Association of socioeconomic status, dietary behavior and obesity among Moroccan adults of the region of Rabat: A case-control study

Abstract

Background: The incidence of worldwide obesity is on the increase. It is defined as an excessive accumulation of fat in the body. 39% of adults aged 18 years and over were overweight in 2016 and 13% were obese. Aims: To examine the association of dietary patterns, socioeconomic status and the body mass index in Moroccan adults. Methods and Material: This is an analytical case-control study, conducted among obese (n=100) and non-obese (n=150) subjects, aged between 18 and 59 years old, or women represented 60% of participants. At recruitment, all anthropometric parameters were measured. Also the body composition, was assessed by the use of impedance meter. Data concerning the dietary habits was assessed by 24 hours food recall and by food frequency questionnaire. The results were analyzed using the Kolmogorov-Smirnov (K-S) and the chi-squared (χ2-test) test and the percent distribution. Results: Our results showed that abdominal obesity and overall body fat (BF) percent were much prevalent among obese group (BF% >30). There was a significant association between the lack of physical activity (P=0.002), educational level (P=0.001) and the risk of development of obesity. Concerning the age (P=0.06) and the gender (P>0.05) of the participants, there was no difference regarding these parameters and the risk of development of obesity (P>0.05). Another point is the strong association of marriage and the development of obesity, or 83.90% of the obese group were married, whereas 73.70% of the non-obese group were single (P<0.001). For the dietary assessment, our data revealed that the energy consumption of lipids slightly exceed the recommended target and the major consumed products by the obese group were oils and fats. Conclusions: The adult participants of the region of Rabat have an unbalanced weight status resulting from an altered dietary behavior and from an altered socioeconomic profile which can lead to various health complications. The need of more studies in a large population is preferable for the development of effective strategies to combat the problem of obesity.