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OVERWEIGHT AND OBESITY IN ASSOCIATION WITH PHYSICAL ACTIVITY AND EATING HABITS AMONG BUS DRIVERS IN NAIROBI. MORURI IMMACULATE EDEL A90/0142/2008 SUPERVISOR PROF J.K IMUNGI. Statement of the problem.
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OVERWEIGHT AND OBESITY IN ASSOCIATION WITH PHYSICAL ACTIVITY AND EATING HABITS AMONG BUS DRIVERS IN NAIROBI. MORURI IMMACULATE EDELA90/0142/2008 SUPERVISOR PROF J.K IMUNGI
Statement of the problem • The prevalence of obesity has been increasing both in developed and developing countries, and more noticeably in urban areas. (Abubakari et al, 2008) • National data on prevalence of adult men in Kenya is lacking. • A documented study on the prevalence of overweight and obesity among adults needs to be done to facilitate proper interventions and management strategies.
Justification • Metropolitan bus drivers are at high risk of being overweight or obese due to reduced physical activity and poor dietary intake. • Structural variables that encourage this obesogenic environment include long work hours and lack of scheduled breaks. • This study thus concerns itself with determining the prevalence of overweight and obesity among bus drivers in association with their dietary intake and physical activity.
Aim • to contribute towards improving the health status among bus drivers. Purpose • to contribute to information on the prevalence of obesity in relation to eating habits, physical activity and nutritional status.
Main objective • to determine the prevalence of overweight and obesity in association with physical activity and eating habits among metropolitan bus drivers in Nairobi, Kenya.
Sub-objectives • To determine the physical activity level of the study bus drivers in Nairobi, Kenya. • To assess the eating habits, smoking habits and alcohol intake of the study drivers. • To determine the Body Mass Index of the bus drivers. • To describe the socio-demographic and socio-economic characteristics of the bus drivers .
DESIGN • Sample Size Determination • At 95% confidence interval using Fischer formula (Fischer et al. 1991) • N = (Z2 p q) / d2 • Where p = 7.7%, q = 92.3%, z= 1.96, d=0.08 • N = 43 • When 20% attrition is added sample size = 52 bus drivers
Sampling procedure Bus and commuter companies 100 Citi hoppa bus drivers 200 double M bus drivers Sample of 14 bus drivers Sample of 38 bus drivers
METHODOLOGY • Semi-structured questionnaire • Demographic and socio-economic information • food frequency questionnaire • Physical activity questionnaire • Anthropometry measurements
Conclusion • Overweight and obesity is highly prevalent among bus drivers in Nairobi with the highest proportion being in the 31-38 years age group. • Lack of physical activity is associated with overweight and/or obesity among bus drivers. • The relationship between alcohol consumption, smoking habits and nutritional status of the drivers is statistically significant.
Recommendations • Nutritious foods be made available to the drivers at their work place. • Provision of nutrition education to the drivers to make them aware of the practices that lead to overweight and obesity so as to enforce nutrition conscious decisions. • Encouragement of physical activity or coming up with simple policy guidelines which should include the health benefits of reducing or breaking up prolonged sitting time.
References • WHO (2000). Obesity: Preventing and Managing the Global Epidemic. Report of WHO Expert Consultation on Obesity. Geneva. • Abubakari AR, Lauder W, Agyemang C, Jones M, Kirk A, Bhopal RS (2008) Prevalence and time trends in obesity among adult West African populations: a meta-analysis. Obesity Reviews. 9:297-311. • Bouchard C. and Shepard RJ. (1994) Physical activity, fitness and health; the model and key concepts 1994: 77-88