Underweight, overweight or obesity, diabetes, and hypertension in Bangladesh, 2004 to 2018
<h4>Background and objectives</h4> Bangladesh is experiencing a nutrition transition with an increase in the double burden of malnutrition and non-communicable diseases (NCDs). This study sought to: 1) examine trends and differences in underweight, overweight/obesity, hypertension and di...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9524627/?tool=EBI |
| _version_ | 1811229932475383808 |
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| author | Phuong Hong Nguyen Salauddin Tauseef Long Quynh Khuong Rajat Das Gupta Sk. Masum Billah Purnima Menon Samuel Scott |
| author_facet | Phuong Hong Nguyen Salauddin Tauseef Long Quynh Khuong Rajat Das Gupta Sk. Masum Billah Purnima Menon Samuel Scott |
| author_sort | Phuong Hong Nguyen |
| collection | DOAJ |
| description | <h4>Background and objectives</h4> Bangladesh is experiencing a nutrition transition with an increase in the double burden of malnutrition and non-communicable diseases (NCDs). This study sought to: 1) examine trends and differences in underweight, overweight/obesity, hypertension and diabetes by gender, area of residence, and wealth in Bangladesh from 2004 to 2018, 2) assess what factors contributed to changes in these outcomes. <h4>Methods</h4> We used data from five rounds of the Bangladesh Demographic and Health Surveys (n = 76,758 women 15-49y and 10,900 men 18-95y in total). We calculated differences, slope index of inequality (SII) and concentration index (CIX) to examine trends over time and differences in outcomes by wealth and residence. We identified determinants and estimated drivers of changes in outcomes using regression-based decomposition. <h4>Results</h4> Between 2004 and 2018, underweight prevalence decreased in both women (33% to 12%) and men (26% to 18%), whereas overweight/obesity increased (17% to 49% in women and 21% to 34% in men). Hypertension also increased in both women (31% to 44%) and men (19% to 33%) while diabetes changed marginally (11% to 14%). In all years, underweight was concentrated in poorer and rural households while overweight/obesity, diabetes and hypertension were concentrated in wealthier and urban households. Wealth inequity decreased over time for underweight, changed little for overweight/obesity, and increased for hypertension and diabetes among men. Increases in wealth explained 35% to 50% of the reduction in underweight and 30% to 57% of the increase in overweight/obesity. <h4>Conclusion</h4> Our findings imply that double duty actions are required to sustain the decrease in undernutrition and slow the increase in overweight/obesity and NCDs across diverse socioeconomic sections of the population in Bangladesh. |
| first_indexed | 2024-04-12T10:21:30Z |
| format | Article |
| id | doaj.art-7512a2a5266f4d3f9d32caa531526319 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-12T10:21:30Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-7512a2a5266f4d3f9d32caa5315263192022-12-22T03:37:05ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01179Underweight, overweight or obesity, diabetes, and hypertension in Bangladesh, 2004 to 2018Phuong Hong NguyenSalauddin TauseefLong Quynh KhuongRajat Das GuptaSk. Masum BillahPurnima MenonSamuel Scott<h4>Background and objectives</h4> Bangladesh is experiencing a nutrition transition with an increase in the double burden of malnutrition and non-communicable diseases (NCDs). This study sought to: 1) examine trends and differences in underweight, overweight/obesity, hypertension and diabetes by gender, area of residence, and wealth in Bangladesh from 2004 to 2018, 2) assess what factors contributed to changes in these outcomes. <h4>Methods</h4> We used data from five rounds of the Bangladesh Demographic and Health Surveys (n = 76,758 women 15-49y and 10,900 men 18-95y in total). We calculated differences, slope index of inequality (SII) and concentration index (CIX) to examine trends over time and differences in outcomes by wealth and residence. We identified determinants and estimated drivers of changes in outcomes using regression-based decomposition. <h4>Results</h4> Between 2004 and 2018, underweight prevalence decreased in both women (33% to 12%) and men (26% to 18%), whereas overweight/obesity increased (17% to 49% in women and 21% to 34% in men). Hypertension also increased in both women (31% to 44%) and men (19% to 33%) while diabetes changed marginally (11% to 14%). In all years, underweight was concentrated in poorer and rural households while overweight/obesity, diabetes and hypertension were concentrated in wealthier and urban households. Wealth inequity decreased over time for underweight, changed little for overweight/obesity, and increased for hypertension and diabetes among men. Increases in wealth explained 35% to 50% of the reduction in underweight and 30% to 57% of the increase in overweight/obesity. <h4>Conclusion</h4> Our findings imply that double duty actions are required to sustain the decrease in undernutrition and slow the increase in overweight/obesity and NCDs across diverse socioeconomic sections of the population in Bangladesh.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9524627/?tool=EBI |
| spellingShingle | Phuong Hong Nguyen Salauddin Tauseef Long Quynh Khuong Rajat Das Gupta Sk. Masum Billah Purnima Menon Samuel Scott Underweight, overweight or obesity, diabetes, and hypertension in Bangladesh, 2004 to 2018 PLoS ONE |
| title | Underweight, overweight or obesity, diabetes, and hypertension in Bangladesh, 2004 to 2018 |
| title_full | Underweight, overweight or obesity, diabetes, and hypertension in Bangladesh, 2004 to 2018 |
| title_fullStr | Underweight, overweight or obesity, diabetes, and hypertension in Bangladesh, 2004 to 2018 |
| title_full_unstemmed | Underweight, overweight or obesity, diabetes, and hypertension in Bangladesh, 2004 to 2018 |
| title_short | Underweight, overweight or obesity, diabetes, and hypertension in Bangladesh, 2004 to 2018 |
| title_sort | underweight overweight or obesity diabetes and hypertension in bangladesh 2004 to 2018 |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9524627/?tool=EBI |
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