title: Four-Year Trends in Cardiometabolic Risk Factors according to Baseline Abdominal Obesity Status in West-African Adults: The Benin Study.
abstract: The study examined whether abdominal obesity (AO) according to waist circumference was associated with more unfavourable changes in other cardiometabolic risk (CMR) factors in sub-Saharan Africans. The study included 541 randomly selected and apparently healthy subjects (50% women) aged 25-60 years. Complete data at baseline, 24, and 48 months later was available in 366 subjects. AO was associated with higher CMR at baseline and over the follow-up period, except for high blood pressure. A significantly higher incidence of high ratio of total cholesterol : HDL-cholesterol (TC/HDL-C) was associated with AO. Controlling for WC changes, age, baseline diet, and lifestyles, the relative risk (RR) of low HDL-C and high TC/HDL-C was 3.2 (95% CI 1.06-9.61) and 7.4 (95% CI 2.01-25.79), respectively, in AO men; the RR was not significant in women. Over a four-year period, AO therefore appeared associated with an adverse evolution of cholesterolemia in the study population.
authors.affiliation: TRANSNUT, WHO Collaborating Centre on Nutrition Changes and Development, Department of Nutrition, Faculty of Medicine, University of Montreal, CP 6128 succursale centre-ville, Montréal, QC, Canada H3C 3J7.
authors.forename: Charles
authors.initials: C
authors.lastname: Sossa
authors.forename: Hélène
authors.initials: H
authors.lastname: Delisle
authors.forename: Victoire
authors.initials: V
authors.lastname: Agueh
authors.forename: Michel
authors.initials: M
authors.lastname: Makoutodé
authors.forename: Benjamin
authors.initials: B
authors.lastname: Fayomi