Irache, Ana, Anjorin, Seun Stephen, Caleyachetty, Rishi and Gill, Paramjit (2023) Trends in the intraindividual double burden of overweight/obesity and anemia among adult women living in 33 low- and middle-income countries : a secondary analysis of demographic and health surveys from 2000-2019. Journal of Nutrition, 153 (4). pp. 1111-1121. doi:10.1016/j.tjnut.2023.02.012 ISSN 1279-7707.
Research output not available from this repository.
Request-a-Copy directly from author or use local Library Get it For Me service.
Abstract
Background
Changes in overweight/obesity and anemia among women have been investigated in multiple studies, but the rate at which their coexistence at the individual level has evolved remains unknown.
Objectives
We aimed to 1) document trends in the magnitude and inequalities of the co-occurrence of overweight/obesity and anemia; and 2) compare these with overall trends in overweight/obesity, anemia, and the co-occurrence of anemia with normal weight or underweight.
Methods
For this cross-sectional series study, we used 96 Demographic and Health Surveys from 33 countries with available anthropometric and anemia data among nonpregnant adult women (20–49 y old; n = 1,648,308). The primary outcome was defined as the coexistence of overweight or obesity (BMI ≥25kg/m2) and anemia (hemoglobin concentrations <12.0 g/dL) within the same individual. We computed overall and regional trends through multilevel linear regression models and by sociodemographic characteristics (i.e., wealth, education, and residence). Estimates at the country level were calculated through ordinary least square regression models.
Results
From 2000 to 2019, the co-occurrence of overweight/obesity and anemia increased modestly at an annual rate of 0.18 percentage points (95% CI: 0.08, 0.28 percentage points; P < 0.001), ranging from 0.73 percentage points in Jordan to -0.56 percentage points in Peru. This trend occurred in parallel with overall increases in overweight/obesity and reductions in anemia. The co-occurrence of anemia with normal weight or underweight was reducing in all countries, except Burundi, Sierra Leone, Jordan, Bolivia, and Timor-Leste. Stratified analyses yielded an upward trend in the co-occurrence of overweight/obesity and anemia across all subgroups but particularly in women from the 3 middle wealth groups, no education, and capital city or rural residents.
Conclusions
The rising trend in the intraindividual double burden suggests that efforts to reduce anemia among women living with overweight/obesity may need to be revisited to accelerate progress toward the 2025 global nutrition target of halving anemia.
| Item Type: | Journal Article |
|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
| Journal or Publication Title: | Journal of Nutrition |
| Publisher: | Editions S E R D I |
| ISSN: | 1279-7707 |
| Official Date: | April 2023 |
| Dates: | Date Event April 2023 Published 15 February 2023 Available 9 February 2023 Accepted |
| Volume: | 153 |
| Number: | 4 |
| Page Range: | pp. 1111-1121 |
| DOI: | 10.1016/j.tjnut.2023.02.012 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Open Access (Creative Commons open licence) |
| URI: | https://wrap.warwick.ac.uk/178354/ |
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |