Overweight and obesity among women living in peri-urban areas in West Africa

Koussoh Simone Malik, Anicet Adoubi, Kouamé Kouadio, Jérôme Kouamé, Annita Hounsa, Julie Sackou



Aim: This study assessed selected correlates of overweight and obesity among women in a sub-urban population of Abidjan, Côte d’Ivoire.

Methods: A cross-sectional study was conducted during April-May, 2014 in Abobo-Anonkoi 3, a peri-urban city of Abidjan in Côte d’Ivoire. Women of 18 years and older healthy in appearance were randomly recruited from households. Overweight and obesity were measured by BMI respectively greater or equal to 25 and 30 kg/m2. Abdominal obesity was defined by waist to hip ratio greater or equal to 0.80. The level of physical activity was evaluated by the IPAQ questionnaire and the blood pressure according to the criteria of the JNC7 report. A regression analysis of the associated factors with overweight and obesity (age, marital status, level of study, level of physical activity, blood pressure, and socioeconomic status) was carried out.

Results: We visited 486 households in which 398 women were approached and 327 agreed to participate in the survey. The average age was 35.25 ± 12.4 years. The prevalence of overweight was 27.2% and that of obesity was 19.6%; 72.2%of women had abdominal obesity. The prevalence of abdominal obesity was 90.6% among obese people. Age (p=0.006), marital status (p=0.002) and blood pressure (p=0.004) were significantly associated with obesity. With regard to abdominal obesity, there was a significant association of educational level in addition to the above factors.

Conclusion: Overweight and obesity are a reality in this population of Côte d’Ivoire and about one in five people are affected by the scourge of obesity.


abdominal obesity, Africa, central obesity, overweight, women.

Full Text:


Cite this article


World Health Organisation. Obesity and overweight. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight (accessed: July 23, 2019).

Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev2012;70:3-21.

Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional and national prevalence of overweight and obesity in children and adults 1980-2013: A systematic analysis. Lancet 2014;384:766-81.

Yatsuya H, Li Y, Hilawe EH, Ota A, Wang C, Chiang C, et al. Global trend in overweight and obesity and its association with cardiovascular disease incidence. Circ J 2014;78:2807-18.

Correia J, Pataky Z, Golay A. Comprendrel’obésitéen Afrique: poids du développementet des représentations. Rev Med Suisse 2014;6 [in French].

Hauhouot-Attoungbré ML, Yayo ES, Konan JL, Koné F, Siara E, Monnet D. Fattening diet and metabolic syndrome in Ivory Coast. Ann BiolClin (Paris) 2013;71:207-10.

Inserm, Kantar Health, Roche. Enquêteépidémiologiquenationalesur le surpoidsetl’obésité. Paris: Roche 2012:58. [in French].

Direction de coordination du programme STEPS/MNT. Enquêtesur les facteurs de risque des maladies non transmissibles. Abidjan: Ministère de la Santé et de l’hygiènepublique; 2005:165. [in French].

Desalu OO, Salami AK, Oluboyo PO, Olarinoye JK. Prevalence and Socio-Demographic Determinants of Obesity Among Adults In An Urban Nigerian Population. Sahel Med J 2008;11:61-4.

Institut National de la Statistique, ICF International. EnquêteDémographiqueet de Santé et à Indicateurs Multiples de Côte d’Ivoire 2011-2012. Calverton, Maryland, USA;2012 [in French].

Maire B, Lioret S, Gartner A, Delpeuch F. Transition nutritionnelle et maladies chroniques non transmissiblesliées à l’alimentationdans les pays endéveloppement. Santé 2002;12:45-55 [in French].

Ntandou G, Delisle H, Agueh V, Fayomi B. Abdominal obesity explains the positive rural-urban gradient in the prevalence of the metabolic syndrome in Benin, West Africa. Nutr Res 2009;29:180-9.

Popkin BM. The Nutrition Transition in Low‐Income Countries: An Emerging Crisis. Nutr Rev 1994;52:285-98.

Sackou-Kouakou JG, Aka BS, Hounsa AE, Attia R, Wilson R, Ake O, et al. Malnutrition: prévalence et facteurs de risque chez les enfants de 0 à 59 moisdans un quartier périurbain de la villed’Abidjan. MédecineSanté Trop 2016;26:312-7 [in French].

Départementd’Abidjan. In: Wikipédia [Internet]. 2017. Available from: https://fr.wikipedia.org/w/index.php?title=D%C3%A9partement_d%27Abidjan&oldid=137521318 (accessed:May 4, 2018).[in French].

INS-CIV: COTE D’IVOIRE - RecensementGénérale de la Population et de l’Habitat (1998). Available from: http://www.ins.ci/n/nada/index.php/catalog/51 (accessed: July 23, 2019) [in French].

World Health Organization. Obesity: preventing and managing the global epidemic. World Health Organization; 2000:252.

Krotkiewski M, Björntorp P, Sjöström L, Smith U. Impact of obesity on metabolism in men and women. Importance of regional adipose tissue distribution. J Clin Invest 1983;72:1150-62.

Neupane S, Prakash KC, Doku DT. Overweight and obesity among women: analysis of demographic and health survey data from 32 Sub-Saharan African Countries. BMC Public Health 2016;16:30.

Paul E, Mtumwa AH, Ntwenya JE, Vuai SAH. Disparities in Risk Factors Associated with Obesity between Zanzibar and Tanzania Mainland among Women of Reproductive Age Based on the 2010 TDHS. J Obes2016;2016:10.

Murray CJL, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380:2197-223.

Abegunde DO, Mathers CD, Adam T, Ortegon M, Strong K. The burden and costs of chronic diseases in low-income and middle-income countries. Lancet 2007;370:1929-38.

Fouda A, Lemogoum D, Owona Manga J, Il Dissongo J, Tobbit R, NgounouMoyo DF, et al. Epidémiologie de l’obésitéen milieu du travail à Douala, Cameroun. Rev Med Brux 2012;33:131-7 [in French].

Pessinaba S, Yayehd K, Pio M, Baragou R, Afassinou Y, Tchérou T, et al. L’obésitéen consultation cardiologique à Lomé: prévalence et facteurs de risque cardio-vasculaireassociés - étude chez 1200 patients. Pan Afr Med J 2012;12:99 [in French].

Tzotzas T, Vlahavas G, Papadopoulou SK, Kapantais E, Kaklamanou D, Hassapidou M. Marital status and educational level associated to obesity in Greek adults: data from the National Epidemiological Survey. BMC Public Health 2010;10:732.

Monteiro CA, Conde WL, Popkin BM. The Burden of Disease FromUndernutrition and Overnutrition in Countries Undergoing Rapid Nutrition Transition: A View From Brazil. Am J Public Health 2004;94:433-4.

Ahaneku GI, Osuji CU, Anisiuba BC, Ikeh VO, Oguejiofor OC, Ahaneku JE. Evaluation of blood pressure and indices of obesity in a typical rural community in eastern Nigeria. Ann Afr Med 2011;10:120-6.

Pathak A, Galinier M, Senard J-M. Obésitéet maladies cardiovasculaires: physiopathologie, comorbidités et effet de laperte de poids. MT Cardio 2007;3:187-92 [in French].

Ogden CL, Carroll MD, McDowell MA, Flegal KM. Obesity and socioeconomic status in adults: United States, 2005-2008. NCHS Data Brief 2010;51:1-8.

RecoursF,Hébel P, Chamaret C. Les populationsmodestesont-ellesune alimentation déséquilibrée? Paris: Credoc (Cahiers de Recherche); 2006:113 [in French].

DOI: 10.4119/UNIBI/SEEJPH-2019-223

Copyright (c) 2019 Koussoh Simone Malik, Anicet Adoubi, Kouamé Kouadio, Jérôme Kouamé, Annita Hounsa, Julie Sackou

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.