A Study on Death Prevalence due to Obesity in Nigeria from 1990 to 2017
Obesity is a public health problem globally. There are several other communicable diseases such as malaria, measles, HIV etc. are prominent contributors to diseases burden in Africa, but now this disease burden transfer to other noncommunicable diseases such as obesity, respiratory diseases , cancer, cardiovascular diseases etc. This study was conducted to examine prevalence of deaths due to obesity in Nigeria from 1990 to 2017. The data of total population and total deaths reported from 1990 to 2017 were collected from various internet websites. Significant highest death prevalence rate was found in the year 2000 (0.0196%) in that year the total population of Nigeria were 12,22,83,850, and total deaths were 23,984. Significant lowest death prevalence rate was found in the year 2013 (0.0129%) in that year the total population of Nigeria were 17,45,07,539 and total deaths were 22,679.
Introduction
Communicable diseases such as HIV, Tuberculosis, malaria, measles, and hepatitis are the most prominent contributors to disease burden in sub-Saharan Africa. Now disease burden of communicable diseases shift to profiles featuring an increasing predominance of chronic, noncommunicable diseases. Cancer, kidney diseases, cardiovascular diseases, respiratory diseases, diabetes, mental disorders, and obesity are growing burdens as indicates by various researches [1, 2, 3, 4].
Obesity is a public health problem worldwide. Obesity is defined as a if a person has body mass index (BMI) more than 30kg/m2 is called obese or can be described as the imbalance between the intake of energy and expenditure of energy that is excess energy stored in fat cells. Obesity is a disorder which is related to energy metabolism. Approximately 200 million men and 300 million women of aged 20 years and above were obese in the year 2008. It is associated with so many disorders such as hypertension, diabetes, cardiovascular diseases, osteoarthritis, depression, distress, cancer. In some parts of the world such as Nigeria, Chad, Northern Cameroon, Nauru, Tahiti obesity is seen as a symbol of beauty and they perform some cultural fattening ceremonies. In most of the developing countries many people die because of obesity related diseases such as diabetes mellitus, heart diseases, cancer and many other diseases which are related to obesity [5, 6, 7, 8, 9, 10, 11, 12, 13].
Approximately 26% and 37% prevalence of overweight, 3% and 8.1% prevalence of obesity in men and women respectively was found in a WHO survey data on Nigeria in 2010. This survey data also revealed that the prevalence of overweight and obesity of individuals aged 30 years and above shows increment in overweight by 23% and 18% and increment in obesity by 47% and 39% in men and women respectively between 2002 and 2010, in Nigeria [14].
Methodology
Data Collection and Analysis
The data of total population and total deaths reported due to obesity in Nigeria from 1990 to 2017 were collected from various internet websites and death prevalence rate, mean, standard error of mean, and p value were calculated.
No. of deaths Prevalence rate= ×100 Total No. of Population Statistical Analysis Analysis of data was done by using SPSS. Variables were presented in frequencies and percentages, and distributed continuous variables were presented as mean and standard error of mean (SEM).
Results and Discussion
This study was conducted to examine prevalence of deaths due to obesity in Nigeria from 1990 to 2017. Significant highest death prevalence rate was found in the year 2000 (0.0196%) in that year the total population of Nigeria were 12,22,83,850, and total deaths were 23,984. Significant lowest death prevalence rate was found in the year 2013 (0.0129%) in that year the total population of Nigeria were 17,45,07,539 and total deaths were 22,679. In every seven years the prevalence rate of death was significant. The average prevalence rate from 1990 to 1996 was 0.0350% (p=0.000001), from 1997 to 2003 the prevalence rate was 0.0189% (p=0.000000*), from 2004 to 2010 the prevalence rate was 0.0155% (p=0.000000), from 2011 to 2017 the prevalence rate was 0.0132% (p=0.000001**). The death rate was significant in the year 1997 to 2003 and highly significant in the year 1990 to 1996, 2004 to 2010 and 2011 to 2017. Obesity is a global health problem across all reces, sex and age. It affects our body by affecting the body systems and various metabolic process such as endocrine system, cardiovascular system, digestive system, nervous system, reproductive system. There are so many causes of obesity but some of the researchers studied that disruption in sleep and chronic stress serves major causing factor of obesity and overweight. Several studies has been done to see prevalence of obesity among Nigerian population and found that the prevalence of obesity was highest in the higher income population in Nigeria [15, 16, 17, 18, 19].
Skaal and Pengpid [20] reported 60.5% male and 76.5% female prevalence rate of overweight or obesity in 100 black health care workers in South Africa. Another study was done by some researchers on obesity among female nurses in AkwaIbom state of Nigeria and found that 62.6% of nurses are obese out of 500 nurses. According to Nigerian Demographic and Health Survey, 2008, the prevalence of obesity among nurses was higher(34.8%) in women aged 15-49 of AkwaIbom state of Nigeria [21].
Some researchers revealed the prevalence of obesity in Nigeria and results showed that the prevalence of obesity was high in Abuja as compared to other cities of Nigeria. The results of that study similar to the results of another study which revealed the prevalence of obesity was higher in developing countries like United Kingdom, where the prevalence of obesity was more in men (42%) than women (32% [22, 23, 24, 25, 26].
| Year | Total Population | Deaths due to Obesity | Prevalence rate (%) |
|---|---|---|---|
| 1990 | 9,52,12,450 | 13,853 | 0.0145 |
| 1991 | 8,89,92,220 | 14,848 | 0.0166 |
| 1992 | 10,01,61,700 | 15,885 | 0.0158 |
| 1993 | 10,27,00,800 | 16,829 | 0.0163 |
| 1994 | 10,52,93,700 | 17,785 | 0.0168 |
| 1995 | 10,79,48,335 | 18,721 | 0.0173 |
| 1996 | 11,06,68,800 | 19,771 | 0.0178 |
| Mean: 16813.143 SD : 1957.3772 SEM : 799.0959 p : 0.000001** 95%CI: 14857.836 —— 18768.45 t=2.4468 99%CI: 13850.674 —— 19775.611 t=3.7072 | |||
| 1997 | 11,34,57,700 | 20,912 | 0.0184 |
| 1998 | 11,63,19,800 | 22,019 | 0.0189 |
| 1999 | 11,92,60,100 | 23,091 | 0.0193 |
| 2000 | 12,22,83,850 | 23,984 | 0.0196 |
| 2001 | 12,53,94,000 | 24,148 | 0.0192 |
| 2002 | 12,85,96,100 | 24,311 | 0.0189 |
| 2003 | 13,19,00,600 | 24,200 | 0.0183 |
| Mean: 23237.857 SD : 1217.6814 SEM : 497.1163 p : 0.000000** 95%CI: 22021.465 —— 24454.25 t=2.4468 99%CI: 21394.91 —— 25080.805 t=3.7072 | |||
| 2004 | 13,53,20,400 | 23,988 | 0.0177 |
| 2005 | 13,88,65,016 | 23,621 | 0.0170 |
| 2006 | 14,04,31,790 | 23,278 | 0.0165 |
| 2007 | 14,63,40,000 | 22,743 | 0.0155 |
| 2008 | 15,02,69,623 | 22,049 | 0.0146 |
| 2009 | 15,43,24,933 | 21,681 | 0.0140 |
| 2010 | 15,85,03,197 | 21,660 | 0.0136 |
| Mean: 22717.143 SD : 877.0749 SEM : 358.064 p : 0.000000** 95%CI: 21840.996 —— 23593.29 t=2.4468 99%CI: 21389.7 —— 24044.586 t=3.7072 | |||
| 2011 | 16,24,71,000 | 21,817 | 0.0134 |
| 2012 | 16,72,28,767 | 22,206 | 0.0132 |
| 2013 | 17,45,07,539 | 22,679 | 0.0129 |
| 2014 | 17,64,04,902 | 23,403 | 0.0132 |
| 2015 | 18,11,37,448 | 24,165 | 0.0133 |
| 2016 | 18,59,60,241 | 25,127 | 0.0135 |
| 2017 | 19,08,73,244 | 25,869 | 0.0135 |
| Mean: 23609.428 SD : 1404.4861 SEM : 573.379 p : 0.000001** 95%CI: 22206.428 —— 25012.43 t=2.4468 99%CI: 21483.754 —— 25735.104 t=3.7072 |
Table 1: Prevalence rate of deaths due to Obesity in Nigeria from 1990-2017. Source: population by worldometer, deaths by Our Wor
References
-
GDB 2017 Causes of Death Collaborators (2018) Global, regional. and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980- 2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 392(10159): 1736-1788.
-
Moran A, Forouzanfar M, Sampson U, Chugh S, Feign V, et al. (2013) The epidemiology of cardiovascular diseases in sub-Saharan Africa:the Global Burden of Diseases, Injuries and Risk Factors 2010 Study. Prog Cardiovasc Dis 56(3): 234-239.
-
Mensah GA, Roth GA, Sampson UK, Andrew E Moran, Valery L Feigin, et al. (2015) Mortality from cardiovascular diseases in sub-Saharan Africa, 1990- 2013:a systematic analysis of data from the Global Burden of Disease Study 2013. Cardiovasc J Afr 26(2 S1): S6-S10.
-
NCD Risk Factor Collaboration (NCD-RisC)-Africa Working Group (2017) Trends in obesity and diabetes across Africa from 1980 to 2014: an analysis of pooled population-based studies. Int J Epidemiol 46(5): 1421- 1432.
-
Heymsfield SB, Wadden TA (2017) Mechanisms, pathophysiology, and management of obesity. N Engl J Med 376: 255-266.
-
Samson-Akpan PE, Edet OB, Akpabio II, Asuquo EF (2013) Perceived relative factors influencing nurses? practice of health promotion for women in Calabar, Cross River State, Nigeria. International Journal of Nursing and Midwifery 5(3): 46-52.
-
Ekpenyong CE, Akpan EE (2013) Urbanization Drift and Obesity Epidemic in Sub-Saharan Africa: A Review of the Situation in Nigeria. European Journal of Sustainable Development 2(4): 141-164.
-
Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, et al. (2013) Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380(9859): 2095-2128.
-
WHO (1995) Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee, Technical Report Series No. 854, World Health Organisation, Geneva.
-
WHO (2006) Office of Health Communications and Public Relations. Obesity and overweight. World Health Organisation, Geneva.
-
WHO (2012) Fact sheet on Obesity 2010, World Health Organisation.
-
Poirier P, Giles TD, Bray GA, Hong Y, Stern JS, et al. (2006) Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss: an update of the 1997 American Heart Association Scientific Statement on Obesity and Heart Disease from the Obesity Committee of the Council on Nutrition, Physical Activity, and Metabolism. Circulation 113(6): 898-918.
-
Vucenik I, Stains JP (2012) Obesity and cancer risk: evidence, mechanisms, and recommendations. Ann N Y Acad Sci 1271(1): 37-43.
-
Ono T, Guthold R, Strong K (2012) WHO Global Comparable Estimates: Global Infobase data for saving lives 2005. World Health Organization.
-
Arojo OO, Osungbade KO (2013) Trends of obesity epidemic and its emerging 1:1-9.
-
Caterson ID (2009) Medical management of obesity and its complications. Ann Acad Med Singapore 38(1): 22- 27.
-
Banwat ME CM, Lar LA. Dami N, AI Z (2012) Pattern of obesity among chief executives of public and private organisations in Jos, Plateau state, Nigeria. NJBCS, pp: 18-22.
-
Kandala NB, Stranges S (2014) Geographic Variation of Overweight and obesity among Women in Nigeria: A Case for Nutritional Transition in Sub-Saharan Africa. PloS one 9(6): e101103.
-
Markwald RR, Wright KP (2012) Circadian misalignment and sleep disruption in shift workers: Implications for fatigue and risk of weight gain and obesity. Sleep Loss Obesity Intersecting Epidemics 1: 101-118.
-
Skald L, Pegpid S (2011) Obesity and health problems among South African healthcare workers: do healthcare workers take care of themselves?. South African Family Practice 53(6): 563-567.
-
Ogunjimi L, Ikorok MM, Olayinka Y (2010) Prevalence of obesity among Nigerian nurses: the Akwa Ibom State experience. International NGO Journal 5(2): 45-49.
-
Olatunbosun ST, Kaufman JS, Bella AF (2011) Prevalence of obesity and overweight in urban adult Nigerians. Obes Rev 12(4): 233-241.
-
Oyeyemi AL, Adegoke BO, Oyeyemi AY, Deforche B, De Bourdeaudhuij I, et al. (2012) Environmental factors associated with overweight among adults in Nigeria. Int J Behav Nutr Phys Act 9: 32.
-
Ejike CE, Ijeh II (2012) Obesity in young adult Nigerians: variations in prevalence determined by anthropometry and bioelectrical impedance analysis, and the development of body fat prediction equations. Int Arch Med 5(1): 22.
-
Sola AO, Steven AO, Kayode JA, Olayinka AO (2011) Underweight , overweight and obesity in adults Nigerians living in rural and urban communities of Benue State. Ann Afr Med 10(2): 139-143.
-
The NHS, Information Centre LS (2012) Statistics on obesity, physical activity and diet: England, 2012. Strategic Health Authorities, NHS Digital, England.
- Investigation of Polymorphisms in PPAR-Ɣ and TRHR Genes and their Impact on Turkish Diabetic and Obese Individuals
- The Impact of Aircraft Noise Exposure on the Efficacy of Empagliflozin Therapy in an Animal Model of Obesity
- Rooibos Mitigates Metabolic and Inflammatory Dysfunctions in Mice Fed a High-Carbohydrate Diet
- Synergistic Effect of Combined Leaf Extract of Vernonia amygdalina, Ocimum gratissimum, and Zingiber officinale Tuber on Phytochemical Profile, Antioxidant Activity, Serum Insulin, and Biochemical Parameters in Streptozotocin-Induced Diabetic Rats
- Investigation of Cardiovascular Responses to Aerobic Exercise in Obese University Students
- A Look at the Phase Angle Obtained by Electrical Bioimpedance