Clinical trial NCT06543875: Overweight, Obesity and Weight Variation Among Incarcerated Women in French Guiana: a Study of Factors Associated With Weight Gain
Official title: Overweight, Obesity and Weight Variation Among Incarcerated Women in French Guiana: a Study of Factors Associated With Weight Gain
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Obesity
Overweight
Lead sponsor: Centre Hospitalier de Cayenne
Sponsor class: OTHER
First posted: 2024-08-09
Enrollment: 85
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Exhaustive selection method including all women incarcerated at the prison when the interviews were conducted.

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.


Eligibility criteria: Inclusion Criteria:

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

Exclusion Criteria:

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

Primary outcomes:
measure: overall weight of women incarcerated
timeFrame: from date of incarceration until the date of inclusion, at least 7 days and no upper limit
measure: overall BMI trends of women incarcerated
timeFrame: from date of incarceration until the date of inclusion, at least 7 days and no upper limit
Secondary outcomes:
measure: 1) Study changes in weight over time
timeFrame: from date of incarceration until the date of inclusion, at least 7 days and no upper limit
measure: 1) Study changes in BMI over time
timeFrame: from date of incarceration until the date of inclusion, at least 7 days and no upper limit
measure: prevalence of overweight and obesity, including those at high risk of metabolic and vascular disease:
timeFrame: from date of incarceration until the date of inclusion, at least 7 days and no upper limit
measure: 3) Describe the population of female inmates incarcerated
timeFrame: from date of incarceration until the date of inclusion, at least 7 days and no upper limit
measure: factors associated with weight gain during incarceration: Comparison between women who have gained weight, to those who have not gained weight
timeFrame: from date of incarceration until the date of inclusion, at least 7 days and no upper limit
Other outcomes:
Locations:
city: Cayenne
country: French Guiana
facility: Centre Hospitalier de Cayenne
state: Guyane Française
Study officials:
References: