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Objective: To analyze socioeconomic inequalities in the prevalence of underweight and overweight or obesity in women from low and middle-income countries (LMICs).
Methods: Using the last available Demographic Health Survey between 2010 and 2016 from 49 LMICs, we estimated the prevalence of underweight (BMI < 18.5 kg/m) and overweight or obesity combined (BMI ≥ 25 kg/m) for women aged 20-49 years. We used linear regression to explore the associations between the two outcomes and gross national income (GNI). We assess within-country socioeconomic inequalities using wealth deciles. The slope index of inequality (SII) and the inequality pattern index (IPI) were calculated for each outcome. Negative values of the latter express bottom inequality (when inequality is driven by the poorest deciles) while positive values express top inequality (driven by the richest deciles).
Results: In total, 931,145 women were studied. The median prevalence of underweight, overweight or obesity combined, and obesity were 7.3% (range 0.2-20.5%), 31.5% (8.8-85.3%), and 10.2% (1.9-48.8%), respectively. Pearson correlation coefficients with log GNI were -0.33 (p = 0.006) for underweight, 0.72 (p < 0.001) for overweight or obesity, and 0.66 (p < 0.001) for obesity. For underweight, the SII was significantly negative in 38 of the 49 countries indicating a higher burden among poor women. There was no evidence of top or bottom inequality. Overweight or obesity increased significantly with wealth in 44 of the 49 countries. Top inequality was observed in low-prevalence countries, and bottom inequality in high-prevalence countries.
Conclusion: Underweight remains a problem among the poorest women in poor countries, but overweight and obesity are the prevailing problem as national income increases. In low-prevalence countries, overweight or obesity levels are driven by the higher prevalence among the richest women; as national prevalence increases, only the poorest women are relatively preserved from the epidemic.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046525 | PMC |
http://dx.doi.org/10.1038/s41366-019-0503-0 | DOI Listing |
BMC Geriatr
December 2024
Red Cross College of Nursing, Chung-Ang University, 84 Heukseok-ro, Dongjak-gu, Seoul, 06974, Korea.
Background: This study aimed to determine whether sex-specific timed up and go (TUG) test results are associated with injurious fall occurrence in older adults and to identify risk factors for injurious falls based on TUG test results.
Methods: Data were obtained from an older adult cohort database provided by the National Health Insurance Service, which included 34,030 individuals aged 66 years or older who underwent life-transition health examinations in 2007 and 2008 and were followed up until 2019. To identify the risk factors for injurious falls, this study performed a Cox proportional hazard regression analysis by sex, with individual characteristics, including TUG test results, as independent variables.
Front Nutr
December 2024
School of Public Health, Adama Hospital Medical College, Adama, Oromia, Ethiopia.
Background: Wasting, stunting, and underweight in children are complex health challenges shaped by a combination of immediate, underlying, and systemic factors. Even though copious data demonstrates that the causation routes for stunting and wasting are similar, little is known about the correlations between the diseases in low- and middle-income nations.
Objective: The objective of this study is to evaluate the factors that concurrently affect wasting, stunting, and underweight in <5-year-olds with severe acute malnutrition (SAM).
J Orthop Surg Res
December 2024
Foot and Ankle Surgery Center, Beijing Tongren Hospital, Capital Medical University, Beijing, 100176, China.
Background: The foot is an essential organ for human locomotion. Assessment of plantar pressure distribution could provide key clinical information on foot functions. However, the mechanism that links body mass index to injury is not clear.
View Article and Find Full Text PDFSupport Care Cancer
December 2024
Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties, University of Palermo, 90127, Palermo, Italy.
Aim: To evaluate the characteristics of patients with advanced cancer who die in an acute palliative care unit (APCU), and the risk factors for death in APCU.
Methods: Adult consecutive patients with advanced cancer admitted to the APCU in a period of 13 months were prospectively assessed. At APCU admission, epidemiologic data, characteristics of admission, cachexia, being on-off anticancer treatment, and Edmonton Symptom Assessment System (ESAS) and MDAS (Memorial Delirium Assessment Scale) were assessed.
BMC Public Health
December 2024
Department of Internal Medicine, Chungnam National University Hospital, 266 Munhwa-ro, Jung-gu, Daejeon, 35015, South Korea.
Background: We investigated the prevalence and clinical characteristics of type 2 diabetes mellitus in lean Korean adults.
Methods: We analyzed data from the Korea National Health and Nutrition Examination Survey 2001-2021 among adults aged ≥ 19 years. Trend analyses between 2001 and 2019-2021 (n = 89,720) and comparative analyses of multiple clinical characteristics between patients with type 2 diabetes with and without overweight/obesity were conducted (n = 2,284).
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