Barnabas Danborno

Impact of urbanization on obesity, anthropometric profile and blood pressure in the Igbos of Nigeria

Background: Hypertension in developing setting is often attributed to westernization of life style and stresses of urbanization, some of these increases have been noted in Nigeria. Aim: This is a study on rural-urban differences on the blood pressure, obesity and anthropometrics among a major ethnic group in Nigeria. Patients and Method: A total of 325 men and 242 women aged 20 to 80 years, of the Igbo ethnicity were selected for this study. The samples were selected from the rural and urban subgroups of the Igbo population. Systolic and diastolic blood pressure, body mass index, waist- hip ratio, waist-height ratio, waist circumference, triceps, subscapular, calf and sum of the three skin fold thicknesses and other anthropometric measurements were obtained using standard procedures. Result: Blood pressure correlated with age and most of the anthropometric parameters (p< 0.05 ). All adiposity and blood pressure indicators were higher in the urban than in the rural sample. Women showed higher predisposition to both general and abdominal obesities in both samples. High blood pressure occurred more often in the urban sample than the rural. Urban men had the highest mean blood pressure (p< 0.05). High blood pressure appeared much connected with the pressures of city life. Regression formulae were derived for all the adiposity measures of Igbos in both rural and urban locations. Conclusion: High rates of obesity and hypertension are noted among Igbos in both rural and urban areas. This is especially in the urban setting. The finding is indicative of a low level of attention on hypertension and obesity in the Igbos. The data reported here call for intervention programs on the risks, preventions and management of obesity and obesity related conditions.

Impact of education on obesity and blood pressure in developing countries: A study on the Ibos of Nigeria.

Background: Increase in the prevalence of hypertension, obesity and obesity related diseases has become significant cause of disability and premature death in both developing and newly developed countries, with over bearing demand on national health budgets. Aim: To evaluate the impact of various levels of education on obesity and blood pressure. Materials and Method: 325 male and 254 female Nigerians of ages 20-80 years of the Ibo ethnicity through random sampling, were selected for this study. The participants were broken into three major groups based on their educational levels; primary, secondary and tertiary levels. systolic and diastolic blood pressure (SBP & DBP) levels, body mass index (BMI), waist hip ratio (WHR), waist height ratio (WHtR), waist circumference (WC),various skin fold thicknesses, and other anthropometric parameters were measured. Result: For all the indicators of subcutaneous fat, general obesity, and central obesity, largest mean deposition was noted to be highest in the lowest education group and least in the highest education group. Mean blood pressure parameters were also highest in the least education group. While fat deposition was noted to be highest in all the females of all the groups, the males showed larger mean BP values. Education was noted to have a significant inverse relationship with most of the fat indicators and blood pressure parameters and cardiovascular disease risk highest in the least education groups. Conclusion: Education showed a significant impact on obesity and blood pressure and could be one of the major tools to reduce the high prevalence of obesity, hypertension and other obesity associated diseases.

Sex prediction using ridge density and thickness among the Hausa ethnic group of Kano state, Nigeria

Abstract The aim of the study was to determine sexual dimorphism and to predict sex using thumbprint ridge density and thickness among the Hausa ethnic group of Nigeria. A total of 283 subjects comprising 147 males and 136 females participated in the study. The density was determined from the count of ridges found diagonally within 25 mm2 using an indirect method of ridge thickness measurement. The results showed that the ulnar ridge density of males (10.01 ± 1.31) was significantly (p < 0.05) lower than that of females (10.91 ± 1.69) in the right thumb. The ridge thickness was observed to have an inverse relation with ridge density. It was also noted that the right ulnar ridge count was the single best variable to predict sex (63.4% accuracy). For the left thumbprints, the proximal ridge thickness predicted the sex (62.8% accuracy). The predicted probabilities of binary logistic regression showed that ulnar ridge count and proximal ridge thickness were the best predictors with a higher area under the curve (>0.5) in the right and left thumbprints respectively. In conclusion, different regions of thumbprints have different potentials in term of sex prediction. Ridge density and thickness hold potential as tools for sex inference among the Hausa population of Nigeria.

The prevalence of neural tube defects in live born neonates in Kano, North-Western Nigeria

Background: Neural tube defects (NTDs) are congenital malformations of the cranium, spine, and nervous system. About 350,000 infants are born with NTDs yearly worldwide. This study aimed to determine the prevalence and spectrum of NTDs in live-born neonates in the Kano Metropolis of North-western Nigeria. Materials and Methods: This is a prospective study of all live-born neonates in three selected hospitals in the Kano metropolis between April 2013 and December 2013. A descriptive study design was employed. Neonates delivered at gestational ages 28 weeks or more were examined within 48 h of birth for external congenital anomalies. Detailed family history and clinical data were recorded for each child. Data were analyzed using SPSS version 15.0 for Windows (SPSS Inc., Chicago, IL, USA). Results: Of the 1456 neonates recruited into the study, there were 757 (52%) boys and 699 (48%) girls. Of these, 4 neonates (2 boys and 2 girls) had NTDs (male:female ratio = 1:1), giving a birth prevalence of NTDs (2 spina bifida cystic, 1 anencephaly, and 1 encephalocele) of 2.75/1000 live births. The mean gestational age for the neonates with NTDs was 38 weeks (standard deviation [SD] 2.16 weeks) while their mean birth weight was 2.93 kg (SD 0.51 kg). Only 5.03% of the mothers in this study began the use of folic acid-containing multivitamin supplement at least 1-month before or in the 1 st month of the index pregnancy. Conclusion: Given the high prevalence of NTDs in this study, public health measures aimed at the prevention of this anomaly should be encouraged.

Computerized tomographic study of normal Evans index in adult Nigerians

Background: The evaluation of degree of ventricular enlargement should be based on established indices rather than on personal experience as this is highly subjective. Our aim was to establish normal values for Evans index in a Nigerian adult population as none has been found in the Nigerian medical literature. Materials and Methods: Axial computerized tomographic brain scans of 488 normal subjects were reviewed retrospectively. Of them, 319 (65.36%) of the patients were males and 169 (34.63%) were females; their ages ranged from 18 to 84 years with a mean age of 37.26 years. The images were acquired using a multi-slice GE Sigma excite scanner. Evans index was measured as the linear ratio of the total width of the frontal horns of the cerebral lateral ventricles to the maximum intracranial diameter. Results: The mean value for Evans index for the studied population was 0.252 ± 0.04. The EI increased with age and it was slightly higher among males. The difference in Evans value in males and females was not statistically significant. Individuals above 60 years old had the highest Evans values in both sexes. Conclusion: This study has established ranges of normal value for Evans index in a Nigerian population. It agrees with the diagnostic cut-off value of > 0.3 for hydrocephalus and it compares well with that of the Caucasians.

Relationship between body mass index and timing of maturation

Background: Menarche is the first menstrual period. The increasing incidence of overweight/obesity and decline in the median age at menarche had led investigators to hypothesize potential associations of age at menarche with body mass index (BMI). We assess these associations between reproductive and nonreproductive age females. Aim: The present study assessed the relationship between BMI and the timing of menarche among contemporary Nigerian girls. Methods: The present cross-sectional anthropometric study was performed in 2014 using 600 menstruating and 200 nonmenstruating girls aged 11–18 years in Nigeria. We classified the menarcheal age of our participants into early, ideal, and late. Participants were also categorized based on their nutritional status into underweight, normal, and overweight. Results: Mean age at menarche was 13.54 years. Age at onset of menarche was inversely associated with BMI. Precocious menarche (<12 years) when compared to ideal (12–13 years) or late (≥14 years) menarche was found to be associated with a higher BMI (F = 10.64, P < 0.05). Overweight girls also reach maturation earlier than their contemporaries with moderate to lean body status (F = 15.32, P < 0.05). Conclusion: Girls with high BMI or overweight reach menarche earlier in life than their lean or low BMI counterparts.

Calcaneal pitch and lateral talocalcaneal angle among nigerians

Diversos trabajos en las areas de la radiologia, ortopedia y anatomia radiografica han empleado los angulos medidos en las radiografias para hacer diagnosticos, seleccionar las modalidades de tratamiento en el manejo de los trastornos del pie, asi como para predecir el resultado de las intervenciones para estos trastornos. La inclinacion calcanea (PC) y el angulo talocalcaneo lateral (L TCA) son los angulos que se pueden extraer desde las radiografias laterales de los pies y ser utilizados ampliamente en el diagnostico, pronostico y eleccion de modalidades de tratamiento para diversos trastornos del pie. Los datos sobre estos importantes instrumentos radiologicos no existen en Nigeria, y su estudio es un intento de obtener esta informacion. Usando un goniometro bisagra, los angulos se midieron a partir de radiografias normales permanentes lateral del pie. La media de CP se fue 15,08±2,87 (n = 63) y la media de TCA L fue 38,85°±8,20° (n = 130). Las diferencias en las medias de los angulos observados entre los sexos no fueron estadisticamente significativas (CP, p = 0,70; L TCA, p = 0,60). No hubo diferencias significativas en la media de los angulos con respecto al lado (CP, p = 0,58; L TCA, p = 0,13) o entre grupos etnicos (CP, p = 0,30; L TCA, p = 0,40).

Evaluation of Facial Proportions and Their Association with Thumbprint Patterns among Hausa Ethnic Group

Background. Evolutionary forces such as founder effect resulted in reproductive isolation and reduced genetic diversity may have led to ethnic variation in the facial appearance and other features like fingerprints pattern. Aim. To determine the pattern of facial proportion based on neoclassical facial canon. The associations between facial proportions and thumbprint patterns were also investigated. Subject and Methods. A total of 534 subjects of 18–25 years of age participated. Direct sensing and photographs methods were used to determine fingerprint and facial features, respectively. Fisher’s Exact test was used to test for association between variables. Results. It was observed that in both males and females there was no (0%) occurrence of classical canon of facial proportion. There was also no association between sex and facial proportions. A significant association was found in between thumbprint patterns and vertical class III neoclassical facial proportion only when the frequency of both left and right thumbprint patterns was considered a single entity. There is no significant association between the thumbprint patterns of the right and left thumbs with vertical horizontal facial proportions in male and female participants. It was observed that right and left thumbs have more tendency of significance with facial proportion in males and females, respectively. Conclusion. Fingerprint pattern and its associated features may be controlled by a different mechanism such that the two may correlate differently with other features as the case may be with facial features.

Comparative analysis of electrophysiological parameters of sural nerve in normal and type-2 diabetic subjects

The study was designed to evaluate sural nerve conduction of type-2 diabetes mellitus (T2DM) patients that were asymptomatic for neuropathy and compare their findings with age and sex matched healthy individuals. Using a standard technique, sural nerve conduction study was conducted on 100 T2DM patients with no clinical features suggestive of neuropathy and 100 healthy volunteers, matched for age and sex, serving as control. Sural nerve latency, Amplitude and Conduction Velocity (CV) were measured using Nihoen Kohden EMG Machine. On comparison of the sural nerve conduction parameters, sural nerve distal latencies were significantly lower in the control group while the sural nerve conduction velocities and amplitudes were significantly higher in the T2DM group. The study showed significant difference between the sural nerve conduction parameters in T2DM patients without clinical features suggestive of peripheral neuropathy when compared with apparently healthy individuals. Keywords: Sural nerve; Diabetic neuropathy; Electrophysiology

Sexual Dimorphism and Estimation of Height from Body Length Anthropometric Parameters among the Hausa Ethnic Group of Nigeria

The study was carried out to investigate the sexual dimorphism in length and other anthropometric parameters. To also generate formulae for height estimation using anthropometric measurements of some length parameters among Hausa ethnic group of Kaduna State, Nigeria. A cross sectional study was conducted and a total of 500 subjects participated in this study which was mainly secondary school students between the age ranges of 16-27 years, anthropometric measurements were obtained using standard protocols. It was observed that there was significant sexual dimorphism in all the parameters except for body mass index. In all the parameters males tend to have significantly (P < 0.05) higher mean values except biaxillary distances. Height showed positive and strongest correlations with demispan length, followed by knee height, thigh length, sitting height, hand length, foot length, humeral length, forearm length and weight respectively. There were weak and positive correlations between height and neck length as well as biaxillary length. The demi span length showed the strongest correlation coefficient and low standard error of estimate indicating the strong estimation ability than other parameters. The combination of two parameters tends to give better estimations and low standard error of estimates, so also combining the three parameters gives better estimations with a lower standard error of estimates. The better correlation coefficient was also observed with the double and triple parameters respectively. Male Hausa tend to have larger body proportion compared to female. Height showed positive and strongest correlations with demispan length. Body length anthropometric proved to be useful in estimation of stature among Hausa ethnic group of Kaduna state Nigeria.