Prevalence and Predisposing Factors of Obesity among Adults in Makurdi, Benue State, Nigeria

The study was conducted in Makurdi, Benue State, Nigeria, using a descriptive cross-sectional design. The study population consisted of adults who are within the age of 18-90 years. A total of 385 adult residents were selected using a multistage sampling technique. Data were collected through a structured, interviewer-administered questionnaire and anthropometric measurements including height and weight. The Body Mass Index (BMI) was calculated to determine obesity status. Data were analyzed using descriptive statistics such as frequencies, percentages, and means, while inferential statistics were used to examine associations between socio-demographic variables and prevalence of obesity at a significance level of p < 0.05, using SPSS version 23. Findings from the study revealed that the majority of respondents had normal weight (72.7%), while 13.8% were obese, 7.8% overweight, and 5.7% underweight. Awareness of obesity was moderate, with 55.6% of participants aware of obesity and its associated risks, and 50.1% acknowledging its link to serious health conditions. Knowledge assessment revealed that 49.9% of respondents had good knowledge of obesity, 46.8% had moderate knowledge, and 3.4% demonstrated poor knowledge. The main predisposing factors identified included excessive television viewing (60.0%), overeating (61.0%), eating in front of television (79.7%), high consumption of carbonated drinks (63.9%), consumption of chocolate (72.5), inadequate sleep or stress (62.1%), sedentary lifestyle (55.1%), having less than 8hrs sleep (70.4%), and excessive computer/phone usage (56.6%). Socio-demographic factors such as age, marital status, educational level, ethnicity, religion, and family type showed significant associations with obesity prevalence (p < 0.05), while sex, occupation, and income were not statistically significant (P > 0.05). It is therefore recommended that continuous community-based health education, nutrition counselling, and routine screening for obesity be strengthened to improve awareness and mitigate the rising trend of obesity among adults in Benue State.

Obesity, Prevalence, Knowledge, Predisposing Factors, Adults.

1. World Health Organization (WHO). Obesity and Overweight. 2025. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight [Google Scholar] [Crossref]

2. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766–781. [Google Scholar] [Crossref]

3. Cecchini M, Sassi F, Lauer J, Lee Y, Guajardo-Barron V, Chisholm D. Tackling of unhealthy diets, physical inactivity, and obesity: health effects and cost-effectiveness. Lancet. 2010;376(9754):1775–1784. [Google Scholar] [Crossref]

4. World Health Organization. Obesity [Health topic page]. 2022. Available from: https://www.who.int/health-topics/obesity#tab=tab_1 [Google Scholar] [Crossref]

5. NHS. Obesity. 2019. Available from: https://www.nhs.uk/conditions/obesity/ [Google Scholar] [Crossref]

6. M von Deneen K, Wei Q, Tian J, Liu Y. Obesity in China: what are the causes? Curr Pharm Des. 2011;17(12):1132–1139. [Google Scholar] [Crossref]

7. Lee A, Cardel M, Donahoo WT. Social and environmental factors influencing obesity. Endotext [Internet]. 2019. [Google Scholar] [Crossref]

8. Casari S, Di Paola M, Banci E, Diallo S, Scarallo L, Renzo S, et al. Changing dietary habits: the impact of urbanization and rising socio-economic status in families from Burkina Faso in Sub-Saharan Africa. Nutrients. 2022;14(9):1782. [Google Scholar] [Crossref]

9. Verhaegen AA, Van Gaal LF. Drugs that affect body weight, body fat distribution, and metabolism. Endotext [Internet]. 2019. [Google Scholar] [Crossref]

10. Ahmed SK, Mohammed RA. Obesity: Prevalence, causes, consequences, management, preventive strategies and future research directions. Metabolism Open. 2025;27:100375. [Google Scholar] [Crossref]

11. Jang HJ, Kim BS, Won CW, Kim SY, Seo MW. The relationship between psychological factors and weight gain. Korean J Fam Med. 2020;41(6):381 [Google Scholar] [Crossref]

12. National Population Commission (2015). Makurdi. www. [Google Scholar] [Crossref]

13. Ministry of Land and Survey. Makurdi Local Government. 2015. [Google Scholar] [Crossref]

14. Umuerri EM, Ayandele CO, Eze GU. Prevalence and sociodemographic correlates of obesity and overweight in a rural and urban community of Delta State, Nigeria. Sahel Med J. 2017;20(4):173–178. [Google Scholar] [Crossref]

15. Sola AO, Steven AO, Kayode JA, Olayinka AO. Underweight, overweight and obesity in adult Nigerians living in rural and urban communities of Benue State. Ann Afr Med. 2011;10(2):139–144. [Google Scholar] [Crossref]

16. Oyewande AA, Ademola A, Okuneye TA, Sanni FO, Hassan AM, Olaiya PA. Knowledge, attitude and perception regarding risk factors of overweight and obesity among secondary school students in Ikeja Local Government Area, Nigeria. J Fam Med Prim Care. 2019;8(4):1391–1395. [Google Scholar] [Crossref]

17. Olatunbosun ST, Kaufman JS, Bella AF. Prevalence of obesity and overweight in urban adult Nigerians. Obes Rev. 2011;12(4):233–241. [Google Scholar] [Crossref]

18. Agofure O. Prevalence of obesity among adults in Issele-uku, Delta state Nigeria. Alexandria J Med. 2018;54(4):463–468. [Google Scholar] [Crossref]

19. Osunkwo DA, Nguku PM, Mohammed A, Umeokonkwo CD, Kamateeka M, Ibrahim M, et al. Prevalence of obesity and associated factors in Benue State, Nigeria: A population-based study. Ann Afr Med. 2021;20(1):9–13. [Google Scholar] [Crossref]

20. Olufemi AJ, Abiodun LL. Prevalence of overweight and obesity in an institutionalized multi ethnic based male adult sample. Int J Humanit Soc Sci. 2013;3(5):234–237 [Google Scholar] [Crossref]

21. Ogunlade O, Asafa MA. Pattern and prevalence of underweight, overweight and obesity among young adult Nigerians. Am J Biomed Life Sci. 2015;3(2):12–15. [Google Scholar] [Crossref]

22. Ukegbu PO, Uwaegbute AC, Echendu CA, Ejike C, Anyika-Elekeh JU, Asumugha VU, et al. Obesity and associated factors in young adults attending tertiary institutions in south-eastern Nigeria. S Afr J Clin Nutr. 2017;30(2). [Google Scholar] [Crossref]

23. Adebayo RA, Balogun MO, Adedoyin RA, Obashoro-John OA, Bisiriyu LA, Abiodun OO. Prevalence and pattern of overweight and obesity in three rural communities in southwest Nigeria. Diabetes Metab Syndr Obes. 2014;153–158. [Google Scholar] [Crossref]

24. Ramalan MA, Gezawa ID, Musa BM, Uloko AE, Fakhraddeen YM. Prevalence and trends of adult overweight and obesity in Nigeria—a systematic review and meta-analysis. Niger J Clin Pract. 2023;26(1):1–15. [Google Scholar] [Crossref]

25. Idowu AE, Amole IO, Durodola AO, Adesina SA, Adegoke AO, Akinwumi AI, et al. Obesity among Adult Outpatients with Type 2 Diabetes Mellitus Accessing Care in Bowen University Teaching Hospital (BUTH), Ogbomoso. Int J Trop Dis Health. 2022;43(23):31–37 [Google Scholar] [Crossref]

26. Emmanuel LA, Omotola OJ, Oluwafemi O, Ayotunji EOC, Chimezie ES, Olaniyi SO, Nwamarachi I, et al. Comparative Assessment of Obesity Using Body Mass Index and Waist-To-Height Ratio among Freshmen Undergraduates Who Secured Admissions into a Private Tertiary Institution. Scope. 2024;14(1):688–704. [Google Scholar] [Crossref]

27. Wahab KW, Sani MU, Yusuf BO, Gbadamosi M, Gbadamosi A, Yandutse MI. Prevalence and determinants of obesity-a cross-sectional study of an adult Northern Nigerian population. Int Arch Med. 2011;4(1):1–5. [Google Scholar] [Crossref]

28. Akogwu HS, Oche OM, Awosan KJ, Sabir A, Adamu IA, Bwanhwat NJ. Prevalence and predictors of overweight and obesity among adults in rural and urban communities of Sokoto State, Nigeria. ABOUT IAMHR. [Google Scholar] [Crossref]

29. Okafor CI, Gezawa ID, Sabir AA, Raimi TH, Enang O. Obesity, overweight, and underweight among urban Nigerians. Niger J Clin Pract. 2014;17(6):743–749. [Google Scholar] [Crossref]

30. Akinlade AR, Afolabi WAO, Oguntona EB, Agbonlahor M. Prevalence of obesity among adolescents in senior secondary schools in Oyo state, Nigeria. Age. 2014;12(14):219. [Google Scholar] [Crossref]

31. Easter CO, Agba M, Anieche JE, Agbor EO, Obeten JN. Awareness and preventive practices of obesity among young women in Calabar South Local Government Area of Cross River State. Biomed Hum Kinet. 2023;15(1):43–48. [Google Scholar] [Crossref]

32. Anto G, Delasalle M, Arunachalam S, Asma M. Awareness of Complications of Obesity in Young Individuals. IOSR J Dent Med Sci. 2016;2:23–45. [Google Scholar] [Crossref]

33. Ojofeitimi EO, Adeyeye AO, Fadiora AO, Kuteyi AO, Faborode TG, Adegbenro CA, Towobola KS, et al. Awareness of obesity and its health hazard among women in a university community. Pak J Nutr. 2007;6(5):502–505. [Google Scholar] [Crossref]

34. Bolarinde SO, Oke KI, Olukolatimi SD. Knowledge, Attitude and Practice of Obesity Among Preclinical Students of the University of Benin, Edo State, Nigeria. J Basic Appl Med Sci. 2023;3(2):40–49. [Google Scholar] [Crossref]

35. Bolarinde S, Henry M, Daniel I. Knowledge, attitude and practice of weight reduction among overweight and obese individuals. Int Res J Pharm Med Sci (IRJPMS). 2018;1(4):59–62. [Google Scholar] [Crossref]

36. Mabiala Babela JR, Nika ER, Nkounkou Milandou KGC, Missambou Mandilou SV, Bouangui Bazolana SBA, Monabeka HG, Moyen G. Knowledge, attitudes, and practices of parents facing child and adolescent obesity in Brazzaville, Congo. Glob Pediatr Health. 2016;3:2333794X16675546. [Google Scholar] [Crossref]

37. Oluwagbemi AI, Atolagbe JE, Julian EO. Knowledge of the Risk Factors and Practice of Prevention of Obesity Among Undergraduates of Babcock University, Ilishan-Remo, Nigeria. Int J Health Pharm Res. 2025;10(5):62–90. [Google Scholar] [Crossref]

38. Olawuyi YO, Ikeoluwa OS. Knowledge, Attitude and Practice Towards Risks of Overweight and Obesity Among Adolescents in Private Secondary Schools in Ibadan, Nigeria. Adv J Curr Res. 2022;7:12–28. [Google Scholar] [Crossref]

39. Jafar TH, Chaturvedi N, Pappas G. Prevalence of overweight and obesity and their association with hypertension and diabetes mellitus in an Indo-Asian population. CMAJ. 2006;175(9):1071–1077. [Google Scholar] [Crossref]

40. Patsopoulou A, Tsimtsiou Z, Katsioulis A, Rachiotis G, Malissiova E, Hadjichristodoulou C. Prevalence and risk factors of overweight and obesity among adolescents and their parents in central Greece (FETA Project). Int J Environ Res Public Health. 2016;13(1):83. [Google Scholar] [Crossref]

41. Back IR, Oliveira RR, Silva ES, Marcon SS. Risk Factors Associated with Overweight and Obesity in Japanese‐Brazilians. J Nutr Metab. 2018;2018:5756726. [Google Scholar] [Crossref]

42. Usu SS, Ikyughur JA, Udoumoh EF. A Binary Logistic Regression Model for Assessing Predisposing Factors of Obesity among Urban Traders in Benue State. BSP Adv Sci Eng Technol (BSPASET). 2024;1(1). [Google Scholar] [Crossref]

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