Sayeed Abu, Akter Ema, Chowdhury Promit Barua, Islam Md Saiful, Sultana Mst Sadia, Nusrat Nowrin, Hossain Lubna, Karmoker Rita, Rana Ritu, Saha Manika, Hasan M Tasdik
Department of Post-Harvest Technology and Marketing, Patuakhali Science and Technology University, Patuakhali, Bangladesh.
Institute of Statistical Research and Training, Dhaka University, Dhaka, Bangladesh.
Nutr Health. 2023 Sep 12:2601060231200521. doi: 10.1177/02601060231200521.
Malnutrition is a major global public health issue, especially for under five children and their mothers. This study examined the relationships between socio-economic and demographic characteristics and under- and over-nutrition in mothers and children of Bangladesh. Using the Nationally representative Bangladesh Demographic and Health Survey (2017-18) data, we performed the multiple logistic regression analysis to assess the relationships between key outcome variables and predictors. The analysis included 8321 children aged 0-59 months and 7800 mothers aged 15-49 years. The prevalence of stunting, wasting, and overweight among children under five was 30.72%, 8.44%, and 2.21% respectively. About 2.74% of the children were both stunted and wasted, while 0.56% of the children were both stunted and overweight. The prevalence of underweight and overweight among mother was 14.09% and 26.35% respectively. Children who are stunted are significantly associated with the mother's BMI status, mothers' education, fathers' education, and wealth index, while children who are wasted are significantly associated with the mother's BMI status and the child's sex. A child's sex and birth order are significantly associated with children being overweight. Mother's age, mother's education, father's education, place of residence and wealth index are significant determinants for mothers being underweight, whereas mother's age, mother's occupation, father's education, father's occupation, place of residence and wealth index are significant determinants for mothers being overweight. In addition to essential nutrition interventions, it is vital to address the basic social-economic and demographic determinants.
营养不良是一个重大的全球公共卫生问题，尤其是对五岁以下儿童及其母亲而言。本研究调查了孟加拉国母亲和儿童的社会经济与人口特征与营养不足和营养过剩之间的关系。利用具有全国代表性的孟加拉国人口与健康调查（2017 - 18年）数据，我们进行了多元逻辑回归分析，以评估关键结果变量与预测因素之间的关系。该分析纳入了8321名年龄在0 - 59个月的儿童和7800名年龄在15 - 49岁的母亲。五岁以下儿童发育迟缓、消瘦和超重的患病率分别为30.72%、8.44%和2.21%。约2.74%的儿童既发育迟缓又消瘦，而0.56%的儿童既发育迟缓又超重。母亲体重不足和超重的患病率分别为14.09%和26.35%。发育迟缓的儿童与母亲的体重指数状况、母亲的教育程度、父亲的教育程度和财富指数显著相关，而消瘦的儿童与母亲的体重指数状况和孩子的性别显著相关。孩子的性别和出生顺序与孩子超重显著相关。母亲的年龄、母亲的教育程度、父亲的教育程度、居住地和财富指数是母亲体重不足的重要决定因素，而母亲的年龄、母亲的职业、父亲的教育程度、父亲的职业、居住地和财富指数是母亲超重的重要决定因素。除了基本的营养干预措施外，解决基本的社会经济和人口决定因素至关重要。
