This study examined the association between the selected obesity indicator and cardiometabolic risk factors among fire servicemen in the Western Cape Province. Anthropometric and physiological variables were assessed. The result of the association between BMI and systolic blood pressure (SBP) revealed that those with normal weight are highly significantly less likely to be pre-hypertensive (OR = 0.40, CI= 0.21, 0.78), and hypertensive (OR=0.16, CI=0.06, 0.43) compared to those who are obese. Similarly, for BMI and diastolic blood pressure (DBP), those with normal weight are highly significantly less likely to be pre-hypertensive (OR=0.34, CI=0.17, 0.67) and hypertension (OR=0.17, CI=0.06, 0.45). For blood glucose, those who have normal body weight are significantly less likely to be pre-diabetic (OR=0.49, CI=0.25, 0.96) and diabetic (OR=0.25, CI= 0.10 – 0.60), while those who have normal body weight are significantly less likely to be border lined (OR=0.49, CI=0.25, 0.94) in relation to cholesterol, compared obese. Association between waist-to-height ratio (WHtR) and SBP showed that those who are underweight are significantly less likely to be pre-hypertensive (OR= 0.13, CI=0.02, 0.66). Similarly, those who are underweight (OR=0.02, CI=0.00, 0.34) and normal weight (OR=0.10, CI=0.02, 0.49) are significantly less likely to be hypertensive. For WHtR and DBP, those who are underweight (OR=0.03, CI=0.00, 0.35) and normal weight (OR=0.12, CI=0.03, 0.47) are significantly less likely to be hypertensive. For WHtR and blood glucose, those who are underweight (OR=0.06, CI=0.00, 0.63) are significantly less likely to be diabetic. Urgent intervention focusing on lifestyle modification and weight management using multiple approaches should be established.
National Research Foundation Research Fellow
Future Leader/Volunteer (FLV) of Global Community Health (GCH)
Dept of Sport Recreation & Exercise Science
Faculty of Community & Health Science
University of the Western Cape,
Dr. Sunday is a Human Movement Scientist and currently a National Research Foundation (NRF) Research Fellow/Senior Lecturer/Research Coordinator in the Dept of Sport Recreation & Exercise Science (SRES), University of the Western Cape (UWC), Cape Town. His research interest focuses on health promotion & wellbeing: PA intervention and NCDs risk factors prevention, Health-Related Quality of life, Cardio-metabolic Disease, Energy expenditure, Obesity, Mental & Musculoskeletal Health, and PA and Climate Change. Some of my research findings have been presented in both national and international conferences followed by publications. A member of American College of Sport Medicine (ACSM), South African Sport Medicine Association (SASMA), The Cochrane Collaboration, & Public Health Association of South Africa (PHASA). He is also a specialist reviewer to both several local and international journals.