Prevalence, inequality and associated factors of overweight/obesity among Bangladeshi adolescents aged 15-19 years

Article

Ahmed, Md Sabbir, Khan, Safayet, Islam, Mansura, Islam, Md Irteja, Hossain, Md Musharraf, Khan, Bayezid and Yunus, Fakir Md. 2024. "Prevalence, inequality and associated factors of overweight/obesity among Bangladeshi adolescents aged 15-19 years." International Health. 16 (6), pp. 670-677. https://doi.org/10.1093/inthealth/ihae012
Article Title

Prevalence, inequality and associated factors of overweight/obesity among Bangladeshi adolescents aged 15-19 years

ERA Journal ID124604
Article CategoryArticle
AuthorsAhmed, Md Sabbir, Khan, Safayet, Islam, Mansura, Islam, Md Irteja, Hossain, Md Musharraf, Khan, Bayezid and Yunus, Fakir Md
Journal TitleInternational Health
Journal Citation16 (6), pp. 670-677
Number of Pages8
Year2024
PublisherOxford University Press
Place of PublicationUnited Kingdom
ISSN1876-3405
1876-3413
Digital Object Identifier (DOI)https://doi.org/10.1093/inthealth/ihae012
Web Address (URL)https://academic.oup.com/inthealth/advance-article/doi/10.1093/inthealth/ihae012/7596725
Abstract

Background
The objective of the current study was to estimate the prevalence and associated factors of overweight/obesity among Bangladeshi adolescents aged 15–19 y and to identify whether wealth-related inequality exists for overweight/obesity among Bangladeshi older adolescents.

Methods
We analyzed publicly available national representative secondary data from the 2019–2020 Bangladesh Adolescent Health and Wellbeing Survey. This cross-sectional survey was carried out among 18 249 adolescents aged 15–19 y regardless of their marital status using a two-stage stratified sampling technique (the data of 9128 eligible adolescents were included in this analysis). The WHO reference population for body mass index-for-age (1+Z score) was considered as overweight/obesity.

Results
We found that girls had significantly (p<0.05) higher prevalence of overweight/obesity (11.63%) than boys (8.25%); however, their biological sex as well their age were not significantly associated with higher odds of overweight/obesity. Those who were in their higher grade (grade 11 and higher) in the school and had been exposed to media were more likely (1.67 and 1.39 times, respectively) to be overweight/obesity compared with primary grade (0–5) and those who experienced no media exposure, respectively. Inequality analysis revealed that adolescents belonging to wealthy households had significantly higher rates of overweight/obesity than those in poorer households (concentration index=0.093).

Conclusions
The study exhibited the multifaceted nature of overweight/obesity among Bangladeshi older teenagers, revealing that their school grade, exposure to media content and wealth-related inequality emerged as significant contributing factors. The findings underscore the urgent need for targeted interventions and public health strategies to address the escalating burden of overweight and obesity in this age group.

KeywordsBMI; inequality; nutrition; school; South Asia
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420699. Public health not elsewhere classified
Byline AffiliationsUniversity of Saskatchewan, Canada
Daffodil International University, Bangladesh
BRAC University, Bangladesh
University of Canterbury, New Zealand
Centre for Health Research
School of Mathematics, Physics and Computing
Spreeha Bangladesh Foundation, Bangladesh
Resident Medical Officer, Bangladesh
Khulna University, Bangladesh
Dalhousie University, Canada
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