Gender differences in body mass index in rural India are determined by socio-economic factors and lifestyle

Gender differences in body mass index in rural India are determined by socio-economic factors and lifestyle
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DOI:
10.1093/jn/136.12.3062
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发表时间:
2006-12-01
影响因子:
4.2
通讯作者:
Fall, Caroline
Fall, Caroline
中科院分区:
医学2区
文献类型:
--
作者:
Barker, Mary;Chorghade, Ginny;Fall, Caroline

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一项对印度马哈拉施特拉邦浦那地区 6 个村庄妇女营养状况的调查发现,年轻女性的 BMI 明显低于男性同龄人。本研究的目的是确定与这种瘦弱差异相关的社会和经济因素,并探讨可能构成这些关联的男性和女性的行为。我们对马哈拉施特拉邦这一地区 90 个家庭的男性和女性进行了比较,测量了每个家庭育龄已婚夫妇的身高和体重,并评估了他们的社会和经济细节、禁食习惯和石油消耗量。在这个农业社区中,以务农为主要职业的共有土地家庭中的妇女比非农业家庭中的妇女更瘦。对于这类家庭中的男人来说,情况并非如此。 “现金充裕”家庭中的男性的体重指数高于没有这种特征的家庭中的男性。女性的BMI没有相应的差异。然后,我们调查了其中 45 个家庭中男性和女性的生活方式。与男性相比,女性更有可能全职务农,承担所有家务劳动,睡眠时间更少,出门在外的食物也更少。女性比男性禁食更频繁、更严格。尽管发现同一家庭中男性和女性之间的行为存在显着差异,但我们没有发现行为与体重指数之间存在直接联系。我们得出的结论是,嫁入农业家庭是决定马哈拉施特拉邦农村地区女性瘦弱的一个重要因素。
A survey of the nutritional status of women in 6 villages of the Pune district of Maharashtra, India, found young women to have a significantly lower BMI than their male peers. The purpose of this study was to identify social and economic factors associated with this difference in thinness and to explore the behavior in men and women that might underlie these associations. We compared men and women in 90 families in this part of Maharashtra by taking measurements of the height and weight of the married couple of child-bearing age in each family and assessing their social and economic details, fasting practices, and oil consumption. In this agricultural community, women were thinner in joint land-owning families, where the main occupation was farming, than those in nonfarming families. This was not true of men in this type of family. Men in "cash-rich" families had higher BMI than men in families without this characteristic. There was no corresponding difference in women's BMI. We then examined the lifestyles of men and women in a subset of 45 of these families. Women were more likely to work full time in farming than men, to carry the burden of all household chores, to have less sleep, and to eat less food away from home than men. Women fasted more frequently and more strictly than men. Despite identifying significant differences in behavior between men and women in the same household, we did not find a direct link between behavior and BMI We conclude that being married into a farming family is an important factor in determining the thinness of a woman in rural Maharashtra.