Published Paper


Comparative Assessment of Obesity Using Body Mass Index and Waist-To-Height Ratio among Freshmen Undergraduates Who Secured Admissions into a Private Tertiary Institution

Ladele Akindele Emmanuel1, Ogunkoya John Omotola2, Opadotun Oluwafemi Ayotunji3, Ezugoro Onyedikachi Chinomyerem3, Ezeugo Solomon Chimezie3, Shokunbi Oluwarotimi Olaniyi3, Olayiwola-Sadibo Deborah3, Imo Nwamarachi grace3
Nigeria
Page: 688-704
Published on: 2024 March

Abstract

Background : Obesity is the accumulation of adipose tissue beyond the normal limit to the extent of affecting both physical and psychosocial health. It is now considered a pandemic with an increasing rate in adults, adolescents and children worldwide. Objective : This study aimed to determine the prevalence of obesity using various anthropometric indices among fresh-men university students in a private university. Methods : A cross-sectional pre-admission school-based questionnaire was administered to collect socio-demographic data followed by physical assessment to collect data on the weight, height, and waist circumference of the students. Results : There were 1329 male and 1428 females, giving a ratio of 0.93:1.  Most of study participants were 18 years and above (n=2554, 92.6%), with the mean age of 18.9±1.503. Majority of study subjects (n=2267, 82.2%) were in the 51-100 kg weight categories with mean weight is 69.38±17.90 kg. Also, most study participants were above 1.5m in height, with a mean height of 1.69±11.9 m. The BMI showed that among the study participants, 137 (5.0%) were underweight, 1852 (67.2%) had healthy weight, and 373 (13.5%) were overweight, while 395 (14.3%) were obese. The measured WHtR showed that 267 (9.7%) were underweight, 1984 (72.0%) had normal weights, 114 (4.1%) were overweight, while 392 (14.2) were obese. The Mean waist to height ratio was 0.45±0.07. Age and gender varied significantly with BMI (P<0.001 and p= 0.04 respectively), WC (P<0.001 and p=0.02 respectively), while age and ethnicity varied significantly with WHtR (p<0.001 and p=0.033 respectively). BMI and WHtR performed better than WC in identifying freshmen with obesity. When compared with BMI, WHtR had a sensitivity of  56.8%  and  a  specificity  of  96.2%  with  a  positive  predictive value  of  93.7.% and  a  negative  predictive  value  of  6.9%. Conclusion : This study shows that a significant number of fresh-men university students, especially females above the age of 18 years are obese. This underlines the fact that obesity is fast becoming a public health issue among adolescents and young adults in developing countries. The need for the utility of BMI, WC and WHtR in identifying individuals with obesity cannot be over emphasized.

PDF