Prevalence of obesity and abdominal obesity in healthy Gabonese adult populations

Paper Details

Research Paper 01/08/2020
Views (245) Download (16)

Prevalence of obesity and abdominal obesity in healthy Gabonese adult populations

Hourfil-Gabin Ntougou Assoumou, Armelle Ntsame Affane, Noreen Orianna Koumba Madingou
Int. J. Biosci.17( 2), 230-237, August 2020.
Certificate: IJB 2020 [Generate Certificate]


Obesity is complex, multi-factorial chronic disease, which defined as excess adipose tissue, and it is associated with numerous chronic health conditions, such as cardio and cerebrovascular disease.The purpose of this study was to investigate the prevalence of global and abdominal obesity according to obesity indexes in general adult populations living to Libreville. We conducted a population-based, cross-sectional study with a sample of 957 active adult subjects, men and women (mean age 37.47 ± 7.66 years old, 19-66 years old) from Libreville. Anthropometric and biological variables were evaluated by standard methods.The prevalence of abdominal obesity was about 35.05% in women and 8.18% in men as evaluated by WC, and about 37.01% in women and 27.64% in men as evaluated by WHR1. Anthropometrics variables were increased in men, contrary to body indices that increased in women, excepted WHR1 that decreased in women. According to BAI, the global obesity was 33.09% versus 16.51% for BMI. BAI and WC were appropriate to estimate both global and abdominal obesity. BAI was more important in women (35.22±4.50) compared to men (31.81±3.12) according to increasing WC (>102cm). All global obesity and abdominal obesity indices increased with old age. The prevalence of abdominal obesity was twice as much (35.05%) the prevalence of global obesity in this study. We propose that BAI be used to estimate global obesity in complementarily of BMI. WC remains now the specific index to evaluate abdominal obesity, if absence of technical instruments such as DXA.


Bergman RN, Stefanovski D, Buchanan TA, Sumner AE, Reynolds JC. 2011. A better index of body adiposity. Obesity (Silver Spring) 19, 1083-89.

Bouchard C. 2007. BMI, fat mass, abdominal adiposity and visceral fat: where is the ‘beef’? Int J Obes (Lond) 31, 1552-53.

Camhi SM, Bray GA, Bouchard C, Greenway FL, Johnson WD. 2011. The relationship of waist circumference and BMI to visceral, subcutaneous, and total body fat: sex and race differences. Obesity (Silver Spring) 19, 402-08.

Chin Epidemiol J. 2014. Abdominal obesity and its association with health-related quality of life in adults: a population-based study in five Chinese cities. Health and Quality of Life Outcomes 12, 100.

Esmaillzadeh A, Mirmiran P, Azizi F. 2004. Waist-to-hip ratio is a better screening measure for cardiovascular risk factors than other anthropometric indicators in Tehranian adult men. Int J Obes Relat Metab Disord 28(10), 1325-32.

Garrido-Chamorro RP, Sirvent-Belando JE, Gonzalez-Lorenzo M, Martin-Carratalam L, Roche E. 2009. Correlation between body mass index and body composition in elite athletes. J Sports Med Phys Fitness 49, 278-84.

Hu D, Xie J, Fu P, Zhou J, Yu D, Whelton PK, He J, Gu D. 2007. Central rather than overall obesity is related to diabetes in the Chinese population: the InterASIA study. Obesity (Silver Spring) 15(11), 2809-16.

Jackson AS, Stanforth PR, Gagnon J, Rankinen T, Leon AS. 2002. The effect of sex, age and race on estimating percentage body fat from body mass index: The Heritage family study. Int J Obes Relat Metab Disord 26, 789-96.

Johnson W, Chumlea WC, Czerwinski SA, Demerath EW. 2012. Con­cordance of the recently published body adiposity index with measured body fat percent in European-American adults. Obesity (Silver Spring) 20, 900-03.

Keys A, Fidanza F, Karvonen MJ, Kimura N, Taylor HL. 1972. Indices of relative weight and obesity. J Chronic Dis 25, 329-43.

Lindstrom M, Isacsson SO, Merlo J. 2003. Increasing prevalence of overweight, obesity and physical inactivity: two population-based studies 1986 and 1994. Eur J Public Health. 13(4), 306-312.

Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales V. S2001. Prevalence of obesity, diabetes, and obesity-related health risk factors, JAMA 289(1),76-79. jama.289.1.76 PMID: 12503980.

Must A, Spadano J, Coakley EH, Field AE, Colditz G. 1999. The disease burden associated with overweight and obesity. JAMA 282, 1523-1529.

Ntougou Assoumou HG,  Pichot V,  Barthelemy JC,  Dauphinot V,  Celle S,  Collet P,  Gaspoz JMl, Roche F. 2011. Obesity-related autonomic nervous system disorders are best associated with body fat mass index, a new indicator. Int J Cardiol 153(1), 111-13.

Pateyjohns IR, Brinkworth GD, Buckley JD, Noakes M, Clifton PM. 2006. Comparison of three bioelectrical impedance methods with DXA in overweight and obese men. Obesity (Silver Spring) 14, 2064-70.

Pouliot MC, Despres JP, Lemieux S, Moorjani S, Bouchard C, Tremblay A, Nadeau A, Lupien PJ. 1994. Waist circumference and abdominal sagittal diameter: best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women. Am J Cardiol 73(7), 460-68.

Rahman M, Berenson AB. 2010. Accuracy of current body mass index obesity classification for white, black, and Hispanic reproductive-age women. Obstet Gynecol 115, 982-88.

Segal KR, Dunaif A, Gutin B, Albu J, Nyman A. 1987. Body composition, not body weight, is related to cardiovascular disease risk factors and sex hormone levels in men. J Clin Invest 80, 1050-55.

Shi H, Kokoeva MV, Inouye K, Tzameli I, Yin H, Flier JS. 2006. TLR4 links innate immunity and fatty acid-induced insulin resistance. J Clin Invest 116, 3015-25.

Wang W, Wang K, Li T, Xiang H, Ma L, Fu Z, Chen J, Liu Z, Bai J, Feng J, Jin S, Li Y, Qin R, Chen H. 2002. A discussion on utility and purposed value of obesity and abdomen obesity when body mass index, waist circumference, waist to hip ratio used as indexes predicting hypertension and hyper-blood glucose. Zhonghua Liu Xing Bing Xue Za Zhi. Feb 23(1),16-9.

Wei M, Gaskill SP, Haffner SM, Stern MP. 1997. Waist circumference as the best predictor of noninsulin dependent diabetes mellitus (NIDDM) compared to body mass index, waist/hip ratio and other anthropometric measurements in Mexican Americans–a 7-year prospective study. Obes Res 5(1), 16-23.

Wing RR, Matthews KA, Kuller LH, Meilahn EN, Plantinga P. 1991. Waist to hip ratio in middle-aged women. Associations with behavioral and psychosocial factors and with changes in cardiovascular risk factors. Arterioscler Thromb 11(5), 1250-57.

Yusuf S, Hawken S, Ounpuu S, Bautista L, Franzosi MG, Commerford P, Lang CC, Rumboldt Z, Onen CL, Lisheng L, Tanomsup S, Wangai P, Razak F, Sharma AM, Anand SS. 2005, INTERHEART Study Investigators. Obesity and the risk of myocardial infarction in 27,000 participants from 52 countries: a case–control study. Lancet 366(9497), 1640-49.