Double burden of malnutrition among elderly people in Bangladesh: Evidence from the National Nutrition Surveillance Study
This article was published in Current Developments in Nutrition [Oxford University Press Copyright © Oxford University Press 2020.] and the definite version is available at: https://doi.org/10.1093/cdn/nzaa053_045 The Journal's website is at: https://academic.oup.com/cdn/article/4/Supplement_2/...
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| Acceso en línea: | http://hdl.handle.net/10361/16609 https://doi.org/10.1093/cdn/nzaa053_045 |
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10361-166092022-05-16T21:01:43Z Double burden of malnutrition among elderly people in Bangladesh: Evidence from the National Nutrition Surveillance Study Hasan, Mehedi Shamim, Abu Ahmed Hossain, Md. Mokbul Hanif, Abu Abdullah Mohammad Hossaine, Moyazzam Ullah, Mohammad Aman Sarker, Samir Kanti Rahman, S M Mustafizur Mitra, Dipak Kumar Haque, Md. Emdadul Mridha, Malay Brac James P. Grant School of Public Health Obesity Physical Activity Body Mass Index Procedure Diabetes mellitus Bangladesh Public Health Medicine Older adult Surveillance Medical Over weight This article was published in Current Developments in Nutrition [Oxford University Press Copyright © Oxford University Press 2020.] and the definite version is available at: https://doi.org/10.1093/cdn/nzaa053_045 The Journal's website is at: https://academic.oup.com/cdn/article/4/Supplement_2/840/5845144 Objectives: Double burden of malnutrition (DBM), referred as the coexistence of undernutrition and overnutrition, is an evolving public health concern. There is a paucity of data about DBM among elderly people in Bangladesh. In the recently completed round of the national nutrition surveillance (NNS 2018–2019), we assessed the prevalence and determinants of DBM among elderly people. Methods In the NNS, we collected data from 30,005 persons in 6 population groups from 82 clusters (57 rural, 15 non-slum urban, and 10 slums) selected using multistage cluster sampling. We collected socio-demographic, life-style and anthropometric data from 4817 respondents aged >60 years. Underweight was defined as body mass index (BMI) <18.5 kg/m2 and overweight/obesity as BMI ≥ 23 kg/m2. Results The weighted prevalence of underweight was 26.8%, and was higher among elderly aged ≥70 years (34.4%), male (28.5%), non-diabetic (28.5%), rural residents (27.1%) and with inadequate fruits and vegetables consumption (27.1%). The weighted prevalence of overweight was 27.0%, and was higher among elderly aged 60–69 years (29.8%), female (30.8), diabetic (51.0%), urban residents (48.2%), with poor physical activity (31.3%), and with inadequate fruits and vegetables consumption (27.4%). As education and wealth status increased, the prevalence of underweight decreased and the prevalence of overweight and obesity increased. In multivariable logistic regression, male gender (AOR: 1.33, 95% CI: 1.18,1.51), being non-diabetic (AOR: 1.50, 95% CI: 1.23,1.82), having no education (AOR: 1.73, 95% CI: 1.35,2.22), and having adequate physical activity (AOR: 1.19, 95% CI: 1.05,1.35) were associated with underweight. However, urban residency (AOR: 1.73, 95% CI: 1.41,2.12), 60–69 years age (AOR: 1.59, 95% CI: 1.36,1.85), being female (AOR: 1.81, 95% CI: 1.56,2.10), having diabetes (AOR: 2.52, 95% CI:2.07,3.08), being Muslim (AOR: 1.25, 95% CI: 1.04,1.53), and having inadequate physical activity (AOR: 1.36, 95% CI: 1.18,1.57) were associated with overweight. Conclusions The overall prevalence of undernutrition and overnutrition is very high among elderly population in Bangladesh. The government together with national and international organizations should implement population-based interventions to prevent and control DBM. Published 2022-05-16T05:41:26Z 2022-05-16T05:41:26Z 2020 2020-06 Journal Article Double burden of malnutrition among elderly people in Bangladesh: Evidence from the National Nutrition Surveillance Study http://hdl.handle.net/10361/16609 https://doi.org/10.1093/cdn/nzaa053_045 en_US https://academic.oup.com/cdn/article/4/Supplement_2/840/5845144 Current Developments in Nutrition application/pdf Oxford Academic |
| institution |
Brac University |
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Institutional Repository |
| language |
en_US |
| topic |
Obesity Physical Activity Body Mass Index Procedure Diabetes mellitus Bangladesh Public Health Medicine Older adult Surveillance Medical Over weight |
| spellingShingle |
Obesity Physical Activity Body Mass Index Procedure Diabetes mellitus Bangladesh Public Health Medicine Older adult Surveillance Medical Over weight Hasan, Mehedi Shamim, Abu Ahmed Hossain, Md. Mokbul Hanif, Abu Abdullah Mohammad Hossaine, Moyazzam Ullah, Mohammad Aman Sarker, Samir Kanti Rahman, S M Mustafizur Mitra, Dipak Kumar Haque, Md. Emdadul Mridha, Malay Double burden of malnutrition among elderly people in Bangladesh: Evidence from the National Nutrition Surveillance Study |
| description |
This article was published in Current Developments in Nutrition [Oxford University Press Copyright © Oxford University Press 2020.] and the definite version is available at: https://doi.org/10.1093/cdn/nzaa053_045 The Journal's website is at: https://academic.oup.com/cdn/article/4/Supplement_2/840/5845144 |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Hasan, Mehedi Shamim, Abu Ahmed Hossain, Md. Mokbul Hanif, Abu Abdullah Mohammad Hossaine, Moyazzam Ullah, Mohammad Aman Sarker, Samir Kanti Rahman, S M Mustafizur Mitra, Dipak Kumar Haque, Md. Emdadul Mridha, Malay |
| format |
Journal Article |
| author |
Hasan, Mehedi Shamim, Abu Ahmed Hossain, Md. Mokbul Hanif, Abu Abdullah Mohammad Hossaine, Moyazzam Ullah, Mohammad Aman Sarker, Samir Kanti Rahman, S M Mustafizur Mitra, Dipak Kumar Haque, Md. Emdadul Mridha, Malay |
| author_sort |
Hasan, Mehedi |
| title |
Double burden of malnutrition among elderly people in Bangladesh: Evidence from the National Nutrition Surveillance Study |
| title_short |
Double burden of malnutrition among elderly people in Bangladesh: Evidence from the National Nutrition Surveillance Study |
| title_full |
Double burden of malnutrition among elderly people in Bangladesh: Evidence from the National Nutrition Surveillance Study |
| title_fullStr |
Double burden of malnutrition among elderly people in Bangladesh: Evidence from the National Nutrition Surveillance Study |
| title_full_unstemmed |
Double burden of malnutrition among elderly people in Bangladesh: Evidence from the National Nutrition Surveillance Study |
| title_sort |
double burden of malnutrition among elderly people in bangladesh: evidence from the national nutrition surveillance study |
| publisher |
Oxford Academic |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16609 https://doi.org/10.1093/cdn/nzaa053_045 |
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