title: Obesity in peoples of the African diaspora.
abstract: People of African descent in the Caribbean and the USA originated from the Bight of Benin in West Africa. Although these populations share a common genetic heritage, they now live under different socioeconomical conditions. Assuming genetic similarity, a cross-cultural examination of these peoples in West Africa, the Caribbean and the USA may attenuate the effect of genetic factors and allow the assessment of environmental contributions to a biological outcome. We carried out an epidemiological survey to determine the prevalence of hypertension and the contribution of risk factors to the variation in blood pressure. We measured the height, weight, waist and hip circumferences, and blood pressure of adults in Nigeria, Cameroon, Jamaica, St. Lucia, Barbados and the USA. In urban populations there was a trend towards increasing weight, height, body mass index, and proportions of those overweight and obese going from West Africa to the USA, with the Caribbean being intermediate. The prevalence of hypertension lay on a similar gradient. Given a common genetic susceptibility, urbanization and western acculturation are therefore associated with increasing hypertension and obesity.
authors.affiliation: Tropical Metabolism Research Unit, University of the West Indies, Mona, Kingston, Jamaica, West Indies.
authors.forename: R
authors.initials: R
authors.lastname: Wilks
authors.forename: N
authors.initials: N
authors.lastname: McFarlane-Anderson
authors.forename: F
authors.initials: F
authors.lastname: Bennett
authors.forename: H
authors.initials: H
authors.lastname: Fraser
authors.forename: D
authors.initials: D
authors.lastname: McGee
authors.forename: R
authors.initials: R
authors.lastname: Cooper
authors.forename: T
authors.initials: T
authors.lastname: Forrester
mesh_terms: D000328:Adult; D000354:Africa, Western / Q000208:ethnology; D000368:Aged; D044383:Black People / Q000235:genetics*; D001794:Blood Pressure / Q000235:genetics; D001827:Body Height; D015992:Body Mass Index; D001835:Body Weight; D017691:Caribbean Region / Q000453:epidemiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000453:epidemiology* / Q000235:genetics; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000453:epidemiology* / Q000235:genetics; D015995:Prevalence; D012307:Risk Factors; D014481:United States / Q000453:epidemiology; D014505:Urban Population; D001741:Black or African American