Prevalence of undernutrition in Bangladeshi children
Md Sazedur Rahman1, Md Ashfikur Rahman2, Md Maniruzzaman1
1Statistics Discipline, Khulna University, Khulna, Bangladesh.
Insights
Acute undernutrition in Bangladeshi children under five is linked to specific risk factors. Lower birth size and maternal underweight are key determinants of moderate and severe wasting.
Area of Science:
- Public Health
- Pediatrics
- Nutrition Science
Background:
- Child undernutrition remains a critical global health issue, especially in developing nations.
- Acute undernutrition, including wasting, poses significant risks to child development and survival.
Purpose of the Study:
- To identify risk factors associated with acute undernutrition in children under five in Bangladesh.
- To analyze the determinants of moderate and severe wasting in the study population.
Main Methods:
- Utilized data from the 2014 Bangladesh Demographic Health Survey, a nationally representative sample.
- Employed Chi-squared analysis to explore associations between nutrition status and covariates.
- Applied multinomial logistic regression to pinpoint significant risk factors for acute undernutrition.
Main Results:
- Prevalence of severe wasting was 4.6%, moderate wasting 11.1%, and adequate nutrition 84.3%.
- Significant risk factors identified included division of residence, birth size, and maternal Body Mass Index (BMI).
- Specifically, residence in Barisal and Chittagong divisions, smaller-than-average size at birth, and low maternal BMI (≤18.50 kg/m2) were significant predictors.
Conclusions:
- Residence in specific divisions, poor fetal growth, and maternal underweight are critical risk factors for acute undernutrition in Bangladeshi children.
- These findings highlight the need for targeted interventions addressing maternal health and birth outcomes to combat child undernutrition.
Abstract:
Child undernutrition is a major public health problem throughout the world, particularly in developing countries. The main objective of this study was to identify the risk factors for acute undernutrition among under-5 children in Bangladesh. Data were taken from the nationally representative Bangladesh Demographic Health and Survey conducted in 2014. The study sample comprised 7131 under-5 children. Of these, 4.6% were found to be severely wasted (Z-score < -3.0), 11.1% moderately wasted (-3.0≤Z-score < -2.0) and 84.3% adequately nourished (Z-score ≥-2.0). Chi-squared analysis was used to investigate the association between child nutrition status and selected covariates. Multinomial logistic regression was applied to identify the risk factors for acute undernutrition. The selected factors division, place of residence, sex of child, place of delivery, child age, respiratory illness, size at birth, measles vaccination, fever, diarrhoea, maternal BMI, maternal education, paternal occupation, wealth index and household toilet facilities were found to be highly significant (p < 0.05) in the analysis. Multinomial regression analysis revealed that residence in Barisal and Chittagong divisions, a smaller than average size at birth and low maternal BMI (≤18.50 kg/m2) were significant determinants of both moderate and severe acute undernutrition among under-5 children in Bangladesh.
Related Concept Videos
Overview of Protein Metabolism
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
Anorexia Nervosa
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Bulimia Nervosa
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Nature and Nurture
Pharmacokinetics in Pediatric Patients: Drug Distribution


