Key result
Excess weight affects ~73% of postmenopausal Ghanaian women by BMI, with higher central adiposity.
Why the study?
Excess weight gain and changes in fat distribution occur with menopause, but the prevalence and associated risk factors among postmenopausal women in Ghana were not well characterized.
Cross-Sectional (n=378)
No
There is a high prevalence of excess weight among postmenopausal women in Ghana, with central obesity measures (WHR, WHtR) identifying more affected individuals than BMI.
Central adiposity indicates higher excess weight burden than BMI in Ghanaian postmenopausal women; leaves open prospective CVD risk evaluation.
Background:Excess weight (obesity and overweight) is a pervasive condition that is considered a global epidemic and a threat to public health. Furthermore, numerouschanges in fat deposits occur with the advent of menopause, leading to a change in the distribution of body fat. Therefore this study determined the prevalence of excess weight gain and associated risk factors among postmenopausal women (PW) in Ghana.Methods: This is a descriptive cross-sectional study conducted over five months at Bono-East regional capital, Techiman in Ghana. A total of 378 postmenopausal women were recruited for this study. Validated questionnaires were administered to obtain the socio-demographic data from each study participant. Anthropometrics such as body mass index (BMI), waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) among participants were also determined. Data were inputted into excel, and analysis was done using IBM SPSS 25.Results: The mean age of study participants was 60.09±6.24 years with the 51-60 years age group having the highest frequency (48.8%). Out of the total study participants, 26.8%, 8.2% and 9.0% with desirable weight were recorded using BMI, WHtR, and WHR respectively. And there was no significant difference (P=0.999) between the proportions for WHtR and WHR. However, the distribution of study participants with desirable weight by BMI was significantly higher than that of WHtR (P=0.0031) and WHR (P=0.0063). BMI, WHtR and WHR recorded participants with the excess weight of 73.2%, 91.8%, and 91.0% respectively out of the total study participants and there was no significant difference among the stratified study participants. Participants age ≤50 years were at a high risk of been obese even though it was not significant. Study participants with > 15 years of the postmenopausal stage have a high chance of been obese for BMI and WHtR but not WHR.Conclusions: The prevalence rates of obesity and overweight were higher among postmenopausal women using the WHR than BMI and WHtR. Participants age ≤ 50 years, parity and those from the Ga tribe were also at a higher risk of having abdominal obesity.
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Bonsu et al. (2020) conducted a cross-sectional in Excess weight (obesity and overweight) (n=378). Postmenopausal status was evaluated on Prevalence of excess weight. Among postmenopausal women in Ghana, the prevalence of excess weight was 73.2% by body mass index, 91.8% by waist-to-height ratio, and 91.0% by waist-to-hip ratio.
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