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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.
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.
Abstract:
Short maternal stature is identified as a strong predictor of offspring undernutrition in low and middle-income countries. However, there is limited information to confirm an intergenerational link between maternal and under-five undernutrition in Bangladesh. Therefore, this study aimed to assess the association between short maternal stature and offspring stunting and wasting in Bangladesh. For analysis, this study pooled the data from four rounds of Bangladesh Demographic and Health Surveys (BDHS) 2004, 2007, 2011, and 2014 that included about 28,123 singleton children aged 0-59 months born to mothers aged 15-49 years. Data on sociodemographic factors, birth history, and anthropometry were analyzed using STATA 14.2 to perform a multivariable model using 'Modified Poisson Regression' with step-wise backward elimination procedures. In an adjusted model, every 1 cm increase in maternal height significantly reduced the risk of stunting (relative risks (RR) = 0.960; 95% confidence interval (CI): 0.957, 0.962) and wasting (RR = 0.986; 95% CI: 0.980, 0.992). The children of the short statured mothers (<145 cm) had about two times greater risk of stunting and three times the risk of severe stunting, 1.28 times the risk of wasting, and 1.43 times the risk of severe wasting (RR = 1.43; 95% CI: 1.11, 1.83) than the tall mothers (≥155 cm). These findings confirmed a robust intergenerational linkage between short maternal stature and offspring stunting and wasting in Bangladesh.
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