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Predicting under- and overnutrition among women of reproductive age: a population-based study in central Java, Indonesia

Published online by Cambridge University Press:  02 January 2007

Anna Winkvist ,
Detty Siti Nurdiati ,
Hans Stenlund  and
Mohammad Hakimi
Anna Winkvist*
Affiliation:
Department of Public Health and Clinical Medicine, Epidemiology, Umeå University, S-90185, Umeå, Sweden
Detty Siti Nurdiati
Affiliation:
Department of Public Health and Clinical Medicine, Epidemiology, Umeå University, S-90185, Umeå, Sweden Department of Obstetrics and Gynaecology, Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia
Hans Stenlund
Affiliation:
Department of Public Health and Clinical Medicine, Epidemiology, Umeå University, S-90185, Umeå, Sweden
Mohammad Hakimi
Affiliation:
Department of Obstetrics and Gynaecology, Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia Community Health and Nutrition Research Laboratory, Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia
*
*Corresponding author: Email anna.winkvist@epiph.umu.se
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Abstract

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Objectives

To evaluate changes over 1 year in weight and body mass index (BMI) among a population-based sample of non-pregnant women in Indonesia and to identify risk factors for developing under- and overnutrition.

Design

Cross-sectional studies in 1996 and 1997 in the same population.

Setting

Purworejo District, central Java, Indonesia.

Subjects

Non-pregnant women (n = 4132) aged 15–49 years of age who participated in both 1996 and 1997. Based on BMI, women were classified as having chronic energy deficiency (CED), and as being either of normal weight or obese.

Results

The mean height of the women was below the fifth percentile of international standards. In 1996, 16.2% had CED, 72.2% were normal and 11.6% were obese. In 1997, the corresponding figures were 14.4%, 71.2% and 14.3%, respectively, revealing a significant mean increase in weight and BMI. Among women classified as normal in 1996, 3.0% developed CED in 1997. Significant risk factors for developing CED were experiences of child deaths and non-use of contraceptives. Among women classified as normal in 1996, 5.3% developed obesity in 1997. Here, significant risk factors included most indicators of wealth as well as occupation.

Conclusions

The results should be important for future efforts to prevent CED and obesity in the general population; conditions which are both associated with health risks.

Keywords

Nutritional statusIndonesiaWomenChronic energy deficiencyObesity
Type
Research Article
Information
Public Health Nutrition , Volume 3 , Issue 2 , June 2000 , pp. 193 - 200
Copyright
Copyright © CABI Publishing 2000

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