Determinants of overweight/obesity among reproductive age group women in Ethiopia: multilevel analysis of Ethiopian demographic and health survey

Objective Overweight/obesity among women is associated with an increased risk of gestational diabetes, pre-eclampsia, postpartum haemorrhage, low birth weight, congenital malformation and neonatal deaths. Although the magnitude of overweight and obesity among the reproductive age group women is a co...

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Main Authors: Yigizie Yeshaw, Sewnet Adem Kebede, Alemneh Mekuriaw Liyew, Getayeneh Antehunegn Tesema, Chilot Desta Agegnehu, Achamyeleh Birhanu Teshale, Adugnaw Zeleke Alem
Format: Article
Language:English
Published: BMJ Publishing Group 2020-03-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/3/e034963.full
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author Yigizie Yeshaw
Sewnet Adem Kebede
Alemneh Mekuriaw Liyew
Getayeneh Antehunegn Tesema
Chilot Desta Agegnehu
Achamyeleh Birhanu Teshale
Adugnaw Zeleke Alem
author_facet Yigizie Yeshaw
Sewnet Adem Kebede
Alemneh Mekuriaw Liyew
Getayeneh Antehunegn Tesema
Chilot Desta Agegnehu
Achamyeleh Birhanu Teshale
Adugnaw Zeleke Alem
author_sort Yigizie Yeshaw
collection DOAJ
description Objective Overweight/obesity among women is associated with an increased risk of gestational diabetes, pre-eclampsia, postpartum haemorrhage, low birth weight, congenital malformation and neonatal deaths. Although the magnitude of overweight and obesity among the reproductive age group women is a common problem in Ethiopia, there are limited studies that determine the associated factors of overweight and obesity at the national level. Therefore, this study aimed to identify the determinant factors of overweight/obesity among reproductive age group women in Ethiopia.Design Cross-sectional study design.Setting Ethiopia.Participants Non-pregnant women aged 15–49 years.Primary outcome Overweight/obesity.Methods The present study used the Ethiopia Demographic Health Survey (EDHS) data for 2016. A total of 10 938 non-pregnant reproductive age group women were included in the analysis. Both bivariable and multivariable multilevel logistic regression were performed to determine the determinants of overweight and obesity among women in Ethiopia. The OR with a 95% CI was estimated for potential determinants included in the final model.Results Those women with secondary education (adjusted OR (AOR)=1.48, 1.01, 2.18), higher education (AOR=1.78, 1.13, 2.81), richer (AOR=1.85, 1.15, 2.98) and richest wealth index (AOR=3.23, 1.98, 5.29), urban residence (AOR=4.46, 2.89, 6.87), married (AOR=1.79, 1.21, 2.64), widowed (AOR=2.42, 1.41, 4.15), divorced (AOR=1.84, 1.13, 3.00), aged 25–34 years (AOR=2.04, 1.43, 2.89), 35–44 years (AOR=2.79, 1.99, 3.93) and 45–49 years (AOR=2.62, 1.54, 4.45) had higher odds of developing overweight and obesity.Conclusion Women with higher education level, high wealth status, older age, formerly married and those urban dwellers had higher odds of overweight and obesity. Therefore, regular physical activity, reducing consumption of fat/energy-dense food as well as modifying the mode of transportation is recommended.
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spelling doaj-art-2544c5b51cd642e6acba4ae6c6a1e4ba2024-12-06T16:05:10ZengBMJ Publishing GroupBMJ Open2044-60552020-03-0110310.1136/bmjopen-2019-034963Determinants of overweight/obesity among reproductive age group women in Ethiopia: multilevel analysis of Ethiopian demographic and health surveyYigizie Yeshaw0Sewnet Adem Kebede1Alemneh Mekuriaw Liyew2Getayeneh Antehunegn Tesema3Chilot Desta Agegnehu4Achamyeleh Birhanu Teshale5Adugnaw Zeleke Alem6Department of Physiology, School of Medicine, College of Medicine and Health sciences, comprehensive specialized hospital, University of Gondar, Gondar, EthiopiaEpidemiology and Biostatistics, University of Gondar College of Medicine and Health Sciences, Gondar, EthiopiaDepartment of Epidemiology and Biostatistics, Institute of Public Health College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaEpidemiology and Biostatistics, University of Gondar College of Medicine and Health Sciences, Gondar, EthiopiaSchool of Nursing, College of medicine and health scienes and comprehensive specailized hospital, Unievrsity of Gondar, Gondar, EthiopiaEpidemiology and Biostatistics, University of Gondar College of Medicine and Health Sciences, Gondar, EthiopiaEpidemiology and Biostatistics, University of Gondar College of Medicine and Health Sciences, Gondar, EthiopiaObjective Overweight/obesity among women is associated with an increased risk of gestational diabetes, pre-eclampsia, postpartum haemorrhage, low birth weight, congenital malformation and neonatal deaths. Although the magnitude of overweight and obesity among the reproductive age group women is a common problem in Ethiopia, there are limited studies that determine the associated factors of overweight and obesity at the national level. Therefore, this study aimed to identify the determinant factors of overweight/obesity among reproductive age group women in Ethiopia.Design Cross-sectional study design.Setting Ethiopia.Participants Non-pregnant women aged 15–49 years.Primary outcome Overweight/obesity.Methods The present study used the Ethiopia Demographic Health Survey (EDHS) data for 2016. A total of 10 938 non-pregnant reproductive age group women were included in the analysis. Both bivariable and multivariable multilevel logistic regression were performed to determine the determinants of overweight and obesity among women in Ethiopia. The OR with a 95% CI was estimated for potential determinants included in the final model.Results Those women with secondary education (adjusted OR (AOR)=1.48, 1.01, 2.18), higher education (AOR=1.78, 1.13, 2.81), richer (AOR=1.85, 1.15, 2.98) and richest wealth index (AOR=3.23, 1.98, 5.29), urban residence (AOR=4.46, 2.89, 6.87), married (AOR=1.79, 1.21, 2.64), widowed (AOR=2.42, 1.41, 4.15), divorced (AOR=1.84, 1.13, 3.00), aged 25–34 years (AOR=2.04, 1.43, 2.89), 35–44 years (AOR=2.79, 1.99, 3.93) and 45–49 years (AOR=2.62, 1.54, 4.45) had higher odds of developing overweight and obesity.Conclusion Women with higher education level, high wealth status, older age, formerly married and those urban dwellers had higher odds of overweight and obesity. Therefore, regular physical activity, reducing consumption of fat/energy-dense food as well as modifying the mode of transportation is recommended.https://bmjopen.bmj.com/content/10/3/e034963.full
spellingShingle Yigizie Yeshaw
Sewnet Adem Kebede
Alemneh Mekuriaw Liyew
Getayeneh Antehunegn Tesema
Chilot Desta Agegnehu
Achamyeleh Birhanu Teshale
Adugnaw Zeleke Alem
Determinants of overweight/obesity among reproductive age group women in Ethiopia: multilevel analysis of Ethiopian demographic and health survey
BMJ Open
title Determinants of overweight/obesity among reproductive age group women in Ethiopia: multilevel analysis of Ethiopian demographic and health survey
title_full Determinants of overweight/obesity among reproductive age group women in Ethiopia: multilevel analysis of Ethiopian demographic and health survey
title_fullStr Determinants of overweight/obesity among reproductive age group women in Ethiopia: multilevel analysis of Ethiopian demographic and health survey
title_full_unstemmed Determinants of overweight/obesity among reproductive age group women in Ethiopia: multilevel analysis of Ethiopian demographic and health survey
title_short Determinants of overweight/obesity among reproductive age group women in Ethiopia: multilevel analysis of Ethiopian demographic and health survey
title_sort determinants of overweight obesity among reproductive age group women in ethiopia multilevel analysis of ethiopian demographic and health survey
url https://bmjopen.bmj.com/content/10/3/e034963.full
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