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Journal of Obesity
Volume 2012, Article ID 740854, 10 pages
Research Article

Four-Year Trends in Cardiometabolic Risk Factors according to Baseline Abdominal Obesity Status in West-African Adults: The Benin Study

1TRANSNUT, WHO Collaborating Centre on Nutrition Changes and Development, Department of Nutrition, Faculty of Medicine, University of Montreal, CP 6128 succursale centre-ville, Montréal, QC, Canada H3C 3J7
2Departement of Health promotion, Regional Institute of Public Health, 01 BP 918 Cotonou, Benin
3Departement of Health and Environment, Regional Institute for Public Health, 01 BP 918 Cotonou, Benin
4Institute of Applied Biomedical Sciences, 01 BP 862 Cotonou, Benin

Received 15 August 2011; Revised 22 October 2011; Accepted 26 October 2011

Academic Editor: Ivana Zavaroni

Copyright © 2012 Charles Sossa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The study examined whether abdominal obesity (AO) according to waist circumference was associated with more unfavourable changes in other cardiometabolic risk (CMR) factors in sub-Saharan Africans. The study included 541 randomly selected and apparently healthy subjects (50% women) aged 25–60 years. Complete data at baseline, 24, and 48 months later was available in 366 subjects. AO was associated with higher CMR at baseline and over the follow-up period, except for high blood pressure. A significantly higher incidence of high ratio of total cholesterol : HDL-cholesterol (TC/HDL-C) was associated with AO. Controlling for WC changes, age, baseline diet, and lifestyles, the relative risk (RR) of low HDL-C and high TC/HDL-C was 3.2 (95% CI 1.06–9.61) and 7.4 (95% CI 2.01–25.79), respectively, in AO men; the RR was not significant in women. Over a four-year period, AO therefore appeared associated with an adverse evolution of cholesterolemia in the study population.