Introduction: Low birth weight is a significant public health problem worldwide, particularly in low-and-middle-income countries. This study aimed to investigate the epidemiology of low birth weight in the lake areas ...Introduction: Low birth weight is a significant public health problem worldwide, particularly in low-and-middle-income countries. This study aimed to investigate the epidemiology of low birth weight in the lake areas of Cotonou. Methods: A cross-sectional analytical study included 931 records of women who gave birth in 2022 in the Cotonou 1-4 health zone. Completed maternity records were included in this study, except for premature births and congenital malformations. Birth weight was the dependent variable. Sociodemographic, obstetrical, preventive care and child-related data were collected using a digitized form. These data were analyzed using SPSS software to determine the prevalence and factors associated with low birth weight using multiple logistic regression analysis. Results: The prevalence of low birth weight was 16.30%. Factors related to this prevalence were non-use of mosquito nets during pregnancy (OR = 2.72;CI: 1.275 - 5.805), twin pregnancy (OR = 9.97;CI: 3.869 - 25.696), previous abortion (OR = 1.61;CI: 1.034 - 2.515), low number of pregnancy (OR = 3.97;CI: 1.276 - 12.393), trimester of first antenatal visit (OR = 3.47;CI: 1.821 - 6.638) and birth size less than 45 cm (OR = 5.98;CI: 2.965 - 12.083). Conclusion: The prevalence obtained from this study justifies the need to support pregnant women in this health zone. It is, therefore, essential to strengthen communication and health promotion strategies for women before, during, and after pregnancy.展开更多
Introduction: Low birth weight is a significant public health problem worldwide, particularly in low-and-middle-income countries. This study aimed to investigate the epidemiology of low birth weight in the lake areas ...Introduction: Low birth weight is a significant public health problem worldwide, particularly in low-and-middle-income countries. This study aimed to investigate the epidemiology of low birth weight in the lake areas of Cotonou. Methods: A cross-sectional analytical study included 931 records of women who gave birth in 2022 in the Cotonou 1-4 health zone. Completed maternity records were included in this study, except for premature births and congenital malformations. Birth weight was the dependent variable. Sociodemographic, obstetrical, preventive care and child-related data were collected using a digitized form. These data were analyzed using SPSS software to determine the prevalence and factors associated with low birth weight using multiple logistic regression analysis. Results: The prevalence of low birth weight was 16.30%. Factors related to this prevalence were non-use of mosquito nets during pregnancy (OR = 2.72;CI: 1.275 - 5.805), twin pregnancy (OR = 9.97;CI: 3.869 - 25.696), previous abortion (OR = 1.61;CI: 1.034 - 2.515), low number of pregnancy (OR = 3.97;CI: 1.276 - 12.393), trimester of first antenatal visit (OR = 3.47;CI: 1.821 - 6.638) and birth size less than 45 cm (OR = 5.98;CI: 2.965 - 12.083). Conclusion: The prevalence obtained from this study justifies the need to support pregnant women in this health zone. It is, therefore, essential to strengthen communication and health promotion strategies for women before, during, and after pregnancy.展开更多
<strong>Introduction:</strong> Type 2 diabetes is a major public health problem worldwide. This study aimed at identifying modifiable behavioral risk factors associated with biological factors in people at...<strong>Introduction:</strong> Type 2 diabetes is a major public health problem worldwide. This study aimed at identifying modifiable behavioral risk factors associated with biological factors in people at risk of type 2 diabetes which could be targeted in the design and implementation of appropriate interventions to prevent the disease. <strong>Methods:</strong> 180 subjects at risk of type 2 diabetes (aged 15 - 60 years) were identified and selected at random during a preliminary survey conducted in two groups of villages in northeastern Benin. The study took part on August 2017. Questionnaires were administered to consenting subjects;anthropometric measurements taken and blood samples withdrawn. Blood samples were subjected to biochemical testing according to standard protocols. <strong>Results:</strong> Data was obtained from 180 subjects at risk of type 2 diabetes. The average age of the subjects was 42.76 ± 11.30 years. Multivariate analysis showed inadequate dietary intake score, low physical activity and tobacco use as behavioral factors significantly associated with high waist circumference, high blood sugar, low HDL cholesterol, high triglyceride levels and high body fat percentage. <strong>Conclusion:</strong> There is a possible association between biological and behavioral risk factors.展开更多
Introduction: Worldwide, the prevalence of type 2 diabetes (T2D) is increasing at an epidemic rate. The objective of this study was to measure the effects on lifestyle intervention in subjects at risk of T2D in a West...Introduction: Worldwide, the prevalence of type 2 diabetes (T2D) is increasing at an epidemic rate. The objective of this study was to measure the effects on lifestyle intervention in subjects at risk of T2D in a West African country. Methods: This study involved Beninese adults at risk of T2D randomly selected from 2 groups of villages: control villages and villages exposed to nutrition education, cooking demonstrations and physical activity sessions. Anthropometric, clinical, and biological measurements were taken in both groups at the beginning and end of the intervention, which lasted 12 months. The paired sample t-test was used to assess the effect of the intervention on the lifestyle of people at risk of T2D. Results: After 12 months of exposure to nutrition education, cooking demonstrations and physical activity sessions in the intervention villages, the mean body mass index, waist circumference, body fat percentage, blood glucose, triglycerides, total cholesterol and amount of alcohol consumed per week had significantly decreased. Conversely, the mean intensity of physical activity and food consumption score had significantly increased. In the control group, 5.6% of the people at risk developed to diabetes. The relative risk was RR = 0.20 [0.14 - 0.56]. Conclusion: The intervention significantly improved metabolic indicators, intensity of leisure activity and dietary score. We suggest larger studies to better assess the effect of community-based interventions on the lifestyle and health of people at risk of T2D in Africa.展开更多
Introduction: There are very few programmes to delay or prevent diabetes in Africa. This study aims to evaluate the communication plan implementation to reduce risk factors for Type 2 diabetes in people at risk. Metho...Introduction: There are very few programmes to delay or prevent diabetes in Africa. This study aims to evaluate the communication plan implementation to reduce risk factors for Type 2 diabetes in people at risk. Methods: The cross-sectional evaluative study focuses on the resources used for the implementation of the programme, the activities carried out and the beneficiaries of the programme. The non-probabilistic method was used to select. All target populations under study with appropriate sampling techniques. The performance of the communication plan implementation for behaviour change was assessed through the three sub-variables of evaluation of Donabedian health programmes: structure, process and results. The components assessment was based on the Varkevisser scale. The performance of the communication plan implementation for behaviour change was obtained by the sum of the scores of the three sub-variables. Results: The performance of the communication plan implementation for behaviour change was satisfactory in all programme villages at 89%. The establishment of the research team, the management team and the technical team, the availability of financial resources on a timely basis, the follow-up of nutritionists, sports teachers and peer educators, the implementation of the programme package and the home coaching of the targets were effective in all the programme villages of the study. The scores for structure performance, process performance, and results performance were 100%, 95%, and 83.8%, respectively. The involvement of the entire research team, the commitment of local authorities and the motivation of the targets were also important in the obtained result. Conclusion: This study shows that effective T2D preventive communication is possible at community level in Benin and probably in Sub-Saharan Africa.展开更多
文摘Introduction: Low birth weight is a significant public health problem worldwide, particularly in low-and-middle-income countries. This study aimed to investigate the epidemiology of low birth weight in the lake areas of Cotonou. Methods: A cross-sectional analytical study included 931 records of women who gave birth in 2022 in the Cotonou 1-4 health zone. Completed maternity records were included in this study, except for premature births and congenital malformations. Birth weight was the dependent variable. Sociodemographic, obstetrical, preventive care and child-related data were collected using a digitized form. These data were analyzed using SPSS software to determine the prevalence and factors associated with low birth weight using multiple logistic regression analysis. Results: The prevalence of low birth weight was 16.30%. Factors related to this prevalence were non-use of mosquito nets during pregnancy (OR = 2.72;CI: 1.275 - 5.805), twin pregnancy (OR = 9.97;CI: 3.869 - 25.696), previous abortion (OR = 1.61;CI: 1.034 - 2.515), low number of pregnancy (OR = 3.97;CI: 1.276 - 12.393), trimester of first antenatal visit (OR = 3.47;CI: 1.821 - 6.638) and birth size less than 45 cm (OR = 5.98;CI: 2.965 - 12.083). Conclusion: The prevalence obtained from this study justifies the need to support pregnant women in this health zone. It is, therefore, essential to strengthen communication and health promotion strategies for women before, during, and after pregnancy.
文摘Introduction: Low birth weight is a significant public health problem worldwide, particularly in low-and-middle-income countries. This study aimed to investigate the epidemiology of low birth weight in the lake areas of Cotonou. Methods: A cross-sectional analytical study included 931 records of women who gave birth in 2022 in the Cotonou 1-4 health zone. Completed maternity records were included in this study, except for premature births and congenital malformations. Birth weight was the dependent variable. Sociodemographic, obstetrical, preventive care and child-related data were collected using a digitized form. These data were analyzed using SPSS software to determine the prevalence and factors associated with low birth weight using multiple logistic regression analysis. Results: The prevalence of low birth weight was 16.30%. Factors related to this prevalence were non-use of mosquito nets during pregnancy (OR = 2.72;CI: 1.275 - 5.805), twin pregnancy (OR = 9.97;CI: 3.869 - 25.696), previous abortion (OR = 1.61;CI: 1.034 - 2.515), low number of pregnancy (OR = 3.97;CI: 1.276 - 12.393), trimester of first antenatal visit (OR = 3.47;CI: 1.821 - 6.638) and birth size less than 45 cm (OR = 5.98;CI: 2.965 - 12.083). Conclusion: The prevalence obtained from this study justifies the need to support pregnant women in this health zone. It is, therefore, essential to strengthen communication and health promotion strategies for women before, during, and after pregnancy.
文摘<strong>Introduction:</strong> Type 2 diabetes is a major public health problem worldwide. This study aimed at identifying modifiable behavioral risk factors associated with biological factors in people at risk of type 2 diabetes which could be targeted in the design and implementation of appropriate interventions to prevent the disease. <strong>Methods:</strong> 180 subjects at risk of type 2 diabetes (aged 15 - 60 years) were identified and selected at random during a preliminary survey conducted in two groups of villages in northeastern Benin. The study took part on August 2017. Questionnaires were administered to consenting subjects;anthropometric measurements taken and blood samples withdrawn. Blood samples were subjected to biochemical testing according to standard protocols. <strong>Results:</strong> Data was obtained from 180 subjects at risk of type 2 diabetes. The average age of the subjects was 42.76 ± 11.30 years. Multivariate analysis showed inadequate dietary intake score, low physical activity and tobacco use as behavioral factors significantly associated with high waist circumference, high blood sugar, low HDL cholesterol, high triglyceride levels and high body fat percentage. <strong>Conclusion:</strong> There is a possible association between biological and behavioral risk factors.
文摘Introduction: Worldwide, the prevalence of type 2 diabetes (T2D) is increasing at an epidemic rate. The objective of this study was to measure the effects on lifestyle intervention in subjects at risk of T2D in a West African country. Methods: This study involved Beninese adults at risk of T2D randomly selected from 2 groups of villages: control villages and villages exposed to nutrition education, cooking demonstrations and physical activity sessions. Anthropometric, clinical, and biological measurements were taken in both groups at the beginning and end of the intervention, which lasted 12 months. The paired sample t-test was used to assess the effect of the intervention on the lifestyle of people at risk of T2D. Results: After 12 months of exposure to nutrition education, cooking demonstrations and physical activity sessions in the intervention villages, the mean body mass index, waist circumference, body fat percentage, blood glucose, triglycerides, total cholesterol and amount of alcohol consumed per week had significantly decreased. Conversely, the mean intensity of physical activity and food consumption score had significantly increased. In the control group, 5.6% of the people at risk developed to diabetes. The relative risk was RR = 0.20 [0.14 - 0.56]. Conclusion: The intervention significantly improved metabolic indicators, intensity of leisure activity and dietary score. We suggest larger studies to better assess the effect of community-based interventions on the lifestyle and health of people at risk of T2D in Africa.
文摘Introduction: There are very few programmes to delay or prevent diabetes in Africa. This study aims to evaluate the communication plan implementation to reduce risk factors for Type 2 diabetes in people at risk. Methods: The cross-sectional evaluative study focuses on the resources used for the implementation of the programme, the activities carried out and the beneficiaries of the programme. The non-probabilistic method was used to select. All target populations under study with appropriate sampling techniques. The performance of the communication plan implementation for behaviour change was assessed through the three sub-variables of evaluation of Donabedian health programmes: structure, process and results. The components assessment was based on the Varkevisser scale. The performance of the communication plan implementation for behaviour change was obtained by the sum of the scores of the three sub-variables. Results: The performance of the communication plan implementation for behaviour change was satisfactory in all programme villages at 89%. The establishment of the research team, the management team and the technical team, the availability of financial resources on a timely basis, the follow-up of nutritionists, sports teachers and peer educators, the implementation of the programme package and the home coaching of the targets were effective in all the programme villages of the study. The scores for structure performance, process performance, and results performance were 100%, 95%, and 83.8%, respectively. The involvement of the entire research team, the commitment of local authorities and the motivation of the targets were also important in the obtained result. Conclusion: This study shows that effective T2D preventive communication is possible at community level in Benin and probably in Sub-Saharan Africa.
