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Abdominal vs. overall obesity among women in a nutrition transition context : geographic and socio-economic patterns of abdominal-only obesity in Tunisia

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Abstract
Background: Most assessments of the burden of obesity in nutrition transition contexts rely on body mass index (BMI) only, even though abdominal adiposity might be specifically predictive of adverse health outcomes. In Tunisia, a typical country of the Middle East and North Africa (MENA) region, where the burden of obesity is especially high among women, we compared female abdominal vs. overall obesity and its geographic and socio-economic cofactors, both at population and within-subject levels. Methods: The cross-sectional study used a stratified, three-level, clustered sample of 35-to 70-year-old women (n = 2,964). Overall obesity was BMI = weight/height(2) >= 30 kg/m(2) and abdominal obesity waist circumference = 88 cm. We quantified the burden of obesity for overall and abdominal obesity separately and their association with place of residence (urban/rural, the seven regions that compose Tunisia), plus physiological and socio-economic cofactors by logistic regression. We studied the within-subject concordance of the two obesities and estimated the prevalence of subject-level "abdominal-only" obesity (AO) and "overall-only" obesity (OO) and assessed relationships with the cofactors by multinomial logistic regression. Results: Abdominal obesity was much more prevalent (60.4% [57.7-63.0]) than overall obesity (37.0% [34.5-39.6]), due to a high proportion of AO status (25.0% [22.8-27.1]), while the proportion of OO was small (1.6% [1.1-2.2]). We found mostly similar associations between abdominal and overall obesity and all the cofactors except that the regional variability of abdominal obesity was much larger than that of overall obesity. There were no adjusted associations of AO status with urban/rural area of residence (P = 0.21), education (P = 0.97) or household welfare level (P = 0.94) and only non-menopausal women (P = 0.093), lower parity women (P = 0.061) or worker/employees (P = 0.038) were somewhat less likely to be AO. However, there was a large residual adjusted regional variability of AO status (from 16.6% to 34.1%, adjusted P < 0.0001), possibly of genetic, epigenetic, or developmental origins. Conclusion: Measures of abdominal adiposity need to be included in population-level appraisals of the burden of obesity, especially among women in the MENA region. The causes of the highly prevalent abdominal-only obesity status among women require further investigation.
Keywords
Women, Body mass index, Waist circumference, Obesity, Abdominal obesity, Nutrition transition, Geographic disparities, Socio-economic factors, Tunisia, MIDDLE-INCOME COUNTRIES, BODY-MASS INDEX, WAIST CIRCUMFERENCE, METABOLIC SYNDROME, CARDIOVASCULAR RISK, VISCERAL ADIPOSITY, FAT DISTRIBUTION, PREVALENCE, POPULATIONS, GENDER

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Chicago
Traissac, Pierre, Rebecca Pradeilles, Jalila El Ati, Hajer Aounallah-Skhiri, Sabrina Eymard-Duvernay, Agnss Gartner, Chiraz Beji, et al. 2015. “Abdominal Vs. Overall Obesity Among Women in a Nutrition Transition Context : Geographic and Socio-economic Patterns of Abdominal-only Obesity in Tunisia.” Population Health Metrics 13.
APA
Traissac, P., Pradeilles, R., El Ati, J., Aounallah-Skhiri, H., Eymard-Duvernay, S., Gartner, A., Beji, C., et al. (2015). Abdominal vs. overall obesity among women in a nutrition transition context : geographic and socio-economic patterns of abdominal-only obesity in Tunisia. POPULATION HEALTH METRICS, 13.
Vancouver
1.
Traissac P, Pradeilles R, El Ati J, Aounallah-Skhiri H, Eymard-Duvernay S, Gartner A, et al. Abdominal vs. overall obesity among women in a nutrition transition context : geographic and socio-economic patterns of abdominal-only obesity in Tunisia. POPULATION HEALTH METRICS. 2015;13.
MLA
Traissac, Pierre, Rebecca Pradeilles, Jalila El Ati, et al. “Abdominal Vs. Overall Obesity Among Women in a Nutrition Transition Context : Geographic and Socio-economic Patterns of Abdominal-only Obesity in Tunisia.” POPULATION HEALTH METRICS 13 (2015): n. pag. Print.
@article{8521518,
  abstract     = {Background: Most assessments of the burden of obesity in nutrition transition contexts rely on body mass index (BMI) only, even though abdominal adiposity might be specifically predictive of adverse health outcomes. In Tunisia, a typical country of the Middle East and North Africa (MENA) region, where the burden of obesity is especially high among women, we compared female abdominal vs. overall obesity and its geographic and socio-economic cofactors, both at population and within-subject levels. 
Methods: The cross-sectional study used a stratified, three-level, clustered sample of 35-to 70-year-old women (n = 2,964). Overall obesity was BMI = weight/height(2) {\textrangle}= 30 kg/m(2) and abdominal obesity waist circumference = 88 cm. We quantified the burden of obesity for overall and abdominal obesity separately and their association with place of residence (urban/rural, the seven regions that compose Tunisia), plus physiological and socio-economic cofactors by logistic regression. We studied the within-subject concordance of the two obesities and estimated the prevalence of subject-level {\textacutedbl}abdominal-only{\textacutedbl} obesity (AO) and {\textacutedbl}overall-only{\textacutedbl} obesity (OO) and assessed relationships with the cofactors by multinomial logistic regression. 
Results: Abdominal obesity was much more prevalent (60.4\% [57.7-63.0]) than overall obesity (37.0\% [34.5-39.6]), due to a high proportion of AO status (25.0\% [22.8-27.1]), while the proportion of OO was small (1.6\% [1.1-2.2]). We found mostly similar associations between abdominal and overall obesity and all the cofactors except that the regional variability of abdominal obesity was much larger than that of overall obesity. There were no adjusted associations of AO status with urban/rural area of residence (P = 0.21), education (P = 0.97) or household welfare level (P = 0.94) and only non-menopausal women (P = 0.093), lower parity women (P = 0.061) or worker/employees (P = 0.038) were somewhat less likely to be AO. However, there was a large residual adjusted regional variability of AO status (from 16.6\% to 34.1\%, adjusted P {\textlangle} 0.0001), possibly of genetic, epigenetic, or developmental origins. 
Conclusion: Measures of abdominal adiposity need to be included in population-level appraisals of the burden of obesity, especially among women in the MENA region. The causes of the highly prevalent abdominal-only obesity status among women require further investigation.},
  articleno    = {1},
  author       = {Traissac, Pierre and Pradeilles, Rebecca and El Ati, Jalila and Aounallah-Skhiri, Hajer and Eymard-Duvernay, Sabrina and Gartner, Agnss and Beji, Chiraz and Bougatef, Souha and Martin-Prevel, Yves and Kolsteren, Patrick and Delpeuch, Francis and Ben Romdhane, Habiba and Maire, Bernard},
  issn         = {1478-7954},
  journal      = {POPULATION HEALTH METRICS},
  language     = {eng},
  pages        = {11},
  title        = {Abdominal vs. overall obesity among women in a nutrition transition context : geographic and socio-economic patterns of abdominal-only obesity in Tunisia},
  url          = {http://dx.doi.org/10.1186/s12963-015-0035-3},
  volume       = {13},
  year         = {2015},
}

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