Spatial Demography

, Volume 3, Issue 1, pp 1–25 | Cite as

Women and Weight Gain in Urban India: Evidence from the National Family Health Surveys (1998–2006)

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Abstract

While malnutrition remains an important public health concern in poor countries, particularly among the rural and urban poor, overweight and obesity are emerging as important public health concerns for urban individuals. Globalization of the fast food industry and shifts in physical activity patterns in urban areas can result in different risks for overweight and obesity by socioeconomic status and sex for urban and rural residents. We examined Indian National Family Health Survey data, focusing on the association between urban residence and gains in body mass index among women (ages 15–49) in two survey rounds. We constructed multivariate models to assess the individual-level variation in BMI and the likelihood of becoming overweight or obese, finding that urban living is strongly associated with gains in BMI among women in India. Large cities have the highest proportions of overweight and obese women while spatial regression results suggest spatial clustering of higher BMIs in urbanized areas districts. Urban clustering of overweight and obesity may predict the future burden of chronic diseases for India but will benefit from further evaluation based on finer resolution data.

Keywords

Urbanization Obesity India DHS Cities 
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References

  1. Agyei-Mensah, S., & de-G Aikins, A. (2010). Epidemiological transition and the double burden of disease in Accra, Ghana. Journal of Urban Health, 87(5), 879–897. doi: 10.1007/s11524-010-9492-y.CrossRefGoogle Scholar
  2. Allender, S., Wickramasinghe, K., Goldacre, M., Matthews, D., & Katulanda, P. (2011). Quantifying urbanization as a risk factor for noncommunicable disease. Journal of Urban Health, 88, 906–918. doi: 10.1007/s11524-011-9586-1.CrossRefGoogle Scholar
  3. Alves, J. G. B., Figueiroa, J. N., & Alves, L. V. (2011). Prevalence and predictors of physical inactivity in a slum in Brazil. Journal of Urban Health, 88(1), 168–175. doi: 10.1007/s11524-010-9531-8.CrossRefGoogle Scholar
  4. Anselin, L., Syabri, I., & Kho, Y. (2006). GeoDa: An introduction to spatial data analysis. Geographical Analysis, 38(1), 5–22.CrossRefGoogle Scholar
  5. Ayad, M., Barrere, B., & Otto, J. (1997). Demographic and socioeconomic characterisits of households. Calverton, MD: Macro International Inc.Google Scholar
  6. Azam, M. (2012). Changes in wage structure in urban India, 1983–2004: A quantile regression decomposition. World Development, 40(6), 1135–1150. doi: 10.1016/j.worlddev.2012.02.002.CrossRefGoogle Scholar
  7. Bhaskaran, K., Douglas, I., Forbes, H., dos-Santos-Silva, I., Leon, D. A., & Smeeth, L. (2014). Body-mass index and risk of 22 specific cancers: A population-based cohort study of 5.24 million UK adults. The Lancet, 384(9945), 755–765. doi: 10.1016/S0140-6736(14)60892-8.CrossRefGoogle Scholar
  8. Campbell, P. (2014). Obesity: A certain and avoidable cause of cancer. The Lancet, 384(9945), 727–728. doi: 10.1016/S0140-6736(14)61172-7.CrossRefGoogle Scholar
  9. Campbell, T., & Campbell, A. (2007). Emerging disease burdens and the poor in cities of the developing world. Journal of Urban Health, 84(1), 54–64. doi: 10.1007/s11524-007-9181-7.CrossRefGoogle Scholar
  10. Casazza, K., Fontaine, K. R., Astrup, A., Birch, L. L., Brown, A. W., Bohan Brown, M. M., et al. (2013). Myths, presumptions, and facts about obesity. New England Journal of Medicine, 368(5), 446–454. doi: 10.1056/NEJMsa1208051.CrossRefGoogle Scholar
  11. Chen, D.-R., & Wen, T.-H. (2010a). Elucidating the changing socio-spatial dynamics of neighborhood effects on adult obesity risk in Taiwan from 2001 to 2005. Health and Place, 16(6), 1248–1258. doi: 10.1016/j.healthplace.2010.08.013.CrossRefGoogle Scholar
  12. Chen, D.-R., & Wen, T.-H. (2010b). Socio-spatial patterns of neighborhood effects on adult obesity in Taiwan: A multi-level model. Social Science and Medicine, 70(6), 823–833. doi: 10.1016/j.socscimed.2009.11.030.CrossRefGoogle Scholar
  13. Danaei, G., Finucane, M. M., Lu, Y., Singh, G. M., Cowan, M. J., Paciorek, C. J., et al. (2011). National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: Systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants. The Lancet, 378(9785), 31–40. doi: 10.1016/S0140-6736(11)60679-X.CrossRefGoogle Scholar
  14. Dean, J. A., & Elliott, S. J. (2012). Prioritizing obesity in the city. Journal of Urban Health, 89(1), 196–213. doi: 10.1007/s11524-011-9620-3.CrossRefGoogle Scholar
  15. Drewnowski, A., Rehm, C. D., & Solet, D. (2007). Disparities in obesity rates: Analysis by ZIP code area. Social Science and Medicine, 65(12), 2458–2463. doi: 10.1016/j.socscimed.2007.07.001.CrossRefGoogle Scholar
  16. Duncan, D. T., Castro, M. C., Gortmaker, S. L., Aldstadt, J., Melly, S. J., & Bennett, G. G. (2012). Racial differences in the built environment—body mass index relationship? A geospatial analysis of adolescents in urban neighborhoods. International Journal of Health Geographics, 11(1), 11. doi: 10.1186/1476-072X-11-11.CrossRefGoogle Scholar
  17. Ebrahim, S., Kinra, S., Bowen, L., Andersen, E., Ben-Shlomo, Y., Lyngdoh, T., et al. (2010). The effect of rural-to-urban migration on obesity and diabetes in India: A cross-sectional study. PLoS Medicine, 7(4), e1000268. doi: 10.1371/journal.pmed.1000268.CrossRefGoogle Scholar
  18. ESRI. (2012). ArcMap 10.1. Redlands, CA: Redlands.Google Scholar
  19. Frumkin, H. (2002). Urban sprawl and public health. Public Health Reports, 117(3), 201–217.CrossRefGoogle Scholar
  20. Gallos, L. K., Barttfeld, P., Havlin, S., Sigman, M., & Makse, H. A. (2012). Collective behavior in the spatial spreading of obesity. Scientific Reports. doi: 10.1038/srep00454.
  21. Gopalan, C. (1998). Obesity in the Indian middle class. NFI Bulletin, 19(1), 1–4.Google Scholar
  22. Gopinath, N., Chadha, S. L., Jain, P., Shekhawat, S., & Tandon, R. (1994). An epidemiological study of obesity in adults in the urban population of Delhi. The Journal of the Association of Physicians of India, 42(3), 212–215.Google Scholar
  23. Hill, J. O., & Peters, J. C. (1998). Environmental contributions to the obesity epidemic. Science (New York, NY), 280(5368), 1371–1374.CrossRefGoogle Scholar
  24. International Institute for Population Sciences (IIPS), & Macro International. (2007). National Family Health Survey (NFHS-3), 2005–06: India. Mumbai: IIPS.Google Scholar
  25. International Institute for Population Sciences (IIPS), & ORC Macro. (2000). National Family Health Survey (NFHS-2). Mumbai: IIPS.Google Scholar
  26. Ivanova, L., Dimitrov, P., Dellava, J., & Hoffman, D. (2008). Prevalence of obesity and overweight among urban adults in Bulgaria. Public Health Nutrition, 11(12), 1407–1410. doi: 10.1017/S1368980008002061.CrossRefGoogle Scholar
  27. Jones-Smith, J. C., Gordon-Larsen, P., Siddiqi, A., & Popkin, B. M. (2012). Is the burden of overweight shifting to the poor across the globe? Time trends among women in 39 low- and middle-income countries (1991–2008). International Journal of Obesity (2005), 36(8), 1114–1120. doi: 10.1038/ijo.2011.179.CrossRefGoogle Scholar
  28. Kelly, S. A., & Melnyk, B. M. (2008). Systematic review of multicomponent interventions with overweight middle adolescents: Implications for clinical practice and research. Worldviews on Evidence-Based Nursing, 5(3), 113–135. doi: 10.1111/j.1741-6787.2008.00131.x.CrossRefGoogle Scholar
  29. Mark, M., & Paul, C. H. (2005). Urban poverty and health in developing countries: Household and neighborhood effects. Demography, 42, 397–425.CrossRefGoogle Scholar
  30. Mathe, N., & Brodie, D. A. (2010). Overweight and obesity in urban and rural Zimbabweans. Proceedings of the Nutrition Society,. doi: 10.1017/S0029665110003046.Google Scholar
  31. McLaren, L. (2007). Socioeconomic status and obesity. Epidemiologic Reviews, 29(1), 29–48. doi: 10.1093/epirev/mxm001.CrossRefGoogle Scholar
  32. Michimi, A., & Wimberly, M. C. (2010). Spatial patterns of obesity and associated risk factors in the conterminous US. American Journal of Preventive Medicine, 39(2), e1–e12. doi: 10.1016/j.amepre.2010.04.008.CrossRefGoogle Scholar
  33. Misra, A., Shah, P., Goel, K., Hazra, D. K., Gupta, R., Seth, P., et al. (2011). The high burden of obesity and abdominal obesity in urban indian schoolchildren: A multicentric study of 38,296 children. Annals of Nutrition and Metabolism, 58(3), 203–211. doi: 10.1159/000329431.CrossRefGoogle Scholar
  34. National Sample Survey Organization, & Government of India. (2001). Concepts and definitions used in NSS. India: New Delhi.Google Scholar
  35. Nilekani, N. (2008). Imagining India: Ideas for the new century. India: Penguin.Google Scholar
  36. Olatunbosun, S. T., Kaufman, J. S., & Bella, A. F. (2011). Prevalence of obesity and overweight in urban adult Nigerians. Obesity Reviews, 12(4), 233–241. doi: 10.1111/j.1467-789X.2010.00801.x.CrossRefGoogle Scholar
  37. Phadke, S., Khan, S., & Ranade, S. (2011). Why loiter? women and risk on Mumbai streets. Gurgaon: Penguin.Google Scholar
  38. Powell, L. M., Auld, M. C., Chaloupka, F. J., O’Malley, P. M., & Johnston, L. D. (2007). Associations between access to food stores and adolescent body mass index. American Journal of Preventive Medicine, 33(4, Suppl), S301–S307. doi: 10.1016/j.amepre.2007.07.007.CrossRefGoogle Scholar
  39. Rundle, A., Diez Roux, A. V., Freeman, L. M., Miller, D., Neckerman, K. M., & Weiss, C. C. (2007). The urban built environment and obesity in New York City: A multilevel analysis. American Journal of Health Promotion, 21(4s), 326–334. doi: 10.4278/0890-1171-21.4s.326.CrossRefGoogle Scholar
  40. Rutstein, S., & Johnson, K. (2004). The DHS wealth index. Calverton, MD: ORC Macro.Google Scholar
  41. Sanyal, S., Nagrath, S., & Singla, G. (2009). Urbanization and sustainability in India: An independent agenda. India: World Wildlife Fund.Google Scholar
  42. Schuurman, N., Peters, P. A., & Oliver, L. N. (2009). Are obesity and physical activity clustered? A spatial analysis linked to residential density. Obesity (Silver Spring, MD), 17(12), 2202–2209. doi: 10.1038/oby.2009.119.CrossRefGoogle Scholar
  43. StataCorp. (2013). Stata statistical software: Release 13. College Station, TX: StataCorp LP.Google Scholar
  44. Sturm, R. (2008). Stemming the global obesity epidemic: What can we learn from data about social and economic trends? Public Health, 122(8), 739–746. doi: 10.1016/j.puhe.2008.01.004.CrossRefGoogle Scholar
  45. Subramanian, S., Kawachi, I., & Smith, G. D. (2007). Income inequality and the double burden of under- and overnutrition in India. Journal of Epidemiology and Community Health, 61(9), 802–809. doi: 10.1136/jech.2006.053801.CrossRefGoogle Scholar
  46. Subramanian, S., Perkins, J., & Khan, K. (2009). Do burdens of underweight and overweight coexist among lower socioeconomic groups in India? American Journal of Clinical Nutrition, 90(2), 369–376. doi: 10.3945/ajcn.2009.27487.CrossRefGoogle Scholar
  47. Subramanian, S., Perkins, J. M., Özaltin, E., & Smith, G. (2011). Weight of nations: A socioeconomic analysis of women in low- to middle-income countries. The American Journal of Clinical Nutrition, 93(2), 413–421. doi: 10.3945/ajcn.110.004820.CrossRefGoogle Scholar
  48. Swinburn, B. A., Sacks, G., Hall, K. D., McPherson, K., Finegood, D. T., Moodie, M. L., & Gortmaker, S. L. (2011). The global obesity pandemic: Shaped by global drivers and local environments. The Lancet, 378(9793), 804–814. doi: 10.1016/S0140-6736(11)60813-1.CrossRefGoogle Scholar
  49. UN DESA. (2012). File 12: Population of Urban Agglomerations with 750,000 Inhabitants or More in 2011, by Country, 1950–2025 (thousands). Retrieved October 30, 2013, from http://esa.un.org/unup/CD-ROM/Urban-Agglomerations.htm.
  50. UN DESA. (2013). India: Demographic profile (1950–2025). Retrieved June 4, 2013, from http://esa.un.org/unup/unup/p2k0data.asp.
  51. Vepa, S. (2004). Impact of globalization on food consumption of urban India. Rome, Italy: FAO.Google Scholar
  52. WHO. (2006). Double burden of malnutrition in developing countries. Rome, Italy: Food and Agricultural Association of the United Nations. Retrieved from ftp://ftp.fao.org/docrep/fao/009/a0442e/a0442e01.pdf.
  53. WHO. (2014). Obesity. Retrieved August 28, 2014, from http://www.who.int/topics/obesity/en/.
  54. WHO Expert Consultation. (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. The Lancet, 363(9403), 157–163. doi: 10.1016/S0140-6736(03)15268-3.CrossRefGoogle Scholar
  55. World Bank. (2012). Urban Population (% total): India. Retrieved September 24, 2013, from http://data.worldbank.org/indicator/SP.URB.TOTL.IN.ZS.

Copyright information

© Springer International Publishing AG 2015

Authors and Affiliations

  1. 1.School of Public HealthCity University New York (CUNY)New YorkUSA
  2. 2.CUNY Institute for Demographic Research (CIDR)New YorkUSA
  3. 3.School of Public Affairs, Baruch CollegeCity University New YorkNew YorkUSA

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