@article {621751,
	title = {Underweight among rural Indian adults: burden, and predictors of incidence and recovery.},
	journal = {Public Health Nutrition},
	volume = {21},
	number = {4},
	year = {2018},
	pages = {669-678},
	abstract = {
	OBJECTIVE:



	To study the magnitude and predictors of underweight, incident underweight and recovery from underweight among rural Indian adults.



	DESIGN:



	Prospective cohort study. Each participant{\textquoteright}s BMI was measured in 2008 and 2012 and categorized as underweight (BMI\&lt;18{\textperiodcentered}5 kg/m2), normal (BMI=18{\textperiodcentered}5-22{\textperiodcentered}9 kg/m2) or overweight/obese (BMI >=23{\textperiodcentered}0 kg/m2). Incident underweight was defined as a transition from normal weight or overweight/obese in 2008 to underweight in 2012, and recovery from underweight as a transition from underweight in 2008 to normal weight in 2012. Bivariate and multivariable logistic regression analyses were employed.



	SETTING:



	The Birbhum Health and Demographic Surveillance System, West Bengal, India.



	SUBJECTS:



	Predominantly rural individuals (n 6732) aged >=18 years enrolled in 2008 were followed up in 2012.



	RESULTS:



	In 2008, the prevalence of underweight was 46{\textperiodcentered}5 \%. From 2008 to 2012, 25{\textperiodcentered}8 \% of underweight persons transitioned to normal BMI, 12{\textperiodcentered}9 \% of normal-weight persons became underweight and 0{\textperiodcentered}1 \% of overweight/obese persons became underweight. Multivariable models reveal that people aged 25-49 years, educated and wealthier people, and non-smokers had lower odds of underweight in 2008 and lower odds of incident underweight. Odds of recovery from underweight were lower among people aged >=36 years and higher among educated (Grade 6 or higher) individuals.



	CONCLUSIONS:



	The current study highlights a high incidence of underweight and important risk factors and modifiable predictors of underweight in rural India, which may inform the design of local nutrition interventions.

},
	url = {https://www.cambridge.org/core/journals/public-health-nutrition/article/underweight-among-rural-indian-adults-burden-and-predictors-of-incidence-and-recovery/1988B84C71586B1A68E9FCDE8C3D4708},
	author = {Rajesh K. Rai and Wafaie W. Fawzi and Sabri Bromage and Anamitra Barik and Abhijit Chowdhury}
}
