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The Journal of Health, Population and Nutrition
icddr,b
ISSN: 1606-0997
EISSN: 2072-1315
Vol. 28, No. 5, 2010, pp. 476-483
Bioline Code: hn10062
Full paper language: English
Document type: Research Article
Document available free of charge

The Journal of Health, Population and Nutrition, Vol. 28, No. 5, 2010, pp. 476-483

 en Risk factors associated with severe underweight among young children reporting to a diarrhea treatment facility in Bangladesh
Nahar, Baitun; Ahmed, Tahmeed; Brown, Kenneth H. & Hossain, Md. Iqbal

Abstract

Protein-energy malnutrition (PEM) is a serious health problem among young children in Bangladesh. PEM increases childhood morbidity and mortality. Information is needed on the major risk factors for PEM to assist with the design and targeting of appropriate prevention programmes. To compare the underlying characteristics of children, aged 6- 24 months, with or without severe underweight, reporting to the Dhaka Hospital of ICDDR,B in Bangladesh, a case-control study was conducted among 507 children with weight-for-age z-score (WAZ) <- 3 and 500 comparison children from the same communities with WAZ >- 2. 5. There were no significant differences between the groups in age [overall mean±standard deviation (SD) 12. 6± 4. 1 months] or sex ratio ( 44% girls), area of residence, or year of enrollment. Results of logistic regression analy-sis revealed that severely-underweight children were more likely to have: undernourished mothers [body mass index (BMI) < 18. 5, adjusted odds ratio (AOR)= 3. 8, 95% confidence interval (CI) 2. 6- 5. 4] who were aged < 19 years (AOR= 3. 0, 95% CI 1. 9- 4. 8) and completed < 5 years of education (AOR= 2. 7, 95% CI 1. 9- 3. 8), had a history of shorter duration of predominant breastfeeding (< 4 months, AOR= 2. 3, 95% CI 1. 6- 3. 3), dis-continued breastfeeding (AOR= 2. 0, 95% CI 1. 1- 3. 5), and had higher birth-order (≥ 3 AOR= 1. 8, 95% CI 1. 2- 2. 7); and fathers who were rickshaw-pullers or unskilled day-labourers (AOR= 4. 4; 95% CI 3. 1- 6. 1) and com-pleted < 5 years of education (AOR= 1. 5; 95% CI 1. 1- 2. 2), came from poorer families (monthly income of Tk < 5, 000, AOR= 2. 7, 95% CI 1. 9- 3. 8). Parental education, economic and nutritional characteristics, child-feed-ing practices, and birth-order were important risk factors for severe underweight in this population, and these characteristics can be used for designing and targeting preventive intervention programmes.

Keywords
Body-weight; Case-control studies; Child; Child nutritional status; Infant; Infant nutritional status; Risk factors; Thinness; Bangladesh

 
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