Trends in BMI of Indonesian adults between 1993 and 2014: a longitudinal population-based study
Abstract Objective: To examine the trajectories of BMI in Indonesian adults from 1993 to 2014, investigating different patterns by sex and birth cohort. Design: Longitudinal study: secondary data analysis of the Indonesian Family Life Survey, a large-scale population-based longitudinal study, ha...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-07-01
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| Series: | Public Health Nutrition |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S1368980023000472/type/journal_article |
| _version_ | 1828717819733213184 |
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| author | Tri Nisa Widyastuti Robin Turner Helen Harcombe Rachael McLean |
| author_facet | Tri Nisa Widyastuti Robin Turner Helen Harcombe Rachael McLean |
| author_sort | Tri Nisa Widyastuti |
| collection | DOAJ |
| description |
Abstract
Objective:
To examine the trajectories of BMI in Indonesian adults from 1993 to 2014, investigating different patterns by sex and birth cohort.
Design:
Longitudinal study: secondary data analysis of the Indonesian Family Life Survey, a large-scale population-based longitudinal study, had their height and weight measured up to five times throughout the 21-year study period (1993–2014). The change in BMI across time was estimated using group-based trajectory models, then differences by sex and birth cohort were investigated using random effect (mixed) models.
Setting:
Thirteen out of twenty-seven provinces in Indonesia.
Participants:
Indonesian adults aged 19 years and older (n 42 537) were included in the analysis.
Results:
Mean BMI in adults increased between 1993 (21·4 kg/m2) and 2014 (23·5 kg/m2). The group-based trajectory model found three distinct groups with mean BMI increasing more rapidly in the most recent time periods. The first group (56·7 % of participants) had a mean BMI entirely within the normal weight range; the second group (34·7 %) started in the normal weight category and were obese, on average by the end of the study period; and the third group (8·6 %) were always in the obese category, on average. The shape of these three trajectories differed by gender (P < 0·001) and birth cohort (P < 0·001).
Conclusions:
The mean BMI among Indonesian adults has increased between 1993 and 2014, driven by those in the most recent birth cohorts. Our findings support the urgent need for targeted overweight and obesity prevention and intervention programmes in Indonesia.
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| first_indexed | 2024-03-12T14:33:57Z |
| format | Article |
| id | doaj.art-133bd7ed27784b84911d8a5b9fac64a2 |
| institution | Directory Open Access Journal |
| issn | 1368-9800 1475-2727 |
| language | English |
| last_indexed | 2024-03-12T14:33:57Z |
| publishDate | 2023-07-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj.art-133bd7ed27784b84911d8a5b9fac64a22023-08-17T10:00:57ZengCambridge University PressPublic Health Nutrition1368-98001475-27272023-07-01261394140210.1017/S1368980023000472Trends in BMI of Indonesian adults between 1993 and 2014: a longitudinal population-based studyTri Nisa Widyastuti0Robin Turner1Helen Harcombe2Rachael McLean3https://orcid.org/0000-0002-0005-328XDepartment of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, 18 Frederick Street, Dunedin 9016, New Zealand Biostatistics Centre, Division of Health Sciences, University of Otago, 18 Frederick Street, Dunedin 9016, New ZealandBiostatistics Centre, Division of Health Sciences, University of Otago, 18 Frederick Street, Dunedin 9016, New ZealandDepartment of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, 18 Frederick Street, Dunedin 9016, New ZealandDepartment of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, 18 Frederick Street, Dunedin 9016, New Zealand Abstract Objective: To examine the trajectories of BMI in Indonesian adults from 1993 to 2014, investigating different patterns by sex and birth cohort. Design: Longitudinal study: secondary data analysis of the Indonesian Family Life Survey, a large-scale population-based longitudinal study, had their height and weight measured up to five times throughout the 21-year study period (1993–2014). The change in BMI across time was estimated using group-based trajectory models, then differences by sex and birth cohort were investigated using random effect (mixed) models. Setting: Thirteen out of twenty-seven provinces in Indonesia. Participants: Indonesian adults aged 19 years and older (n 42 537) were included in the analysis. Results: Mean BMI in adults increased between 1993 (21·4 kg/m2) and 2014 (23·5 kg/m2). The group-based trajectory model found three distinct groups with mean BMI increasing more rapidly in the most recent time periods. The first group (56·7 % of participants) had a mean BMI entirely within the normal weight range; the second group (34·7 %) started in the normal weight category and were obese, on average by the end of the study period; and the third group (8·6 %) were always in the obese category, on average. The shape of these three trajectories differed by gender (P < 0·001) and birth cohort (P < 0·001). Conclusions: The mean BMI among Indonesian adults has increased between 1993 and 2014, driven by those in the most recent birth cohorts. Our findings support the urgent need for targeted overweight and obesity prevention and intervention programmes in Indonesia. https://www.cambridge.org/core/product/identifier/S1368980023000472/type/journal_articleBMI trajectoryAdultObesityIndonesia |
| spellingShingle | Tri Nisa Widyastuti Robin Turner Helen Harcombe Rachael McLean Trends in BMI of Indonesian adults between 1993 and 2014: a longitudinal population-based study Public Health Nutrition BMI trajectory Adult Obesity Indonesia |
| title | Trends in BMI of Indonesian adults between 1993 and 2014: a longitudinal population-based study |
| title_full | Trends in BMI of Indonesian adults between 1993 and 2014: a longitudinal population-based study |
| title_fullStr | Trends in BMI of Indonesian adults between 1993 and 2014: a longitudinal population-based study |
| title_full_unstemmed | Trends in BMI of Indonesian adults between 1993 and 2014: a longitudinal population-based study |
| title_short | Trends in BMI of Indonesian adults between 1993 and 2014: a longitudinal population-based study |
| title_sort | trends in bmi of indonesian adults between 1993 and 2014 a longitudinal population based study |
| topic | BMI trajectory Adult Obesity Indonesia |
| url | https://www.cambridge.org/core/product/identifier/S1368980023000472/type/journal_article |
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