Risk factors associated with overweight and obesity among reproductive aged females residing in Bharatpur Metropolitan City

Sadikshya Subedi, Richa Bhattarai, Rojina Bista
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Abstract

Overweight and obesity is becoming one of the major public health problems in developing countries like Nepal. A cross sectional study was conducted to assess the risk factors associated with overweight and obesity among reproductive aged females of 15-49 years residing in Bharatpur metropolitan city. Anthropometric measurement was used to determine Body Mass Index (BMI), Waist Circumference (WC) and Waist Hip Ratio (WHR). Data on socio-demographic, physical activity, dietary and behavioral factors was collected using structured questionnaire. Microsoft excel and SPSS version 20 were used to analyze data and chi square test was performed to analyze the factors associated with BMI, WC and WHR cut-offs. The result of this study revealed that 32.3% of females were overweight and 9.7% of females were obese. Similarly, on the basis of waist circumference 69% of females were abdominally obese and on the basis of waist hip ratio 68% of females were abdominally obese. Mean BMI was found to be 24.1c10.01 kg/m2, waist circumference was found to be 86.41±13.091 cm and waist hip ratio was found to be 0.89±0.108. This study shows that age, marital status, parity, stress, sleeping time, calorie intake, carbohydrate intake, physical activity and fruits consumption were found to be significantly associated (P<0.05) with overweight and obesity. Age, marital status, parity, calorie intake, fat intake, physical activity and fruits consumption were found to have significant association (P<0.05) with waist circumference. Similarly, age, marital status, parity, cloth wear, calorie intake, carbohydrate intake and physical activity were found to be significant predictors (P<0.05) of WHR in the study. The findings show a clear evidence of the rising trends of overweight and obesity among reproductive aged female. Overall this study indicate that efforts should be made to address the problem of overweight and obesity, by addressing the factors associated and minimize its consequences
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居住在巴拉特普尔大都会市的育龄妇女超重和肥胖的相关危险因素
超重和肥胖正在成为尼泊尔等发展中国家的主要公共卫生问题之一。通过横断面研究,对居住在印度巴拉特普尔市15-49岁育龄女性超重和肥胖的相关危险因素进行了评估。采用人体测量法测定身体质量指数(BMI)、腰围(WC)和腰臀比(WHR)。采用结构化问卷法收集社会人口统计、体育活动、饮食和行为等因素的数据。采用Microsoft excel和SPSS version 20对数据进行分析,采用卡方检验分析BMI、WC和WHR截止值的相关因素。研究结果显示,32.3%的女性超重,9.7%的女性肥胖。同样,根据腰围,69%的女性为腹部肥胖,根据腰臀比,68%的女性为腹部肥胖。平均BMI为24.1c10.01 kg/m2,腰围为86.41±13.091 cm,腰臀比为0.89±0.108。本研究发现,年龄、婚姻状况、胎次、压力、睡眠时间、卡路里摄入量、碳水化合物摄入量、体力活动和水果摄入量与超重和肥胖显著相关(P<0.05)。年龄、婚姻状况、胎次、卡路里摄入量、脂肪摄入量、体力活动和水果摄入量与腰围有显著相关(P<0.05)。同样,年龄、婚姻状况、胎次、衣服穿著、热量摄入、碳水化合物摄入和体力活动是WHR的显著预测因子(P<0.05)。研究结果清楚地表明,育龄女性中超重和肥胖的趋势正在上升。总的来说,这项研究表明,应该努力解决超重和肥胖的问题,通过解决相关因素,并尽量减少其后果
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