Browsing by Author "Onagbiye, Sunday"
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Item Comparison of the prevalence of overweight and obesity in 9-13 year-old children from two countries using CDC and IOTF reference charts(Science Alert, 2018) Toriola, Abel; Ajayi-Vincent, Olusesi; Oyeniyi, Patrick; Akindutire, Isaac; Adeagbo, David; Konwea, Patience; Awosusi, Olukemi; Ogunsile, Seyi; Moselakgomo, Violet Kankane; Onagbiye, Sunday; Monyeki, MakamaBackground and Objectives: The epidemic of obesity is frequently prevailing, certainly among pediatric inhabitants and could be influenced by environmental and heritable factors. So, the aim of this study was to compare the prevalence of overweight and obesity in 9-13 year old children from Nigeria and South Africa using the criteria of the Centres for Disease Control and Prevention (CDC) and International Obesity Task Force (IOTF) for obesity classification chart based on age and gender-specific BMI cut-off points. Materials and Methods: Anthropometric measurements were taken using standardised protocol and used to estimate body mass index (BMI) and waist-to-height ratio (WHtR) in 1361 South African and 1229 Nigeria school children aged 9-13 year old. Height, body weight, BMI and WHtR were examined for Nigerian and South African school children according to sample size and age category. The BMI for age was used to classify the children according to weight categories and by gender, after which the obesity prevalence using the BMI Category for cut-off points chart was performed by age and countries. Results: The results showed that 1.1% (IOTF) and 9.9% (CDC) of Nigerian children were overweight. Corresponding data for South African children were 1.8% (IOTF) and 10.0% (CDC). Obesity estimates for Nigerian and South African children slightly varied for IOTF classification (1.1, 0.7%), but were similar when CDC classification was used (5.1%). In contrast, the CDC standard indicated strikingly lower incidence of underweight among the South African (4.9%) and Nigerian (4.8%) children. Conclusion: The lack of consistency in body weight classification using CDC and IOTF chart raises the question as to the right classification to use to evaluate weight abnormalities in children and adolescents. The choice of cut-off point in assessing overweight and obesity in childhood and adolescence should be based on reliable judgment as this could undermine the integrity of epidemiological research data.Item Diabetes self-management: A qualitative study on challenges and solutions from the perspective of South African patients and health care providers(Taylor and Francis Group, 2023) Masupe, Tiny; Onagbiye, Sunday; Puoane, ThandiHealth education and self-management are among key strategies for managing diabetes and hypertension to reduce morbidity and mortality. Inappropriate self- management support can potentially worsen chronic diseases outcomes if relevant barriers are not identified and self-management solutions are not contextualised. Few studies delib-erately solicit suggestions for enhancing self-management from patients and their providers. This qualitative study aimed to unravel experiences, identify self-management barriers, and solicit solutions for enhancing self-management from patients and their health-care providers.Item Exercise testing and intervention: translation into a low resource community(2015) Onagbiye, Sunday; Moss, Sarah J; Cameron, MelainieIkageng is a low-resource community on the outskirts of Potchefstroom in the North West Province of South Africa. South Africa experiences a burden of disease that includes both diseases of lifestyle due to obesity and sedentary behaviour, and diseases of poverty due to poor sanitation and insufficient public health measures. Exercise interventions are powerful tools to modify diseases of lifestyle, and the effects of these interventions can be readily measured using structured fitness tests, clinical examination procedures, and pencil and paper tests of health and wellbeing. In Ikageng we explored the possible translation of exercise intervention and testing into a low-resource community. We undertook a series of linked studies, commending with the translation of the SF-8 into Tswana, and the test-retest reliability, internal consistency, and face validity testing of this questionnaire in the community. We bench-marked the Tswana SF-8 against the South African English version of the same. We then compared several variations of a graduated step test for the prediction of VO2 peak, comparing the individual test when completed stepping in time to a metronome against a test completed using music to hold time, and the preferred of these individual tests against the step test completed in pairs. Once we had identified the most acceptable forms of these field tests, we conducted pilot testing of these tools during a community based exercise intervention (dancing). We have been able to demonstrate that the Tswana version of the SF-8, and modified step tests, are similarly robust, valid, and as practically useful as their traditional English and laboratory based forms respectively.Item Relationship between body composition and musculoskeletal fitness in Nigerian children(Asian Journal of Scientific Research, 2018) Toriola, Abel; Ajayi-Vincent, Olusesi; Oyeniyi, Patrick; Akindutire, Isaac; Adeagbo, David; Konwea, Patience; Awosusi, Olukemi; Ogunsile, Seyi; Moselakgomo, Violet; Onagbiye, Sunday; Monyeki, MakamaBackground and Objective: Substantial evidence indicates that high level of obesity assessed by body mass index (BMI) could affect the motor performance, musculoskeletal fitness and wellbeing of the youths. This study investigated the relationship between the BMI and musculoskeletal fitness in a cross-sectional sample of school children in Ado-Ekiti, Southwest Nigeria. Materials and Methods: Body weight, height and three components of musculoskeletal fitness (sit and reach, sit-ups and standing broad jump) were measured in 1229 school children (boys = 483, girls = 746, ages: 9-13 years). Body mass index was computed to classify participants into underweight, normal weight, overweight and obese categories. Results: Significantly low inverse correlation was observed between BMI and standing broad jump (SBJ) (r = -0.196, p<0.01), while underweight individuals were likely to perform poorly in sit and reach (OR = 0.98, CI = 0.97, 1.00), but had greater likelihood of performing well in sit-ups (OR = 1.01, CI = 0.99, 1.03) and standing broad jump (OR = 1.03, CI = 1.01, 1.06) test. Being overweight was associated with a poor sit and reach (OR = 0.99, CI = 0.92, 1.06) and standing broad jump (OR = 0.96, CI = 0.94, 0.98) performances, but greater propensity of sit-up (OR = 1.00, CI = 0.93, 1.08) performance. Obese participants were significantly associated with poor sit and reach (OR = 0.83, CI = 0.74, 0.91) and standing broad jump (OR = 0.94, CI = 0.92, 0.96), but greater likelihood of significant sit-ups (OR = 1.22, CI = 1.12, 1.33) compared to normal individuals’ performance. Conclusion: There was a significant negative relationship between the BMI and standing broad jump in Nigerian children and adolescents. Both underweight, overweight and obese participants performed poorly in either flexibility, sit-ups or SBJ test, obese individuals being mostly affected. Musculoskeletal fitness could serve as a pointer of possible health risks for both malnourished and excessively weighty youths.