From: Obesity phenotypes in urban and rural Cameroonians: a cross-sectional study
Characteristics | Normal-weight | Overweight | Obese | P trend across BMI categories | P interaction | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Metabolic status | Healthy | Abnormal | p | Healthy | Abnormal | p | Healthy | Abnormal | p | Overall | Healthy | Abnormal | B*M | M*S | B*M*s |
Prevalence, n (%) | 968 (60.0) | 22 (1.4) | 406 (25.2) | 26 (1.6) | 163 (10.1) | 27 (1.7) | <0.001 | - | - | <0.001 | |||||
Men | 426 (54.3) | 8 (36.4) | 0.073 | 161 (39.7) | 17 (65.4) | 0.009 | 39 (23.9) | 10 (37.0) | 0.116 | <0.001 | <0.001 | 0.054 | 0.002 | 0.541 | 0.244 |
Age (years) | 40.9 (12.9) | 54.2 (10.8) | <0.001 | 39.4 (9.1) | 43.9 (10.2) | 0.016 | 41.7 (9.3) | 46.1 (9.4) | 0.024 | 0.922 | 0.641 | 0.010 | 0.014 | 0.650 | 0.004 |
Systolic blood pressure | 114 (16) | 146 (33) | <0.001 | 118 (18) | 141 (17) | <0.001 | 122 (17) | 143 (23) | <0.001 | <0.001 | <0.001 | 0.643 | 0.082 | 0.421 | 0.049 |
Diastolic blood pressure | 72 (11) | 83 (15) | <0.001 | 77 (13) | 93 (17) | <0.001 | 80 (12) | 94 (17) | <0.001 | <0.001 | <0.001 | 0.032 | 0.477 | 0.004 | 0.060 |
Body mass index | 21.7 (2.0) | 21.5 (2.3) | 0.729 | 27.0 (1.3) | 27.2 (1.3) | 0.525 | 33.0 (3.1) | 34.3 (4.8) | 0.066 | <0.001 | <0.001 | <0.001 | 0.044 | <0.001 | 0.021 |
Waist circumference | 78 (7) | 81 (6) | 0.049 | 86 (7) | 90 (6) | 0.009 | 95 (9) | 100 (9) | 0.004 | <0.001 | <0.001 | <0.001 | 0.513 | <0.001 | <0.001 |
Waist-hip-ratio | 0.86 (0.12) | 0.89 (0.04) | 0.166 | 0.83 (0.09) | 0.87 (0.05) | 0.039 | 0.83 (0.10) | 0.86 (0.09) | 0.200 | <0.001 | <0.001 | 0.051 | 0.934 | 0.006 | 0.004 |
Fasting blood glucose | 4.0 (0.6) | 7.6 (8.3) | <0.001 | 4.2 (0.8) | 6.3 (4.9) | <0.001 | 4.1 (0.6) | 5.7 (4.6) | <0.001 | 0.008 | 0.008 | 0.304 | <0.001 | 0.003 | <0.001 |
2h glucose | 4.9 (1.1) | 12.4 (11.1) | <0.001 | 4.9 (1.0) | 9.6 (6.7) | <0.001 | 5.0 (1.0) | 7.9 (2.8) | <0.001 | 0.006 | 0.134 | 0.048 | <0.001 | <0.001 | <0.001 |
Triglycerides | 0.51 (0.27) | 0.55 (0.18) | 0.408 | 0.54 (0.32) | 1.06 (1.04) | <0.001 | 0.58 (0.23) | 0.72 (0.25) | 0.004 | <0.001 | 0.001 | 0.430 | <0.001 | 0.002 | <0.001 |
Total cholesterol | 2.9 (0.8) | 2.9 (0.9) | 0.885 | 3.5 (0.9) | 3.3 (0.8) | 0.428 | 3.8 (0.9) | 3.9 (0.7) | 0.501 | <0.001 | <0.001 | <0.001 | 0.568 | 0.407 | 0.109 |
Total energy | 3857 (1579) | 3704 (1449) | 0.652 | 3574 (1408) | 3380 (1029) | 0.492 | 3435 (1396) | 3438 (1185) | 0.993 | <0.001 | <0.001 | 0.473 | 0.895 | 0.431 | 0.505 |
Fasting insulin | 2.9 [1.8-4.6] | 2.9 [2.1-11.9] | 0.915 | 4.8 [3.3-6.7] | 7.2 [6.0-13.9] | <0.001 | .0 [4.0-11.4] | 15.2 [9.6-18.0] | <0.001 | <0.001 | <0.001 | <0.001 | 0.161 | 0.057 | 0.439 |
Fasting c-peptide | 0.24 [0.17-0.34] | 0.29 [0.22-0.68] | 0.320 | 0.32 [0.22-0.44] | 0.44 [0.32-0.62 | 0.001 | 0.37 [0.27-0.48] | 0.71 [0.56-0.92] | <0.001 | <0.001 | <0.001 | 0.001 | 0.012 | 0.027 | 0.194 |
HOMA_IR | 0.52 [0.32-0.83] | 1.22 [0.32-3.32] | 0.024 | 0.88 [0.59-1.30] | 2.28 [1.28-2.71] | <0.001 | 1.11 [0.75-1.62] | 3.12 [2.48-3.90] | <0.001 | <0.001 | <0.001 | 0.003 | 0.118 | 0.027 | 0.222 |
Education (secondary or more) | 497 (53.8) | 5 (27.8) | 0.025 | 301 (75.1) | 21 (80.8) | 0.349 | 128 (80.0) | 22 (84.6) | 0.403 | <0.001 | <0.001 | <0.001 | 0.090 | 0.262 | 0.423 |
Low socio-economic status | 723 (74.9) | 19 (86.4) | 0.164 | 208 (51.4) | 7 (26.9) | 0.013 | 77 (47.2) | 11 (40.7) | 0.339 | <0.001 | <0.001 | 0.003 | 0.063 | 0.869 | <0.001 |
Heavy drinker | 141 (14.7) | 7 (31.8) | 0.036 | 40 (9.9) | 2 (7.7) | 0.525 | 11 (6.7) | 3 (11.1) | 0.318 | <0.001 | 0.001 | 0.062 | 0.354 | 0.805 | 0.142 |
Smoking | 0.556 | 0.632 | 0.036 | 0.520 | 0.197 | 0.314 | 0.200 | 0.279 | 0.439 | ||||||
Never | 816 (84.6) | 17 (77.3) | 337 (83.2) | 23 (88.5) | 142 (87.1) | 18 (66.7) | |||||||||
Ex-smoker | 40 (4.1) | 2 (9.1) | 35 (8.6) | 1 (3.8) | 10 (6.1) | 3 (11.1) | |||||||||
Current smokers | 109 (11.3) | 3 (13.6) | 33 (8.1) | 2 (7.7) | 11 (6.7) | 6 (22.2) | |||||||||
Strenuous physical activity | 475 (49.1) | 21 (54.5) | 0.385 | 168 (41.4) | 9 (34.6) | 0.321 | 65 (39.9) | 11 (40.7) | 0.546 | 0.002 | 0.003 | 0.367 | 0.697 | 0.827 | 0.678 |
Any Diabetes | 19 (2.0) | 13 (68.4) | <0.001 | 4 (1.0) | 13 (50.0) | <0.001 | 0 | 15 (55.6) | <0.001 | 0.007 | 0.032 | 0.445 | 0.996 | 0.041 | 0.020 |
Any hypertension | 34 (3.5) | 10 (45.5) | <0.001 | 36 (8.9) | 11 (42.3) | <0.001 | 26 (16.0) | 11 (40.7) | 0.005 | <0.001 | <0..001 | 0.744 | 0.015 | 0.378 | 0.036 |