Assessing the Intergenerational Linkage between Short Maternal Stature and Under-Five Stunting and Wasting in

Wajiha Khatun1, Sabrina Rasheed2, Ashraful Alam3

  • 1Sydney School of Public Health, Edward Ford Building (A27), University of Sydney, Sydney, NSW 2006, Australia. wajiha.khatun@gmail.com.

Nutrients
|August 10, 2019
PubMed

Insights

Short maternal stature significantly increases the risk of undernutrition in children. This study confirms a strong intergenerational link between maternal height and offspring stunting and wasting in Bangladesh.

Area of Science:

  • Public Health
  • Pediatrics
  • Human Nutrition

Background:

  • Short maternal stature is a known risk factor for offspring undernutrition in low and middle-income countries.
  • Evidence linking maternal stature to under-five undernutrition in Bangladesh is limited.

Purpose of the Study:

  • To investigate the association between short maternal stature and offspring stunting and wasting in Bangladesh.
  • To confirm the intergenerational transmission of undernutrition risk related to maternal height.

Main Methods:

  • Pooled analysis of four rounds of Bangladesh Demographic and Health Surveys (2004, 2007, 2011, 2014).
  • Included 28,123 children aged 0-59 months and their mothers.
  • Utilized Modified Poisson Regression for multivariable analysis.

Main Results:

  • Each 1 cm increase in maternal height reduced stunting risk by 4% and wasting risk by 1.4%.
  • Children of short mothers (<145 cm) faced double the risk of stunting and 1.43 times the risk of severe wasting compared to tall mothers (≥155 cm).

Conclusions:

  • A robust intergenerational linkage exists between short maternal stature and offspring stunting and wasting in Bangladesh.
  • Maternal height is a significant predictor of child undernutrition in the Bangladeshi context.

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