FNS  Vol.4 No.6 , June 2013
Changing Trend of Overweight and Obesity and Their Associated Factors in an Urban Population of Bangladesh
Abstract: There is a scarcity of information examining the prevalence of overweight and obesity in the general population of Bangladesh. Thus, the present study aimed to estimate the changing trends and socio-demographic characteristics of overweight and obese individuals among an urban population inDhaka,Bangladesh. The present study included data from 49,532 patients enrolled in the Diarrheal Disease Surveillance System (DDSS) at theDhakaHospitalfrom 1993-2011. Overweight and obese was categorized among under-5 children (n = 508), 5 19 years (n = 96), and >19 years (n = 1330). Data was compared with normal weight and malnourished individuals of respective age strata. The proportion of overweight and obese increased from 0.64% 5.15% among children <5 years (chi-square for trend p < 0.001), 0.80% 6.70% among 5 19 years (p < 0.001), and 3.66% 16.94% (p < 0.001) among >19 years. Among those under-5, males [OR = 1.31 (95%CI 1.08, 1.57)] those with higher socio-economic status [1.99 (1.02, 3.82)], higher monthly mean family income [3.76 (2.41, 5.86)], non-slum residence [2.01 (0.74, 5.51)], high maternal literacy rate [3.66 (2.31, 5.79)], and using sanitary toilet [1.47 (1.07, 2.01)] were at higher risk of being overweight and obese compared to well-nourished and malnourished children. Among individuals 5 19 years, those with higher socioeconomic status and use of sanitary toilet were at higher risk of being overweight and obese. Among those >19 years, additionally males were less likely to be overweight and obese [0.59 (0.49, 0.68)]. Over the last two decades the prevalence of overweight and obesity in Dhaka city has increased at least five folds and it was much higher among those with better socioeconomic status.
Cite this paper: S. Das, M. Chisti, S. Huq, M. Malek, L. Vanderlee, M. Salam, T. Ahmed, A. Faruque and A. Mamun, "Changing Trend of Overweight and Obesity and Their Associated Factors in an Urban Population of Bangladesh," Food and Nutrition Sciences, Vol. 4 No. 6, 2013, pp. 678-689. doi: 10.4236/fns.2013.46087.

[1]   Z. Y. Zhang and M. W. Wang, “Obesity, a Health Burden of a Global Nature,” Acta Pharmacologica Sinica, Vol. 33, No. 2, 2012, pp. 145-147.

[2]   C. J. Stein and G. A. Colditz, “The Epidemic of Obesity,” The Journal of Clinical Endocrinology & Metabolism, Vol. 89, No. 6, 2004, pp. 2522-2525. doi:10.1210/jc.2004-0288

[3]   P. G. Kopelman, “Obesity as a Medical Problem,” Nature, Vol. 404, No. 6778, 2000, pp. 635-643.

[4]   A. E. Field, E. H. Coakley, A. Must, J. L. Spadano, N. Laird, W. H. Dietz, E. Rimm and G. A. Colditz, “Impact of Overweight on the Risk of Developing Common Chronic Diseases during a 10-Year Period,” Archives of Internal Medicine, Vol. 161, No. 13, 2001, pp. 1581-1586.

[5]   D. M. Nguyen and H. B. El-Serag, “The Big Burden of Obesity,” Gastrointestinal Endoscopy, Vol. 70, No. 4, 2009, pp. 752-757.

[6]   B. M. Popkin, “Global Nutrition Dynamics: The World Is Shifting Rapidly toward a Diet Linked with Noncommunicable Diseases,” American Journal of Clinical Nutrition, Vol. 84, No. 2, 2006, pp. 289-298.

[7]   D. Thompson and A. M. Wolf, “The Medical-Care Cost Burden of Obesity,” Obesity Reviews, Vol. 2, No. 3, 2001, pp. 189-197. doi:10.1046/j.1467-789x.2001.00037.x

[8]   S. D. Mathias, C. L. Williamson, H. H. Colwell, M. G. Cisternas, D. J. Pasta, B. S. Stolshek and D. L. Patrick, “Assessing Health-Related Quality-of-Life and Health State Preference in Persons with Obesity: A validation Study,” Quality of Life Research, Vol. 6, No. 4, 1997, pp. 311-322. doi:10.1023/A:1018475108460

[9]   J. Karlsson, L. Sjostrom and M. Sullivan, “Swedish Obese Subjects (Sos)—An Intervention Study of Obesity. Measuring Psychosocial Factors and Health by Means of ShortForm Questionnaires. Results from a Method Study,” Journal of Clinical Epidemiology, Vol. 48, No. 6, 1995, pp. 817-823.

[10]   A. Ramachandran and C. Snehalatha, “Rising Burden of Obesity in Asia,” Journal of Obesity, 2010. doi:10.1155/2010/868573

[11]   Y. Wu, “Overweight and Obesity in China,” BMJ, Vol. 333, No. 7564, 2006, pp. 362-363.

[12]   P. Boffetta, D. McLerran, Y. Chen, M. Inoue, R. Sinha, J. He, P. C. Gupta, S. Tsugane, F. Irie, A. Tamakoshi, Y. T. Gao, X. O. Shu, R. Wang, I. Tsuji, S. Kuriyama, K. Matsuo, H. Satoh, C. J. Chen, J. M. Yuan, K. Y. Yoo, H. Ahsan, W. H. Pan, D. Gu, M. S. Pednekar, S. Sasazuki, T. Sairenchi, G. Yang, Y. B. Xiang, M. Nagai, H. Tanaka, Y. Nishino, S. L. You, W. P. Koh, S. K. Park, C. Y. Shen, M. Thornquist, D. Kang, B. Rolland, Z. Feng, W. Zheng and J. D. Potter, “Body Mass Index and Diabetes in Asia: A Cross-Sectional Pooled Analysis of 900,000 Individuals in the Asia Cohort Consortium,” PLoS One, Vol. 6, No. 6, 2011, Article ID: e19930. doi:10.1371/journal.pone.0019930

[13]   Y. Balarajan and E. Villamor, “Nationally Representative Surveys Show Recent Increases in the Prevalence of Overweight and Obesity among Women of Reproductive Age in Bangladesh, Nepal, and India,” Journal of Nutrition, Vol. 139, No. 11, 2009, pp. 2139-2144.

[14]   F. Mohsin, S. Tayyeb, A. Baki, S. Sarker, B. Zabeen, T. Begum, K. Azad and N. Nahar, “Prevalence of Obesity among Affluent School Children in Dhaka,” Mymensingh Medical Journal, Vol. 19, No. 4, 2010, pp. 549-554.

[15]   M. de Onis, C. Garza, A. W. Onyango and M. F. RollandCachera, “Who Growth Standards for Infants and Young Children,” Archives de Pediatrie, Vol. 16, No. 1, 2009, pp. 47-53.

[16]   Public Health Observatories, “A Simple Guide to Classifying Body Mass Index in Children,” National Obesity Observatory, Public Health Observatories, England, 2011.

[17]   B. A. Swinburn, I. Caterson, J. C. Seidell and W. P. James, “Diet, Nutrition and the Prevention of Excess Weight Gain and Obesity,” Public Health Nutrition, Vol. 7, No. 1A, 2004, pp. 123-146.

[18]   R. R. Briefel, M. K. Crepinsek, C. Cabili, A. Wilson and P. M. Gleason, “School Food Environments and Practices Affect Dietary Behaviors of US Public School Children,” Journal of the American Dietetic Association, Vol. 109, No. S2, 2009, pp. S91-S107.

[19]   World Health Organization, “Obesity and Overweight. Fact Sheet,” World Health Organization, Geneva, 2012.

[20]   P. T. Martikainen and M. G. Marmot, “Socioeconomic Differences in Weight Gain and Determinants and Consequences of Coronary Risk Factors,” American Journal of Clinical Nutrition, Vol. 69, No. 4, 1999, pp. 719-726.

[21]   P. H. Lahmann, L. Lissner, B. Gullberg and G. Berglund, “Sociodemographic Factors Associated with Long-Term Weight Gain, Current Body Fatness and Central Adiposity in Swedish Women,” International Journal of Obesity and Related Metabolic Disorders, Vol. 24, No. 6, 2000, pp. 685-694. doi:10.1038/sj.ijo.0801219

[22]   J. Stillwell, N. Finney and M. van Ham, “Ethnic Differences in Physical Activity and Obesity,” The University of Manchester, Manchester, 2009.

[23]   A. Case and A. Menendez, “Sex Differences in Obesity Rates in Poor Countries: Evidence from South Africa,” Economics and Human Biology, Vol. 7, No. 3, 2009, pp. 271-228. doi:10.1016/j.ehb.2009.07.002

[24]   A. T. Ali and N. J. Crowther, “Factors Predisposing to Obesity: A Review of the Literature,” Journal of Endocrinology, Metabolism and Diabetes of South Africa, Vol. 14, No. 2, 2009.

[25]   South Asia Urban Growth, “South Asia e World Population Day e July 11 (South Asia Urban Growth) Web. Worldbank.Org countries south asia.”

[26]   Mike Davis, “Planet of Slums,” 2006.

[27]   N. Kunzli, M. Jerrett, R. Garcia-Esteban, X. Basagana, B. Beckermann, F. Gilliland, M. Medina, J. Peters, H. N. Hodis and W. J. Mack, “Ambient Air Pollution and the Progression of Atherosclerosis in Adults,” PLoS One, Vol. 5, No. 2, 2010, Article ID: e9096. doi:10.1371/journal.pone.0009096

[28]   M. Bauer, S. Moebus, S. Mohlenkamp, N. Dragano, M. Nonnemacher, M. Fuchsluger, C. Kessler, H. Jakobs, M. Memmesheimer, R. Erbel, K. H. Jockel and B. Hoffmann, “Urban Particulate Matter Air Pollution Is Associated with Subclinical Atherosclerosis: Results from the Hnr (Heinz Nixdorf Recall) Study,” Journal of the American College of Cardiology, Vol. 56, No. 22, 2010, pp. 18031808.

[29]   M. Clearfield, “Another Inconvenient Truth: Combining the Risks from Obesity and Metabolic Syndrome with Global Warming,” Current Atherosclerosis Reports, Vol. 10, No. 4, 2008, pp. 273-276. doi:10.1007/s11883-008-0041-z

[30]   D. T. Eisenberg, C. W. Kuzawa and M. G. Hayes, “Worldwide Allele Frequencies of the human Apolipoprotein e Gene: Climate, Local Adaptations, and Evolutionary History,” American Journal of Physical Anthropology, Vol. 143, No. 1, 2010, pp. 100-111. doi:10.1002/ajpa.21298

[31]   L. Nasreddine, N. Hwalla, A. Sibai, M. Hamze and D. Parent-Massin, “Food Consumption Patterns in an Adult Urban Population in Beirut, Lebanon,” Public Health Nutrition, Vol. 9, No. 2, 2006, pp. 194-203.

[32]   E. Becquey, M. Savy, P. Danel, H. B. Dabire, S. Tapsoba and Y. Martin-Prevel, “Dietary Patterns of Adults Living in Ouagadougou and Their Association with Overweight,” Nutrition Journal, Vol. 9, No. 13, 2010, p. 13.

[33]   C. L. Ogden, M. D. Carroll, L. R. Curtin, M. A. McDowell, C. J. Tabak and K. M. Flegal, “Prevalence of Overweight and Obesity in the United States, 1999-2004,” JAMA, Vol. 295, No. 13, 2006, pp. 1549-1555.

[34]   S. Agrawal and P. K. Agrawal, “Does Contraceptive Use Effect Overweight/Obesity among Indian Women? Findings from a Nationwide Cross Sectional Survey,” Research and Practice in Social Sciences, Vol. 7, No. 1, 2011, pp. 17-32.

[35]   2012. http://www.Indexmundi.Com/facts/indicators/ny.Gdp.Pcap.Pp.Cd

[36]   N. Gupta, K. Goel, P. Shah and A. Misra, “Childhood Obesity in Developing Countries: Epidemiology, Determinants, and Prevention,” Endocrine Reviews, Vol. 33, No. 1, 2012, pp. 48-70.

[37]   C. M. Toh, J. Cutter and S. K. Chew, “School Based Intervention Has Reduced Obesity in Singapore,” BMJ, Vol. 324, No. 7334, 2002, p. 427. doi:10.1136/bmj.324.7334.427/a

[38]   S. M. D. Sidik and R. Ahmad, “Childhood Obesity: Contributing Factors, Consequences and Intervention,” Malaysian Journal of Nutrition, Vol. 10, No. 1, 2004, pp. 13-22.