Prevalence and associated factors of overweight and obesity among persons with type 2 diabetes in africa: a systematic review and meta-analysis

Emmanuel Ekpor; Samuel Akyirem; Precious Adade Duodu

Emmanuel Ekpor

Authors Details :
Emmanuel Ekpor,
Samuel Akyirem,
Precious Adade Duodu

Journal title : Annals of Medicine

Publisher : Informa UK Limited

Online ISSN : 1365-2060

Page Number : 696-713

Journal volume : 55

Journal issue : 1

497 Views Reviews Article

Background Type 2 diabetes and obesity are serious public health concerns globally and a growing burden in Africa. Both conditions have serious repercussions on health when they co-occur, yet the extent of their co-occurrence in Africa remains unknown. Therefore, this review aimed to identify the prevalence and associated factors of overweight and obesity among persons with type 2 diabetes in Africa. Method A systematic search was conducted on PubMed, MEDLINE, Embase, African Index Medicus (AIM), and African Journals Online (AJOL) for observational studies that reported the prevalence of overweight and/or obesity among type 2 diabetes patients in Africa. The prevalence data from individual studies were aggregated through a random-effects meta-analysis. The I2 statistic was used to evaluate between-studies heterogeneity, while subgroup analysis and mixed-effects meta-regression were performed to identify sources of heterogeneity. We assessed publication bias using funnel plots and Egger’s test. This review adhered to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Results Of 1753 records retrieved, 80 articles were eligible for this review, with 74 cross-sectional studies included in the meta-analysis. The pooled prevalence of overweight and obesity was 35.6% and 25.6% respectively, while the overall prevalence of both overweight and obesity was 61.4%. Also, the pooled prevalence of both overweight and obesity across the five geographical areas in Africa ranged from 56.9% in East Africa to 88.5% in Southern Africa. Nineteen factors were significantly associated with overweight and obesity among patients with type 2 diabetes. Conclusion The high prevalence of overweight and obesity among patients with type 2 diabetes is a significant public health concern that transcends geographical boundaries within Africa. The findings from this review highlight the need for innovative weight management interventions that are tailored to the cultural context of the African setting

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DOI : https://doi.org/10.1080/07853890.2023.2182909

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(1). World Health Organization. 2022. Obesity rising in Africa, WHO analysis finds. Available from: https://www.afro.who.int/news/obesity-rising-africa-who-analysis-finds#.
(2). International Diabetes Federation. IDF diabetes atlas | tenth edition [Internet]. 10th ed. 2022. [cited 2022 Jun 27]. Available from https://diabetesatlas.org/idfawp/resource-files/2021/07/IDF_Atlas_10th_Edition_2021.pdf.
(3). 10.2337/dc21-0365
(4). 10.1007/s00508-018-1418-9
(5). 10.1016/j.ahj.2009.11.004
(6). 10.2337/dc11-2478
(7). 10.5334/gh.403
(8). 10.1007/s13679-015-0155-x
(9). 10.2337/cd22-as01
(10). World Health Organization. 2010. Available from: https://www.who.int/europe/news-room/fact-sheets/item/a-healthy-lifestyle–-who-recommendations.
(11). 10.1186/s12874-017-0468-4
(12). 10.1136/emj.20.1.54
(13). 10.1002/sim.1186
(14). 10.1890/10-0340.1
(15). 10.1136/bmj.315.7109.629
(16). 10.21037/atm.2017.05.11
(17). 10.1016/j.heliyon.2021.e06339
(18). 10.1371/journal.pone.0266716
(19). 10.1136/bmjopen-2020-039258
(20). 10.1186/s13104-019-4791-1
(21). 10.1186/s13104-017-2861-9
(22). 10.1186/s12889-015-1622-8
(23). 10.4103/1115-2613.278232
(24). 10.2147/DMSO.S226054
(25). 10.36348/SJPM.2019.v04i10.013
(26). 10.1016/j.dsx.2015.09.022
(27). 10.4102/phcfm.v11i1.2036
(28). 10.1186/s12872-022-02661-2
(29). 10.2147/DMSO.S347765
(30). 10.1371/journal.pone.0272145
(31). 10.1186/s12886-022-02292-3
(32). 10.1007/s40200-022-00995-4
(33). 10.1186/s12902-022-00974-z
(34). 10.1016/j.dialog.2022.100030
(35). 10.4081/aamr.2022.158
(36). 10.1016/j.dsx.2021.102320
(37). 10.1177/03000605211044040
(38). 10.2147/DMSO.S321756
(39). 10.1186/s12888-021-03357-1
(40). 10.1186/s12902-021-00744-3
(41). 10.1371/journal.pone.0261455
(42). 10.1371/journal.pone.0256399
(43). 10.11604/pamj.2021.39.142.28620
(44). 10.1093/inthealth/ihz107
(45). 10.1186/s12882-020-1705-3
(46). 10.1371/journal.pone.0241432
(47). 10.1186/s12913-020-05407-y
(48). 10.1007/s40200-020-00680-4
(49). 10.2147/DMSO.S283171
(50). 10.1155/2020/9419413
(51). 10.1038/s41598-020-69208-3
(52). 10.1155/2020/5901569
(53). 10.21608/zumj.2019.10752.11200
(54). 10.11604/pamj.2019.34.38.18936
(55). 10.4314/ahs.v19i4.3
(56). 10.1093/inthealth/ihy057
(57). 10.1016/j.eclinm.2019.09.001
(58). 10.1371/journal.pone.0225725
(59). 10.2147/JMDH.S232691
(60). 10.1016/j.jcjd.2017.06.006
(61). 10.1155/2018/4783093
(62). 10.1186/s12902-018-0280-0
(63). 10.1186/s13104-017-2648-z
(64). 10.2147/DMSO.S124473
(65). 10.1071/HCv8n1_ED1
(66). 10.1186/s12888-016-0809-6
(67). 10.1016/j.dsx.2015.10.013
(68). 10.1016/j.bjorl.2015.10.016
(69). 10.3402/ljm.v10.27400
(70). 10.1016/j.diabres.2014.08.025
(71). 10.2147/DHPS.S68786
(72). 10.1371/journal.pone.0095165
(73). 10.4103/1119-3077.94089
(74). 10.1186/1471-2458-12-210
(75). 10.3402/ljm.v3i4.4789
(76). 10.1016/j.diabres.2006.11.007
(77). 10.1002/dmrr.1106
(78). 10.1111/dom.14228
(79). 10.1136/pmj.2005.039032
(80). 10.1016/j.amjcard.2019.05.035
(81). Ecker O, Nene M. 2012. Nutrition policies in developing countries: challenges and highlights. IFPRI Policy Note.
(82). 10.1007/s13679-021-00453-x
(83). 10.3945/an.112.002063
(84). 10.1136/bmjnph-2019-000050
(85). 10.5830/CVJA-2012-040
(86). 10.1177/1753944717711379
(87). 10.1038/hr.2017.75
(88). 10.7570/jomes.2019.28.2.112