Rahman Azizur, Chowdhury Soma, Hossain Delwar
Centre for Rural and Remote Area Health, University of Southern Queensland, QLD 4350, Australia.
Asia Pac J Public Health. 2009 Jul;21(3):294-302. doi: 10.1177/1010539509335399. Epub 2009 Apr 29.
The main purpose of the study was to identify the levels and determinants of acute malnutrition or wasting in Bangladeshi children. A 2-stage stratified random sampling design was used to collect the Bangladesh Demographic and Health Survey data during November 1999 to March 2000, in which 5333 living children aged 0 to 59 months and their mothers were weighed and measured to obtain their anthropometric data. The prevalence of wasting was assessed by the z scores approach, using the anthropometric criterion of weight-for-height and following the WHO guidelines and cutoff points.
reveal that the prevalence of severe and moderate wasting were more common among children, and the overall prevalence of acute malnutrition was about 10%, indicating that it is one of the major public health problems in the country. Multivariate analysis showed that mother's BMI and media exposure, child's age and birth size, and respiratory sickness in childhood were significantly associated with both severe and moderate wasting.
该研究的主要目的是确定孟加拉国儿童急性营养不良或消瘦的水平及决定因素。采用两阶段分层随机抽样设计，在1999年11月至2000年3月期间收集孟加拉国人口与健康调查数据，对5333名年龄在0至59个月的在世儿童及其母亲进行称重和测量，以获取他们的人体测量数据。消瘦患病率采用z评分法评估，使用身高别体重的人体测量标准，并遵循世界卫生组织的指南和临界点。
显示重度和中度消瘦在儿童中更为常见，急性营养不良的总体患病率约为10%，表明这是该国主要的公共卫生问题之一。多变量分析表明，母亲的体重指数和媒体接触、儿童年龄和出生时的大小，以及儿童期呼吸系统疾病与重度和中度消瘦均显著相关。
