Abstract
This study examined trends in overweight (body mass index, BMI ≥ 25.0 kg/m2) and underweight (BMI < 18.5 kg/m2) from 2001 to 2011 and associations between socio-demographic factors and overweight in 2011 among 15–49-year-old women in Nepal. Nationally representative cross-sectional data were used from three Demographic and Health Surveys conducted in Nepal in 2001 (n = 7,900), 2006 (n = 10,076) and 2011 (n = 5,873). Body weight and height were measured by trained personnel. Data on socio-demographic variables were obtained by interviewing the participants. The data were analysed using logistic regression models. The prevalence of underweight decreased from 26.6 to 18.1 % and the prevalence of overweight increased from 6.4 to 14.0 % between 2001 and 2011 (p < 0.001 for both, adjusted for age, parity and education). Both trends were more pronounced among the rural than the urban women. Although overweight was much more common in the urban (27.4 %) than in the rural areas (11.8 %) in 2011, the difference diminished substantially (odds ratio, OR, for being overweight in the urban vs. in the rural areas, 1.40, 95 % CI 1.15–1.70) when adjusted for other socio-demographic variables. The strongest independent predictors of being overweight were higher relative wealth and advanced age. Overweight has become almost as common phenomenon as underweight among women in childbearing age in Nepal. The urban–rural differences have slightly narrowed and overweight is still related to a higher socio-economic status in this population. Strategies to prevent further increases in the prevalence of overweight should urgently be developed and implemented at all levels of the society.
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References
Mendez, M. A., Monteiro, C. A., & Popkin, B. M. (2005). Overweight exceeds underweight among women in most developing countries. American Journal of Clinical Nutrition, 81(3), 714–721.
Misra, A., & Khurana, L. (2008). Obesity and the metabolic syndrome in developing countries. Journal of Clinical Endocrinology and Metabolism, 93(11 Suppl 1), S9–S30.
Ghaffar, A., Reddy, K. S., & Singhi, M. (2004). Burden of non-communicable diseases in South Asia. British Medical Journal, 328(7443), 807–810.
WHO Expert Consultation. (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet, 363(9403), 157–163.
Low, S., Chin, M. C., Ma, S., Heng, D., & Deurenberg-Yap, M. (2009). Rationale for redefining obesity in Asians. Annals of the Academy of Medicine, Singapore, 38(1), 66–69.
Gray, L. J., Yates, T., Davies, M. J., Brady, E., Webb, D. R., Sattar, N., et al. (2011). Defining obesity cut-off points for migrant south Asians. PLoS ONE, 6(10), e26464.
Nelson, S. M., Matthews, P., & Poston, L. (2010). Maternal metabolism and obesity: Modifiable determinants of pregnancy outcome. Human Reproduction Update, 16(3), 255–275.
Shafique, S., Akhter, N., Stallkamp, G., de Pee, S., Panagides, D., & Bloem, M. W. (2007). Trends of under- and over-weight among rural and urban poor women indicate the double burden of malnutrition in Bangladesh. International Journal of Epidemiology, 36(2), 449–457.
Balarajan, Y., & Villamor, E. (2009). Nationally representative surveys show recent increases in the prevalence of overweight and obesity among women of reproductive age in Bangladesh, Nepal, and India. Journal of Nutrition, 139(11), 2139–2144.
Jones-Smith, J. C., Gordon-Larsen, P., Siddiqi, A., & Popkin, B. M. (2011). Cross-national comparisons of time trends in overweight inequality by socioeconomic status among women using repeated cross-sectional surveys from 37 developing countries, 1989–2007. American Journal of Epidemiology, 173(6), 667–675.
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(London), 36(8), 1114–1120.
Dinsa, G. D., Goryakin, Y., Fumagalli, E., & Suhrcke, M. (2012). Obesity and socioeconomic status in developing countries: A systematic review. Obesity Reviews, 13(11), 1067–1079.
Neuman, M., Kawachi, I., Gortmaker, S., & Subramanian, S. V. (2013). Urban-rural differences in BMI in low- and middle-income countries: The role of socioeconomic status. American Journal of Clinical Nutrition, 97(2), 428–436.
Vaidya, A., Shakya, S., & Krettek, A. (2010). Obesity prevalence in Nepal: Public health challenges in a low-income nation during an alarming worldwide trend. International Journal of Environmental Research and Public Health, 7(6), 2726–2744.
Sherpa, L. Y., Stigum, H., Chongsuvivatwong, V., Thelle, D. S., & Bjertness, E. (2010). Obesity in Tibetans aged 30–70 living at different altitudes under the north and south faces of Mt. Everest. International Journal of Environmental Research and Public Health, 7(4), 1670–1680.
Ministry of Health [Nepal], New ERA, and ORC Macro. (2002). Nepal demographic and health survey 2001. Calverton, Maryland: Family Health Division, Ministry of Health; New ERA; and ORC Macro.
Ministry of Health and Population (MOHP) [Nepal], New ERA, and Macro International Inc. (2007). Nepal demographic and health survey 2006. Kathmandu, Nepal: Ministry of Health and Population, New ERA, and Macro International Inc.
Ministry of Health and Population (MOHP) [Nepal], New ERA, and ICF International Inc. (2012). Nepal demographic and health survey 2011. Kathmandu. Nepal: Ministry of Health and Population, New ERA, and ICF International, Calverton, Maryland.
WHO. (1995). Physical status: The use and interpretation of anthropometry. Report of a WHO expert committee. Report No.: 854.
Sharma, S. K., Ghimire, A., Radhakrishnan, J., Thapa, L., Shrestha, N. R., Paudel, N., et al. (2011). Prevalence of hypertension, obesity, diabetes, and metabolic syndrome in Nepal. International Journal of Hypertension, 2011, 821971.
Bhattarai, M. D., & Singh, D. L. (2005). Excessive weight gain after pregnancy in urban areas: One important area to prevent diabetes. Nepal Medical College Journal, 7(2), 87–89.
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Kinnunen, T.I., Neupane, S. Prevalence of Overweight Among Women of Childbearing Age in Nepal: Trends from 2001 to 2011 and Associations with Socio-demographic Factors. Matern Child Health J 18, 1846–1853 (2014). https://doi.org/10.1007/s10995-013-1428-1
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DOI: https://doi.org/10.1007/s10995-013-1428-1