Trends and social determinants of the obesity epidemic among reproductive-age women in ten Asian countries

Thapa, S; Ahmed, KY; Bizuayehu, HM; Huda, MM; Chalise, B; Bore, MG; Belachew, SA; Hassen, TA; Amsalu, E; Shifti, DM; Seid, A; Mesfin, YM; Tegegne, TK; Dadi, AF; Odo, DB; Kibret, GD; Ketema, DB

Trends and social determinants of the obesity epidemic among reproductive-age women in ten Asian countries

Thapa, S Ahmed, KY Bizuayehu, HM Huda, MM Chalise, B Bore, MG Belachew, SA Hassen, TA Amsalu, E Shifti, DM Seid, A Mesfin, YM Tegegne, TK Dadi, AF Odo, DB Kibret, GD Ketema, DB

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Publisher:: Springer Nature
Publication Type:: Journal Article
Citation:: Scientific Reports, 2024, 14, (1), pp. 22545
Issue Date:: 2024-09-29

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Field	Value	Language
dc.contributor.author	Thapa, S
dc.contributor.author	Ahmed, KY
dc.contributor.author	Bizuayehu, HM
dc.contributor.author	Huda, MM
dc.contributor.author	Chalise, B
dc.contributor.author	Bore, MG
dc.contributor.author	Belachew, SA
dc.contributor.author	Hassen, TA
dc.contributor.author	Amsalu, E
dc.contributor.author	Shifti, DM
dc.contributor.author	Seid, A
dc.contributor.author	Mesfin, YM
dc.contributor.author	Tegegne, TK
dc.contributor.author	Dadi, AF
dc.contributor.author	Odo, DB
dc.contributor.author	Kibret, GD
dc.contributor.author	Ketema, DB
dc.date.accessioned	2025-01-28T05:28:41Z
dc.date.available	2024-09-18
dc.date.available	2025-01-28T05:28:41Z
dc.date.issued	2024-09-29
dc.identifier.citation	Scientific Reports, 2024, 14, (1), pp. 22545
dc.identifier.issn	2045-2322
dc.identifier.issn	2045-2322
dc.identifier.uri	http://hdl.handle.net/10453/184328
dc.description.abstract	The rapid epidemiological transition in Asian countries, resulting from the rising trend of urbanisation and lifestyle changes, is associated with an increasing risk of obesity in women of reproductive age. This is the first study to investigate the trends and population-attributable fraction (PAF) of obesity, and the interaction effects of education and wealth on obesity among reproductive-age women aged 15 49 years in ten Asian countries. This cross-sectional study examined the most recent (2000 to 2022) Demographic and Health Surveys (DHS) data from ten Central and Southeast Asian countries. Multilevel multinomial logistic regression models were used to compute odds ratios (ORs). PAFs adjusted for communality were calculated using adjusted ORs and prevalence estimates for each risk factor. This study included a weighted sample of 743,494 reproductive-age women. All the countries showed an increasing trend for obesity and a decreasing trend for underweight, except for the Maldives. The highest PAFs of obesity were associated with women who were married (PAF 22.2 95 CI 22.1, 22.4), aged 35 49 years (PAF 16.4 95 CI 15.5, 17.1), resided in wealthy households (PAF 14.5 95 CI 14.4, 14.5), watched television regularly (PAF 12.5 95 CI 12.1, 12.8), and lived in urban areas (PAF 7.8 95 CI 7.7, 8.0). The combined PAF showed that these five risk factors were associated with 73.3 (95 CI 71.8, 74.9) of obesity among reproductive-age women. Interaction analysis between women s education and household wealth revealed that having a secondary or higher level of education and residing in a wealthier household was associated with a lower risk of obesity (OR 0.71, 95 CI 0.66, 0.76). The findings of this study suggest that, in order to address the rising rate of obesity among women in Asian countries, education and lifestyle modifications in urban areas should be a priority. Pakistan and the Maldives need to be a priority given the rapidly increasing trends in obesity and underweight
dc.format	Electronic
dc.language	eng
dc.publisher	Springer Nature
dc.relation.ispartof	Scientific Reports
dc.relation.isbasedon	10.1038/s41598-024-73522-5
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.mesh	Humans
dc.subject.mesh	Female
dc.subject.mesh	Adult
dc.subject.mesh	Obesity
dc.subject.mesh	Middle Aged
dc.subject.mesh	Adolescent
dc.subject.mesh	Young Adult
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Risk Factors
dc.subject.mesh	Asia
dc.subject.mesh	Prevalence
dc.subject.mesh	Social Determinants of Health
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Health Surveys
dc.subject.mesh	Epidemics
dc.subject.mesh	Humans
dc.subject.mesh	Obesity
dc.subject.mesh	Health Surveys
dc.subject.mesh	Prevalence
dc.subject.mesh	Risk Factors
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Asia
dc.subject.mesh	Female
dc.subject.mesh	Young Adult
dc.subject.mesh	Epidemics
dc.subject.mesh	Social Determinants of Health
dc.subject.mesh	Humans
dc.subject.mesh	Female
dc.subject.mesh	Adult
dc.subject.mesh	Obesity
dc.subject.mesh	Middle Aged
dc.subject.mesh	Adolescent
dc.subject.mesh	Young Adult
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Risk Factors
dc.subject.mesh	Asia
dc.subject.mesh	Prevalence
dc.subject.mesh	Social Determinants of Health
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Health Surveys
dc.subject.mesh	Epidemics
dc.title	Trends and social determinants of the obesity epidemic among reproductive-age women in ten Asian countries
dc.type	Journal Article
utslib.citation.volume	14
utslib.location.activity	England
utslib.copyright.status	open_access	*
pubs.consider-herdc	true
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2025-01-28T05:28:38Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	14
utslib.citation.issue	1

Abstract:

The rapid epidemiological transition in Asian countries, resulting from the rising trend of urbanisation and lifestyle changes, is associated with an increasing risk of obesity in women of reproductive age. This is the first study to investigate the trends and population-attributable fraction (PAF) of obesity, and the interaction effects of education and wealth on obesity among reproductive-age women aged 15 49 years in ten Asian countries. This cross-sectional study examined the most recent (2000 to 2022) Demographic and Health Surveys (DHS) data from ten Central and Southeast Asian countries. Multilevel multinomial logistic regression models were used to compute odds ratios (ORs). PAFs adjusted for communality were calculated using adjusted ORs and prevalence estimates for each risk factor. This study included a weighted sample of 743,494 reproductive-age women. All the countries showed an increasing trend for obesity and a decreasing trend for underweight, except for the Maldives. The highest PAFs of obesity were associated with women who were married (PAF 22.2 95 CI 22.1, 22.4), aged 35 49 years (PAF 16.4 95 CI 15.5, 17.1), resided in wealthy households (PAF 14.5 95 CI 14.4, 14.5), watched television regularly (PAF 12.5 95 CI 12.1, 12.8), and lived in urban areas (PAF 7.8 95 CI 7.7, 8.0). The combined PAF showed that these five risk factors were associated with 73.3 (95 CI 71.8, 74.9) of obesity among reproductive-age women. Interaction analysis between women s education and household wealth revealed that having a secondary or higher level of education and residing in a wealthier household was associated with a lower risk of obesity (OR 0.71, 95 CI 0.66, 0.76). The findings of this study suggest that, in order to address the rising rate of obesity among women in Asian countries, education and lifestyle modifications in urban areas should be a priority. Pakistan and the Maldives need to be a priority given the rapidly increasing trends in obesity and underweight

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