• P-ISSN 0974-6846 E-ISSN 0974-5645

Indian Journal of Science and Technology

Article

Indian Journal of Science and Technology

Year: 2024, Volume: 17, Issue: 26, Pages: 2719-2726

Original Article

Double Burden of Malnutrition and Other Associated Factors among Reproductive Age Group Women in Assam, India

Received Date:30 August 2024, Accepted Date:17 June 2024, Published Date:02 July 2024

Abstract

Objective: This study aims to assess the Double Burden of Malnutrition (DBM) and its associated factors among reproductive age group women in Assam, India. Methods: Based on a multistage sampling procedure, a total of 736 reproductive age group women from four districts of Assam were selected as the final sample unit. The sample units are grouped as rural (total 310 samples) and urban (total 426 samples) and data is collected from June to December 2022 based on a structured questionnaire. The classical measure of anthropometry is used to collect data on the height and weight of the respondents. The anthropometric rod to the nearest 0.1 cm is used to measure women’s height and a portable weighing machine is used to measure their weights. The Body Mass Index (BMI) of sample women is calculated to assess the existing double burden of malnutrition. Findings: It is found that around 40 % of women in the study area are at risk of DBM. The risk of underweight is higher among rural women (29.4%). On the other hand, the severity of overweight is higher among urban women (20.2%) as compared to their rural counterparts (14.2%). The multinomial logistic regression analysis shows that women belonging to food-insecure households are at a 0.674 % higher risk of being underweight. Women’s employment and availability of basic amenities reduce the risk of being underweight by 47.2% and 80.9% respectively. Women’s dietary diversity, employment, and their age significantly affect their overweight status. Novelty: The socioeconomic and demographic factors considered in the study are based on household level as well as women’s individual status and quantify the potential qualitative issues affecting women’s DBM. This study will certainly provide a basis for further research on DBM in different settings and thereby to adopt strategic interventions.

Keywords: Underweight, Overweight, Body Mass Index, Reproductive women, Assam

References

  1. Tanwi TS, Chakrabarty S, Hasanuzzaman S. Double burden of malnutrition among ever-married women in Bangladesh: a pooled analysis. BMC Women's Health. 2019;19(24):1–8. Available from: https://doi.org/10.1186/s12905-019-0725-2
  2. Ikoona EN, Toure MA, Njeng A, Namuleno L, Kaluya R, Kamar K, et al. Prevalence and factors associated with underweight among 15-49-year-old women in Sierra Leone: A secondary data analysis of Sierra Leone demographic health survey. BMC Women’s Health. 2023;23:1–16. Available from: https://doi.org/10.1186/s12905-023-02358-4
  3. Melchor I, Burgos J, Campo AD, Aiartzaguena A, Gutiérrez J, Melchor JC. Effect of maternal obesity on pregnancy outcomes in women delivering singleton babies: a historical cohort study. Journal of Perinatal Medicine. 2019;47(6):625–630. Available from: https://doi.org/10.1515/jpm-2019-0103
  4. Cooper AJ, Gupta SR, Moustafa AF, Chao AM. Sex/Gender Differences in Obesity Prevalence, Comorbidities, and Treatment. Current Obesity Report. 2021;10:458–466. Available from: https://doi.org/10.1007/s13679-021-00453-x
  5. National Family Health Survey (NFHS-5) Ministry of Health and Family Welfare, Government of India . Available from: https://main.mohfw.gov.in/sites/default/files/NFHS-5_Phase-II_0.pdf
  6. Dutta M, Selvamani Y, Singh P, Prashad L. The double burden of malnutrition among adults in India: evidence from National Family Health Survey-4(2015-16) Epidemiology and Health. 2019;41:1–11. Available from: https://doi.org/10.4178/epih.e2019050
  7. Malik R, Puri S, Tulsi A. Double burden of malnutrition among mother-child DYADS in urban poor settings in India. Indian Journal of Community Health. 2018;30(2):139–144. Available from: https://doi.org/10.47203/IJCH.2018.v30i02.008
  8. Mosha D, Paulo HA, Mwanyika-Sando M, Mboya IB, Madzorera I, Leyna GH, et al. Risk factors for overweight and obesity among women of reproductive age in Dar es Salaam, Tanzania. BMC Nutrition. 2021;7(1):1–10. Available from: https://doi.org/10.1186/s40795-021-00445-z
  9. Harper A, Goudge J, Chirwa E, Rothberg A, Sambu W, Mall S. Dietary diversity, food insecurity and the double burden of malnutrition among children, adolescents and adults in South Africa: Findings from a national survey. Frontiers of Public Health. 2022;10:1–10. Available from: https://doi.org/10.3389/fpubh.2022.948090
  10. Wei W, Sarker T, Roy R, Sarkar A, Rabbany MG. Women’s empowerment and their experience to food security in rural Bangladesh. Sociology of Health and Illness. 2021;43(4):971–994. Available from: https://doi.org/10.1111/1467-9566.13273
  11. Alem AZ, Yeshaw Y, Liyew AM, Tessema ZT, Worku MG, Tesema GA, et al. Double burden of malnutrition and its associated factors among women in low and middle-income countries: Findings from nationally representative data. BMC Public Health. 2023;23:1–16. Available from: https://doi.org/10.1186/s12889-023-16045-4
  12. Hamid SBA, Razali MFM, Suhaimi FA, Nor NM. Association of Food Insecurity and Weight Status of Women in Tuba Island, Malaysia. Current Research in Nutrition and Food Science Journal. 2021;9(2):441–449. Available from: http://dx.doi.org/10.12944/CRNFSJ.9.2.08
  13. Hossain MI, Rahman A, Uddin MSG, Zinia FA, Rahman A. Double burden of malnutrition among women of reproductive age in Bangladesh- A comparative of classical and Bayesian logistic regression approach. Food Science and Nutrition. 2023;11(4):1785–1796. Available from: https://doi.org/10.1002/fsn3.3209
  14. Biswas T, Magalhaes RJS, Townsend N, Das SK, Mamun A. Double Burden of Underweight and Overweight among Women in South and Southeast Asia: A Systematic Review and Meta-analysis. Advances in Nutrition. 2020;11(1):128–143. Available from: https://dx.doi.org/10.1093/advances/nmz078
  15. Tyagi N, Chariar VM. Addressing the Dual Burden of Malnutrition: A Review of Double Duty Actions and Multifaceted Approaches. Biomedical Journal of Scientific & Technical Research. 2023;51(4):42870–42878. Available from: https://biomedres.us/pdfs/BJSTR.MS.ID.008129.pdf

Copyright

© 2024 Dutta. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Published By Indian Society for Education and Environment (iSee)

DON'T MISS OUT!

Subscribe now for latest articles and news.