Ali Nazia Binte, Dibley Michael J, Islam Sajia, Rahman Mohammad Masudur, Raihana Shahreen, Bhuiyan Shams E Tabriz, Rahman Qazi Sadequr, Rahman Hafizur, Arifeen Shams El, Huda Tanvir M
Maternal and Child Health Division (MCHD), icddr,b, Dhaka, Bangladesh.
Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Matern Child Nutr. 2021 Apr;17(2):e13102. doi: 10.1111/mcn.13102. Epub 2020 Oct 27.
In this study, we aimed to determine the prevalence and factors associated with overweight and obesity among nonpregnant and nonlactating (NPNL) women of reproductive age with iron deficiency anaemia (IDA) in urban Bangladesh. We obtained data from the baseline assessment of a randomized control trial conducted among 525 women of reproductive age (18-49 years) with IDA (Hb < 12 gdl and serum ferritin <30 μg L ). The study was carried out in Mirpur, Dhaka, Bangladesh, between December 2017 and January 2019. We collected information on women's socio-demographic characteristics and anthropometry. Body mass index (BMI) was calculated using the following formula: weight in kilograms per height in square metres. BMI ≥ 25-29.9 kg m was considered as overweight, whereas BMI ≥ 30 kg m as obese. A multivariable logistic regression model was used to ascertain the risk factors of overweight and obesity. The prevalence of overweight and obesity was 29.9% (95% CI: 26.0-34.0) and 13.1% (95% CI: 10.4-16.3), respectively. The combined prevalence of overweight and obesity was 43.0% (95% CI: 38.7-47.4). The multivariable analysis showed married women (aOR: 4.4; CI: 1.8-11.1), women aged 30-49 years (aOR: 7.6; CI: 2.4-24.1), unemployed women (aOR 1.5; CI: 1.0-2.4) and women from the wealthier households (aOR 3.9; CI: 2.3-6.8) had the highest risk of being overweight and obese compared with their counterparts. Both age and household wealth statuses showed dose-response relationships. Combination of overweight and obesity with IDA poses a particular challenge for public health interventions. The policymakers should consider what new interventions and policy initiatives are needed to address this combination of overweight and obesity with IDA.
在本研究中，我们旨在确定孟加拉国城市地区患有缺铁性贫血（IDA）的非孕非哺乳期（NPNL）育龄妇女中超重和肥胖的患病率及相关因素。我们从一项针对525名患有IDA（血红蛋白<12 g/dL且血清铁蛋白<30 μg/L）的育龄妇女（18 - 49岁）进行的随机对照试验的基线评估中获取数据。该研究于2017年12月至2019年1月在孟加拉国达卡的米尔布尔开展。我们收集了有关女性社会人口学特征和人体测量学的信息。体重指数（BMI）使用以下公式计算：体重（千克）除以身高（米）的平方。BMI≥25 - 29.9 kg/m²被视为超重，而BMI≥30 kg/m²被视为肥胖。使用多变量逻辑回归模型来确定超重和肥胖的风险因素。超重和肥胖的患病率分别为29.9%（95%置信区间：26.0 - 34.0）和13.1%（95%置信区间：10.4 - 16.3）。超重和肥胖的合并患病率为43.0%（95%置信区间：38.7 - 47.4）。多变量分析显示，与同龄人相比，已婚女性（调整后比值比：4.4；置信区间：1.8 - 11.1）、30 - 49岁的女性（调整后比值比：7.6；置信区间：2.4 - 24.1）、失业女性（调整后比值比1.5；置信区间：1.0 - 2.4）以及来自较富裕家庭的女性（调整后比值比3.9；置信区间：2.3 - 6.8）超重和肥胖的风险最高。年龄和家庭财富状况均呈现剂量反应关系。超重和肥胖与IDA并存给公共卫生干预带来了特殊挑战。政策制定者应考虑需要哪些新的干预措施和政策举措来应对超重和肥胖与IDA并存的情况。
