Relationship of physical activity to cardiovascular risk factors in an urban population of Nigerian adults

BACKGROUND: The burden of chronic diseases including cardiovascular disease (CVD) is increasing rapidly in Nigeria, but fewer studies have evaluated the role of physical activity in the development of CVD in this country. We examined the relationship between health enhancing physical activity and risk factors of CVD in a working population of adults in Maiduguri, Nigeria. METHODS: In a cross-sectional study, we assessed health enhancing moderate-to-vigorous physical activity (MVPA) among 292 government employees (age: 20–65 years, 40% female, 24% obese and 79.8% response) using the self-administered version of International Physical Activity Questionnaire (IPAQ-SF). Time spent in walking and sitting during occupational activity was assessed as well. Anthropometric measurement of height, weight and waist circumference, and blood pressure were also measured. Independent t-test and One- Way ANOVA were conducted, and the relationships between MVPA and body mass index (BMI), waist circumference, blood pressure and heart rate were explored using Pearson correlations coefficients and multiple regression analyses. RESULTS: The mean time spent in health enhancing MVPA (116.4 ± 101.3 min/wk) was lower than the recommended guideline of 150 min/wk sufficient for health benefits. Compared with men, more women were less physically active, obese and reported more diagnoses of component of metabolic syndrome (p < 0.05). Participants whose work activities were highly sedentary tend to accumulate less minutes of MVPA compared with those who reported their work as moderately active or highly active (p < 0.001). Health enhancing MVPA was inversely related with body mass index (BMI), waist circumference, heart rate, and systolic and diastolic blood pressure (p < 0.05). CONCLUSION: Physical activity level of the working population of Nigerian adults was low and was related with adverse risk factors for CVD. Promoting health enhancing physical activity at work places may be important for prevention and control of CVD among the working population in Maiduguri, Nigeria

Comparison of cardiovascular responses following self-selected maximal effort in forward, backward and sideways walking

Humans learned to walk forward in the course of evolution, while sideways and backward walking are considered to be novel tasks. This study compared the cardiovascular parameters during forward, backward and sideways walking of students in a Nigerian University. Fifty apparently healthy young adult students (25.6±2.0 years) were purposively recruited to participate in the study. Participants had their anthropometric characteristics (weight and height) and cardiovascular parameters (heart rate [HR], systolic blood pressure [SBP], diastolic blood pressure [DBP], mean arterial pressure [MAP], pulse pressure (PP) and rate pressure product (RPP), and rate of perceived exertion [RPE]) determined at baseline. Participants’ HR, SBP, DBP, MAP and RPE responses after a 100 meter walk at the subject’s self-selected maximum speed during the different modes of walking were compared using multiple analysis of variance. Significantly higher DBP, MAP (P&lt;0.05) and RPE (P&lt;0.01) for sideways walking compared to backward walking, higher (P&lt;0.01) HR, SBP and RPE for both sideways walkingand backward walking compared to forward walking, and higher (P&lt;0.01) HR, SBP, DBP, MAP and RPE for sideways walking compared to forward walking were found. We also found higher (P&lt;0.01) HR, SBP and RPE for backward walking compared to the corresponding values during forward walking. Overall, findings of heightened cardiovascular responses suggest higher energy expenditure in sideways walking compared to forward and backward walking. We hypothesize that the differential plane of motion and the more prevalent static muscle workin sideways walking may be responsible for the apparently more strenuous nature of sideways walking compared to the other modes.Keywords: Cardiovascular; Energy expenditure; Ambulation; Walking; Motor patter

Test-retest reliability of IPAQ environmental- module in an African population

<p>Abstract</p> <p>Background</p> <p>There is overwhelming evidence of the benefits of physical activity and the physical environment is increasingly recognized as a promising determinant of physical activity participation. The influence of the environment on physical activity has not been evaluated among black Africans and no specific measure exists for assessing environmental factors related to physical activity in an African environment. The IPAQ E- module was designed to assess environmental factors for physical activity participation and was considered to be relevant to all countries regardless of the stage of economic development. The objective of this study was to assess the test- retest reliability of IPAQ E- module in an African population.</p> <p>Methods</p> <p>One hundred and three clinical students of a University in Nigeria were invited to participate in the reliability testing of IPAQ E- module. Sixteen of the 17- items on the environmental measure were assessed for test- retest reliability using intraclass correlation coefficient (ICC) with 95% Confidence interval (CI) overall and by gender. The measure addressed items regarding residential density, access to destinations, neighborhood infrastructures, aesthetic qualities, social environment, street connectivity and neighborhood safety.</p> <p>Results</p> <p>Of the total respondents, 51.5% were males and 48.5% were females. Overall, the intraclass correlation coefficient (ICC) ranged from 0.43 to 0.91. The item regarding many interesting things to look at (aesthetic) produced the overall highest reliability score (ICC = 0.91, 95% CI = 0.86 – 0.94), while the item regarding safety from crime during the day (neighborhood safety) produced the lowest overall score (ICC = 0.43, 95% CI = 0.26 – 0.57). Reliability of items on neighborhood infrastructures ranged between substantial agreement to almost perfect agreement overall (ICC = 0.66 – 0.88) and by gender (male- ICC = 0.68 – 0.90 and female- ICC = 0.63 – 0.86). The access to destination items (ICC = 0.49 – 0.74), social environment (ICC = 0.62) and street connectivity (ICC = 0.78) all had acceptable reliability overall. Meaningful differences were found between males and females on two items on neighborhood safety and one item on access to destinations.</p> <p>Conclusion</p> <p>The test- retest of IPAQ E- module resulted in moderate to almost perfect agreement for most of the items with few meaningful differences by gender. Environmental items of physical activity in an African population exhibited reliability similar to that in other environments. These results suggest that IPAQ E- module may be a useful measure for assessing environmental correlates of physical activity among population in Africa.</p

Environmental factors associated with overweight among adults in Nigeria

Background: Understanding environmental factors related to obesity can inform interventions for the world wide obesity epidemic, yet no study has been conducted in this context in Africa. This study examined associations between neighbourhood environment variables and overweight in Nigerian adults. Methods: A total of 1818 randomly selected residents (age: 20-65 years, 40% female, 31% overweight and 61.2% response) living in high and low socioeconomic (SES) neighbourhoods in Metropolitan Maiduguri, Nigeria, participated in a cross-sectional study. Anthropometric measurements of height and weight and an interview-assisted self-reported measure of 16 items of perceived neighborhood environments were conducted. The primary outcome was overweight (body mass index [BMI] > or = 25 kg/m(2)) vs. normal weight (BMI = 18.5-24.9 kg/m(2)). Results: After adjustment for sociodemographic variables, overweight was associated with distant access to commercial facilities (odds ratio [OR], 1.49; 95% confidence interval [CI], 1.02-2.18), poor neighbourhood aesthetics (OR, 1.58; 95% CI, 1.16-2.09), perceiving garbage and offensive odours in the neighbourhood (OR, 1.41; 95% CI, 1.05-1.89) and feeling unsafe from crime at night (OR, 1.47; 95% CI, 1.13-1.91) and unsafe from traffic (OR, 1.56; 95% CI, 1.17-2.07) in the total sample. Significant interactions regarding overweight were found between gender and four environmental variables, with low residential density (OR, 1.39; 95% CI, 1.02-1.93) and poorly maintained pedestrian pathways (OR, 1.89; 95% CI, 1.13-3.17) associated with overweight in men only, and absence of beautiful things (OR, 2.23; 95% CI, 1.42-3.50) and high traffic making it unsafe to walk (OR, 2.39; 95% CI, 1.49-3.83) associated with overweight in women only. There were few significant interactions between environmental factors and neighborhood SES regarding overweight. Conclusion: Neighbourhood environment factors were associated with being overweight among Nigerian adults. These findings support previous reports in international literature, but should be replicated in other African studies before any firm conclusions can be drawn

Measurement of physical activity in urban and rural South African adults: a comparison of two self-report methods

Abstract Background Due to the large mortality from inactivity-related non-communicable diseases in low- and middle- income countries, accurate assessment of physical activity is important for surveillance, monitoring and understanding of physical (in)activity epidemiology in many of these countries. Research on relative performance of self-report physical activity instruments commonly used for epidemiological research in Africa have rarely been reported. The present study compared estimates of physical activity measured with the International Physical Activity Questionnaire – Short Form (IPAQ-SF) and the Baecke Physical Activity Questionnaire (BPAQ) among urban and rural black South African adults. Methods Self-reported physical activity data using the IPAQ-SF and BPAQ were collected from a representative sample of 910 urban and rural black South African adults (age = 59.2 ± 9.5 years, 69.7 % women) participating in the 2015 wave of the Prospective Urban and Rural Epidemiological (PURE) study in the North West Province of South Africa. Between-method relationships (pearson correlations [r] and intraclass correlation coefficients [ICCs]) and agreements (Bland-Altman mean difference with 95 % limits of agreement and Kappa coefficient [k]) of IPAQ-SF and BPAQ variables were estimated. Sensitivity and specificity of the BPAQ relative to the IPAQ-SF to classify individuals according to the international guidelines for sufficient physical activity were calculated using chi-square statistics. Results Correlations between IPAQ-SF scores and BPAQ indices were small (r = 0.08–0.18; ICCs = 0.09–0.18) for BPAQ leisure and sport indices, moderate-to-large for work index (r = 0.42–0.59; ICCs = 0.40–0.62) and total physical activity index (r = 0.52–0.60; ICCs = 0.36–0.51). Between methods mean difference for total physical activity was large (1.85 unit), and agreement in physical activity classifications was poor to moderate (k = 0.16–0.44). The sensitivity of the BPAQ to identify sufficiently active people from the IPAQ-SF was very good (98 %), but its specificity to correctly classify insufficiently active people was weak (23 %). Conclusion Notable disparities in physical activity estimates between methods suggest that utilization of IPAQ-SF and BPAQ for surveillance and epidemiology studies in Africa should depend on research questions and population to be studied. Future studies with objective measures are needed to confirm the relative validity between the two instruments

Nurses

This study arose from the necessity to improve professional interaction and communication that can facilitate group process and team building for the benefit of the patients and clients. As different team members often have different perception of other professional

Waist Circumference, Waist Hip Ratio and Body Mass Index in Female Undergraduates of a Tertiary Institution in Nigeria: a Cross-sectional Study

Purpose: Obesity and overweight are associated with variety of conditions detrimental to health, wellbeing and longevity. Waist circumference and waist to hip ratio are indicators of risk of central adiposity while body mass index is an indicator of overall risk of obesity. Body mass index has been traditionally used as a standard for determining overweight and obesity. This study was designed to determine the relationship between waist circumference, waist to hip ratio and body mass index among female undergraduates of a Nigerian University. Also prevalence of obesity based on waist circumference, waist to hip ratio and body mass index was explored. Methods: Three hundred and sixty four apparently healthy subjects were recruited for the study using a cross-sectional simple random sampling technique. Waist circumference, waist to hip ratio and body mass index were determined using standard methods. Descriptive statistics were used to summarize the physical characteristics of the participants. Pearson correlation coefficient was used to analyze the relationship between waist circumference, waist to hip and body mass index. Results: The mean age, waist circumference, waist to hip ratio and body mass index of the participants were 22.5 (±2.20) years, 79.36 (±10.4) cm, 0.81 (±0.06), and 22.48 (±4.50) kg/m2 respectively. The prevalence of obesity based on body mass index, waist circumference and waist to hip ratio was found to be 6.3%, 17.6% and 25.5% respectively. Significant relationship was found between waist circumference and body mass index (r = 0.81; p\u3c 0.001), and between waist to hip ratio and body mass index (r = 0.25; p\u3c 0.001). Conclusions: Body mass index was related to waist circumference, as well as to waist to hip ratio. The prevalence of obesity based on waist to hip ratio was highest among female undergraduates in a Nigerian university. Awareness on the importance of waist to hip ratio as indicator of risk of obesity should be created among female undergraduates in Nigerian Universities and by extension among the women population in general

Global impacts of scientific publications by academic staff: a case study of College of Medical Sciences, University of Maiduguri, Nigeria

The impacts of scientific research by an individual or institution are measured using various bibliometric indices such as the h-index and citations index among others. Objective: The present study assessed the global impacts of scientific publications by academic staff of the College of Medical Sciences, University of Maiduguri (CMS-UNIMAID) using selected bibliometric indices. Methodology: The data (demographic data, research experience, and the number of publications) of the 202 academic staff of College of Medical Sciences CMS-UNIMAID were obtained from the records submitted for the 2019/2020 annual appraisal. The h-index, citations index (CI), number of documents (ND), RG score, research interest (RI), citation/item, and citation/year of the staff were extracted from Google Scholar, Publons, ResearchGate, and Scopus using th authors search until 25 December 2020. Staff and publication online visibilities were determined. Descriptive statistics were prepared for all records obtained and subjected to appropriate inferential statistics. Results: The mean age and research experience of the staff were 45.4±9.2 and 13.9±9.6 years, respectively. The majority (p&lt;0.05) of the staff were male (85.1%), had a PhD/Professional Fellowship (61.4%), and were senior academic staff (53.5%). Atotal of 4940 publication entries were submitted for the appraisal. Only 2.5% of the staff were visible on all platforms with staff online visibility of 63.9, 55.5, 15.8, and 5.0% (p&lt;0.05) on Scopus, ResearchGate, Google Scholar, and Publons, respectively. Male staff (68.0%) were more visible (p&lt;0.05) than their female counterparts (40.0%) on Scopus while senior academic staff were more visible (p&lt;0.05) than junior academic staff on all platforms except Publons. Publication online visibility was highest (p&lt;0.05) in Google Scholar (78.4%) and ResearchGate (65.9%) than Publons (28.0%) and Scopus (25.1%). The mean h-index, CI, and ND were 8.3±1.1, 401.8±97.8, and 36.2±4.9, respectively on Google Scholar and 5.0±0.4, 166.4±25.6 and 9.0±0.9, on ResearchGate. Publons showed means h-index, CI, and ND of 5.0±0.3, 77.2±13.7, and 25.6±2.1, respectively while Scopus showed 4.0±1.6, 144.4±95.3, and 14.5±6.2, respectively. In addition, the means RG score and RI were 10.0±0.7 and 113.1±15.4, respectively while the means citation/item and citation/year were 3.9±1.7 and 10.7±6.8, respectively. Conclusions: Low bibliometric indices indicate poor global impact of scientific publications from CMS-UNIMAID. Concerted efforts are required to improve the quality of research and publication through adequate funding, infrastructure, and mentorship among others