Prevalence of childhood underweight and associated factors in Bangladesh

Evidence from Bangladesh demographic health survey data sets (2007, 2011, 2014 and 2017-18)

Authors

  • Sakib AL Hassan Khulna University
  • Tanjirul Islam Northwest A&F University, Yangling-712100
  • Mahmuda Akter Jui Khulna University
  • Tayeeba Tabussum Anni Northwest A&F University, Yangling-712100
  • Tanzina Jafrin Khulna University
  • Abdul Elah Al-Mahde Khulna University
  • Noor A Alam Turzo Khulna University
  • Nuzhat Tasfiya Khulna University
  • Md Amirul Islam Khulna University
  • Md. Ashfikur Rahman Khulna University

DOI:

https://doi.org/10.56916/ejip.v4i1.972

Keywords:

Underweight, Weight-for-Age, Malnutrition, Maternal Health, Bangladesh

Abstract

Background: In Bangladesh, the percentage of children found moderately and severely underweight were respectively 16.4% and 3.6% all over the country in 2018. This study aimed to determine the prevalence of and factors affecting childhood underweight<5 years old and identify socioeconomic inequalities contributing to childhood underweight in Bangladesh. Methods: Bangladesh Demographic Health Survey Data (2007, 2011, 2014 & 2017-2018) of 30,940 pairs were used for analysis. Chi-square tests were used to estimate the relationship between the independent variables chosen and underweight, binary logistic regression analysis was used to investigate potential risk factors, and decomposition analysis was conducted to assess inequality. Results: Binary logistic regression demonstrated that the children’s age, mother’s BMI, mother’s education level, father’s educational status, child delivery procedure, birth order of the child, recent diarrhea affectedness before the survey, sanitation, and wealth index were discovered to be essential variables affecting childhood underweight of children under 5 years old in Bangladesh.  Conclusion: The associated factors with underweight in this study should be considered when designing policies and programs, making it more effective to eradicate the underweight problem among children in Bangladesh.

References

Ahmed, T., Mahfuz, M., Ireen, S., Shamsir Ahmed, A. M., Rahman, S., Munirul Islam, M., Alam, N., Iqbal Hossain, M., Mustafizur Rahman, S. M., Mohsin Ali, M., Choudhury, F. P., & Cravioto, A. (2012). Nutrition of children and women in Bangladesh: Trends and directions for the future. Journal of Health, Population and Nutrition, 30(1), 1–11. https://doi.org/10.3329/JHPN.V30I1.11268

Ahsan, K. Z., Arifeen, S. E., Al-Mamun, Md. A., Khan, S. H., & Chakraborty, N. (2017). Effects of individual, household and community characteristics on child nutritional status in the slums of urban Bangladesh. Archives of Public Health, 75(1), 9. https://doi.org/10.1186/s13690-017-0176-x

Alasfoor, D., Traissac, P., Gartner, A., & Delpeuch, F. (2007). Determinants of Persistent Underweight among Children, Aged 6–35 Months, after Huge Economic Development and Improvements in Health Services in Oman. Journal of Health, Population, and Nutrition, 25, 359–369.

Alom, J., Quddus, M. A., & Islam, M. A. (2012). Nutritional status of under-five children in Bangladesh: A multilevel analysis. Journal of Biosocial Science, 44(5), 525–535. https://doi.org/10.1017/S0021932012000181

BNNC. (n.d.). Bangladesh National Nutrition Council: Towards Improved Nutrition.

Briend, A., & Nestel, P. (2005). MALNUTRITION | Primary, Causes Epidemiology and Prevention. In B. Caballero (Ed.), Encyclopedia of Human Nutrition (Second Edition) (pp. 203–212). Elsevier. https://doi.org/10.1016/B0-12-226694-3/00200-3

Chisti, M. J., Hossain, M. I., Malek, M. A., Faruque, A. S. G., Ahmed, T., & Salam, M. A. (2007). Characteristics of severely malnourished under-five children hospitalized with diarrhoea, and their policy implications. Acta Paediatrica (Oslo, Norway: 1992), 96(5), 693–696. https://doi.org/10.1111/j.1651-2227.2007.00192.x

Chowdhury, M. R. K., Rahman, M. S., Khan, M. M. H., Mondal, M. N. I., Rahman, M. M., & Billah, B. (2016). Risk Factors for Child Malnutrition in Bangladesh: A Multilevel Analysis of a Nationwide Population-Based Survey. The Journal of Pediatrics, 172, 194–201. https://doi.org/10.1016/j.jpeds.2016.01.023

Chowdhury, T. R., Chakrabarty, S., Rakib, M., Saltmarsh, S., & Davis, K. A. (2018). Socio-economic risk factors for early childhood underweight in Bangladesh. Globalization and Health, 14(1), 54. https://doi.org/10.1186/s12992-018-0372-7

Das, S., & Gulshan, J. (2017). Different forms of malnutrition among under five children in Bangladesh: A cross sectional study on prevalence and determinants. BMC Nutrition, 3(1), 1. https://doi.org/10.1186/s40795-016-0122-2

Das, S., & Rahman, R. M. (2011). Application of ordinal logistic regression analysis in determining risk factors of child malnutrition in Bangladesh. Nutrition Journal, 10, 124. https://doi.org/10.1186/1475-2891-10-124

Das, S., Hossain, Z., & Nesa, M. K. (2009). Levels and trends in child malnutrition in Bangladesh. Asia-Pacific Population Journal.

Doak, C., Adair, L., Bentley, M., Fengying, Z., & Popkin, B. (2002). The underweight/overweight household: An exploration of household sociodemographic and dietary factors in China. Public Health Nutrition, 5(1A), 215–221. https://doi.org/10.1079/PHN2001296

Henry, F. J., Briend, A., Fauveau, V., Huttly, S. A., Yunus, M., & Chakraborty, J. (1993a). Gender and age differentials in risk factors for childhood malnutrition in Bangladesh. Annals of Epidemiology, 3(4), 382–386. https://doi.org/10.1016/1047-2797(93)90065-c

Henry, F. J., Briend, A., Fauveau, V., Huttly, S. R., Yunus, M., & Chakraborty, J. (1992). The risk approach to intervention in severe malnutrition in rural Bangladesh. American Journal of Epidemiology, 136(4), 460–463. https://doi.org/10.1093/oxfordjournals.aje.a116519

Henry, F. J., Briend, A., Fauveau, V., Huttly, S. R., Yunus, M., & Chakraborty, J. (1993b). Risk factors for clinical marasmus: A case-control study of Bangladeshi children. International Journal of Epidemiology, 22(2), 278–283. https://doi.org/10.1093/ije/22.2.278

Hong, R., Banta, J. E., & Betancourt, J. A. (2006). Relationship between household wealth inequality and chronic childhood under-nutrition in Bangladesh. International Journal for Equity in Health, 5(1), 15. https://doi.org/10.1186/1475-9276-5-15

Iqbal Hossain, M., Yasmin, R., & Kabir, I. (1999). Nutritional and immunisation status, weaning practices and socio-economic conditions of under five children in three villages of Bangladesh. Indian Journal of Public Health, 43(1), 37–41.

Islam, M. A., Rahman, M. M., & Mahalanabis, D. (1994). Maternal and socioeconomic factors and the risk of severe malnutrition in a child: A case-control study. European Journal of Clinical Nutrition, 48(6), 416–424.

Islam, M. R., Rahman, M. S., Rahman, M. M., Nomura, S., de Silva, A., Lanerolle, P., Jung, J., & Rahman, M. M. (2020). Reducing childhood malnutrition in Bangladesh: The importance of addressing socio-economic inequalities. Public Health Nutrition, 23(1), 72–82. https://doi.org/10.1017/S136898001900140X

Janevic, T., Petrovic, O., Bjelic, I., & Kubera, A. (2010). Risk factors for childhood malnutrition in Roma settlements in Serbia. BMC Public Health, 10(1), 509. https://doi.org/10.1186/1471-2458-10-509

Khor, G. L., & Sharif, Z. M. (2003). Dual forms of malnutrition in the same households in Malaysia—A case study among Malay rural households. Asia Pacific Journal of Clinical Nutrition, 12(4), 427–437.

Larrea, C., & Freire, W. (2002). Social inequality and child malnutrition in four Andean countries. Revista Panamericana De Salud Publica = Pan American Journal of Public Health, 11(5–6), 356–364. https://doi.org/10.1590/s1020-49892002000500010

Lartey, A. (2015). End hunger, achieve food security and improved nutrition and promote sustainable agriculture. UN Chronicle, 51(4), 6–8. https://doi.org/10.18356/5940d90a-en

Mohsena, M., Mascie-Taylor, C. G. N., & Goto, R. (2010). Association between socio-economic status and childhood undernutrition in Bangladesh; a comparison of possession score and poverty index. Public Health Nutrition, 13(10), 1498–1504. https://doi.org/10.1017/S1368980010001758

Mohsena, M., Mascie-Taylor, C. G. N., & Goto, R. (2010). Association between socio-economic status and childhood undernutrition in Bangladesh; a comparison of possession score and poverty index. Public Health Nutrition, 13(10), 1498–1504. https://doi.org/10.1017/s1368980010001758

Mukabutera, A., Thomson, D. R., Hedt-Gauthier, B. L., Basinga, P., Nyirazinyoye, L., & Murray, M. (2016). Risk factors associated with underweight status in children under five: An analysis of the 2010 Rwanda Demographic Health Survey (RDHS). BMC Nutrition, 2(1), 40. https://doi.org/10.1186/s40795-016-0078-2

Nahar, B., Ahmed, T., Brown, K. H., & ... (2010). Risk factors associated with severe underweight among young children reporting to a diarrhoea treatment facility in Bangladesh. Journal of Health, Population and Nutrition

National Institute of Population Research and Training- NIPORT, Ministry of Health and Family Welfare, & ICF. (2020). Bangladesh Demographic and Health Survey 2017-18. https://dhsprogram.com/publications/publication-FR344-DHS-Final-Reports.cfm

NIPORT. (2007). Bangladesh Demographic and Health Survey. BDHS. https://dhsprogram.com/pubs/pdf/FR207/FR207[April-10-2009].pdf

Rahman, A. (2015). Significant Risk Factors for Childhood Malnutrition: Evidence from an Asian Developing Country. Science Journal of Public Health, 4(1), 16. https://doi.org/10.11648/j.sjph.s.2016040101.14

Rahman, A., & Chowdhury, S. (2007). Determinants of chronic malnutrition among preschool children in Bangladesh. Journal of Biosocial Science, 39(2), 161–173. https://doi.org/10.1017/S0021932006001295

Rahman, A., Chowdhury, S., & Hossain, D. (2009). Acute Malnutrition in Bangladeshi Children: Levels and Determinants. Asia-Pacific Journal of Public Health, 21(3), 294–302. https://doi.org/10.1177/1010539509335399

Rahman, A., Rahman, A., Halder, H. R., Sazedur Rahman, Md. Sazedur Rahman, & Parvez, M. (2021). Poverty and childhood malnutrition: Evidence-based on a nationally representative survey of Bangladesh. PLOS ONE, 16(8). https://doi.org/10.1371/journal.pone.0256235

Rahman, S. M. J., Ahmed, N. A. M. F., Abedin, M. M., Ahammed, B., Ali, M., Rahman, M. J., & Maniruzzaman, M. (2021). Investigate the risk factors of stunting, wasting, and underweight among under-five Bangladeshi children and its prediction based on machine learning approach. PLOS ONE, 16(6 June 2021), 1–11. https://doi.org/10.1371/journal.pone.0253172

Sarker, A. R., Marufa Sultana, Sultana, M., Sheikh, N., Akram, R., Ali, N., Mahumud, R. A., Alam, K., & Morton, A. (2020). Inequality of childhood undernutrition in Bangladesh: A decomposition approach. International Journal of Health Planning and Management, 35(2), 441–468. https://doi.org/10.1002/hpm.2918

Sen, L. C., Ahmed, M. S., Touhiduzzaman, A. S. M., Mandal, S., Ahmed, A. H. T., Das, S. K., & Saha, R. (2020). Nutritional status of under-five children in rural Bangladesh. International Journal of Public Health Science, 9(3), 205–210. https://doi.org/10.11591/IJPHS.V9I3.20425

Srinivasan, C. S., Zanello, G., & Shankar, B. (2013). Rural-urban disparities in child nutrition in Bangladesh and Nepal. BMC Public Health, 13(1), 581. https://doi.org/10.1186/1471-2458-13-581

Subramanian, S. V., Perkins, J. M., & Khan, K. T. (2009). Do burdens of underweight and overweight coexist among lower socioeconomic groups in India? The American Journal of Clinical Nutrition, 90(2), 369–376. https://doi.org/10.3945/AJCN.2009.27487

The World Bank. (2006). Repositioning Nutrition as Central to Development A Strategy for Large-Scale Action.

UNICEF (Ed.). (2005). Excluded and invisible. UNICEF.

UNICEF (Ed.). (2006). Progress for children: A report card on nutrition. UNICEF.

Wang, Y., Monteiro, C., & Popkin, B. M. (2002). Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia. The American Journal of Clinical Nutrition, 75(6), 971–977. https://doi.org/10.1093/ajcn/75.6.971

WHO Expert Committee on Physical Status : the Use and Interpretation of Anthropometry (1993 : Geneva, S., & Organization, W. H. (1995). Physical status: The use of and interpretation of anthropometry , report of a WHO expert committee. World Health Organization. https://apps.who.int/iris/handle/10665/37003

WHO. (n.d.). The WHO Child Growth Standards. Retrieved August 12, 2022, from https://www.who.int/tools/child-growth-standards

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Published

2025-01-02

How to Cite

Hassan, S. A. ., Islam, T., Jui, M. A. ., Anni, T. T. ., Jafrin, T. ., Al-Mahde, A. E. ., Turzo, N. A. A. ., Tasfiya, N. ., Islam, M. A. ., & Rahman, M. A. . (2025). Prevalence of childhood underweight and associated factors in Bangladesh: Evidence from Bangladesh demographic health survey data sets (2007, 2011, 2014 and 2017-18). Edukasiana: Jurnal Inovasi Pendidikan, 4(1), 60–74. https://doi.org/10.56916/ejip.v4i1.972

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