Dr Tahsina Jasmine, Medical Officer, Department of Paediatric Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh; E-mail:
Mymensingh Med J. 2021 Apr;30(2):387-394.
Undernutrition in children under five years remains a significant health problem in Bangladesh, despite substantial socio-economic progress and a decade of interventions aimed at improving it. Although Bangladesh has made rapid progress over the last decade in the field of health and nutrition, there has been very slow progress in improving the state of child nutrition. Studies aiming at determination of interrelationship between child undernutrition and maternal undernutrition are to be scientifically established if appropriate intervention policy is to be introduced. This study was undertaken to see whether this assumption has a statistically proven basis that maternal undernutrition influences child undernutrition. The objective of this cross sectional analytical study was to evaluate the association between child undernutrition and their maternal undernutrition in child-mother pair in a tertiary care hospital and was conducted from July 2017 to April 2018 in the department of General Paediatrics, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. The study subjects were 196 children between the ages of six months to five years who were admitted in BSMMU and their accompanying mothers. Children who had any known chronic diseases or clinically obvious syndrome were excluded. Before enrollment, parents of all the patients were informed about the study & its objectives. Anthropometric measurements of children and mothers were done by standard procedure. Demographic profile and relevant maternal information were collected by interviewing the mothers. Among the undernourished children, 17.3% were found underweight, 7.1% stunted, 16.3% wasted. Combined underweight & wasted were 34.7%, underweight & stunted 9.2%, stunted & wasted 5.1%, underweight, stunted and wasted 10.2%. Maternal undernutrition was more common (95.7%) in undernourished children group. Undernutrition was significantly higher in mothers of children with undernutrition (OR=40.75, p<0.001). Children having a better nutrition were born from mothers who were well nourished, educated, had good childcare knowledge and higher family income. This emphasized the need to provide the guideline for appropriate measure to be taken to reduce child undernutrition.
五岁以下儿童营养不良仍然是孟加拉国一个严重的健康问题，尽管社会经济取得了重大进展，并且十年来一直致力于改善这一问题。尽管孟加拉国在过去十年的健康和营养领域取得了快速进展，但在改善儿童营养状况方面进展非常缓慢。如果要引入适当的干预政策，就需要科学地确定儿童营养不良与产妇营养不良之间的相互关系的研究。本研究旨在确定这一假设是否具有统计学依据，即产妇营养不良会影响儿童营养不良。本横断面分析性研究的目的是评估在一家三级保健医院中，儿童-母亲对中儿童营养不良与母亲营养不良之间的关联，并于 2017 年 7 月至 2018 年 4 月在孟加拉国达卡的 Bangabandhu Sheikh Mujib 医科大学（BSMMU）的普通儿科进行。研究对象为 196 名年龄在 6 个月至 5 岁之间的儿童及其随行母亲，他们在 BSMMU 住院。排除了患有任何已知慢性疾病或明显临床综合征的儿童。在入组之前，向所有患者的父母告知了研究及其目的。通过标准程序对儿童和母亲进行人体测量学测量。通过访谈母亲收集人口统计学特征和相关母亲信息。在营养不良的儿童中，17.3%体重不足，7.1%发育迟缓，16.3%消瘦。体重不足和消瘦合并的占 34.7%，体重不足和发育迟缓的占 9.2%，发育迟缓与消瘦合并的占 5.1%，体重不足、发育迟缓与消瘦合并的占 10.2%。营养不良儿童中母亲营养不良更为常见（95.7%）。营养不良儿童的母亲营养不良发生率显著更高（OR=40.75，p<0.001）。营养状况良好的母亲所生的儿童营养状况更好，这些母亲接受过良好的教育，具有良好的育儿知识和更高的家庭收入。这强调了需要提供适当的指导方针，以采取适当措施来减少儿童营养不良。
