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Association of General and Central Obesity with Health Literacy Among Adults in Southern Bangladesh

Received: 23 September 2025     Accepted: 10 October 2025     Published: 12 November 2025
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Abstract

Background: Obesity is a growing public health concern globally, contributing to multiple chronic diseases. Health literacy, defined as the ability to understand and apply health information, influences dietary and lifestyle behaviors, and may affect obesity outcomes. This study investigates the association between general obesity (BMI), central obesity (waist circumference), and health literacy among adults in southern Bangladesh. Methods: A cross-sectional study was conducted among 323 adults (162 males, 161 females) aged 18-65 years. Anthropometric measurements (BMI and WC) and the EU Health Literacy Score (HLS-EU) were collected. Data were analyzed using SPSS v28, including descriptive statistics, t-tests, and Pearson correlations. Results: Mean BMI was 25.1 ± 4.0 kg/m2, mean WC 86.2 ± 9.3 cm, and mean health literacy score 30.2 ± 8.1. Prevalence of overweight and obesity was 38% and 22%, respectively. BMI and WC positively correlated with age (r = 0.32, 0.29; p < 0.01) and negatively with health literacy (BMI: r = -0.21; WC: r = -0.18; p < 0.05). Conclusion: Both general and central obesity are prevalent among adults in southern Bangladesh, and lower health literacy is associated with higher obesity measures. Interventions targeting health literacy may improve obesity prevention and management.

Published in International Journal of Nutrition and Food Sciences (Volume 14, Issue 6)
DOI 10.11648/j.ijnfs.20251406.12
Page(s) 378-382
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

General Obesity, Central Obesity, BMI, Waist Circumference, Health Literacy, Bangladesh

References
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[2] Misra, A., Singhal, N., Sivakumar, B., et al. (2021). Obesity in South Asians: Phenotype, risk, and prevention. Nutrition, 85, 111125.
[3] Haque, M., et al. (2020). Prevalence of overweight and obesity among urban adults in Bangladesh. BMC Public Health, 20, 1234.
[4] Sørensen, K., Van den Broucke, S., Pelikan, J. M., et al. (2015). Health literacy in Europe: Comparative results of the European Health Literacy Survey (HLS-EU). European Journal of Public Health, 25(6), 1053-1058.
[5] Popkin, B. M., Adair, L. S., & Ng, S. W. (2012). Global nutrition transition and the pandemic of obesity in developing countries. Nutrition Reviews, 70(1), 3-21.
[6] Ng, M., Fleming, T., Robinson, M., et al. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis. The Lancet, 384(9945), 766-781.
[7] Misra, A., & Khurana, L. (2008). Obesity and the metabolic syndrome in developing countries. The Journal of Clinical Endocrinology & Metabolism, 93(11 Suppl 1), S9-S30.
[8] Lee, C. M., Huxley, R. R., Wildman, R. P., & Woodward, M. (2008). Indices of abdominal obesity are better discriminators of cardiovascular risk factors than BMI: a meta-analysis. Journal of Clinical Epidemiology, 61(7), 646-653.
[9] World Health Organization (2000). Obesity: Preventing and managing the global epidemic. Report of a WHO consultation. WHO Technical Report Series, 894.
[10] Lear, S. A., Humphries, K. H., Kohli, S., et al. (2007). Visceral adipose tissue accumulation differs according to ethnic background: results of the Multicultural Community Health Assessment Trial (M-CHAT). American Journal of Clinical Nutrition, 86(2), 353-359.
[11] Fatema, K., Hossain, S. M., & Siddiquee, T. (2017). Obesity, abdominal obesity and associated factors among Bangladeshi adults: findings from STEPS survey 2013. BMC Public Health, 17, 443.
[12] Al-Sendi, A. M., Shetty, P., & Musaiger, A. O. (2003). Obesity among Bahraini adolescents: prevalence and correlates. Public Health Nutrition, 6(2), 143-149.
[13] Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267.
[14] Abdullah, A., Peeters, A., de Courten, M., & Stoelwinder, J. (2010). The magnitude of association between overweight and obesity and diabetes in adults: a meta-analysis of prospective cohort studies. Diabetes Research and Clinical Practice, 89(3), 309-319.
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  • APA Style

    Akter, S., Azhar, B. S., Islam, M. S., Alam, S., Hasan, M. H. (2025). Association of General and Central Obesity with Health Literacy Among Adults in Southern Bangladesh. International Journal of Nutrition and Food Sciences, 14(6), 378-382. https://doi.org/10.11648/j.ijnfs.20251406.12

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    ACS Style

    Akter, S.; Azhar, B. S.; Islam, M. S.; Alam, S.; Hasan, M. H. Association of General and Central Obesity with Health Literacy Among Adults in Southern Bangladesh. Int. J. Nutr. Food Sci. 2025, 14(6), 378-382. doi: 10.11648/j.ijnfs.20251406.12

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    AMA Style

    Akter S, Azhar BS, Islam MS, Alam S, Hasan MH. Association of General and Central Obesity with Health Literacy Among Adults in Southern Bangladesh. Int J Nutr Food Sci. 2025;14(6):378-382. doi: 10.11648/j.ijnfs.20251406.12

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  • @article{10.11648/j.ijnfs.20251406.12,
      author = {Shammy Akter and Bably Sabina Azhar and Md. Sohanur Islam and Sadia Alam and Md. Hasibul Hasan},
      title = {Association of General and Central Obesity with Health Literacy Among Adults in Southern Bangladesh
    },
      journal = {International Journal of Nutrition and Food Sciences},
      volume = {14},
      number = {6},
      pages = {378-382},
      doi = {10.11648/j.ijnfs.20251406.12},
      url = {https://doi.org/10.11648/j.ijnfs.20251406.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnfs.20251406.12},
      abstract = {Background: Obesity is a growing public health concern globally, contributing to multiple chronic diseases. Health literacy, defined as the ability to understand and apply health information, influences dietary and lifestyle behaviors, and may affect obesity outcomes. This study investigates the association between general obesity (BMI), central obesity (waist circumference), and health literacy among adults in southern Bangladesh. Methods: A cross-sectional study was conducted among 323 adults (162 males, 161 females) aged 18-65 years. Anthropometric measurements (BMI and WC) and the EU Health Literacy Score (HLS-EU) were collected. Data were analyzed using SPSS v28, including descriptive statistics, t-tests, and Pearson correlations. Results: Mean BMI was 25.1 ± 4.0 kg/m2, mean WC 86.2 ± 9.3 cm, and mean health literacy score 30.2 ± 8.1. Prevalence of overweight and obesity was 38% and 22%, respectively. BMI and WC positively correlated with age (r = 0.32, 0.29; p < 0.01) and negatively with health literacy (BMI: r = -0.21; WC: r = -0.18; p < 0.05). Conclusion: Both general and central obesity are prevalent among adults in southern Bangladesh, and lower health literacy is associated with higher obesity measures. Interventions targeting health literacy may improve obesity prevention and management.
    },
     year = {2025}
    }
    

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  • TY  - JOUR
    T1  - Association of General and Central Obesity with Health Literacy Among Adults in Southern Bangladesh
    
    AU  - Shammy Akter
    AU  - Bably Sabina Azhar
    AU  - Md. Sohanur Islam
    AU  - Sadia Alam
    AU  - Md. Hasibul Hasan
    Y1  - 2025/11/12
    PY  - 2025
    N1  - https://doi.org/10.11648/j.ijnfs.20251406.12
    DO  - 10.11648/j.ijnfs.20251406.12
    T2  - International Journal of Nutrition and Food Sciences
    JF  - International Journal of Nutrition and Food Sciences
    JO  - International Journal of Nutrition and Food Sciences
    SP  - 378
    EP  - 382
    PB  - Science Publishing Group
    SN  - 2327-2716
    UR  - https://doi.org/10.11648/j.ijnfs.20251406.12
    AB  - Background: Obesity is a growing public health concern globally, contributing to multiple chronic diseases. Health literacy, defined as the ability to understand and apply health information, influences dietary and lifestyle behaviors, and may affect obesity outcomes. This study investigates the association between general obesity (BMI), central obesity (waist circumference), and health literacy among adults in southern Bangladesh. Methods: A cross-sectional study was conducted among 323 adults (162 males, 161 females) aged 18-65 years. Anthropometric measurements (BMI and WC) and the EU Health Literacy Score (HLS-EU) were collected. Data were analyzed using SPSS v28, including descriptive statistics, t-tests, and Pearson correlations. Results: Mean BMI was 25.1 ± 4.0 kg/m2, mean WC 86.2 ± 9.3 cm, and mean health literacy score 30.2 ± 8.1. Prevalence of overweight and obesity was 38% and 22%, respectively. BMI and WC positively correlated with age (r = 0.32, 0.29; p < 0.01) and negatively with health literacy (BMI: r = -0.21; WC: r = -0.18; p < 0.05). Conclusion: Both general and central obesity are prevalent among adults in southern Bangladesh, and lower health literacy is associated with higher obesity measures. Interventions targeting health literacy may improve obesity prevention and management.
    
    VL  - 14
    IS  - 6
    ER  - 

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Author Information
  • Department of Applied Nutrition and Food Technology, Islamic University, Bangladesh

  • Department of Applied Nutrition and Food Technology, Islamic University, Bangladesh

  • Department of Applied Nutrition and Food Technology, Islamic University, Bangladesh

  • Department of Applied Nutrition and Food Technology, Islamic University, Bangladesh

  • Department of Applied Nutrition and Food Technology, Islamic University, Bangladesh

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