Abstract
… Due to transformation in nutritional status, along with epidemiological and sociodemographic changes in developing countries like Pakistan, obesity and underweight coexistin our community. Date about coexistence of obesity (body mass index, BMI ≥ 30kg/m2) andunderweight (BMI ≥ 18.5 kg/m2) and related factors are lacking in this region of our province.This study will help us to relate different sociodemographic factors with obesity and underweight.Objective: To know the prevalence of obesity and underweight by body mass index (BMI) andto investigate the association of obesity and underweight with selected health conditions andsocioeconomic differences in this group. Study Design: Observational retrospective crosssectionalstudy. Material & Methods: The record of 1656 individual presented in medical OPDor Independent University Hospital Marzi Pura Faisalabad, during the period of 4 months Mar2013 to June 2013 was analysed. Age, Sex, Body Weight and height were enter in a structureformat sheet. Date was analysed by SPSS Version17. Results: Mean BMI was 24.0 kg/m2 (SD= 6.2), and was higher for women and decreased with age. Prevalence of obesity was 19.6%and was positively associated with female gender, family income, hypertension, and diabetesand inversely related to physical activity. Underweight affected 15.6% of participants mainly ofage group < 25 years and in elderly people, and was higher among women and low-incomefamilies. It was negatively associated with hypertension and diabetes and directly associatedwith Mycobacterium tuberculosis infection and ≥ 2 hospitalizations in the previous 12 months.Conclusions: Both obesity and underweight were associated with increased morbidity. Theassociation of underweight with Mycobacterium tuberculosis infection, increased hospitalization,and low family income may reflect illness-related weight loss in all age groups especially <25years due to poor care in younger by family and social deprivation of elderly in this community.Aging in poverty may lead to an increase in nutritional deficiencies and health-related problemsamong the elderly.
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