Prevalence of Undernutrition and Overweight or Obesity Among the Bengali Muslim Population of West Bengal, India
DOI:
https://doi.org/10.17140/ANTPOJ-3-115Keywords:
Anthropometry, Bengali Muslim, Body mass index (BMI), Overweight or Obesity, Undernutrition, Public health, IndiaAbstract
Background
Poor nutritional conditions, as well as excess adiposity levels, are the major public health problems of developing countries like India.
Objectives
The aim of the present investigation were to assess the prevalence of undernutrition and overweight or obesity and their associations with certain socio-economic and demographic variables.
Subjects and Methods
The present community-based cross-sectional investigation was undertaken among 420 adult Bengali Muslim individuals (males: 182; females: 238) aged 18-59 years and residing in rural areas of Uttar Dinajpur district, West Bengal, India. Anthropometric measurements of height and weight were recorded using standard procedures and Body mass index (BMI= Weight/Height kg/m2) was calculated. Prevalence of undernutrition (BMI<18.50 kg/m2) and overweight or obesity (BMI≥25.00 kg/m2) were determined using World Health Organization (WHO) cut-offs. The statistical analyses of descriptive statistics, ANOVA, chi-square analysis and binary logistic regression (BLR) analysis was performed using SPSS, Inc., Chicago, IL USA; version 17.0.
Results
The overall mean height (164.22 cm vs. 152.65 cm), weight (57.03 kg vs. 48.70 kg) and BMI (21.18 kg/m2 vs. 20.89 kg/m2) were observed to be significantly higher among men than women (p<0.05). The overall prevalence of undernutrition and overweight or obesity were observed to be 22.86% and 12.86%, respectively. The BLR analysis showed associations of lower age group (i.e., 20-29 years) (odds ratio: 1.65) (p<0.05) and occupation (odds ratio: 5.61) (p<0.01) with undernutrition. Overweight or obesity was also observed to be statistically significantly associated with smaller family size (odds ratio: 2.09) (p<0.05).
Conclusion
The present investigation indicates the simultaneous existence of double burden of malnutrition (i.e., both under- and overnutrition) among the Bengali Muslim adults of West Bengal, India. Appropriate intervention programmes are necessary to improve the overall nutritional situation.
References
Subramanian SV, Smith GD. Patterns, distribution, and deter-minants of under- and overnutrition: A population-based study of women in India. Am J Clin Nutr. 2006; 84: 633-640. doi: 10.1093/ ajcn/84.3.633
Subramanian SV, Kawachi I, Smith GD. Income inequality and the double burden of under- and overnutrition in India. J Epidemiol Comm Health. 2007; 61: 802-809. doi: 10.1136/jech.2006.053801
Wang Y, Chen HJ, Shaikh S, Mathur P. Is obesity becoming a public health problem in India. Examine the shift from under- to overnutrition problems over time. Obes Rev. 2009; 10: 456-474. doi: 10.1111/j.1467-789X.2009.00568.x
Sengupta A, Angeli F, Syamala TS, Van Schayck CP, Dagnelie P. State-wise dynamics of the double burden of malnutrition among 15-49 year-old women in India: How much does the scenario change considering Asian population-specific BMI cut-off values. Ecol Food Nutr. 2014; 53: 618-638. doi: 10.1080/03670244.2014.891994
Rengma MS, Sen J, Mondal N. Socio-economic, demographic and lifestyle determinants of overweight and obesity among adults of Northeast India. Ethiop J Health Sci. 2015; 25: 199-208. Original Research | Volume 3 | Number 1| Sen J, et al
Bhutia DT. Protein energy malnutrition in India: The plight of our under five children. J Fam Med Pri Care. 2014; 3: 63-67. doi: 10.4103/2249-4863.130279
Jain S. Food security in India: Problems and prospects. OIDA International Journal of Sustainable Development. 2016; 9: 11-20.
Mishra CP. Malnutrition-free India: Dream or reality. Indian J Pub Health. 2017; 61: 155. doi: 10.4103/ijph.IJPH_217_17
Popkin BM. Nutrition in transition: The changing global nutri-tion challenge. Asia Pac J Clin Nutr. 2001; 10: S13-S18.
Popkin BM. The shift in stages of the nutrition transition in the developing world differs from past experiences!. Pub Health Nutr. 2002; 5: 205-214. doi: 10.1079/PHN2001295
Kapoor SK, Anand K. Nutritional transition: A public health challenge in developing countries; 2002.
Kapil U, Sachdev HP. Urgent need to orient public health re-sponse to rapid nutrition transition. Ind J Comm Med: Off Pub Ind Ass Prev Soc Med. 2012; 37: 207. doi: 10.4103/0970-0218.103465
Mondal N, Timungpi R, Sen J, Bose K. Socio-economic and demographic correlates of overweight and obesity: A study on the Karbi women of Assam, Northeast India. Anthropol Open J. 2017; 2: 31-39. doi: 10.17140/ANTPOJ-2-111
Som S, Pal M, Bharati P. Role of individual and household level factors on stunting: A comparative study in three Indian states. Ann Hum Biol. 2007; 34: 632-646. doi: 10.1080/03014460701671772
Varadharajan KS, Thomas T, Kurpad AV. Poverty and the state of nutrition in India. Asia Pac J Clin Nutr. 2013; 22: 326-339. doi: 10.6133/apjcn.2013.22.3.19
Debnath S, Mondal N, Sen J. Use of upper arm anthropometry, upper arm muscle area-by-height (UAMAH) and midupper-arm-circumference (MUAC)-for-height as indicators of body composi-tion and nutritional status among children. Anthropol Rev. 2017; 80: 85-102. doi: 10.1515/anre-2017-0004
Dudeja V, Misra A, Pandey RM, Devina G, Kumar G, Vikram NK. BMI does not accurately predict overweight in Asian Indi-ans in northern India. Br J Nutr. 2001; 86: 105-112. doi: 10.1079/ BJN2001382
Bhadra MA, Mukhopadhyay A, Bose K. Overweight and obe-sity among adult Bengalee Hindu Women of Kolkata India. Hum Ecol. 2005; 13: 77-83.
Das M, Bose K. Presence of high rates of overweight and obe-sity among adult Marwaris of Howrah, West Bengal, India. Coll Antropol. 2006; 30: 81-86.
Sarkar D, Mondal N, Sen J. Obesity and blood pressure varia-tions among the Bengali Kayastha Population of North Bengal, In-dia. J Life Sci. 2009; 1: 35-43. doi: 10.1080/09751270.2009.11885132
Sen J, Mondal N, Dutta S. Factors affecting overweight and obesity among urban adults: A cross-sectional study. Epidemiol Bio-stat Pub Health. 2013; 10: e8741–1-8. doi: 10.2427/8741
Kulkarni VS, Kulkarni VS, Gaiha R. Double burden of malnu-trition: Re-examining the coexistence of undernutrition and over-weight among Women in India. Int J Health Serv. 2017; 47: 108-133. doi: 10.1177/0020731416664666
Subramanian SV, Corsi DJ, Subramanyam MA, Smith GD. Jumping the gun: The problematic discourse on socioeconomic status and cardiovascular health in India. Int J Epidemiol. 2013; 42: 1410-1426. doi: 10.1093/ije/dyt017
De R, Kundu JK. Nutritional status of adult female tribes in different villages of Jhargram, West Bengal. World J Pharma Pharmac Sci. 2016; 5: 1213-1220.
Mungreiphy NK, Kapoor S. Socioeconomic changes as covari-ates of overweight and obesity among Tangkhul Naga tribal wom-en of Manipur, north-east India. J Biosoc Sci. 2010; 42: 289-305. doi: 10.1017/S0021932009990587
Sen J, Mondal N, Dey S. Assessment of the nutritional status of children aged 5-12 years using upper arm composition. Ann Hum Biol.2011; 38: 752-759. doi: 10.3109/03014460.2011.610358
Das S, Bose K. Nutritional assessment by mid-upper arm cir-cumference of Santal adults of Purulia, West Bengal, India. Coll Antropol. 2012; 36: 581-584.
Patil YP, Shinde RL. Undernutrition among Indian men: A study based on NFHS-3. Am J Mens Health. 2014; 8: 492-502. doi: 10.1177/1557988314525193
Kalaiselvi S, Arjumand Y, Jayalakshmy R, Gomathi R, Pruthu T, Palanivel C. Prevalence of under-nutrition, associated factors and perceived nutritional status among elderly in a rural area of Puducherry, South India. Arch Gerontol Geriatr. 2016; 65: 156-160. doi: 10.1016/j.archger.2016.03.003
Faizi N, Khan Z, Khan IM, Amir A, Azmi SA, Khalique N. A study on nutritional status of school-going adolescents in Aligarh, India.Trop Doct.2017; 47: 212-216. doi: 10.1177/0049475516668985
Shukla HC, Gupta PC, Mehta HC, Hébert JR. Descriptive epidemiology of body mass index of an urban adult population in western India. J Epidemiol Comm Health. 2002; 56: 876-880. doi: 10.1136/jech.56.11.876
Girdhar S, Sharma S, Chaudhary A, Bansal P, Satija M. An epidemiological study of overweight and obesity among women in an Urban Area of North India. Ind J Comm Med. 2016; 41: 154-157. doi: 10.4103/0970-0218.173492
Jaiswal M, Bansal R, Agarwal A. Role of mid-upper arm circum-ference for determining overweight and obesity in children and adolescents. J Clin Diagn Res. 2017; 11: SC05-SC08. doi: 10.7860/ JCDR/2017/27442.10422
Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev. 2012; 70: 3-21. doi: 10.1111/j.1753-4887.2011.00456.x
Ghosh P, Mondal N, Sen J. Evidence of a double burden of malnutrition among Rajbanshi adolescent boys. South Asian An-thropol. 2014; 14: 81-88.
Kshatriya GK, Acharya SK. Gender disparities in the preva-lence of undernutrition and the higher risk among the young wom-en of Indian tribes. PLoS One. 2016; 11: e0158308. doi: 10.1371/ journal.pone.0158308
World Health Organization (WHO). Physical Status: The use and interpretation of anthropometry. Technical Report Series No. 854. Geneva: World Health Organization; 1995.
Khongsdier R. Body mass index and morbidity in adult males of the War Khasi in Northeast India. Eur J Clin Nutr. 2002; 56: 484. doi: 10.1038/sj.ejcn.1601281
Rao KM, Kumar RH, Venkaiah K, Brahmam GNV. Nutri-tional status of saharia – A primitive tribe of Rajasthan. J Hum Ecol. 2006; 19: 117-123.
Bharati S, Pal M, Bhattacharya BM, Bharati P. Prevalence and causes of chronic energy deficiency and obesity in Indian women. Hum Biol. 2007; 79: 395-412. doi: 10.1353/hub.2007.0048
Griffiths PL, Bentley ME. The nutrition transition is underway in India. Nutr. 2001; 131: 2692-2700. doi: 10.1093/jn/131.10.2692
Bose K, Chakraborty F, Bisai S, Khatun A, Bauri H. Body mass index and nutritional status of adult Savartribals of Keonjhar District, Orissa, India. Asia Pac J Pub Health. 2006; 18: 3-7. doi: 10.1177/10105395060180030201
Bose K, Ganguli S, Mamtaz H, Mukhopadhyay A, Bhadra M. High prevalence of undernutrition among adult Kora Mudi tribals of Bankura District, West Bengal, India. Anthro Sci. 2006; 114: 65- 68. doi: 10.1537/ase.050306
Datta Banik S. Nutritional status adiposity and body com-position of Oraon and Sarak females in Ranchi District, India--a comparison. Ecol Food Nutr. 2011; 50: 43-62. doi: 10.1080/03670244.2011.539160
Bose K, Chakraborty F. Anthropometric characteristics and nutritional status based on body mass index of adult Bathudis: A tribal population of Keonjhar District, Orissa, India. Asia Pac J Clin Nutr. 2005; 14: 80-82.
Gouda J, Prusty RK. Overweight and obesity among women by economic stratum in urban India. J Health Pop Nutr. 2014; 32: 79-88.
Banik SD, Ghosh M, Bose K. Anthropometric and body frame size characteristics in relation to body mass index and percentage body fat among adult Bengalee male brick-kiln workers from Mur-shidabad, West Bengal, India. Anthropol Anz. 2016; 73: 313-321. doi: 10.1127/anthranz/2016/0644
Sudar A. Body fatness and its social and lifestyle determinants in young working males from Cracow, Poland. J Biosoc Sci. 2009; 41: 139-154. doi: 10.1017/S0021932008002873
Garg C, Khan SA, Ansari SH, Garg M. Prevalence of obesity in Indian women. Obesity Rev.2010; 11: 105-108. doi: 10.1111/j.1467- 789X.2009.00666.x
Kar NB, Ghosh BN. Education and Socio-economic Margin-alization of Muslim Women: A case study of North 24-Parganas District in West Bengal. Bangladesh e-J Soc. 2017; 14.
Das Chaudhuri AB, Basu S, Chakraborty S. Twinning rate in the Muslim population of West Bengal. Acta Genet Med Gemellol (Roma).1993; 42: 35-39. doi: 10.1017/S0515283600042268
Lwanga SK, Lemeshow S. Sample size determination in health studies: A Practical Manual. Geneva: World Health Organization; 1991.
Touitou Y, Portaluppi F, Smolensky MH, Rensing L. Ethical principles and standards for the conduct of human and animal biological rhythm research. Chronobiol Int. 2004; 21: 161-170. doi: 10.1081/CBI-120030045
Hall J, Allanson J, Gripp K, Slavotinek A. Handbook of Physical Measurements. New York, USA: Oxford University Press; 2007.
Harris EF, Smith RN. Accounting for measurement error: A critical but often overlooked process. Arch Oral Biol. 2009; 54: S107-S117. doi: 10.1016/j.archoralbio.2008.04.010
Ulijaszek SJ, Kerr DA. Anthropometric measurement error and the assessment of nutritional status. Brit J Nutr. 1999; 82: 165- 177. doi: 10.1017/S0007114599001348
Mishra D, Singh HP. Kuppuswami’s socio-economic status scale – A revision. Ind J Pediatr. 2003; 70: 273-274. doi: 10.1007/ s12098-016-2223-y
Kumar N, Shekhar C, Kumar P, Kundu AS. Kuppuswamy’s socioeconomic status scale-updating for 2007. Ind J Pediatr. 2007; 74: 1131-1132.
Bhurosy T, Jeewon R. Overweight and obesity epidemic in de-veloping countries: A problem with diet, physical activity, or so-cioeconomic status?. Sci World J. 2014. doi: 10.1155/2014/964236 Original Research | Volume 3 | Number 1| Sen J, et al
Jésus P, Maëlenn G, Sophie P, et al. Undernutrition and obesity among elderly people living in two cities of developing countries: Prevalence and associated factors in the EDAC study. Clin Nutr ESPEN. 2017; 21: 40-50. doi: 10.1016/j.clnesp.2017.05.007
Tremmel M, Gerdtham UG, Nilsson PM, Saha S. Economic burden of obesity: A systematic literature review. Int J Environ Res Pub Health. 2017; 14: 435. doi: 10.3390/ijerph14040435
Biernat E, Tomaszewski P. Association of socio-econom-ic and demographic factors with physical activity of males and females aged 20-69 years. Ann Agri Env Med. 2015; 22. doi: 10.5604/12321966.1141380
Bagordo F, De Donno A, Grassi T, et al. Lifestyles and socio-cultural factors among children aged 6-8 years from five Italian towns: The MAPEC_LIFE study cohort. BMC Pub Health. 2017; 17: 233. doi: 10.1186/s12889-017-4142-x
Nienaber-Rousseau C, Sotunde OF, Ukegbu PO, et al. So-cio-demographic and lifestyle factors predict 5-year changes in adi-posity among a group of black South African adults. Int J Env Res Pub Health. 2017; 14: 1089. doi: 10.3390/ijerph14091089
Ramachandran N. Persisting Under-nutrition in India. India: Sprin-ger; 2014.
Gogoi G, Sengupta S. Body Mass Index among the Dibongi-ya Deoris of Assam, India. J Hum Ecol. 2002; 13: 271-273. doi: 10.1080/09709274.2002.11905544
Tigga PL, Sen J, Mondal N. Association of some socio-eco-nomic and socio-demographic variables with wasting among pre-school children of North Bengal, India. Ethiop J Health Sci. 2015; 25: 63-72.
Singh KD, Alagarajan M, Ladusingh L. What explains child malnutrition of indigenous people of northeast india? PLoS One. 2015; 10: e0130567. doi: 10.1371/journal.pone.0130567
Bharali N, Mondal N, Singh KN. Prevalence of undernutrition. overweight and obesity among. Hum Biol Rev. 2017; 6: 63-78.
Khongsdier R. Body mass index of adult males in 12 populations of Northeast India. Ann Hum Biol. 2001; 28: 374-383. doi: 10.1080/03014460010004610
Datta Banik S, Bhattacharjee P, Das S, et al. Sexual dimorphism in health and nutritional status of three communities of Darjeeling District in West Bengal and comparison with some other populations of eastern India: An anthropometric appraisal. J Life Sci. 2009; 1: 27-34. doi: 10.1080/09751270.2009.11885131
Datta Banik S, Bose K, Bisai S, Bhattacharya M, Das S, Jana A, Purkait P. Undernutrition among adult Dhimals of Naxalbari, West Bengal: Comparison with other tribes of eastern India. Food Nutr Bull. 2007; 28: 348-352. doi: 10.1177/156482650702800311
Masoodi SR, Wani AA, Wani AI, Bashir MI, Laway BA, Zargar AH. Prevalence of overweight and obesity in young adults aged 20-40 years in North India (Kashmir Valley). Diabetes Res Clin Pract. 2010; 87: e4-e6. doi: 10.1016/j.diabres.2009.11.004
Sen J, Roy A, Mondal N. Association of maternal nutritional status, body composition and socio-economic variables with low birth weight in India. J Trop Paediatr. 2009; 56: 254-259. doi: 10.1093/tropej/fmp102
Venkatramanan S, Marquis GS, Haas JD. Ethnicity and Submit your article to this journal | https://openventio.org/submit-manuscript/ socioeconomic factors are associated with poor nutritional status in female tea plantation workers from rural India. FASEB J. 2017; 31: 637-639. doi: 10.1096/fasebj.31.1_supplement.639.37
National Nutrition Monitoring Bureau (NNMB). Diet and nutritional status of population and prevalence of hypertension amongst adults in rural areas. Nat Nutr Monitor Bureau Tech Report No: 24. 2007.
Mishra CP. Malnutrition-free India: Dream or reality. Indian J Pub Health. 2017; 61: 155. doi: 10.4103/ijph.IJPH_217_17
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
All content published in Anthropology is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.