Overweight, Obesity and Weight Variation Among Incarcerated Women in French Guiana: a Study of Factors Associated With Weight Gain

NCT06543875 | Completed

• 1 other identifier: PPFCPG
• Study Type: observational
• Target: 85
• Locations: 1 country
• Sites: 1

Brief Summary

Overweight and obesity are a public health issue, given the morbi-mortality they entail: increase in chronic diseases such as cardiovascular disease, diabetes, musculoskeletal disorders, certain cancers. According to the 2019 European Health Survey, French Guiana has a high rate of overweight and obesity, affecting 51% of its population (compared with 47% in mainland France), with a higher prevalence among women (23%), this phenomenon being partly attributed to unfavorable eating habits and a sedentary lifestyle. Another study in French Guiana showed that 54.7% of those surveyed were overweight or obese, with a higher risk of obesity among single women, often from non-French Caribbean and South American immigrant backgrounds, unemployed or poorly educated. Some of these risk factors are found in the general prison population: immigrant population, unemployed, low socio-educational level. A meta-analysis published in 2017 analyzed weight variations in individuals during their period of incarceration. All but one study reported an increase in BMI and weight gain, in a significant proportion of participants. Weight gain was associated with gender, and was higher in women. A systematic review of 2020 on cardiovascular risks associated with incarceration revealed, through meta-regression, a mean weight increase of 5.3 kg (CI95%: 0.5 to 10.1) and a variation in Body Mass Index (BMI) of 1.8 kg/m2 (CI95%: -0.9 to 4.6) after two years of incarceration, attributed to a sedentary lifestyle, inappropriate diet, forced smoking cessation, use of psychotropic medication and high levels of stress. The higher prevalence of obesity among women is a trend observed both in French Guiana and in the prison environment, where weight gain is associated with the female gender. There are currently no studies examining the weight of female prisoners in French Guiana, its evolution and the identification of risk factors linked to weight gain in the CPG.

Conditions

Obesity; Overweight

Outcome Measures

Primary Outcomes (2)

• overall weight of women incarcerated

  This variation is calculated by subtracting the initial weight on entry into the current weight at the time of the interview. T Weight measurements are taken in kilograms (kg to one decimal place) at two decimal place) at two key points: o These measurements are valid and reproducible: weight taken on a standardized scale scale, in light clothing and barefoot, The primary endpoint will quantify changes in weight I during the period of incarceration, and will serve as a basis for to assess the impact of various factors on weight gain in female women prisoners.

  from date of incarceration until the date of inclusion, at least 7 days and no upper limit

• overall BMI trends of women incarcerated

  This variation is calculated by subtracting the initial weight on entry into the current weight at the time of the interview for BMI. Weight measurements are taken in kilograms (kg to one decimal place) at two decimal place) at two key points: on entry into detention and at the time of the and during the interview, based on medical records and individual individual interviews. BMI will be calculated using weight and height: calculation of body mass index (BMI) body mass index (BMI): weight (kg) / height (m2).

  from date of incarceration until the date of inclusion, at least 7 days and no upper limit

Secondary Outcomes (5)

• 1) Study changes in weight over time

  from date of incarceration until the date of inclusion, at least 7 days and no upper limit

• 1) Study changes in BMI over time

  from date of incarceration until the date of inclusion, at least 7 days and no upper limit

• prevalence of overweight and obesity, including those at high risk of metabolic and vascular disease:

  from date of incarceration until the date of inclusion, at least 7 days and no upper limit

• 3) Describe the population of female inmates incarcerated

  from date of incarceration until the date of inclusion, at least 7 days and no upper limit

• factors associated with weight gain during incarceration: Comparison between women who have gained weight, to those who have not gained weight

  from date of incarceration until the date of inclusion, at least 7 days and no upper limit

Study Arms (1)

Women incarcerated at the Penitentiary Center of French Guiana

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Exhaustive selection method including all women incarcerated at the prison when the interviews were conducted.

You may qualify if:

• Female adult in prison for more than 7 days at the time of the interviews

You may not qualify if:

• Refusal to participate
• Cognitive impairment or lack of communication resulting in inability to complete questionnaire

Sponsors & Collaborators

• Centre Hospitalier de Cayenne: lead

Study Sites (1)

Centre Hospitalier de Cayenne

Cayenne, Guyane Française, 97306, French Guiana

Location

MeSH Terms

Conditions

Obesity; Overweight

Condition Hierarchy (Ancestors)

Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 31, 2024
• First Posted: August 9, 2024
• Study Start: December 14, 2023
• Primary Completion: February 26, 2024
• Study Completion: February 26, 2024
• Last Updated: August 9, 2024

Record last verified: 2024-08

Locations

FR (1)