Published November 28, 2025 | Version v1

A CROSS-SECTIONAL STUDY ON DETERMINANTS OF DOUBLE BURDEN OF MALNUTRITION AMONG WOMEN FROM DEVELOPING COUNTRIES OF SOUTH ASIA

  • 1. 1. Consultant OBGYN Al Abeer Medical Centre, Riyadh, Saudi Arabia.
  • 2. 2. Consultant OBGYN, Bolan Medical Complex Hospital, Quetta, Pakistan.
  • 3. 3. Consultant OBGYN, Dallah Hospital Namar, Riyadh, Saudi Arabia.
  • 4. 4. Consultant, Al-Iman General Hospital, Riyadh, Saudi Arabia.
  • 5. 5. Student, Al-Faisal University, Riyadh, Saudi Arabia.
  • 6. 6. Consultant OBGYN, Farooq Hospital, DHA/ National Hospital, DHA, Lahore, Pakistan.
  • 7. 7. Consultant ICU, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
  • 8. 8. Nutritionist, Allama Iqbal Open University, Islamabad, Pakistan.

Description

Background: This study aimed to explore sociodemographic factors affecting double burden of malnutrition (DBM) in Pakistani, Bengali, and Nepali women.

Methods: This cross-sectional study covers a total of 22,623 women from Nepal, Pakistan, and Bangladesh. Data were drawn from most recent Demographic and Health Survey (DHS) data sets. Frequencies, percentages, and multinomial logistic regression were conducted in SPSS version 22.

Results: Prevalence of overweight and obesity was much higher than undernutrition in all these countries. Most of Pakistani women had >3 children ever born. Chi-square tests and multinomial regression showed that increasing age, urban residence, higher education, better wealth status, >3 children, owning a mobile, and watching TV were associated with increased BMI in all countries, while reverse was true for undernutrition.

Conclusion: The findings of this study show that overweight/obesity among South Asian women has continuously increased over time and exceeds the frequency of underweight. Determinants of both undernutrition and over-nutrition were womens age, education, urban city, wealth, number of offspring, and use of media.

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