Ghose Bishwajit, Yaya Sanni, Tang Shangfeng
1 University of Dhaka, Dhaka, Bangladesh.
2 University of Ottawa, Ottawa, Ontario, Canada.
Asia Pac J Public Health. 2016 Oct;28(7):611-619. doi: 10.1177/1010539516660374. Epub 2016 Jul 28.
Undernutrition and micronutrient deficiency disorders together constitute a major public health concern in Bangladesh. Among many vitamin and mineral deficiency diseases, iron-deficiency anemia remains the most persistent and has been shown to contribute to high maternal and child morbidity and mortality in the country. In parallel with micronutrient malnutrition, the country is also experiencing a rising epidemic of overweight and obesity due to changing pattern in dietary behavior and body mass index status. Previous empirical studies have demonstrated a strong correlation between body weight and anemia status. However, results remain inconclusive and for Bangladesh such evidence is nonexistent. To this end, we conducted this study using Bangladesh Demographic and Health Survey 2011 data with an aim to explore the association between body mass index and anemia status among adult women in Bangladesh. According to the findings, age between 15 and 29 years ( P < .001, OR = 1.30, 95% CI = 1.12-1.49), experiencing first birth before reaching the age of 18 years ( P < .001, OR = 1.31, 95% CI = 1.15-1.50), lack of access to potable water ( P = .013, OR = 1.467, 95%CI = 1.085- 1.982), being underweight ( P < .001, 95% CI = 1.208-1.570) and normal weight ( P < .001, 95% CI = 1.819-2.516) were significantly associated with anemia status.
营养不良和微量营养素缺乏症共同构成了孟加拉国的一个主要公共卫生问题。在众多维生素和矿物质缺乏疾病中,缺铁性贫血仍然最为普遍,并且已被证明会导致该国孕产妇和儿童的高发病率和高死亡率。与微量营养素营养不良同时存在的是,由于饮食行为和体重指数状况的变化模式,该国超重和肥胖的流行率也在上升。以往的实证研究表明体重与贫血状况之间存在很强的相关性。然而,结果仍然没有定论,而且在孟加拉国,此类证据并不存在。为此,我们利用2011年孟加拉国人口与健康调查数据开展了本研究,旨在探讨孟加拉国成年女性体重指数与贫血状况之间的关联。根据研究结果,年龄在15至29岁之间(P <.001,OR = 1.30,95%CI = 1.12 - 1.49)、18岁之前首次生育(P <.001,OR = 1.31,95%CI = 1.15 - 1.50)、无法获得饮用水(P =.013,OR = 1.467,95%CI = 1.085 - 1.982)、体重过轻(P <.001,95%CI = 1.208 - 1.570)以及体重正常(P <.001,95%CI = 1.819 - 2.516)均与贫血状况显著相关。