Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016

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RESEARCH ARTICLE

Open Access

Trends and determinants of underweight and overweight/obesity among urban Ethiopian women from 2000 to 2016 Kedir Y. Ahmed1,2* , Solomon Abrha3, Andrew Page1, Amit Arora1,4,5,6, Solomon Shiferaw7, Fentaw Tadese8, Canaan Negash Seifu9, Tebikew Yeneabat10, Emana Alemu11, Delelegn Yilma Gebremichael12, Abdulaziz Seiko13 and Felix Akpojene Ogbo1,14

Abstract Background: Nutritional, epidemiological and demographic transitions have been associated with the emergence of the double burden of malnutrition globally. In Ethiopia, there has been no nationally representative investigation of trends and determinants of both underweight and overweight/obesity among urban women. This study examined the trends and determinants of underweight and overweight/obesity in urban Ethiopian women from 2000 to 2016. Methods: Trends in the prevalence of underweight and overweight/obesity were investigated based on a series of the Ethiopia Demographic and Health Survey (EDHS) data for the years 2000 (n = 2559), 2005 (n = 1112), 2011 (n = 3569), and 2016 (n = 3106). Multivariable multinomial logistic regression was used to investigate the association between socioeconomic, demographic, behavioural, and community-level factors with underweight and overweight/obesity. Results: The prevalence of underweight in urban Ethiopian women reduced significantly from 23.2% (95% confidence interval [CI]: 20.3, 26.3%) in 2000 to 14.8% (95% CI: 13.1, 16.7%) in 2016, while overweight/obesity increased significantly from 10.9% (95% CI: 9.1, 13.0%) in 2000 to 21.4% (95% CI: 18.2, 25.1%) in 2016. Urban women from rich households and those who had never married were less likely to be underweight. Urban women who were from wealthy households and those who attained at least secondary education were more likely to be overweight/obese. Women who were informally employed and listened to the radio were less likely to be overweight/obese compared to those who were unemployed and did not listen to the radio, respectively. Conclusion: The prevalence of overweight/obesity increased from 2000 to 2016, with a concurrent reduction in the prevalence of underweight. Interventions aiming to reduce overweight and obesity should target urban women with higher education, those who resided in wealthier households and those who watched the television. Keywords: Double burden of malnutrition, Underweight, Overweight, Obesity, Urban women, Ethiopia

* Correspondence: [email protected] 1 Translational Health Research Institute, Western Sydney University, Campbelltown Campus, Campbelltown, Sydney, NSW, Australia 2 College of Medicine and Health Sciences, Samara University, Samara-Logia, Ethiopia Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) an