Urban–rural differentials in overweight and obese individuals with diarrhea in Bangladesh

Das, Sumon Kumar, Chisti, Mohammod Jobayer, Malek, Mohammad Abdul, Vanderlee, Lana, Salam, Mohammed Abdus, Ahmed, Tahmeed, Bardhan, Pradip Kumar, Faruque, Abu Syed Golam and Mamun, Abdullah Al (2014) Urban–rural differentials in overweight and obese individuals with diarrhea in Bangladesh. Journal of the American College of Nutrition, 33 6: 459-465. doi:10.1080/07315724.2013.875412

Author Das, Sumon Kumar
Chisti, Mohammod Jobayer
Malek, Mohammad Abdul
Vanderlee, Lana
Salam, Mohammed Abdus
Ahmed, Tahmeed
Bardhan, Pradip Kumar
Faruque, Abu Syed Golam
Mamun, Abdullah Al
Title Urban–rural differentials in overweight and obese individuals with diarrhea in Bangladesh
Journal name Journal of the American College of Nutrition   Check publisher's open access policy
ISSN 1541-1087
Publication date 2014-01-01
Year available 2014
Sub-type Article (original research)
DOI 10.1080/07315724.2013.875412
Volume 33
Issue 6
Start page 459
End page 465
Total pages 7
Place of publication Clearwater, FL, United States
Publisher American College of Nutrition
Language eng
Formatted abstract
Objective: The study aimed to determine urban and rural differences in overweight and obesity (OO) with diarrhea regarding subjects’ sociodemographic, clinical characteristics, etiology, and antimicrobial susceptibility.

Methods: Relevant information from 2000 to 2011 were extracted from the data archive of the Diarrheal Disease Surveillance System of urban Dhaka (1248, 4.5%) and rural Matlab (615, 3.4%) hospitals of the International Centre for Diarrheal Disease Research, Bangladesh (icddr,b).

Results: The proportion of OO significantly increased in both urban (3–7%; chi-square for trend p < 0.001) and rural (1–6%; p < 0.001) areas over the study period. In multivariate modeling, monthly income more than US$100 (odds ratio [OR] = 54.44, 95% confidence interval [CI], 25.37–116.82, p < 0.001), high wealth quintile (OR = 18.23, 95% CI, 8.63–38.49, p < 0.001), access to sanitary toilet (OR = 3.07. 95% CI. 1.76–5.26. p < 0.001), boiled drinking water (OR = 2.77, 95% CI, 1.09–7.05, p = 0.032), antimicrobial use before hospitalization (OR = 4.99, 95% CI, 2.85–8.74, p < 0.001), fever (OR = 0.14, 95% CI, 0.37, 0.50, p < 0.001), watery stools (OR = 5.59, 95% CI, 2.11–14.80, p < 0.001), dehydrating diarrhea (OR = 5.17, 95% CI, 2.54–10.52, p < 0.001), intravenous saline infusion after hospitalization (OR = 2.65, 95% CI, 1.28–5.49, p = 0.009), and Salmonella infection (OR = 0.20, 95% CI, 0.50–0.83, p = 0.027) remained significantly associated with urban OO individuals. At least 88% of Shigella isolates were susceptible to ciprofloxacin in both urban and rural areas; for mecillinum it was 90%. Ciprofloxacin had the least detected resistance for Vibrio cholerae (0%) and trimethoprim-sulfamethoxazole (TMP-SMX) showed the greatest resistance (Dhaka 86%; Matlab 98%). Susceptibility for Salmonella showed ampicillin (95%), chloramphenecol (100%), ciprofloxacin (95%), ceftraxone (93%), TMP-SMX (95%) at both sites.

Conclusion: Urban OO with diarrheal illnesses was significantly different from that in rural areas, including antimicrobial susceptibility.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
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