FACTORS AFFECTING ON OBESITY AND UNDERWEIGHT WITH OUTCOME AMONG PEOPLE LIVING IN THE VICINITY OF MARZIPURA, FAISALABAD

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Abstract

… Due to transformation in nutritional status, along with epidemiological and socio
demographic changes in developing countries like Pakistan, obesity and underweight coexist
in our community. Date about coexistence of obesity (body mass index, BMI ≥ 30kg/m2
) and
underweight (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) and
to investigate the association of obesity and underweight with selected health conditions and
socioeconomic differences in this group. Study Design: Observational retrospective crosssectional
study. Material & Methods: The record of 1656 individual presented in medical OPD
or Independent University Hospital Marzi Pura Faisalabad, during the period of 4 months Mar
2013 to June 2013 was analysed. Age, Sex, Body Weight and height were enter in a structure
format 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 diabetes
and inversely related to physical activity. Underweight affected 15.6% of participants mainly of
age group < 25 years and in elderly people, and was higher among women and low-income
families. It was negatively associated with hypertension and diabetes and directly associated
with Mycobacterium tuberculosis infection and ≥ 2 hospitalizations in the previous 12 months.
Conclusions: Both obesity and underweight were associated with increased morbidity. The
association of underweight with Mycobacterium tuberculosis infection, increased hospitalization,
and low family income may reflect illness-related weight loss in all age groups especially <25
years 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 problems
among the elderly.