Epidemiology of undernutrition in adults in Dhaka slum households, Bangladesh

Pryer, Jane; Rogers, Stephen

doi:10.1038/sj.ejcn.1602385

Cited by 41 publications

(40 citation statements)

References 8 publications

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“…Starvation may also add to sarcopenia [29]. This scenario is not common in high-income countries, while in many low-income countries poor nutritional status is often associated with poverty [30], which prevents the individual from obtaining sufficient nutrition.…”

Section: Discussionmentioning

confidence: 99%

Nutritional status and self-reported and performance-based evaluation of physical function of elderly persons in rural Bangladesh

Ferdous

Cederholm

Razzaque

et al. 2009

Scand J Public Health

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Aim: To investigate the impact of nutritional status on self-reported as well as performance-based indicators of physical function in a rural elderly population in Bangladesh. Methods: A cross-sectional study conducted in Matlab, Bangladesh, included 457 randomly selected community-living elderly persons aged 60 years or more (60-92 years; 69 AE 7 years). Mobility, activities of daily living (ADL), performance tests, handgrip strength, the Mini Nutritional Assessment (MNA) and a structured questionnaire were used to assess physical function, nutritional status, socioeconomic status and health status, respectively. Descriptive and linear hierarchical regression analyses were applied. Results: Seven per cent of the participants reported limitations in mobility, and 8% reported limitations in ADL. However, more than half of the participants had difficulties in performing one or more items in the performance tests. According to the MNA, 26% of the participants were undernourished and 62% were at risk of malnutrition. More undernourished participants than well-nourished participants reported limited mobility, impaired ADL and difficulties in the performance tests. A corresponding reduction in grip strength was observed in the undernourished group. Accordingly, higher MNA scores, indicating better nutritional status, were significantly associated with higher mobility index, higher ADL index, higher performance tests index, and higher scores in handgrip strength. These associations remained after adjusting for demographic, socioeconomic and health status differences. Conclusions: Good nutritional status is important for the physical function of elderly people, even after controlling for possible confounders. Performance tests indicated a higher degree of functional impairment than that observed by self-reported estimation.

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Section: Discussionmentioning

confidence: 99%

Nutritional status and self-reported and performance-based evaluation of physical function of elderly persons in rural Bangladesh

Ferdous

Cederholm

Razzaque

et al. 2009

Scand J Public Health

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“…Early research in Khulna highlighted the large numbers of work days work lost due to ill health (Pryer 1993), and a 2009 survey of the urban poor in 19 municipalities found nearly 60 percent of respondents reporting water and sanitation-related disease in the three months prior to survey (LCG 2010 Health-related shocks dominate income shock, resulting in catastrophic health expenditures that undermine household livelihoods and assets (Begum and Sen skipping meals, particularly among women -also hampers their ability to meet nutritional needs. More than half of adults in Dhaka's bustees display a low body mass index (BMI), highlighting the severity of adult malnourishment, and this is particularly severe among adult women (Pryer and Rogers 2006). 85 'Recently' is measured by falling sick in the 14 days prior to the survey.…”

Section: Healthmentioning

confidence: 99%

Urban Poverty in Bangladesh: Causes, Consequences and Coping Strategies

Banks

2012

SSRN Journal

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BWPI Working Paper 178Creating and sharing knowledge to help end poverty www.manchester.ac.uk/ overty in Bangladesh: causes, strategies 8Creating and sharing knowledge to help end poverty www.manchester.ac.uk/bwpi 2 AbstractBustees are places where physical, social, economic and political vulnerabilities collide, creating a multi-layered blanket of vulnerability for their residents. Although income is central to day-to-day survival in an urban environment in which cash income is needed to meet a household's basic needs, work options are limited to low-paid and irregular work, primarily dependent on physical labour. This forces households to rely upon loans and labour mobilisation strategies to get by. Unsanitary, poorly serviced, and densely populated environmentsfrequently situated in environmentally hazardous areas -mean ill health is both endemic and chronic, playing a routine and devastating role in the lives of the urban poor. The repercussions of resource scarcity at the household level are compounded by the social and political exclusion of the poor from urban governance structures and processes. Amidst a lack of formal institutional support, and in the absence of formal rights and entitlements, the process of facilitating and maintaining patron-client relationships is a central coping strategy for the urban poor. It is a means of trying to manage uncertainty and improve their access to resources. For the majority, however, these strategies are limited to helping households to cope, rather than advancing their interests. Informal systems of governance at the bustee level reproduce and exacerbate existing inequalities, with access to power, information, resources, employment and other lucrative income-generating opportunities limited to a close circle of wellconnected bustee households.

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“…[8] The prevalence of Chronic Energy Deficiency (CED) measured through BMI is generally considered a good indicator of not only the nutritional status but also the poor demographic, socio-economic and environmental conditions of the population, especially adult population of developing countries. [9][10][11][12][13][14][15] Hitherto, majority of studies on body composition from India have been restricted to nontribal populations. [16] There is urgent need to evaluate the nutritional status of various tribes of India.…”

Section: Introductionmentioning

confidence: 99%

Body Mass Index and Chronic Energy Deficiency among Adults of Tharu Population, Uttarakhand, India

Mukherjee

Alam

Rawat

2015

Int Jour of Biomed Res

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Objectives: A cross-sectional study was conducted to evaluate the nutritional profile and nutritional status based on BMI of adult Tharu, a tribal population of Uttarakhand, India. Methods: A total of 176 adult (aged > 18 years) Tharus of four villages of Udham Singh Nagar District, Uttarakhand, India, were studied. Height, weight has been taken as anthropometric measurements and BMI was calculated to ascertain nutritional status. Results: Overall, the extent of under-nutrition (BMI < 18.5) was found to be moderately high (22.2%) especially among old aged individuals. Moreover, there was a significant difference in the prevalence of undernutrition between males (26.2%) and females (18.9%). Conclusion: It is suggested that some immediate nutritional intervention programmes are needed for implementation among Tharu community of Uttarakhand, especially among old age individuals.

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Epidemiology of undernutrition in adults in Dhaka slum households, Bangladesh

Cited by 41 publications

References 8 publications

Nutritional status and self-reported and performance-based evaluation of physical function of elderly persons in rural Bangladesh

Nutritional status and self-reported and performance-based evaluation of physical function of elderly persons in rural Bangladesh

Urban Poverty in Bangladesh: Causes, Consequences and Coping Strategies

Body Mass Index and Chronic Energy Deficiency among Adults of Tharu Population, Uttarakhand, India

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