Eight-year prevalence and incidence of obesity, high blood glucose and high blood pressure in five African-origin populations: data from the Modeling the Epidemiologic Transition Study
Rattachement africain : Afrique du Sud, nl, us, ch, Seychelles, Ghana, jm, au. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Introduction: Obesity, high blood glucose and high blood pressure are major drivers of global morbidity. Characterising temporal trends in these conditions among people of African origin can direct public health efforts. This longitudinal cohort study aimed to characterise the prevalence and incidence of obesity, high blood glucose and high blood pressure over 8 years in five African-origin middle-aged populations spanning the Human Development Index and to explore temporal between-site and within-site differences. Methods: In 2009-2011, the Modeling the Epidemiologic Transition Study (METS) enrolled adults aged 25-45 years from Ghana, South Africa, Jamaica, Seychelles and the USA (n=500 each), with follow-up in 2018-2019. Standardised measurements included anthropometrics, blood pressure and capillary (baseline)/plasma (follow-up) glucose. We calculated prevalence and raw incidence rates (IRs). Generalised estimating equations (GEE) assessed longitudinal associations between outcomes, site and timepoint, adjusting for age, sex and covariates. Results: In 855 participants with complete data, the IR per 1000 person-years was 22.0 for obesity, 4.7 for high blood glucose and 27.4 for high blood pressure. Obesity prevalence and incidence were higher among women than among men. In GEE, the adjusted risk of obesity was significantly higher at follow-up than at baseline for Ghana, Jamaica and Seychelles. The prevalence of high blood glucose more than doubled between timepoints; the IR ranged from 3.0 (South Africa) to 7.1 (USA), with no statistically significant site differences in GEE analysis. For high blood pressure, Ghana, Jamaica and Seychelles showed a greater change in risk between baseline and follow-up, compared with the USA. Conclusions: The risk of obesity, high blood glucose and high blood pressure increased among middle-aged individuals over 8 years; in Ghana, Jamaica and Seychelles, the change in obesity and high blood pressure risk was statistically significantly greater than in the USA. This highlights the importance of non-communicable disease prevention and management, irrespective of country's HDI.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Eight-year prevalence and incidence of obesity, high blood glucose and high blood pressure in five African-origin populations: data from the Modeling the Epidemiologic Transition Study
- Date Crossref
- 01/01/2026
- Éditeur
- BMJ
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Western Cape Department of Health Western Cape Department of Health, Afrique du Sud (code pays fourni par la source)Organisme public
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University of Cape Town Lifestyle and Sport Research Centre & Division of Physiological Sciences University of Cape Town, Afrique du Sud (code pays fourni par la source)Université ou école supérieure
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University Medical Center Utrecht pays non établi dans la noticeÉtablissement de santé
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Cal Humanities pays non établi dans la noticeOrganisation à but non lucratif
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Chicago Department of Public Health pays non établi dans la noticeOrganisme public
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Centre universitaire de médecine générale et santé publique pays non établi dans la noticeÉtablissement de santé
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Ministry of Health Seychelles (code pays fourni par la source)Organisme public
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Kwame Nkrumah University of Science and Technology Kumasi, Ghana (code pays fourni par la source)Université ou école supérieure
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University of the West Indies Solutions for Developing Countries pays non établi dans la noticeUniversité ou école supérieure
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University of Southern Queensland pays non établi dans la noticeUniversité ou école supérieure
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South African Medical Research Council Afrique du Sud (code pays fourni par la source)Institution
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Scripps Institution of Oceanography pays non établi dans la noticeStructure de recherche
Western Cape Department of Health (Western Cape Department of Health, Afrique du Sud), Lifestyle and Sport Research Centre & Division of Physiological Sciences — University of Cape Town (University of Cape Town, Afrique du Sud) et University Medical Center Utrecht, avec 9 autres affiliations. Pays d’affiliation : Afrique du Sud, Seychelles, Ghana.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.