TY - JOUR
T1 - Factors associated with moderate wasting among marginalized 6 to 23-month aged children in Bangladesh
T2 - Findings of the Suchana program baseline survey data
AU - Raihan, Mohammad Jyoti
AU - Choudhury, Nuzhat
AU - Haque, Md Ahshanul
AU - Farzana, Fahmida Dil
AU - Ali, Mohammad
AU - Tanvir Ahmed, S. M.
AU - Rahman, Sheikh Shahed
AU - Faruque, A. S.G.
AU - Ahmed, Tahmeed
N1 - Publisher Copyright:
© 2020 Raihan et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2020/8
Y1 - 2020/8
N2 - Suchana—a large-scale, 7-year nutrition program that started in 2015—is being implemented in 250,000 households in the marginalized segment in north-east Bangladesh, with the aim of improving childhood nutrition status. Untreated childhood moderate wasting may develop to severe wasting, which is associated with a 10-fold higher risk of mortality compared to children of normal weight relative to height/length. Identifying the diverse, age-specific risk factors for moderate wasting may help such programs to formulate tailored interventions to prevent and treat childhood malnutrition in rural communities. The objective of this study was to identify the age-specific factors associated with moderate wasting among 6–23-month-old children in beneficiary households. Cross-sectional data on 4,400 children was collected through systematic sampling between November 2016 and February 2017 using the Suchana beneficiary list. In total, 8.1% of 6–11 month-olds and 10.3% of 12–23 month-olds suffered moderate wasting; 12–23-month-olds had a 1.3-fold higher risk of moderate wasting than 6–11-month-olds. Our results of logistic regression models suggest that larger household size, higher maternal body mass index (BMI), and maternal food consumption status more than usual during the recent pregnancy were associated with a reduced risk of moderate wasting among 6–11-month-olds. Higher maternal BMI, normal maternal food consumption status during last pregnancy, being female and maternal knowledge on diarrheal management, were associated with a reduced risk of moderate wasting among 12–23-month-olds. In conclusion, beyond maternal BMI and maternal food consumption status during the last pregnancy, the factors associated with moderate wasting among 6–23-month-olds in the poorest households in Bangladesh are age-specific.
AB - Suchana—a large-scale, 7-year nutrition program that started in 2015—is being implemented in 250,000 households in the marginalized segment in north-east Bangladesh, with the aim of improving childhood nutrition status. Untreated childhood moderate wasting may develop to severe wasting, which is associated with a 10-fold higher risk of mortality compared to children of normal weight relative to height/length. Identifying the diverse, age-specific risk factors for moderate wasting may help such programs to formulate tailored interventions to prevent and treat childhood malnutrition in rural communities. The objective of this study was to identify the age-specific factors associated with moderate wasting among 6–23-month-old children in beneficiary households. Cross-sectional data on 4,400 children was collected through systematic sampling between November 2016 and February 2017 using the Suchana beneficiary list. In total, 8.1% of 6–11 month-olds and 10.3% of 12–23 month-olds suffered moderate wasting; 12–23-month-olds had a 1.3-fold higher risk of moderate wasting than 6–11-month-olds. Our results of logistic regression models suggest that larger household size, higher maternal body mass index (BMI), and maternal food consumption status more than usual during the recent pregnancy were associated with a reduced risk of moderate wasting among 6–11-month-olds. Higher maternal BMI, normal maternal food consumption status during last pregnancy, being female and maternal knowledge on diarrheal management, were associated with a reduced risk of moderate wasting among 12–23-month-olds. In conclusion, beyond maternal BMI and maternal food consumption status during the last pregnancy, the factors associated with moderate wasting among 6–23-month-olds in the poorest households in Bangladesh are age-specific.
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U2 - 10.1371/journal.pone.0236786
DO - 10.1371/journal.pone.0236786
M3 - Article
C2 - 32817621
AN - SCOPUS:85089770024
SN - 1932-6203
VL - 15
JO - PloS one
JF - PloS one
IS - 8 August
M1 - e0236786
ER -