Hasan Mehedi, Sutradhar Ipsita, Shahabuddin Asm, Sarker Malabika
James P Grant School of Public Health, BRAC University.
Cureus. 2017 Dec 26;9(12):e1986. doi: 10.7759/cureus.1986.
A narrative review was carried out of existing literature comprising nationally representative data. We searched PubMed, Google Scholar, and Banglajol databases. Quantitative studies reporting the prevalence and risk factors of the double burden of malnutrition (DBM) among Bangladeshi women based on nationally representative data were considered for this review. We included studies published between 1 May 2007 and 30 April 2017 in English language. Two researchers individually searched and screened all the relevant articles and separately extracted data using a data extraction table created in Microsoft Excel. Another researcher cross-checked the whole process to maintain consistency. Any sort of disagreement was resolved by group consensus. Thematic analysis was performed for data analysis. According to the included studies, the prevalence of underweight and stunting dramatically reduced among Bangladeshi women in last 10 years, though, nearly one-fourth of women are underweight and one-fifth of women are stunted in Bangladesh. Additionally, nearly half of the country's women are suffering from different micronutrient deficiencies. This immense burden of undernutrition is accompanied by the presence of overweight or obesity among nearly half of the adult women. Women's age, area of residence, education and wealth index have a significant influence on determining their nutritional status. DBM is an inevitable reality among Bangladesh women. The adverse health consequences of women's undernutrition and overnutrition have been well documented. As women's nutritional status is a multifaceted issue, effective implementation of very specific and focused public health interventions with inclusive multi-sectoral and multi-stakeholder approaches are indispensable to combat this problem.
对包含全国代表性数据的现有文献进行了叙述性综述。我们检索了PubMed、谷歌学术和孟加拉国jol数据库。本综述纳入了基于全国代表性数据报告孟加拉国女性营养不良双重负担（DBM）患病率和风险因素的定量研究。我们纳入了2007年5月1日至2017年4月30日期间以英文发表的研究。两名研究人员分别检索和筛选所有相关文章，并使用在Microsoft Excel中创建的数据提取表分别提取数据。另一名研究人员对整个过程进行交叉核对以保持一致性。任何分歧都通过小组协商一致解决。采用主题分析法进行数据分析。根据纳入的研究，在过去10年中，孟加拉国女性体重不足和发育迟缓的患病率大幅下降，不过，在孟加拉国，近四分之一的女性体重不足，五分之一的女性发育迟缓。此外，该国近一半的女性患有不同程度的微量营养素缺乏症。这种巨大的营养不良负担伴随着近一半成年女性超重或肥胖的情况。女性的年龄、居住地区、教育程度和财富指数对确定她们的营养状况有重大影响。DBM是孟加拉国女性不可避免的现实。女性营养不良和营养过剩对健康的不良影响已有充分记录。由于女性的营养状况是一个多方面的问题，有效实施非常具体和有针对性的公共卫生干预措施，并采用包容性的多部门和多利益相关方方法，对于解决这一问题不可或缺。
