Association of Low-Birth Weight with Malnutrition in Children under Five Years in Bangladesh: Do Mother's Education, Socio-Economic Status, and Birth Interval Matter?
| Autor: | Mohammad Shahed Masud, Mohammad Lutfor Rahman, M. Shafiqur Rahman, Tamanna Howlader |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
0301 basic medicine Pediatrics Physiology Health Care Providers lcsh:Medicine Geographical Locations Families 0302 clinical medicine Risk Factors Medicine and Health Sciences Birth Weight Public and Occupational Health 030212 general & internal medicine Child lcsh:Science Children Wasting Bangladesh Multidisciplinary Under-five Child Health Physiological Parameters Child Preschool Educational Status Female Underweight medicine.symptom Research Article Risk medicine.medical_specialty Asia Birth weight Mothers Malnutrition in children Child Nutrition Disorders 03 medical and health sciences Birth Intervals medicine Humans Socioeconomic status Nutrition Retrospective Studies 030109 nutrition & dietetics business.industry Body Weight Malnutrition lcsh:R Infant Newborn Biology and Life Sciences Infant Infant Low Birth Weight medicine.disease Health Care Low birth weight Social Class Age Groups People and Places Population Groupings lcsh:Q business Demography |
| Zdroj: | PLoS ONE, Vol 11, Iss 6, p e0157814 (2016) PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | Background Malnutrition in children under five years remains a significant problem in Bangladesh, despite substantial socio-economic progress and a decade of interventions aimed at improving it. Although several studies have been conducted to identify the important risk factors of malnutrition, none of them assess the role of low birth weight (LBW) despite its high prevalence (36%). This study examines the association between LBW and malnutrition using data from the Bangladesh Demographic and Health Survey (BDHS) 2011 and provides practical guidelines for improving nutritional status of children. Methods Malnutrition in children is measured in terms of their height-for-age, weight-for-height, and weight-for-age. Children whose Z-scores for either of these indices are below two standard deviations (–2SD) from median of WHO’s reference population are considered as stunted, wasted or underweight, respectively. The association between malnutrition and LBW was investigated by calculating adjusted risk-ratio (RR), which controls for potential confounders such as child’s age and sex, mother’s education and height, length of preceding-birth-interval, access to food, area of residence, household socio-economic status. Adjusted RR was calculated using both Cochran-Mantel-Haenszel approach and multivariable logistic regression models controlling for confounder. Results The prevalence of malnutrition was markedly higher in children with LBW than those with normal birth-weights (stunting: 51% vs 39%; wasting: 25% vs 14% and underweight: 52% vs 33%). While controlling for the known risk factors, children with LBW had significantly increased risk of becoming malnourished compared to their counter part with RR 1.23 (95% CI:1.16–1.30), 1.71 (95% CI:1.53–1.92) and 1.47 (95% CI: 1.38–1.56) for stunting, wasting and underweight, respectively. The observed associations were not modified by factors known to reduce the prevalence of malnutrition, such as higher education of mother, better household socio-economic conditions and longer birth-interval. Conclusions Higher education of mother, better household socio-economic conditions and prolonged birth intervals alone are not sufficient in bringing about substantial reductions in prevalence of child malnutrition in Bangladesh. Targeted interventions should be designed to reduce prevalence of LBW in addition to improving mother’s education and other socio-demographic conditions. |
| Databáze: | OpenAIRE |
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