Nationally Representative Surveys Show Recent Increases in the Prevalence of Overweight and Obesity among Women of Reproductive Age in Bangladesh, Nepal, and India
Nationally Representative Surveys Show Recent Increases in the Prevalence of Overweight and Obesity among Women of Reproductive Age in Bangladesh, Nepal, and India
复制标题
DOI：
10.3945/jn.109.112029
复制
发表时间：
2009-11-01
影响因子：
4.2
通讯作者：
Villamor, Eduardo
中科院分区：
文献类型：
--
作者：
Balarajan, Yarlini;Villamor, Eduardo
我们本研究的目的是调查 1996 年至 2006 年间 3 个南亚国家育龄妇女超重肥胖和体重不足的流行趋势，并确定最近调查中超重的社会人口统计学相关性。利用在孟加拉国（n = 19,211）、尼泊尔（n = 19,354）和印度（n = 161,755）进行的 8 次人口统计和健康调查的全国代表性数据，我们研究了最近 7 至 15-49 岁女性的 10 岁时期。所有国家的超重肥胖患病率均大幅增加。孟加拉国首次调查与最新调查相比，超重肥胖患病率从 2.7% 上升至 8.9% [年龄和胎次调整患病率 (PR)：2.42； 95%Cl：1.88，3.13]；尼泊尔，从 1.6% 升至 10.1% [调整后的 PR：4.18； 95% Cl: 3,00, 5.83];印度则从 10.6% 升至 14.8% [调整后的 PR：1.28； 95% Cl：1.20，1.36]。农村和城市地区均出现了这种增长，而且农村地区的增长幅度更大。在研究期间，孟加拉国的体重不足发生率大幅下降，而尼泊尔和印度的体重不足发生率略有下降。在所有国家中，超重肥胖都与年龄、较高的社会经济地位和城市居住呈正相关。总之，虽然孟加拉国、尼泊尔和印度的体重不足发生率仍然很高，但 1996 年至 2006 年间，育龄妇女超重肥胖的发生率有所上升。 139：2139-2144，2009 年。
Our aims in this study were to examine trends in the prevalence of overweight-obesity and underweight among women of reproductive age in 3 South Asian countries between 1996 and 2006 and to identify sociodemographic correlates of overweight in the most recent survey. Using nationally representative data from 8 Demographic and Health Surveys conducted in Bangladesh (n = 19,211), Nepal (n = 19,354), and India (n = 161,755), we examined the change in the prevalence rates of overweight-obesity (BMI >= 25 kg/m(2)) and underweight (BMI < 18.5 kg/m(2)) over a recent 7- to 10-y period among women aged 15-49 y. The prevalence of overweight-obesity increased substantially in all countries. Comparing the first to the latest survey in Bangladesh, the prevalence of overweight-obesity increased from 2.7 to 8.9% [age and parity-adjusted prevalence ratio (PR): 2.42; 95% Cl: 1.88, 3.13]; in Nepal, from 1.6 to 10.1% [adjusted PR: 4.18; 95% Cl: 3,00, 5.83]; and in India, from 10.6 to 14.8% [adjusted PR: 1.28; 95% Cl: 1.20, 1.36]. These increases were observed in both rural and urban areas and were greater in rural areas. During the study period, the prevalence of underweight decreased substantially in Bangladesh and only modestly in Nepal and India. Overweight-obesity was positively related to age, higher socioeconomic status, and urban residence in all countries. In conclusion, while the prevalence of underweight has remained high in Bangladesh, Nepal, and India, the prevalence of overweight-obesity in women of reproductive age has risen between 1996 and 2006. J. Nutr. 139: 2139-2144, 2009.