scholarly journals Underweight, Overweight and Obesity among Reproductive Bangladeshi Women: A Nationwide Survey

Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4408
Author(s):  
Mansura Khanam ◽  
Uchechukwu Levi Osuagwu ◽  
Kazi Istiaque Sanin ◽  
Md. Ahshanul Haque ◽  
Razia Sultana Rita ◽  
...  

The double burden of malnutrition is becoming more prevalent among Bangladeshi women. Underweight, overweight, and obesity were examined among women aged 15–49 years using the 2017–2018 Bangladesh Demographic and Health Survey (BDHS). A dataset of 20,127 women aged 15–49 years with complete Body Mass Index (BMI) measurements were extracted and categorized as underweight, normal weight, overweight, and obesity. A multiple logistic regression that adjusts for clustering and sampling weights was used to examine underweight, overweight, and obesity among reproductive age Bangladeshi women. Our analyses revealed that the odds of being overweight and obese were higher among women who completed primary and secondary or more levels of education, rich households, breastfeeding women, and women exposed to media (newspapers and television (TV). Women from the poorest households were significantly more likely to be underweight (AOR = 3.86, 95%CI: 2.94–5.07) than women from richer households. The likelihood of being underweight was higher among women with no schooling, adolescent women, and women not using contraceptives. Conclusions: Overweight and obesity was higher among educated and affluent women while underweight was higher among women from low socioeconomic status, indicating that tailored messages to combat overweight and obesity should target educated and affluent Bangladeshi women while improving nutrition among women from low socioeconomic status.

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3102
Author(s):  
Jingqi Song ◽  
Ji Zhang ◽  
Wafaie Fawzi ◽  
Yangmu Huang

This study aimed to examine the impact of a wide range of demographic, socioeconomic, and community factors on the double burden of malnutrition among women of reproductive age using longitudinal data. We used data about 11,348 women of reproductive age who participated in the China Health and Nutrition Survey (CHNS), a longitudinal survey, between 1989 and 2015. Nutritional outcomes were categorized into four groups, namely underweight, normal weight, overweight, and obesity, with normal weight as reference. A multinomial logit model was fitted due to geographic clustering and repeated observations of individuals. The prevalence of underweight decreased over time from 1991 but has tended to rise again since 2004, while the prevalence of overweight/obesity continued to rise between 1991 and 2015. Improved individual factors, socioeconomic status, and community urbanization reduced the risk of underweight but elevated the risk of overweight and obesity. The medium levels, rather than the highest levels, of household income and community urbanization are associated with a higher risk of overweight and obesity. The notable increase in underweight prevalence is a cause for concern to be addressed along with efforts to curb the rising tide of overweight. In order to enhance the nutritional status of women of reproductive age, it is essential to improving the community environment, levels of education, and living environment from a wider context. Long-term and targeted plans are urgently needed for nutrition improvements among the different populations.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Alicia Munoz-Espinosa ◽  
Lucia Cuevas-Nasu ◽  
Marco Antonio Avila ◽  
Teresa Shamah-Levy

Abstract Objectives Describe the changes in the magnitude and distribution of the Body Mass Index (BMI) in older adults of low socioeconomic status who are beneficiaries of a social program (Prospera) in Mexico, according to sociodemographic characteristics. Methods We analyzed data of weight and height of older adults (>60 years) obtained from the National Health and Nutrition Survey of Mexico (ENSANUT) of the years 2012 and 2018. The ENSANUT is a probabilistic and multistage survey with national representativeness. We calculated the BMI and classified older adults into three stages (Underweight (UW), Overweight (OW) and Obesity (OB)) in accordance with the methodology and cut-off points specified by the World Health Organization (WHO). Prevalences were estimated by sex, age, the area of residence, and geographic region. Then, the ENSANUT 2012 and 2018 were compared, identifying if the household was of low socioeconomic status and if it was beneficiary of the social program “Prospera”. Results 7.1% of women beneficiaries of Prospera, over 80 years old, were classified with UW, as well as 3.5% of women in the South region. 7.5% of men, beneficiaries of Prospera, over 60 years old who live in the North Region, had UW. In women older than 60 years, OW + OB increased from 2012 to 2018, both in those that were not beneficiaries (76% in 2012 vs 82.1% in 2018) and in those that were beneficiaries of Prospera (61% in 2012 vs 68.2% in 2018). The proportion of men older than 60 years beneficiaries of Prospera, with OW + OB, decreased in the urban area (76.6% in 2012 Vs. 49.3% in 2018) and, in men who were not beneficiaries of Prospera (71.1% in 2012 Vs 24.2% in 2018). Conclusions The number of older adults in Mexico is increasing and the prevalence of OW, mainly among women, is getting higher. It is important to take immediate actions given the health complications associated with overweight and obesity. Funding Sources Mexico´s Government.


2014 ◽  
Author(s):  
Sarah Dayle Herrmann ◽  
Jessica Bodford ◽  
Robert Adelman ◽  
Oliver Graudejus ◽  
Morris Okun ◽  
...  

2020 ◽  
Vol 91 (6) ◽  
pp. 2042-2062
Author(s):  
Susana Mendive ◽  
Mayra Mascareño Lara ◽  
Daniela Aldoney ◽  
J. Carola Pérez ◽  
José P. Pezoa

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043547
Author(s):  
Donald A Redelmeier ◽  
Kelvin Ng ◽  
Deva Thiruchelvam ◽  
Eldar Shafir

ObjectivesEconomic constraints are a common explanation of why patients with low socioeconomic status tend to experience less access to medical care. We tested whether the decreased care extends to medical assistance in dying in a healthcare system with no direct economic constraints.DesignPopulation-based case–control study of adults who died.SettingOntario, Canada, between 1 June 2016 and 1 June 2019.PatientsPatients receiving palliative care under universal insurance with no user fees.ExposurePatient’s socioeconomic status identified using standardised quintiles.Main outcome measureWhether the patient received medical assistance in dying.ResultsA total of 50 096 palliative care patients died, of whom 920 received medical assistance in dying (cases) and 49 176 did not receive medical assistance in dying (controls). Medical assistance in dying was less frequent for patients with low socioeconomic status (166 of 11 008=1.5%) than for patients with high socioeconomic status (227 of 9277=2.4%). This equalled a 39% decreased odds of receiving medical assistance in dying associated with low socioeconomic status (OR=0.61, 95% CI 0.50 to 0.75, p<0.001). The relative decrease was evident across diverse patient groups and after adjusting for age, sex, home location, malignancy diagnosis, healthcare utilisation and overall frailty. The findings also replicated in a subgroup analysis that matched patients on responsible physician, a sensitivity analysis based on a different socioeconomic measure of low-income status and a confirmation study using a randomised survey design.ConclusionsPatients with low socioeconomic status are less likely to receive medical assistance in dying under universal health insurance. An awareness of this imbalance may help in understanding patient decisions in less extreme clinical settings.


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