO, Kiconco R. Prevalence and Risk Factors Associated with Type 2 Diabetes in Elderly Patients Aged 45-80 Years at Kanungu District. J Diabetes Res. 2020 Jan 30;2020:1–5.
Amarasinghe S, Balakumar S, Arasaratnam V. Prevalence and risk factors of diabetes mellitus among adults in Jaffna District. Ceylon Medical Journal. 2015 Sep 27;60(3):107.
Winston GJ, Caesar-Phillips E, Peterson JC, Wells MT, Martinez J, Chen X, et al. Knowledge of the health consequences of obesity among overweight/obese Black and Hispanic adults. Patient Educ Couns. 2014 Jan;94(1):123–7.
Otovwe A. Demographic Determinants of Knowledge, Perception, and Attitude towards Diabetes Mellitus among Public In-School Adolescents in Southern Nigeria. School Health. 2023;10(4):2–10.
Khan RK MRSBSWS. Predictors of diabetes risk perception among college students. 2022;1809–1809.
DOI: http://dx.doi.org/10.21622/AMPDR.2024.04.1.776
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Advances in Medical, Pharmaceutical and Dental Research
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