Sustained underweight in rural areas and emergence of overweight in urban Ethiopian women: A multivariate analysis of EDHS data 2000–2016
A growing body of evidence indicates the emergence of overweight/obesity in developing countries before the battle against undernutrition has been won. We conducted this study to quantify the reduction of underweight and the emergence of overweight among Ethiopian women from 2000 to 2016 and evaluat...
| Autores principales: | , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
Springer
2024
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| Acceso en línea: | https://hdl.handle.net/10568/149158 |
| _version_ | 1855518019692789760 |
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| author | Tareke, Amare Abera Alem, Addis Debebe, Wondwossen Zerfu, Taddese Alemu |
| author_browse | Alem, Addis Debebe, Wondwossen Tareke, Amare Abera Zerfu, Taddese Alemu |
| author_facet | Tareke, Amare Abera Alem, Addis Debebe, Wondwossen Zerfu, Taddese Alemu |
| author_sort | Tareke, Amare Abera |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | A growing body of evidence indicates the emergence of overweight/obesity in developing countries before the battle against undernutrition has been won. We conducted this study to quantify the reduction of underweight and the emergence of overweight among Ethiopian women from 2000 to 2016 and evaluate factors explaining the progress. We used the four Ethiopian Demographic and Health Surveys (2000–2016) to analyze body mass index (BMI) trends among women. Data from 43,815 non-pregnant, non-puerperal reproductive-age women was used to evaluate the linear change in BMI and changes in the percentage of overweight and underweight over time. Using multivariate decomposition analysis of change in underweight and overweight percentages, we identified sources of change in BMI in the past 16 years of the survey periods. The BMI of Ethiopian reproductive-age women increased by 0.88 kg/m2 from 2000 to 2016. The increment was pronounced in urban areas with 1.46 kg/m2. There has been a significant reduction in underweight women since 2000 (p-value < 0.001), and 87.62% of the changes were attributed to behavioral changes toward weight management. And there was a significant upswing in overweight women from 2000 to 2016 (p-value < 0.001) as well. A compositional change of factors including region, women’s age, women’s educational status, religion, type of place of residence, and use of contraceptives contributed to 57.51% of the observed increment in the percentage of overweight women. A relatively slow decrease in underweight and an increment in overweight have been observed. This progress can be disaggregated into persistent underweight in the rural and poorest, and swift development of overweight in the urban and richest communities. Targeted nutrition interventions for both underweight and overweight women are mandatory. Nutritional interventions in Ethiopia should focus on behavioral change to reduce hunger and malnutrition as well as to avert the emergence of overweight or obesity in the affected communities. |
| format | Journal Article |
| id | CGSpace149158 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Springer |
| publisherStr | Springer |
| record_format | dspace |
| spelling | CGSpace1491582025-10-26T13:01:23Z Sustained underweight in rural areas and emergence of overweight in urban Ethiopian women: A multivariate analysis of EDHS data 2000–2016 Tareke, Amare Abera Alem, Addis Debebe, Wondwossen Zerfu, Taddese Alemu body mass index overweight thinness trends women rural areas urban areas A growing body of evidence indicates the emergence of overweight/obesity in developing countries before the battle against undernutrition has been won. We conducted this study to quantify the reduction of underweight and the emergence of overweight among Ethiopian women from 2000 to 2016 and evaluate factors explaining the progress. We used the four Ethiopian Demographic and Health Surveys (2000–2016) to analyze body mass index (BMI) trends among women. Data from 43,815 non-pregnant, non-puerperal reproductive-age women was used to evaluate the linear change in BMI and changes in the percentage of overweight and underweight over time. Using multivariate decomposition analysis of change in underweight and overweight percentages, we identified sources of change in BMI in the past 16 years of the survey periods. The BMI of Ethiopian reproductive-age women increased by 0.88 kg/m2 from 2000 to 2016. The increment was pronounced in urban areas with 1.46 kg/m2. There has been a significant reduction in underweight women since 2000 (p-value < 0.001), and 87.62% of the changes were attributed to behavioral changes toward weight management. And there was a significant upswing in overweight women from 2000 to 2016 (p-value < 0.001) as well. A compositional change of factors including region, women’s age, women’s educational status, religion, type of place of residence, and use of contraceptives contributed to 57.51% of the observed increment in the percentage of overweight women. A relatively slow decrease in underweight and an increment in overweight have been observed. This progress can be disaggregated into persistent underweight in the rural and poorest, and swift development of overweight in the urban and richest communities. Targeted nutrition interventions for both underweight and overweight women are mandatory. Nutritional interventions in Ethiopia should focus on behavioral change to reduce hunger and malnutrition as well as to avert the emergence of overweight or obesity in the affected communities. 2024-07-19 2024-07-19T13:54:28Z 2024-07-19T13:54:28Z Journal Article https://hdl.handle.net/10568/149158 en Open Access Springer Tareke, Amare Abera; Alem, Addis; Debebe, Wondwossen; and Zerfu, Taddese Alemu. 2024. Sustained underweight in rural areas and emergence of overweight in urban Ethiopian women: A multivariate analysis of EDHS data 2000–2016. Scientific Reports 14: 16668. https://doi.org/10.1038/s41598-024-66409-y |
| spellingShingle | body mass index overweight thinness trends women rural areas urban areas Tareke, Amare Abera Alem, Addis Debebe, Wondwossen Zerfu, Taddese Alemu Sustained underweight in rural areas and emergence of overweight in urban Ethiopian women: A multivariate analysis of EDHS data 2000–2016 |
| title | Sustained underweight in rural areas and emergence of overweight in urban Ethiopian women: A multivariate analysis of EDHS data 2000–2016 |
| title_full | Sustained underweight in rural areas and emergence of overweight in urban Ethiopian women: A multivariate analysis of EDHS data 2000–2016 |
| title_fullStr | Sustained underweight in rural areas and emergence of overweight in urban Ethiopian women: A multivariate analysis of EDHS data 2000–2016 |
| title_full_unstemmed | Sustained underweight in rural areas and emergence of overweight in urban Ethiopian women: A multivariate analysis of EDHS data 2000–2016 |
| title_short | Sustained underweight in rural areas and emergence of overweight in urban Ethiopian women: A multivariate analysis of EDHS data 2000–2016 |
| title_sort | sustained underweight in rural areas and emergence of overweight in urban ethiopian women a multivariate analysis of edhs data 2000 2016 |
| topic | body mass index overweight thinness trends women rural areas urban areas |
| url | https://hdl.handle.net/10568/149158 |
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