1International Center for Maternal and Newborn Health,Department of International Health, Johns Hopkins Bloomberg School of Public Health,615 N. Wolfe Street,Suite E-8624,Baltimore,MD21205,USA.
2Department of Pediatric Newborn Medicine,Brigham and Women's Hospital,Boston,MA,USA.
Public Health Nutr. 2018 Nov;21(16):3037-3047. doi: 10.1017/S1368980018001970. Epub 2018 Aug 15.
The present study examined the prevalence of and risk factors for malnutrition in a population-based cohort of women of childbearing age in rural Bangladesh.
A cross-sectional study that collected pre-pregnancy weight, height, and data on selected risk factors for nutritional status of women.
The study was conducted in Sylhet District of Bangladesh.
Study subjects included 13 230 non-pregnant women of childbearing age. Women were classified into underweight (<18·5 kg/m2), normal (18·5-24·9 kg/m2) and overweight/obese (≥25·0 kg/m2) using BMI; and into moderate to severe stunting (<150 cm), mild stunting (150-<155 cm) and normal (≥155 cm) using height. Two multinomial logistic regression models were fitted for BMI: model 1 examined individual and household factors associated with BMI, and model 2 additionally examined the association of community variables. The same analysis was conducted for height.
Prevalence of underweight, overweight/obesity and moderate to severe stunting was 37·0, 7·2 and 48·6 %, respectively. Women's education and household wealth were inversely related to both underweight status and stunting. Underweight rate was significantly lower in the post-harvest season. Women with any education and who belonged to households with higher wealth were more likely to be overweight/obese.
The study documented high underweight and stunting, and moderate overweight/obesity rates among rural Bangladeshi women; and recommends design and implementation of a multidimensional intervention programme based on individual-, household- and community-level risk factors that can address underweight, stunting and overweight/obesity to improve the nutritional status of women of childbearing age in Bangladesh.
本研究调查了孟加拉国农村地区育龄妇女人群中营养不良的流行情况和危险因素。
这是一项横断面研究，收集了孕妇孕前体重、身高以及与营养状况相关的选定风险因素数据。
该研究在孟加拉国锡尔赫特区进行。
研究对象包括 13 230 名非孕期育龄妇女。使用 BMI 将妇女分为消瘦（<18·5 kg/m2）、正常（18·5-24·9 kg/m2）和超重/肥胖（≥25·0 kg/m2）；使用身高将妇女分为中重度发育迟缓（<150 cm）、轻度发育迟缓（150-<155 cm）和正常（≥155 cm）。使用两种多项逻辑回归模型拟合 BMI：模型 1 检验与 BMI 相关的个体和家庭因素，模型 2 还检验了社区变量的关联。对身高进行了相同的分析。
消瘦、超重/肥胖和中重度发育迟缓的患病率分别为 37·0%、7·2%和 48·6%。妇女的教育程度和家庭财富与消瘦和发育迟缓呈负相关。收获后季节的消瘦率显著降低。受教育程度较高和家庭财富较高的妇女超重/肥胖的可能性更高。
本研究记录了孟加拉国农村地区妇女消瘦和发育迟缓发生率高，超重/肥胖率中等；建议根据个体、家庭和社区层面的风险因素设计和实施多维干预方案，以解决消瘦、发育迟缓以及超重/肥胖问题，从而改善孟加拉国育龄妇女的营养状况。
