Childhood malnutrition in households with contemporary siblings: a scenario from urban Bangladesh

Das, Jui; Das, Sumon Kumar; Hasan, Tanvir; Ahmed, Shahnawaz; Ferdous, Farzana; Begum, Rohima; Chisti, Mohammod Jobayer; Malek, M. A.; Mamun, Abdullah Al; Faruque, A. S. G.

doi:10.1038/ejcn.2015.75

Cited by 2 publications

(2 citation statements)

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“…The inverse correlation found here between the weight (BAZ) of the children and the number of children in the family has also been observed in a previous study from Nepal [ 17 ], where children who had 2 or less siblings were more likely to become overweight or obese compared with children from families that had 4 or more children. Similar results were obtained in a study in Bangladesh [ 38 ] and in both studies reduced food security, within families with many children, was explained by reduced share of food per sibling [ 39 ].…”

Section: Discussionsupporting

confidence: 87%

Association between socioeconomic status of mothers, food security, food safety practices and the double burden of malnutrition in the Lalitpur district, Nepal

2016

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BackgroundThe prevalence of childhood overweight and obesity is increasing in low-and middle income countries such as Nepal. At the same time, high prevalence of chronic undernutrition persists leading to a double burden of malnutrition.AimTo identify associations between the socioeconomic status of mothers, food security, the food safety environment within the household, and prevalence of stunting and overweight of the children.MethodsStatistical analysis of socioeconomic, food safety-related and anthropometric data from 289 mother-child dyads in an urban area of the Kathmandu Valley, Nepal.ResultsAccording to WHO standards, 26 % of the children, aged 0–59 months, were stunted, 10 % were underweight, and 6.6 % were either overweight or obese. Significantly more boys than girls were underweight (p = 0.004) and stunted (p < 0.001). The higher education level of mothers was associated with a higher height-for-age (HAZ) score in girls, but not with HAZ in boys. Irrespective of sex, children of mothers with highest education level had significantly lower BMI-for-age scores (BAZ) than those of mothers with low education levels. None of the food safety indicators were associated with either HAZ or the BAZ.ConclusionThe education level of mothers seems to be relevant to help reduce the double burden of malnutrition at least in some regions of Nepal. This should be taken into consideration when designing programmes to prevent both chronic undernutrition and non-communicable diseases.

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Section: Discussionsupporting

confidence: 87%

Association between socioeconomic status of mothers, food security, food safety practices and the double burden of malnutrition in the Lalitpur district, Nepal

2016

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“…Yet, infant and young child feeding practices remain suboptimal across Uganda. This implies that many children are still vulnerable to stunting and micronutrient deficiencies, with a risk of increased morbidity and mortality [1,48]. In fact, the prevalence of stunting remains about 40% in many northern areas of the country [6].…”

Section: Discussionmentioning

confidence: 99%

Identifying Predictors for Minimum Dietary Diversity and Minimum Meal Frequency in Children Aged 6–23 Months in Uganda

et al. 2022

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Adequate complementary foods contribute to good health and growth in young children. However, many countries are still off-track in achieving critical complementary feeding indicators, such as minimum meal frequency (MMF), minimum dietary diversity (MDD) and minimum acceptable diet (MAD). In this study, we used the 2016 Ugandan Demographic Health Survey (UDHS) data to assess child feeding practices in young children aged 6–23 months. We assess and describe complementary feeding indicators (MMF, MDD and MAD) for Uganda, considering geographic variation. We construct multivariable logistic regression models—stratified by age—to evaluate four theorized predictors of MMF and MDD: health status, vaccination status, household wealth and female empowerment. Our findings show an improvement of complementary feeding practice indicators in Uganda compared to the past, although the MAD threshold was reached by only 22% of children. Children who did not achieve 1 or more complementary feeding indicators are primarily based in the northern regions of Uganda. Cereals and roots were the foods most consumed daily by young children (80%), while eggs were rarely eaten. Consistent with our hypotheses, we found that health status, vaccination status and wealth were significantly positively associated with MDD and MMF, while female empowerment was not. Improving nutrition in infant and young children is a priority. Urgent nutritional policies and acceptable interventions are needed to guarantee nutritious and age-appropriate complementary foods to each Ugandan child in the first years of life.

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Childhood malnutrition in households with contemporary siblings: a scenario from urban Bangladesh

Cited by 2 publications

References 7 publications

Association between socioeconomic status of mothers, food security, food safety practices and the double burden of malnutrition in the Lalitpur district, Nepal

Association between socioeconomic status of mothers, food security, food safety practices and the double burden of malnutrition in the Lalitpur district, Nepal

Identifying Predictors for Minimum Dietary Diversity and Minimum Meal Frequency in Children Aged 6–23 Months in Uganda

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