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Double Burden of Malnutrition among Chinese Women of Reproductive Age and Their Social Determinants

This study aimed to examine the impact of a wide range of demographic, socioeconomic, and community factors on the double burden of malnutrition among women of reproductive age using longitudinal data. We used data about 11,348 women of reproductive age who participated in the China Health and Nutri...

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Autores principales: Song, Jingqi, Zhang, Ji, Fawzi, Wafaie, Huang, Yangmu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7601850/
https://www.ncbi.nlm.nih.gov/pubmed/33053638
http://dx.doi.org/10.3390/nu12103102
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author Song, Jingqi
Zhang, Ji
Fawzi, Wafaie
Huang, Yangmu
author_facet Song, Jingqi
Zhang, Ji
Fawzi, Wafaie
Huang, Yangmu
author_sort Song, Jingqi
collection PubMed
description This study aimed to examine the impact of a wide range of demographic, socioeconomic, and community factors on the double burden of malnutrition among women of reproductive age using longitudinal data. We used data about 11,348 women of reproductive age who participated in the China Health and Nutrition Survey (CHNS), a longitudinal survey, between 1989 and 2015. Nutritional outcomes were categorized into four groups, namely underweight, normal weight, overweight, and obesity, with normal weight as reference. A multinomial logit model was fitted due to geographic clustering and repeated observations of individuals. The prevalence of underweight decreased over time from 1991 but has tended to rise again since 2004, while the prevalence of overweight/obesity continued to rise between 1991 and 2015. Improved individual factors, socioeconomic status, and community urbanization reduced the risk of underweight but elevated the risk of overweight and obesity. The medium levels, rather than the highest levels, of household income and community urbanization are associated with a higher risk of overweight and obesity. The notable increase in underweight prevalence is a cause for concern to be addressed along with efforts to curb the rising tide of overweight. In order to enhance the nutritional status of women of reproductive age, it is essential to improving the community environment, levels of education, and living environment from a wider context. Long-term and targeted plans are urgently needed for nutrition improvements among the different populations.
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spelling pubmed-76018502020-11-01 Double Burden of Malnutrition among Chinese Women of Reproductive Age and Their Social Determinants Song, Jingqi Zhang, Ji Fawzi, Wafaie Huang, Yangmu Nutrients Article This study aimed to examine the impact of a wide range of demographic, socioeconomic, and community factors on the double burden of malnutrition among women of reproductive age using longitudinal data. We used data about 11,348 women of reproductive age who participated in the China Health and Nutrition Survey (CHNS), a longitudinal survey, between 1989 and 2015. Nutritional outcomes were categorized into four groups, namely underweight, normal weight, overweight, and obesity, with normal weight as reference. A multinomial logit model was fitted due to geographic clustering and repeated observations of individuals. The prevalence of underweight decreased over time from 1991 but has tended to rise again since 2004, while the prevalence of overweight/obesity continued to rise between 1991 and 2015. Improved individual factors, socioeconomic status, and community urbanization reduced the risk of underweight but elevated the risk of overweight and obesity. The medium levels, rather than the highest levels, of household income and community urbanization are associated with a higher risk of overweight and obesity. The notable increase in underweight prevalence is a cause for concern to be addressed along with efforts to curb the rising tide of overweight. In order to enhance the nutritional status of women of reproductive age, it is essential to improving the community environment, levels of education, and living environment from a wider context. Long-term and targeted plans are urgently needed for nutrition improvements among the different populations. MDPI 2020-10-12 /pmc/articles/PMC7601850/ /pubmed/33053638 http://dx.doi.org/10.3390/nu12103102 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Song, Jingqi
Zhang, Ji
Fawzi, Wafaie
Huang, Yangmu
Double Burden of Malnutrition among Chinese Women of Reproductive Age and Their Social Determinants
title Double Burden of Malnutrition among Chinese Women of Reproductive Age and Their Social Determinants
title_full Double Burden of Malnutrition among Chinese Women of Reproductive Age and Their Social Determinants
title_fullStr Double Burden of Malnutrition among Chinese Women of Reproductive Age and Their Social Determinants
title_full_unstemmed Double Burden of Malnutrition among Chinese Women of Reproductive Age and Their Social Determinants
title_short Double Burden of Malnutrition among Chinese Women of Reproductive Age and Their Social Determinants
title_sort double burden of malnutrition among chinese women of reproductive age and their social determinants
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7601850/
https://www.ncbi.nlm.nih.gov/pubmed/33053638
http://dx.doi.org/10.3390/nu12103102
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