| Titre : | Trends of under-and overweight among rural and urban poor women indicate the double burden of malnutrition in Bangladesh. (2007) |
| Auteurs : | Sohana SHAFIQUE ; Nasima AKHTER ; BLOEM (Martin-W) : ITA. World Food Programme. Rome. ; DE PEE (Saskia) : SGP. Helen Keller International. Asia-Pacific Regional Office. ; PANAGIDES (Dora) : ZWE. Helen Keller International. Harare. ; Gudrun STALLKMNP ; Helen Keller International. Gulshan. Dhaka. BGD |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 36, n° 2, 2007) |
| Pagination : | 449-457 |
| Langues: | Anglais |
| Mots-clés : | Malnutrition ; Epidémiologie ; Déficit ; Poids corporel ; Milieu rural ; Milieu urbain ; Femme ; Adulte ; Prévalence ; Bengla Desh ; Anthropométrie ; Pays voie développement ; Facteur socioéconomique ; Homme ; Asie ; Maladie nutrition |
| Résumé : | [BDSP. Notice produite par INIST-CNRS D6trtR0x. Diffusion soumise à autorisation]. Background Although undernutrition and communicable diseases dominate the current disease burden in resource-poor countries, the prevalence of diet related chronic diseases is increasing. This paper explores current trends of under-and overweight in Bangladeshi women. Method Nationally representative data on reproductive age women from rural Bangladesh (n=242433) and selected urban poor areas (n=39749) collected by the Nutritional Surveillance Project during 2000-2004 were analyzed. Results While the prevalence of chronic energy deficiency [CED, body mass index (BMI)<18.5kg/m2] continues to be major nutritional problem among Bangladeshi women (38.8% rural, 29.7% urban poor ; P<0.001), between 2000-2004,9.1% of urban poor and 4.1% of rural women were overweight (BMI>25kg/m2, P<0.001). In addition, 9.8% of urban poor and 5.5% of rural women were found to be'at risk of overweight' (BMI 23.0-<25 kg/m2). From 2000 to 2004, prevalence of CED decreased (urban poor : 33.8-29.3% ; rural : 42.6-36.6%), while prevalence of overweight increased (urban poor : 6.8-9.1% ; rural : 2.8-5.5%). The risk of being overweight was higher among women who were older and of higher socioeconomic status. Rural women with at least 14 years of education had a 8.1-fold increased risk of being overweight compared with non-educated women [95% confidence intervals (CI) : 6.6-8.7]. Women living in houses of at least 1000 sqft (93m2) were 3.7 times more likely to be overweight compared with women living in<250sqft (23m2) houses (95% CI : 3.2-4.3). Conclusion The recent increase in overweight prevalence among both urban poor and rural women, along with high prevalence of CED, indicates the emergence of a double burden of malnutrition in Bangladesh. |
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