High prevalence of overweight/obesity and central obesity among women in a rural district of Nepal in 2012–2013: a population-based study

BackgroundThe prevalence of overweight is rapidly escalating, especially in South-Asia. We aimed to estimate the prevalence of overweight/obesity and central obesity, and associated risk factors among women in a rural setting of Nepal.MethodsA cross-sectional study addressing reproductive health and...

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Main Authors: Chandra Yogal, Astrid Kamilla Stunes, Sunila Shakya, Biraj Karmarcharya, Rajendra Koju, Mats P. Mosti, Miriam K. Gustafsson, Bjørn Olav Åsvold, Berit Schei, Unni Syversen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1455940/full
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author Chandra Yogal
Chandra Yogal
Astrid Kamilla Stunes
Astrid Kamilla Stunes
Sunila Shakya
Biraj Karmarcharya
Rajendra Koju
Mats P. Mosti
Mats P. Mosti
Miriam K. Gustafsson
Miriam K. Gustafsson
Bjørn Olav Åsvold
Bjørn Olav Åsvold
Berit Schei
Unni Syversen
Unni Syversen
author_facet Chandra Yogal
Chandra Yogal
Astrid Kamilla Stunes
Astrid Kamilla Stunes
Sunila Shakya
Biraj Karmarcharya
Rajendra Koju
Mats P. Mosti
Mats P. Mosti
Miriam K. Gustafsson
Miriam K. Gustafsson
Bjørn Olav Åsvold
Bjørn Olav Åsvold
Berit Schei
Unni Syversen
Unni Syversen
author_sort Chandra Yogal
collection DOAJ
description BackgroundThe prevalence of overweight is rapidly escalating, especially in South-Asia. We aimed to estimate the prevalence of overweight/obesity and central obesity, and associated risk factors among women in a rural setting of Nepal.MethodsA cross-sectional study addressing reproductive health and non-communicable diseases (NCDs) was conducted 2012–2013 in a rural district of Nepal. Married, non-pregnant women ≥15 years of age were included. Height, weight, and waist circumference (WC) were measured, and body mass index (BMI) calculated. WHO cut-offs for Asians were used to assess the prevalence of overweight (23.0–27.4 kg/m2), obesity (≥ 27.5 kg/m2) and central obesity (WC ≥ 80 cm). Data concerning socioeconomic and lifestyle factors were collected.ResultsAltogether, 1,391 women 43.1 ± 14.4 years of age were included. The majority belonged to the Adhivasi/Janajati ethnicity, were uneducated and worked in agriculture. Altogether, 30.5% were overweight, 12.0% obese, and 34.2% centrally obese; 25.7% were both overweight/obese and centrally obese. Underweight (< 18.5 kg/m2) was observed in 9.6%. Among women with normal weight or underweight, 14.9 and 15.3% had central obesity, respectively. Hypertension was observed in 13.4% and was associated with both overweight/obesity and central obesity. Instant noodle intake ≥2 times weekly was associated with increased prevalence of central obesity and overweight/obesity.ConclusionWe observed a high prevalence of overweight/obesity and central obesity among women in a rural district of Nepal, which entails an increased risk of metabolic complications and NCDs. Our findings underscore the need for public health programs addressing nutritional patterns and physical activity to prevent obesity.
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spelling doaj-art-a7147e62867b40dc8c75215ea4b6bfed2025-02-06T07:09:02ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-02-011310.3389/fpubh.2025.14559401455940High prevalence of overweight/obesity and central obesity among women in a rural district of Nepal in 2012–2013: a population-based studyChandra Yogal0Chandra Yogal1Astrid Kamilla Stunes2Astrid Kamilla Stunes3Sunila Shakya4Biraj Karmarcharya5Rajendra Koju6Mats P. Mosti7Mats P. Mosti8Miriam K. Gustafsson9Miriam K. Gustafsson10Bjørn Olav Åsvold11Bjørn Olav Åsvold12Berit Schei13Unni Syversen14Unni Syversen15Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Community Program, Kathmandu University School of Medical Science, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, NepalDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, Trondheim, NorwayCenter for Oral Health Services and Research, Mid-Norway (TkMidt), Trondheim, NorwayDepartment of Gynecology and Obstetrics, Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, NepalDepartment of Community Program, Kathmandu University School of Medical Science, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, NepalDepartment of Internal Medicine, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, NepalDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Research and Development, Clinic of Substance Use and Addiction Medicine, St. Olavs University Hospital, Trondheim, NorwayDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, Trondheim, NorwayRegional Education Center, Helse Midt-Norge, Trondheim, NorwayHUNT Center for Molecular and Clinical Epidemiology, Department of Public Health and Nursing, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Endocrinology, Clinic of Medicine, St. Olavs University Hospital, Trondheim, Norway0Department of Public Health and Nursing, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Endocrinology, Clinic of Medicine, St. Olavs University Hospital, Trondheim, NorwayBackgroundThe prevalence of overweight is rapidly escalating, especially in South-Asia. We aimed to estimate the prevalence of overweight/obesity and central obesity, and associated risk factors among women in a rural setting of Nepal.MethodsA cross-sectional study addressing reproductive health and non-communicable diseases (NCDs) was conducted 2012–2013 in a rural district of Nepal. Married, non-pregnant women ≥15 years of age were included. Height, weight, and waist circumference (WC) were measured, and body mass index (BMI) calculated. WHO cut-offs for Asians were used to assess the prevalence of overweight (23.0–27.4 kg/m2), obesity (≥ 27.5 kg/m2) and central obesity (WC ≥ 80 cm). Data concerning socioeconomic and lifestyle factors were collected.ResultsAltogether, 1,391 women 43.1 ± 14.4 years of age were included. The majority belonged to the Adhivasi/Janajati ethnicity, were uneducated and worked in agriculture. Altogether, 30.5% were overweight, 12.0% obese, and 34.2% centrally obese; 25.7% were both overweight/obese and centrally obese. Underweight (< 18.5 kg/m2) was observed in 9.6%. Among women with normal weight or underweight, 14.9 and 15.3% had central obesity, respectively. Hypertension was observed in 13.4% and was associated with both overweight/obesity and central obesity. Instant noodle intake ≥2 times weekly was associated with increased prevalence of central obesity and overweight/obesity.ConclusionWe observed a high prevalence of overweight/obesity and central obesity among women in a rural district of Nepal, which entails an increased risk of metabolic complications and NCDs. Our findings underscore the need for public health programs addressing nutritional patterns and physical activity to prevent obesity.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1455940/fulloverweight/obesitycentral obesityinstant noodlesmilk intakewomenrural Nepal
spellingShingle Chandra Yogal
Chandra Yogal
Astrid Kamilla Stunes
Astrid Kamilla Stunes
Sunila Shakya
Biraj Karmarcharya
Rajendra Koju
Mats P. Mosti
Mats P. Mosti
Miriam K. Gustafsson
Miriam K. Gustafsson
Bjørn Olav Åsvold
Bjørn Olav Åsvold
Berit Schei
Unni Syversen
Unni Syversen
High prevalence of overweight/obesity and central obesity among women in a rural district of Nepal in 2012–2013: a population-based study
Frontiers in Public Health
overweight/obesity
central obesity
instant noodles
milk intake
women
rural Nepal
title High prevalence of overweight/obesity and central obesity among women in a rural district of Nepal in 2012–2013: a population-based study
title_full High prevalence of overweight/obesity and central obesity among women in a rural district of Nepal in 2012–2013: a population-based study
title_fullStr High prevalence of overweight/obesity and central obesity among women in a rural district of Nepal in 2012–2013: a population-based study
title_full_unstemmed High prevalence of overweight/obesity and central obesity among women in a rural district of Nepal in 2012–2013: a population-based study
title_short High prevalence of overweight/obesity and central obesity among women in a rural district of Nepal in 2012–2013: a population-based study
title_sort high prevalence of overweight obesity and central obesity among women in a rural district of nepal in 2012 2013 a population based study
topic overweight/obesity
central obesity
instant noodles
milk intake
women
rural Nepal
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1455940/full
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