Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-23T18:39:45.914Z Has data issue: false hasContentIssue false

BODY MASS INDEX OF MARRIED BANGLADESHI WOMEN: TRENDS AND ASSOCIATION WITH SOCIO-DEMOGRAPHIC FACTORS

Published online by Cambridge University Press:  06 February 2012

M. G. HOSSAIN
Affiliation:
National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Department of Orthopaedic Surgery, University of Malaya, Malaysia
P. BHARATI
Affiliation:
Biological Anthropology Unit, Indian Statistical Institute, India
SAW AIK
Affiliation:
National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Department of Orthopaedic Surgery, University of Malaya, Malaysia
PETE E. LESTREL
Affiliation:
Sections of Orthodontics and Oral Biology, School of Dentistry, University of California, USA
ALMASRI ABEER
Affiliation:
College of Medicine, King Saud University, Riyadh, Saudi Arabia
T. KAMARUL
Affiliation:
National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Department of Orthopaedic Surgery, University of Malaya, Malaysia

Summary

Body mass index (BMI) is a good indicator of nutritional status in a population. In underdeveloped countries like Bangladesh, this indicator provides a method that can assist intervention to help eradicate many preventable diseases. This study aimed to report on changes in the BMI of married Bangladeshi women who were born in the past three decades and its association with socio-demographic factors. Data for 10,115 married and currently non-pregnant Bangladeshi women were extracted from the 2007 Bangladesh Demographic and Health Survey (BDHS). The age range of the sample was 15–49 years. The mean BMI was 20.85±3.66 kg/m2, and a decreasing tendency in BMI was found among birth year cohorts from 1972 to 1992. It was found that the proportion of underweight females has been increasing in those born during the last 20 years of the study period (1972 to 1992). Body mass index increased with increasing age, education level of the woman and her husband, wealth index, age at first marriage and age at first delivery, and decreased with increasing number of ever-born children. Lower BMI was especially pronounced among women who were living in rural areas, non-Muslims, employed women, women not living with their husbands (separated) or those who had delivered at home or non-Caesarean delivery.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aekplakorn, W. & Mo-Suwan, L. (2009) Prevalence of obesity in Thailand. Obesity Reviews 10(6), 589592.CrossRefGoogle ScholarPubMed
Al-Isa, A. N. (1997) Body mass index and prevalence of obesity changes among Kuwaitis. European Journal of Clinical Nutrition 51(11), 743749.CrossRefGoogle ScholarPubMed
Bendixen, H., Holst, C., Sørensen, T. I., Raben, A., Bartels, E. M. & Astrup, A. (2004) Major increase in prevalence of overweight and obesity between 1987 and 2001 among Danish adults. Obesity Reviews 12(9), 14641472.CrossRefGoogle ScholarPubMed
Berg, C., Rosengren, A., Aires, N., Lappas, G., Torén, K., Thelle, D. & Lissner, L. (2005) Trends in overweight and obesity from 1985 to 2002 in Göteborg, West Sweden. International Journal of Obesity 29(8), 916924.CrossRefGoogle ScholarPubMed
Bharati, S., Pal, M., Bhattacharya, B. N. & Bharati, P. (2007) Prevalence and causes of chronic energy deficiency and obesity in Indian women. Human Biology 79(4), 395412.CrossRefGoogle ScholarPubMed
Bielicki, T., Szklarska, A., Welon, Z. & Rogucka, E. (2001) Variation in body mass index among Polish adults: effects of sex, age, birth cohort, and social class. American Journal of Physical Anthropology 116(2), 166170.CrossRefGoogle ScholarPubMed
Chatterjee, S. & Hadi, A. S. (2006) Regression Analysis by Example (4th edition). John Wiley and Sons, Inc.CrossRefGoogle Scholar
Chen, T. J. & Ji, C. Y. (2009) Secular growth changes in stature and weight for Chinese Mongolian youth, 1964–2005. Annals of Human Biology 36(6), 770784.CrossRefGoogle ScholarPubMed
Cilliers, J., Senekal, M. & Kunneke, E. (2006) The association between the body mass index of first-year female university students and their weight-related perception and practices, psychological health, physical activity and other physical health indicators. Public Health Nutrition 9(2), 234243.CrossRefGoogle ScholarPubMed
Dal Grande, E., Gill, T., Taylor, A. W., Chittleborough, C. & Carter, P. (2005) Obesity in South Australian adults – prevalence, projections and generational assessment over 13 years. Australian and New Zealand Journal of Public Health 29(4), 343348.CrossRefGoogle ScholarPubMed
Dunn, O. J. & Clark, V. A. (1974) Applied Statistics: Analysis of Variance and Regression. John Wiley & Sons, Toronto.Google Scholar
Flegal, K. M., Harlan, W. R. & Landis, J. R. (1988) Secular trends in body mass index and skinfold thickness with socioeconomic factors in young adult women. American Journal of Clinical Nutrition 48(3), 535543.CrossRefGoogle ScholarPubMed
Flegal, K. M., Graubard, B. I., Williamson, D. F. & Gail, M. H. (2005) Excess deaths associated with underweight, overweight, and obesity. Journal of the American Medical Association 93(15), 18611867.CrossRefGoogle Scholar
Freedman, D. S., Khan, L. K., Serdula, M. K., Galuska, D. A. & Dietz, W. H. (2002) Trends and correlates of class 3 obesity in the United States from 1990 through 2000. Journal of the American Medical Association 288(14), 17581761.CrossRefGoogle ScholarPubMed
Gnudi, S., Sitta, E. & Lisi, L. (2009) Relationship of body mass index with main limb fragility fractures in postmenopausal women. Journal of Bone and Mineral Research 27(4), 479484.Google ScholarPubMed
Gullinford, M. C., Rona, R. J. & Chinn, S. (1992) Trends in body mass index in young adults in England and Scotland from 1973 to 1988. Journal of Epidemiology & Community Health 46(3), 187190.CrossRefGoogle Scholar
Herrera, H., Rebato, E., Arechabaleta, G., Lagrange, H., Salces, I. & Susanne, C. (2003) Body mass index and energy intake in Venezuelan University students. Nutrition Research 23(3), 389400.CrossRefGoogle Scholar
Hosegood, V. & Campbell, O. M. (2003) Body mass index, height, weight, arm circumference, and mortality in rural Bangladeshi women: a 19-y longitudinal study. American Journal of Clinical Nutrition 77(2), 341347.CrossRefGoogle ScholarPubMed
Hossain, M. G., Islam, S., Aik, S., Zaman, T. K. & Lestrel, P. E. (2010) Age at menarche of university students in Bangladesh: secular trends and association with adult anthropometric measures and socio-demographic factors. Journal of Biosocial Science 42(5), 677687.CrossRefGoogle ScholarPubMed
Iqbal, M. Z. (2008) History of the Liberation War. Proteeti, Dhaka.Google Scholar
Khan, M. M. & Kraemer, A. (2009) Factors associated with being underweight, overweight and obese among ever-married non-pregnant urban women in Bangladesh. Singapore Medical Journal 50(8), 804813.Google ScholarPubMed
Khan, N. C., Tue, H. H., Mai le, B., Vinh le, G. & Khoi, H. H. (2010) Secular trends in growth and nutritional status of Vietnamese adults in rural Red River Delta after 30 years (1976–2006). Asia Pacific Journal of Clinical Nutrition 19(3), 412416.Google ScholarPubMed
Lahti-Koski, M., Jousilahti, P. & Pietnen, P. (2001) Secular trends in body mass index by birth cohort in eastern Finland from 1972 to 1997. International Journal of Obesity and Related Metabolic Disorders 25(5), 727734.CrossRefGoogle ScholarPubMed
Lissner, L., Sjöberg, A., Schütze, M., Lapidus, L., Hulthén, L. & Björkelund, C. (2008) Diet, obesity and obesogenic trends in two generations of Swedish women. European Journal of Nutrition 47(8), 424431.CrossRefGoogle ScholarPubMed
Lysens, R. & Vansant, G. (2001) Trends in BMI among Belgian children, adolescents and adults from 1969 to 1996. International Journal of Obesity and Related Metabolic Disorders 25(3), 395399.Google Scholar
Mascie-Taylor, C. G. N. & Goto, R. (2007) Human variation and body mass index: a review of the universality of BMI cut-offs, gender and urban–rural differences, and secular changes. Journal of Physiological Anthropology 26(2), 109112.CrossRefGoogle ScholarPubMed
Morin, S., Tsang, J. F. & Leslie, W. D. (2009) Weight and body mass index predict bone mineral density and fractures in women aged 40 to 59 years. Osteoporosis International 20(3), 363370.CrossRefGoogle ScholarPubMed
Najat, Y., Alice, A., Abbass, A. & Sandra, R. (2008) Eating habits and obesity among Lebanese university students. Nutrition Journal 7, 32.Google Scholar
NIPORT (2009) Bangladesh Demographic and Health Survey, 2007. National Institute of Population Research and Training, Dhaka; Mitra & Associates and ORC Macro, Bangladesh and Calverton, MD, USA.Google Scholar
Okasha, M., McCarron, P., Smith, G. D. & Gunnell, D. (2003) Trends in body mass index from 1948 to 1968: results from the Glasgow Alumni Cohort. International Journal of Obesity and Related Metabolic Disorders 27(5), 638640.CrossRefGoogle ScholarPubMed
Ortega, R. M., Reguejo, A. M., Quintas, E., Redondo, M. R., López-Sobaler, M. & Andrės, P. (1997) Concern regarding bodyweight and energy balance in a group of female university students from Madrid: differences with respect to body mass index. Journal of the American College of Nutrition 16(3), 244251.CrossRefGoogle Scholar
Pierce, B. L., Kalra, T., Argos, M., Parvez, F., Chen, Y., Islam, T. et al. (2010) A prospective study of body mass index and mortality in Bangladesh. International Journal of Epidemiology 39(4), 10371045.CrossRefGoogle ScholarPubMed
Pryer, J. A., Rogers, S. & Rahman, A. (2003) Factors affecting nutritional status in female adults in Dhaka slums, Bangladesh. Social Biology 50(3–4), 259269.Google ScholarPubMed
Shah, M., Hannan, P. J. & Jeffery, R. W. (1991) Secular trend in body mass index in the adult population of three communities from the upper mid-western part of the USA: the Minnesota Heart Health Program. International Journal of Obesity 15(8), 499503.Google ScholarPubMed
Shafique, S., Akhter, N., Stallkamp, G., de Pee, S., Panagides, D. & Bloem, M. W. (2007) Trends of under- and overweight among rural and urban poor women indicate the double burden of malnutrition in Bangladesh. International Journal of Epidemiology 36(2), 449457.CrossRefGoogle Scholar
Stevens, J. (1996) Applied Multivariate Statistics for the Social Sciences. Lawrence Erlbaum Associates, Mahwah, NJ, USA.Google Scholar
Subramanian, S. V., Perkins, J. M. & Khan, K. T. (2009) Do burdens of underweight and overweight coexist among lower socioeconomic groups in India? American Journal of Clinical Nutrition 90(2), 369376.CrossRefGoogle ScholarPubMed
Torrance, G. M., Hooper, M. D. & Reeder, B. A. (2002) Trends in overweight and obesity among adults in Canada (1970–1992): evidence from national surveys using measured height and weight. International Journal of Obesity and Related Metabolic Disorders 26(6), 797804.CrossRefGoogle ScholarPubMed
Walls, H. L., Wolfe, R., Haby, M. M., Magliano, D. J., de Courten, M., Reid, C. M. et al. (2010) Trends in BMI of urban Australian adults, 1980–2000. Public Health Nutrition 13(5), 631638.CrossRefGoogle ScholarPubMed
Yanai, M., Kon, A., Kumasaka, K. & Kawano, K. (1997) Body mass index variations by age and sex, and prevalence of overweight in Japanese adults. International Journal of Obesity and Related Metabolic Disorders 21(6), 484488.CrossRefGoogle ScholarPubMed