The prevalence of underweight, overweight and obesity and their related socio-demographic and lifestyle factors among adult women in Myanmar, 2015-16,PLOS ONE

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The prevalence of underweight, overweight and obesity and their related socio-demographic and lifestyle factors among adult women in Myanmar, 2015-16
PLOS ONE ( IF 2.9 ) Pub Date : 2018-03-16 , DOI: 10.1371/journal.pone.0194454
Seo Ah Hong _{1,

2} , Karl Peltzer _{3,

4} , Kyi Tun Lwin ₁ , La Seng Aung ₁

Affiliation

Background

The aim of the study was to estimate the prevalence of underweight and overweight or obesity and their socio-demographic and lifestyle factors in a female adult population in Myanmar.

Material and methods

In a national cross-sectional population-based survey in the 2015–16 Myanmar Demographic and Health Survey, 12,160 women aged 18–49 years and not currently pregnant completed questionnaires and anthropometric measurements. Nutritional status was determined using Asian body mass index cut-offs: underweight (BMI<18.5 kg/m²), overweight (23.0–27.4 kg/m²), and obesity (≥27.5 kg/m²). Multinomial logistic regression modelling was used to determine the association between socio-demographic and lifestyle factors and weight status.

Results

The prevalence of underweight was 14.1%, overweight 28.1% and obesity 13.1%. Among different age groups, the prevalence of underweight was the highest among 18 to 29 year-olds (20.2%), while overweight or obesity was the highest in the age group 30 to 49 years (around 50%). In multinomial logistic regression, being 30 to 49 years old, poorer and richer wealth status, living in all the other regions of Myanmar and ever contraceptive use were inversely and current tobacco use, not working and having less than two children ever born were positively associated with underweight relative to normal weight. Older age, having secondary education, urban residence, wealthier economic status, living with a partner, living in the Northern and Southern regions of Myanmar, having less than two children ever born and having ever used contraceptives were positively and current tobacco use was negatively associated with overweight or obesity relative to normal weight.

Conclusions

A dual burden of both underweight and overweight or obesity among female adults was found in Myanmar. Sociodemographic and health risk behaviour factors were identified for underweight and overweight or obesity that can guide public health interventions to address both of these conditions.

中文翻译：

2015-16年缅甸成年女性体重不足、超重和肥胖的患病率及其相关的社会人口和生活方式因素

背景

该研究的目的是估计缅甸成年女性中体重不足和超重或肥胖的患病率及其社会人口和生活方式因素。

材料与方法

在 2015-16 年缅甸人口和健康调查的全国横断面人口调查中，12,160 名 18-49 岁且目前未怀孕的女性完成了问卷调查和人体测量。营养状况根据亚洲体重指数临界值确定：体重不足（BMI<18.5 kg/m ²）、超重（23.0–27.4 kg/m ²）和肥胖（≥27.5 kg/m ²）。使用多项逻辑回归模型来确定社会人口和生活方式因素与体重状况之间的关联。

结果

体重不足的发生率为14.1%，超重的发生率为28.1%，肥胖的发生率为13.1%。不同年龄组中，体重不足发生率以18至29岁年龄段最高（20.2%），超重或肥胖发生率以30至49岁年龄段最高（约50%）。在多项 Logistic 回归中，30 至 49 岁、较贫穷和较富裕的财富状况、居住在缅甸所有其他地区以及曾经使用过避孕药具呈反比关系，而当前吸烟、不工作和生育少于两个孩子呈正相关关系与正常体重相比体重不足。年龄较大、受过中等教育、城市居住、经济状况较富裕、与伴侣同居、居住在缅甸北部和南部地区、生育少于两个孩子以及曾经使用过避孕药具呈正相关，而当前吸烟则呈负相关相对于正常体重超重或肥胖。