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BMC Pediatrics
Published in: BMC Pediatrics 1/2021

01-12-2021 | Malnutrition | Research

Acute malnutrition and its determinants of preschool children in Bangladesh: gender differentiation

Authors: Md. Reazul Karim, Abu Sayed Md. Al Mamun, Md. Masud Rana, Rashidul Alam Mahumud, Nurun Naher Shoma, Dhiman Dutt, Premananda Bharati, Md. Golam Hossain

Published in: BMC Pediatrics | Issue 1/2021

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Abstract

Background

Children acute malnutrition (AM) is a global public health concern, especially in low and middle income countries. AM is associated with multiple physiological vulnerabilities, including immune dysfunction, enteric barrier disruption, gut microbiome dysbiosis, and essential nutrient deficits. This study aimed to determine the prevalence of AM and its associated factors among preschool children in Rajshahi district, Bangladesh.

Methods

This cross-sectional study was conducted from October to December, 2016. Children acute malnutrition was assessed using mid-upper arm circumference. Multiple binary logistic regression analyses were employed to determine the associated factors after adjusting the effect of independent factors of children AM.

Result

The prevalence of AM amongst preschool children was 8.7%, among them 2.2 and 6.5% were severe acute malnutrition and moderate acute malnutrition, respectively. Z-proportional test demonstrated that the difference in AM between girls (11.6) and boys (5.9%) was significant (p < 0.05). Children AM was associated with being: (i) children aged 6–23 months (aOR = 2.29, 95% CI: 1.20–4.37; p < 0.05), (ii) early childbearing mothers’ (age < 20 years) children (aOR = 3.06, 95% CI: 1.08–8.66; p < 0.05), (iii) children living in poor family (aOR = 3.08, 95% CI: 1.11–8.12; p < 0.05), (iv) children living in unhygienic latrine households (aOR = 2.81, 95% CI: 1.52–5.09; p < 0.01), (v) Hindu or other religion children (aOR = 0.42, 95% CI: 0.19–0.92; p < 0.05).

Conclusion

The prevalence of AM was high among these preschool children. Some modifiable factors were associated with AM of preschool children. Interventions addressing social mobilization and food security could be an effective way to prevent acute malnutrition among children in Bangladesh.
Literature
1.
Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, De Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427–51.PubMed
2.
3.
4.
Black RE, Allen LH, Bhutta ZA, Caulfield LE, De Onis M, Ezzati M, et al. Maternal and child undernutrition: global and regional exposures and health consequences. Lancet. 2008;371(9608):243–60.PubMed
5.
Ghimire U, Aryal BK, Gupta AK, Sapkota S. Severe acute malnutrition and its associated factors among children under-five years: a facility-based cross-sectional study. BMC Pediatr. 2020;20:1–9.
6.
Jones KD, Hünten-Kirsch B, Laving AM, Munyi CW, Ngari M, Mikusa J, et al. Mesalazine in the initial management of severely acutely malnourished children with environmental enteric dysfunction: a pilot randomized controlled trial. BMC Med. 2014;12(1):1–4.
7.
Fuchs C, Sultana T, Ahmed T, Iqbal HM. Factors associated with acute malnutrition among children admitted to a diarrhoea treatment facility in Bangladesh. Int J Pediatr. 2014;2014:267806.PubMedPubMedCentral
8.
Black RE, Levin C, Walker N, Chou D, Liu L, Temmerman M, et al. Reproductive, maternal, newborn, and child health: key messages from disease control priorities. Lancet. 2016;388(10061):2811–24.PubMed
9.
Myatt M, Khara T, Collins S. A review of methods to detect cases of severely malnourished children in the community for their admission into community-based therapeutic care programs. Food Nutr Bull. 2006;27(3_suppl3):S7–23.PubMed
10.
WHO. Guidelines for the inpatient treatment of severely malnourished children: South-East Asia Regional Office. Geneva: World Health Organization; 2008.
11.
Briend A, Mwangome MK, Berkley JA. Using mid-upper arm circumference to detect high-risk malnourished patients in need of treatment. Handbook of famine, starvation, and nutrient deprivation: from biology to policy. Springer Int Publishing. 2017;10:978–3.
12.
Sheeran J. The challenge of hunger. Lancet (London, England). 2008;371(9608):180–1.
13.
Leung DT, Chisti MJ, Pavia AT. Prevention and control of childhood pneumonia and diarrhea. Pediatr Clin. 2016;63(1):67–79.
14.
UNICEF. Management of severe acute malnutrition in children: working towards results at scale. UNICEF programme guidance document. New York: UNICEF; 2015.
15.
Uauy R, Desjeux JF, Ahmed T, Hossain M, Brewster D, Forbes D, et al. Global efforts to address severe acute malnutrition. J Pediatr Gastroenterol Nutr. 2012;55(5):476–81.PubMed
16.
UNICEF. United Nations interagency group for child mortality estimation. Levels and trends in child mortality. Report 2012. New York: United Nations Children’s Fund; 2012.
17.
Collins S, Dent N, Binns P, Bahwere P, Sadler K, Hallam A. Management of severe acute malnutrition in children. Lancet. 2006;368(9551):1992–2000.PubMed
18.
19.
Tang L, Binns CW, Lee AH, Pan X, Chen S, Yu C. Low prevalence of breastfeeding initiation within the first hour of life in a rural area of Sichuan Province, China. Birth. 2013;40(2):134–42.PubMed
20.
Puett C, Sadler K, Alderman H, Coates J, Fiedler JL, Myatt M. Cost-effectiveness of the community-based management of severe acute malnutrition by community health workers in southern Bangladesh. Health Policy Plan. 2013;28(4):386–99.PubMed
21.
Ikeda N, Irie Y, Shibuya K. Determinants of reduced child stunting in Cambodia: analysis of pooled data from three demographic and health surveys. Bull World Health Organ. 2013;91:341–9.PubMedPubMedCentral
22.
23.
Manandhar M, Hawkes S, Buse K, Nosrati E, Magar V. Gender, health and the 2030 agenda for sustainable development. Bull World Health Organ. 2018;96(9):644.PubMedPubMedCentral
24.
25.
Smith LC, Ramakrishnan U, Ndiaye A, Haddad L, Martorell R. The importance of women’s status for child nutrition in developing countries: international food policy research institute (IFPRI) research report abstract 131. Food Nutr Bull. 2003;24(3):287–8.
26.
FAO. Women play a decisive role in household food security, dietary diversity and children’s health. 2015.
27.
Mucha NM. Enabling and equipping women to improve nutrition. Brief Pap. 2012;16:1–8.
28.
The World B. Repositioning nutrition as central to development. A strategy for large scale action. The International Bank for Reconstruction and Development. 2006.
29.
UN. Transforming our world: the 2030 agenda for sustainable development. New York: United Nations; 2015.
30.
WHO. Global nutrition targets 2025: breastfeeding policy brief (WHO/NMH/NHD14. 7). Geneva: World Health Organization; 2014.
31.
32.
Ahmed T, Hossain M, Mahfuz M, Choudhury N, Hossain MM, Bhandari N, et al. Severe acute malnutrition in Asia. Food Nutr Bull. 2014;35(2_suppl1):S14–26.PubMed
33.
Islam KE, Rahman S, Molla AH, Akbar N, Ahmed M. Protocolozed management of children with severe malnutrition: lessons learn from a tertiary-level government hospital (abstract). Khan MSI, Rahim MA, Ahmed T, editors. In: Combating malnutrition and intestinal diseases in children: are we doing enough?: Abstracts book of the 8th Commonwealth Congress on Diarrhoea and Malnutrition, 6-8 February 2006, Dhaka, Bangladesh. Dhaka: icddr,b: Centre for Health and Population Research, 2006. p. 36.
34.
BBS. Population and housing census 2011: Bangladesh Bureau of Statistics; 2011. Statistics and Informatics Division, Ministry of Planning, Dhaka-1207, Bangladesh. Government of the People’s Republic of Bangladesh.
35.
Cochran WG. Sampling technique. 2nd ed. New York: Wiley; 1963.
36.
37.
Nagelkerke NJD. A note on a general definition of the coefficient of determination. Biometrika. 1991;78(3):691–2.
38.
National Institute of Population Research and Training (NIPORT), and ICF. Bangladesh demographic and health survey 2017–18. Dhaka and Rockville: NIPORT and ICF; 2020.
39.
International Institute for Population Sciences. National family health survey (NFHS-3), 2005–06. India: International Institute for Population Sciences; 2007.
40.
MoH, NE, ICF. Nepal demographic and health survey 2016. Kathmandu: Ministry of Health Nepal, New ERA and ICF; 2017.
41.
Laghari ZA, Soomro AM, Tunio SA, Lashari K, Baloach FG, Baig NM, et al. Malnutrition among children under five years in district Sanghar, Sindh, Pakistan. Gomal J Med Sci. 2015;13(1):54–7.
42.
Frozanfar MK, Yoshida Y, Yamamoto E, Reyer JA, Dalil S, Rahimzad AD, et al. Acute malnutrition among under-five children in Faryab, Afghanistan: prevalence and causes. Nagoya J Med Sci. 2016;78(1):41.PubMedPubMedCentral
43.
44.
Shams Z, Zachariah R, Enarson DA, Satyanarayana S, Van den Bergh R, Ali E, et al. Severe malnutrition in children presenting to health facilities in an urban slum in Bangladesh. Public Health Action. 2012;2(4):107–11.PubMedPubMedCentral
45.
Awoke A, Ayana M, Gualu T. Determinants of severe acute malnutrition among under five children in rural Enebsie Sarmidr District, East Gojjam Zone, North West Ethiopia, 2016. BMC Nutr. 2018;4(1):1–8.
46.
47.
48.
Choudhury KK, Hanifi MA, Rasheed S, Bhuiya A. Gender inequality and severe malnutrition among children in a remote rural area of Bangladesh. J Health Popul Nutr. 2000;18(3):123–30.
49.
Ndiku M, Jaceldo-Siegl K, Singh P, Sabate J. Gender inequality in food intake and nutritional status of children under 5 years old in rural Eastern Kenya. Eur J Clin Nutr. 2011;65(1):26–31.PubMed
50.
Ambadekar NN, Zodpey SP. Risk factors for severe acute malnutrition in under-five children: a case-control study in a rural part of India. Public Health. 2017;142:136–43.PubMed
51.
Pravana NK, Piryani S, Chaurasiya SP, Kawan R, Thapa RK, Shrestha S. Determinants of severe acute malnutrition among children under 5 years of age in Nepal: a community-based case–control study. BMJ Open. 2017;7(8):e017084.
52.
Hossain A, Niroula B, Duwal S, Ahmed S, Kibria MG. Maternal profiles and social determinants of severe acute malnutrition among children under-five years of age: a case-control study in Nepal. Heliyon. 2020;6(5):e03849.PubMedPubMedCentral
53.
Demissie S, Worku A. Magnitude and factors associated with malnutrition in children 6-59 months of age in pastoral community of Dollo Ado district, Somali region, Ethiopia. Sci J Public Health. 2013;1(4):175–83.
54.
Amosu AM, Degun AM, Atulomah NO, Olanrewju MF. A study of the nutritional status of under-5 children of low-income earners in a South-Western Nigerian community. Curr Res J Biol Sci. 2011;3(6):578–85.
Metadata
Title
Acute malnutrition and its determinants of preschool children in Bangladesh: gender differentiation
Authors
Md. Reazul Karim
Abu Sayed Md. Al Mamun
Md. Masud Rana
Rashidul Alam Mahumud
Nurun Naher Shoma
Dhiman Dutt
Premananda Bharati
Md. Golam Hossain
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Malnutrition
Published in
BMC Pediatrics / Issue 1/2021
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-021-03033-z

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