Determinants of age-specific undernutrition in children aged less than 2 years-the Bangladesh context

Nuzhat Choudhury, Mohammad Jyoti Raihan, Sabiha Sultana, Zeba Mahmud, Fahmida Dil Farzana, Md Ahshanul Haque, Ahmed Shafiqur Rahman, Jillian L. Waid, Ahmed Mushtaque Raza Chowdhury, Robert E Black, Tahmeed Ahmed

Research output: Contribution to journalArticle

Abstract

Globally, undernutrition affects nearly half of all children aged less than 5 years. It is more prominent in low- and middle-income countries. Around 34% of the Bangladesh's child population aged less than 2 years are stunted, around 15% are wasted, and around 28% are underweight. This study aimed to identify the age-specific risk factors for different categories of undernutrition among Bangladeshi children aged less than 2 years. Data of 10,291 children aged less than 2 years were collected between October 2011 to November 2013 through the Food Security Nutritional Surveillance Project in Bangladesh. Simple logistic regression established bivariate relationships between the categories of undernutrition and the relevant risk factors. Multiple logistic regression constructed the age-specific regression models depicting the independent association and effect size of the risk factors contributing to the various categories of undernutrition among study population. Stunting was prevalent among 30.9% of the study children, whereas 9.7% were wasted and 24.9% were underweight. Being a male child, increase in age, maternal body mass index and education, and household food insecurity were the strongest predictors for all categories of undernutrition in terms of effect size. Our study shows that the different categories of childhood undernutrition have different age-specific risk factors. Maternal body mass index and household food insecurity were the common age-specific risk factors for all categories of undernutrition. We expect our findings to enhance the existing evidence base for the risk factors of undernutrition among children aged less than 2 years.

Original languageEnglish (US)
JournalMaternal and Child Nutrition
DOIs
StateAccepted/In press - 2016

Fingerprint

Bangladesh
Malnutrition
Food Supply
Thinness
Body Mass Index
Logistic Models
Growth Disorders
Maternal Age
Population
Mothers
Education

Keywords

  • Bangladesh
  • Food insecurity
  • Stunting
  • Undernutrition
  • Underweight
  • Wasting

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Nutrition and Dietetics
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health

Cite this

Choudhury, N., Raihan, M. J., Sultana, S., Mahmud, Z., Farzana, F. D., Haque, M. A., ... Ahmed, T. (Accepted/In press). Determinants of age-specific undernutrition in children aged less than 2 years-the Bangladesh context. Maternal and Child Nutrition. https://doi.org/10.1111/mcn.12362

Determinants of age-specific undernutrition in children aged less than 2 years-the Bangladesh context. / Choudhury, Nuzhat; Raihan, Mohammad Jyoti; Sultana, Sabiha; Mahmud, Zeba; Farzana, Fahmida Dil; Haque, Md Ahshanul; Rahman, Ahmed Shafiqur; Waid, Jillian L.; Chowdhury, Ahmed Mushtaque Raza; Black, Robert E; Ahmed, Tahmeed.

In: Maternal and Child Nutrition, 2016.

Research output: Contribution to journalArticle

Choudhury, N, Raihan, MJ, Sultana, S, Mahmud, Z, Farzana, FD, Haque, MA, Rahman, AS, Waid, JL, Chowdhury, AMR, Black, RE & Ahmed, T 2016, 'Determinants of age-specific undernutrition in children aged less than 2 years-the Bangladesh context', Maternal and Child Nutrition. https://doi.org/10.1111/mcn.12362
Choudhury, Nuzhat ; Raihan, Mohammad Jyoti ; Sultana, Sabiha ; Mahmud, Zeba ; Farzana, Fahmida Dil ; Haque, Md Ahshanul ; Rahman, Ahmed Shafiqur ; Waid, Jillian L. ; Chowdhury, Ahmed Mushtaque Raza ; Black, Robert E ; Ahmed, Tahmeed. / Determinants of age-specific undernutrition in children aged less than 2 years-the Bangladesh context. In: Maternal and Child Nutrition. 2016.
@article{ec27e45472d64f34ac1cdaa299de69c6,
title = "Determinants of age-specific undernutrition in children aged less than 2 years-the Bangladesh context",
abstract = "Globally, undernutrition affects nearly half of all children aged less than 5 years. It is more prominent in low- and middle-income countries. Around 34{\%} of the Bangladesh's child population aged less than 2 years are stunted, around 15{\%} are wasted, and around 28{\%} are underweight. This study aimed to identify the age-specific risk factors for different categories of undernutrition among Bangladeshi children aged less than 2 years. Data of 10,291 children aged less than 2 years were collected between October 2011 to November 2013 through the Food Security Nutritional Surveillance Project in Bangladesh. Simple logistic regression established bivariate relationships between the categories of undernutrition and the relevant risk factors. Multiple logistic regression constructed the age-specific regression models depicting the independent association and effect size of the risk factors contributing to the various categories of undernutrition among study population. Stunting was prevalent among 30.9{\%} of the study children, whereas 9.7{\%} were wasted and 24.9{\%} were underweight. Being a male child, increase in age, maternal body mass index and education, and household food insecurity were the strongest predictors for all categories of undernutrition in terms of effect size. Our study shows that the different categories of childhood undernutrition have different age-specific risk factors. Maternal body mass index and household food insecurity were the common age-specific risk factors for all categories of undernutrition. We expect our findings to enhance the existing evidence base for the risk factors of undernutrition among children aged less than 2 years.",
keywords = "Bangladesh, Food insecurity, Stunting, Undernutrition, Underweight, Wasting",
author = "Nuzhat Choudhury and Raihan, {Mohammad Jyoti} and Sabiha Sultana and Zeba Mahmud and Farzana, {Fahmida Dil} and Haque, {Md Ahshanul} and Rahman, {Ahmed Shafiqur} and Waid, {Jillian L.} and Chowdhury, {Ahmed Mushtaque Raza} and Black, {Robert E} and Tahmeed Ahmed",
year = "2016",
doi = "10.1111/mcn.12362",
language = "English (US)",
journal = "Maternal and Child Nutrition",
issn = "1740-8695",
publisher = "Wiley-Blackwell",

}

TY - JOUR

T1 - Determinants of age-specific undernutrition in children aged less than 2 years-the Bangladesh context

AU - Choudhury, Nuzhat

AU - Raihan, Mohammad Jyoti

AU - Sultana, Sabiha

AU - Mahmud, Zeba

AU - Farzana, Fahmida Dil

AU - Haque, Md Ahshanul

AU - Rahman, Ahmed Shafiqur

AU - Waid, Jillian L.

AU - Chowdhury, Ahmed Mushtaque Raza

AU - Black, Robert E

AU - Ahmed, Tahmeed

PY - 2016

Y1 - 2016

N2 - Globally, undernutrition affects nearly half of all children aged less than 5 years. It is more prominent in low- and middle-income countries. Around 34% of the Bangladesh's child population aged less than 2 years are stunted, around 15% are wasted, and around 28% are underweight. This study aimed to identify the age-specific risk factors for different categories of undernutrition among Bangladeshi children aged less than 2 years. Data of 10,291 children aged less than 2 years were collected between October 2011 to November 2013 through the Food Security Nutritional Surveillance Project in Bangladesh. Simple logistic regression established bivariate relationships between the categories of undernutrition and the relevant risk factors. Multiple logistic regression constructed the age-specific regression models depicting the independent association and effect size of the risk factors contributing to the various categories of undernutrition among study population. Stunting was prevalent among 30.9% of the study children, whereas 9.7% were wasted and 24.9% were underweight. Being a male child, increase in age, maternal body mass index and education, and household food insecurity were the strongest predictors for all categories of undernutrition in terms of effect size. Our study shows that the different categories of childhood undernutrition have different age-specific risk factors. Maternal body mass index and household food insecurity were the common age-specific risk factors for all categories of undernutrition. We expect our findings to enhance the existing evidence base for the risk factors of undernutrition among children aged less than 2 years.

AB - Globally, undernutrition affects nearly half of all children aged less than 5 years. It is more prominent in low- and middle-income countries. Around 34% of the Bangladesh's child population aged less than 2 years are stunted, around 15% are wasted, and around 28% are underweight. This study aimed to identify the age-specific risk factors for different categories of undernutrition among Bangladeshi children aged less than 2 years. Data of 10,291 children aged less than 2 years were collected between October 2011 to November 2013 through the Food Security Nutritional Surveillance Project in Bangladesh. Simple logistic regression established bivariate relationships between the categories of undernutrition and the relevant risk factors. Multiple logistic regression constructed the age-specific regression models depicting the independent association and effect size of the risk factors contributing to the various categories of undernutrition among study population. Stunting was prevalent among 30.9% of the study children, whereas 9.7% were wasted and 24.9% were underweight. Being a male child, increase in age, maternal body mass index and education, and household food insecurity were the strongest predictors for all categories of undernutrition in terms of effect size. Our study shows that the different categories of childhood undernutrition have different age-specific risk factors. Maternal body mass index and household food insecurity were the common age-specific risk factors for all categories of undernutrition. We expect our findings to enhance the existing evidence base for the risk factors of undernutrition among children aged less than 2 years.

KW - Bangladesh

KW - Food insecurity

KW - Stunting

KW - Undernutrition

KW - Underweight

KW - Wasting

UR - http://www.scopus.com/inward/record.url?scp=84995467498&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84995467498&partnerID=8YFLogxK

U2 - 10.1111/mcn.12362

DO - 10.1111/mcn.12362

M3 - Article

C2 - 27731545

AN - SCOPUS:84995467498

JO - Maternal and Child Nutrition

JF - Maternal and Child Nutrition

SN - 1740-8695

ER -