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Nutrition Transition and Biocultural Determinants of Obesity among Cameroonian Migrants in Urban Cameroon and France.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Cohen, Emmanuel 
Amougou, Norbert 
Ponty, Amandine 
Loinger-Beck, Juliette 
Nkuintchua, Téodyl 

Abstract

Native of rural West Cameroon, the Bamiléké population is traditionally predisposed to obesity. Bamiléké who migrated to urban areas additionally experience the nutrition transition. We investigated the biocultural determinants of obesity in Bamiléké who migrated to urban Cameroon (Yaoundé), or urban France (Paris). We conducted qualitative interviews (n = 36; 18 men) and a quantitative survey (n = 627; 266 men) of adults using two-stage sampling strategy, to determine the association of dietary intake, physical activity and body weight norms with obesity of Bamiléké populations in these three socio-ecological areas (rural Cameroon: n = 258; urban Cameroon: n = 319; urban France: n = 50). The Bamiléké valued overweight and traditional energy-dense diets in rural and urban Cameroon. Physical activity levels were lower, consumption of processed energy-dense food was frequent and obesity levels higher in new migrants living in urban Cameroon and France. Female sex, age, duration of residence in urban areas, lower physical activity and valorisation of overweight were independently associated with obesity status. This work argues in favour of local and global health policies that account for the origin and the migration trajectories to prevent obesity in migrants.

Description

Keywords

Cameroon, France, determinants, migrants, nutrition transition, obesity, Adult, Cameroon, Cultural Characteristics, Female, France, Health Transition, Humans, Male, Middle Aged, Nutritional Status, Obesity, Prevalence, Socioeconomic Factors, Transients and Migrants, Urban Population, Young Adult

Journal Title

Int J Environ Res Public Health

Conference Name

Journal ISSN

1661-7827
1660-4601

Volume Title

14

Publisher

MDPI AG