Obstetrics. & Gynecology
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Item Predictors of weight reduction in a Nigerian family practice setting(Ghana Medical Association, 2021) Ogunbode, A. M.; Owolabi, M. O.; Ogunbode, O. O.; Adebusoye, L. A.; Ogunniyi, A.Objectives: This study identified the predictors of weight reduction among adult obese patients in a Family Practice Setting and developed a statistical model to predict weight reduction. Design: A prospective cohort design. Setting: The Family Practice Clinic, University College Hospital, Ibadan, Nigeria Participants and study tools: Obese adults were recruited into a three-month weight reduction program. Patient Information Leaflets were used for counselling, while questionnaires were administered to obtain socio-demographic and lifestyle factors. Potential predictors were assessed using the Multidimensional Scale of Perceived Social Support, Zung Depression Scale, Rosenberg Self-Esteem scale, Garner’s Eating Attitude Test-26 (EAT-26), 24-hour dietary recall and International Physical Activity Questionnaire-short form. Anthropometric indices, blood pressure and Fast-ing Lipid Profile were assessed. Descriptive and inferential statistics were used for analysis with a significance set at α0.05. Results: Most 99(76.2%) of the 130 participants achieved weight reduction and had a median weight change of -2.3kg (IQR-4, -0.5), with 66 (66.7%) out of 99 attaining the weight reduction target of 10%. The regression model showed predictors of weight reduction to be Total Cholesterol [TC] (p=0.01) and Low-Density Lipoprotein Cholesterol [LDL-C] (p=0.03). The statistical model derived for Weight reduction = 0.0028 (LDL-C) -0.029 (TC)-0.053 (EAT-26) +0.041(High-Density Lipoprotein Cholesterol). The proportion of variance of the model tested was R2 = 0.3928 (ad-justed R2 = 0.2106). Conclusion: Predictors of weight reduction among patients were eating attitude score, Total Cholesterol, Low-Density Lipid and High-Density Lipoprotein Cholesterol levels. A statistical model was developed for managing obesity among patients.Item Prevalence of obesity among women attending a Nigerian primary care clinic(College of Health Sciences, University of Ilorin, 2010-01) Ogunbode, A. M.; Ladipo, M. M. A.; Ajayi, I. O.; Ogunbode, O. O.; Adebusoye, L. A.; Fatiregun, A. AThe objective was to determine the prevalence of obesity and associated risk factors among women in a Nigerian Out-Patient clinic. A pre-tested structured questionnaire was administered on women at the General Outpatients’ Department (G. O. P.D) of the University College Hospital (U.C.H), Ibadan. The prevalence of obesity was 41.8%. Age was significantly associated with obesity, p=0.001. Majority of the obese participants (68.9%) in comparison to non-obese (46.4%) were traders, p=0.001. Many of the obese respondents were married (82.6%) in comparison to non-obese respondents who were widows (67.4%), p=0.001. Many of the obese respondents were multiparous (44.3%) having more than 4 children in comparison to the non-obese respondents with the highest proportion of women with no children (36.1%), p=0.001. Fewer of the obese women had no formal education (28.1%) and no primary education (26.4%), in comparison to the non-obese with 32.2% having secondary education and 27% having secondary education and 27% having post-secondary education, p=0.015. Majority of the obese women (62.3%) were pre-menopausal in comparison to the non-obese with 79.0% being pre-menopausal, p=0.001. Multivariate analysis done using logistic regression showed that risk factors for obesity included age group 50-59 years (odds Ratio 15.914, 95% CI=1.389-182.26, p=0.026), and being menopausal (Odds Ratio 1.452.95% CI=0.587-3.594, p=0.017). Having greater than five children was also found to be a risk factor for obesity (OR=3.321, 95%CI=1.236-8.921,p=0.017). The prevalence of obesity among Nigerian women remains high. There is a need to plan and implement measures for control.