Centre for Nutrition and Food Security, International Centre for Diarrheal Disease Research, Bangladesh.
Indian Pediatr. 2012 Oct;49(10):821-4. doi: 10.1007/s13312-012-0187-2. Epub 2012 Jun 10.
This study aimed to assess the determinants of under nutrition among under-two year old children of rural Bangladesh. The data of the National Nutrition Program baseline survey conducted in 2004 was analyzed, which included 8,885 under-two children and their mothers. Among the children studied, 41%, 35% and 18% were stunted, underweight, and wasted; and 16%, 11.5% and 3% were severely-stunted, underweight, and wasted, respectively. Multivariate analysis revealed that undernourished children were less likely to be female and having received measles vaccination, more likely to have suffered from diarrhea in the previous two weeks, and more likely to have older (>30 years), shorter (<145 cm), undernourished (BMI <18.5 kg/m²) and illiterate/less educated mother. Children with moderate stunting and underweight were more likely to reside in households with unhygienic toilet. Children with all forms of under nutrition were more often from families with lowest quintile of asset index. The identified associated/risk factors can be used for designing and targeting preventive programs for undernutrition.
本研究旨在评估孟加拉国农村地区两岁以下儿童营养不良的决定因素。对 2004 年开展的国家营养计划基线调查的数据进行了分析，共纳入 8885 名两岁以下儿童及其母亲。在所研究的儿童中，41%、35%和 18%存在发育迟缓、体重不足和消瘦；16%、11.5%和 3%分别存在严重发育迟缓、体重不足和消瘦。多变量分析显示，营养不良的儿童更可能是女孩和未接种麻疹疫苗，更可能在过去两周内患有腹泻，更可能有年龄较大（>30 岁）、身高较矮（<145cm）、营养不良（BMI<18.5kg/m²）和文盲/受教育程度较低的母亲。中度发育迟缓、体重不足的儿童更可能居住在卫生设施较差的家庭中。所有形式营养不良的儿童更常来自资产指数最低五分位数的家庭。确定的相关/风险因素可用于设计和针对营养不良的预防计划。
