Frontiers in Public Health最新文献

{"title":"Exploring the link between the pediatric exposome, respiratory health, and executive function in children: a narrative review.","authors":"Cecilia S Alcala, Jamil M Lane, Vishal Midya, Shoshannah Eggers, Robert O Wright, Maria José Rosa","doi":"10.3389/fpubh.2024.1383851","DOIUrl":"10.3389/fpubh.2024.1383851","url":null,"abstract":"<p><p>Asthma is a highly prevalent inflammatory condition, significantly affecting nearly six million U.S. children and impacting various facets of their developmental trajectories including neurodevelopment. Evidence supports a link between pediatric environmental exposures in two key areas: asthma and executive function (E.F.). E.F.s are a collective of higher-order cognitive processes facilitating goal-oriented behaviors. Studies also identify asthma-associated E.F. impairments in children. However, limited research has evaluated the inter-relationships among environmental exposures, asthma, and E.F. in children. This review explored relevant research to identify and connect the potential mechanisms and pathways underlying these dynamic associations. The review suggests that the role of the pediatric exposome may function through (1) several underlying biological pathways (i.e., the lung-brain axis, neuroendocrine system, and hypoxia), which could drive asthma and maladaptive E.F. in children and (2) the relationships between the exposome, asthma, and E.F. is a bidirectional linkage. The review reveals essential synergistic links between asthma and E.F. deficits, highlighting the potential role of the pediatric exposome.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142550060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The unique and synergistic effects of social isolation and loneliness on 20-years mortality risks in older men and women.","authors":"Marja Aartsen, Hanna Vangen, George Pavlidis, Thomas Hansen, Iuliana Precupetu","doi":"10.3389/fpubh.2024.1432701","DOIUrl":"10.3389/fpubh.2024.1432701","url":null,"abstract":"<p><strong>Introduction: </strong>This study investigates the individual and combined impacts of loneliness and social isolation on 20-year mortality risks among older men and women.</p><p><strong>Methods: </strong>Utilizing data from the Norwegian Life Course, Ageing, and Generation study (NorLAG) carried out in 2002, 2007 and 2017, we assessed loneliness via direct and indirect questions, and social isolation through factors like partnership status and contact frequency with family and friends. Yearly information on mortality was derived from the national registries and was available until November 2022. Gender-stratified Cox regression models adjusted for age and other risk factors were employed.</p><p><strong>Results: </strong>Of the 11,028 unique respondents, 9,952 participants were included in the study sample, 1,008 (19.8%) women and 1,295 (26.6%) men died. In the fully adjusted models including indirectly assessed loneliness, social isolation increased the 20-year mortality risk by 16% (HR = 1.16, 95% CI 1.09-1.24) for women and 15% (HR = 1.15, 95% CI 1.09-1.21) for men. This effect was primarily driven by the absence of a partner and little contact with children for both genders. Loneliness measured with indirect questions lost its significant association with mortality after adjusting for social isolation and other factors in both genders. However, for men, reporting loneliness via a direct question was associated with a higher mortality risk, even in the fully controlled models (HR = 1.20, 96% CI 1.06-1.36). Interactions between loneliness and social isolation were not, or only borderline significantly, associated with mortality risks in the fully controlled models.</p><p><strong>Discussion: </strong>Social isolation, but not loneliness measured with indirect questions are associated with a 15-16% higher mortality risk in both men and women. However, loneliness assessed with a direct question is associated with increased mortality in men, even after controlling for social isolation and other relevant factors, which might suggest that men may deny loneliness, unless it is (very) severe. These findings emphasize the importance of methodological precision in the measurement of loneliness and social isolation.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mechanism of cognitive processing for acupuncture action on generalized anxiety with naturally occurring consecutive partial sleep deprivation in early adulthood: a randomized controlled study and evaluation of event-related potentials.","authors":"Ce Shi, Lihua Wu, Wen Fu, Jing Gao, Haishui Jiang, Mengyu Wang, Xinwang Chen","doi":"10.3389/fpubh.2024.1420299","DOIUrl":"10.3389/fpubh.2024.1420299","url":null,"abstract":"<p><strong>Introduction: </strong>Generalized anxiety disorder (GAD) is a common mental disorder that often begins in adolescence or early adulthood and is characterized by widespread and persistent anxiety. Partial sleep deprivation (PSD) is an important risk factor for GAD development and a common comorbidity. Adolescence is a period of rapid brain and nervous system development, and during this time, the occurrence of GAD can lead to neurocognitive deficits, such as impaired attention, cognitive control, and attention bias, that significantly affect cognitive function. However, relatively little research has been conducted on GAD comorbid with PSD in early adulthood compared with other psychiatric disorders. Clinical studies have demonstrated the effectiveness of acupuncture in treating GAD and sleep disorders, but the mechanism of how acupuncture modulates neurocognitive processing in patients with GAD comorbid with PSD has not been clarified.</p><p><strong>Methods/design: </strong>In this randomized clinical trial, a total of 56 participants diagnosed with GAD comorbid with naturally occurring PSD and 28 healthy controls (HCs) will be recruited. The participants diagnosed with GAD comorbid with PSD will be randomly assigned to either the acupuncture group or the sham acupuncture group at a 1:1 ratio. The primary outcome measure is the Hamilton Anxiety Rating Scale (HAMA). Secondary outcome measures are the Sleep Deprivation Index (SDI), the Self-Assessment Scale for Anxiety (SAS), the Epworth Sleepiness Scale (ESS), and the State-Trait Anxiety Inventory (STAI). Additionally, three psychological paradigms (the attentional network test, psychomotor vigilance test, and emotional face Go/No-go) and event-related potential (ERP) data. Healthy volunteers will not undergo acupuncture but will instead participate in baseline assessments for the scales, mental paradigms, and ERP data. Acupuncture and sham acupuncture interventions will be conducted for 30 min, three times a week, over a 2-week period. Evaluations will be performed at zero weeks (baseline), 1 week, and 2 weeks, with the data enumerator, outcome assessor, and participant blinded to the treatment assignment.</p><p><strong>Discussion: </strong>This study contributes to the exploration of the effects of acupuncture on improving anxiety symptoms and cognitive functions in individuals with comorbid GAD and PSD.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov, ChiCTR2400082221. Registered March 25, 2024.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Framework for responsive financing of district hospitals of India.","authors":"Shankar Prinja, Gaurav Jyani, Aarti Goyal, Sameer Sharma, Tarandeep Kaur, Thiagarajan Sundararaman","doi":"10.3389/fpubh.2024.1398227","DOIUrl":"10.3389/fpubh.2024.1398227","url":null,"abstract":"<p><strong>Introduction: </strong>The current financing of public-sector district hospitals in India relies on historical budget allocations rather than actual utilization or healthcare needs. We utilized empirical data on healthcare delivery costs to develop the financing framework for these hospitals using a blended payment approach.</p><p><strong>Methods: </strong>The primary data on cost of delivering services in 27 district hospitals across nine states of India was analysed along with indicators influencing the demand and supply of health services. Payment for outpatient, inpatient, and indirect services was assessed using the risk adjusted global budget, case-based bundled payment, and per-bed-global budget, respectively. Risk adjustment weights were computed by regressing the cost of outpatient care with demand and supply side factors which are likely to influence the utilization or the prices. Budget impact analysis was conducted to assess the fiscal implications of this payment approach, accounting for current care standards and two scenarios: upgrading district hospitals to Indian Public Health Standards (IPHS) or medical colleges.</p><p><strong>Results: </strong>The average annual budget for a district hospital in India is estimated at ₹326 million (US$3.35 million), ranging from ₹66 million to ₹2.57 billion (US$0.8-31.13 million). Inpatient care comprises the largest portion (78%) of the budget. Upgrading to IPHS-compliant secondary hospitals or medical colleges would increase average budgets by 131 and 91.5%, respectively.</p><p><strong>Conclusion: </strong>Implementing a blended payment approach would align funding with healthcare needs, enhance provider performance, and support ongoing financing reforms aimed at strategic purchasing and universal health coverage.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex-specific socioeconomic risk factors for spontaneous subarachnoid hemorrhage-a case-control study during the 5 years before ictus.","authors":"Elisabeth Ronne-Engström, Emilie Friberg","doi":"10.3389/fpubh.2024.1434742","DOIUrl":"10.3389/fpubh.2024.1434742","url":null,"abstract":"<p><strong>Background: </strong>There is a difference in the incidence of spontaneous subarachnoid hemorrhage (SAH) between sexes, with the majority of cases occurring in female patients. Although this phenomenon has been studied from a medical perspective, the reasons for the predominance of female cases are still unclear. Non-medical factors, such as a patient's socioeconomic situation, can differ between female and male patients, with health implications. The aim of the study was to identify socioeconomic profiles for both sexes that may be vulnerable to developing SAH. This information could potentially be used for active preventive health efforts.</p><p><strong>Methods: </strong>This study was based on a 7-year consecutive cohort of 890 patients with SAH treated at Uppsala University Hospital, along with a sex- and age-matched 5:1 control group from Statistics Sweden. The collected information included demographic data, income that was analyzed through \"earnings\" (EAs), which is defined as the sum of income and other economic compensations related to work, and \"disposable income\" (DI), which is the net amount that an individual can use. Pension and sickness-related absence from work were measured using early pension (EP), old age pension (OAP), sickness absence (SA), and disability pension (DP). Univariate and multivariate analyses were used.</p><p><strong>Results: </strong>Among the women, the socioeconomic risk profile for SAH included lower education, unemployment, being registered as living single, residing in a sparsely populated municipality, and increased age. For the men, the risk profile included residing in a sparsely populated municipality and changes in civil status. Both women and men with SAH had lower EAs and DI compared to the controls. Notably, a significantly higher proportion of the women with SAH received DP compared to the controls.</p><p><strong>Conclusion: </strong>Residing in a sparsely populated area was associated with an increased risk for SAH for both women and men. The women with SAH were more economically vulnerable, whereas the men faced a different type of vulnerability related to changes in civil status. We suggest that healthcare organizations use this information to identify individuals at risk and actively implement preventive measures according to stroke guidelines for both groups.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spatial characteristics of health outcomes and geographical detection of its influencing factors in Beijing.","authors":"Jiu Cheng, Yueying Cui, Xi Wang, Yifei Wang, Ruihua Feng","doi":"10.3389/fpubh.2024.1424801","DOIUrl":"10.3389/fpubh.2024.1424801","url":null,"abstract":"<p><strong>Background and objective: </strong>Social determinants of health (SDOH) broadly influence health levels. Research on health and its influencing factors can help improve health status. There is limited research on the spatial stratified heterogeneity of health status and the interactions between the factors influencing it. This study aimed to analyze the spatial characteristics of health outcomes in Beijing and identify its influencing factors.</p><p><strong>Methods: </strong>Based on the <i>Healthy Beijing Initiative (2020-2030)</i>, we constructed health outcomes and five dimensions of the SDOH evaluation system. Our study measured the health outcomes and SDOH based on the latest data from 16 districts in Beijing in 2020-2022. We explored the spatial characteristics of health outcomes through descriptive and spatial autocorrelation analyses. Moreover, the Geographical Detector (GeoDetector) technique has been used to reveal the effect of SDOH and its interactions on health outcomes.</p><p><strong>Results: </strong>A significant spatial stratified heterogeneity of health outcomes was observed, with the health outcomes mainly exhibiting two clustering types (high-high and low-low) with positive autocorrelation. The results of the geodetector showed that social and economic factors (<i>q</i> = 0.85), healthy lifestyle (<i>q</i> = 0.68) and health service (<i>q</i> = 0.53) could mainly explain the heterogeneity of health outcomes. Social and economic factors, healthy lifestyle and healthy environment gradually became the main influential factor in health outcomes over time. Furthermore, the interaction of any two factors on health outcomes was found to be more pronounced than the impact of a single factor.</p><p><strong>Conclusion: </strong>There existed obvious spatial stratified heterogeneity of health outcomes in Beijing, which could be primarily explained by social and economic factors, and healthy lifestyle and health service.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of bullying cognition on school bullying among Chinese primary school students: a moderated mediation model of resilience and sex.","authors":"Liping Fei, Tianwen Li, Yongli Li, Maoxu Liao, Xin Li, Yiting Chen, Rong Zhang","doi":"10.3389/fpubh.2024.1470322","DOIUrl":"10.3389/fpubh.2024.1470322","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have shown the positive effects of bullying cognition on school bullying behavior among young people, but the mechanism underlying this association remains unclear.</p><p><strong>Methods: </strong>We conducted a cross-sectional study with 5,903 primary school students in grades 3-5 in Luzhou city. Hayes' PROCESS macro was used to test the mediating effect of psychological resilience and the moderating effect of sex on the relationship between bullying cognition and school bullying after controlling for grade.</p><p><strong>Results: </strong>Psychological resilience partially mediated the relationship between school bullying cognition and victimization (<i>β</i> = -0.0174, 95% CI: -0.0219 to -0.0132) and between perpetration (<i>β</i> = -0.0079, 95% CI: -0.0104 to -0.0055). This study revealed that sex moderated the relationship between school bullying cognition and perpetration (<i>β</i> = 0.0383, <i>p</i> < 0.001) and victimization behavior (<i>β</i> = 0.0400, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>These findings suggest that it is crucial for education regulators, schools, and families to cultivate students' school bullying cognitions and psychological resilience, which may help to decrease the prevalence of school bullying. Especially for boys, improving their bullying cognition may largely decrease its perpetration.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11525983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Respiratory syncytial virus disease burden in children and adults from Latin America: a systematic review and meta-analysis.","authors":"Agustín Ciapponi, María Carolina Palermo, María Macarena Sandoval, Elsa Baumeister, Silvina Ruvinsky, Rolando Ulloa-Gutierrez, Katharina Stegelmann, Sofía Ardiles Ruesjas, Joaquín Cantos, Jorge LaRotta, Rodrigo Sini de Almeida, Ariel Bardach","doi":"10.3389/fpubh.2024.1377968","DOIUrl":"10.3389/fpubh.2024.1377968","url":null,"abstract":"<p><strong>Background: </strong>Respiratory Syncytial Virus (RSV) is a common cause of lower respiratory tract infections (LRTI) and hospitalization worldwide. The impact of RSV in Latin America and the Caribbean (LAC) including expensive treatment options, such as palivizumab, have been extensively discussed. However, publications on the impact of RSV disease burden in the region are scarce. This systematic review aimed to determine the incidence and prevalence of RSV in LAC by age and RSV subtype.</p><p><strong>Methods: </strong>We conducted a systematic review following Cochrane methods to evaluate the disease burden of RSV in LAC countries. We searched studies from January 2012 to January 2023 in literature databases and grey literature without language restrictions. We included guidelines, observational, economic, and surveillance studies from LAC countries. Pairs of reviewers independently selected, and extracted data from included studies. The risk of bias was assessed using the Study Quality Assessment Tools (NHLBI) and AGREE-II. We performed proportion meta-analyses using methods to stabilize the variance. The protocol was registered in PROSPERO (CRD42023393731).</p><p><strong>Results: </strong>We included 156 studies, mainly from Brazil (25%), Colombia (14.5%), and Argentina (13.8%), as well as four clinical practice guidelines. Most studies were cross-sectional (76.9%) and were classified as low risk of bias (52.6%). The majority included inpatients (85.6%), pediatric (73.7%), and normal-risk patients (67.1%). The highest pooled prevalence was estimated in patients <1 year old (58%), with type A and B prevalence of 52 and 34%, respectively. The RSV-LRTI incidence was 15/100 symptomatic infants aged <2 years old, and the ICU admission was 42%. The RSV-LRTI lethality was 0.6, 3% in patients aged <2 and 0-5 years old, respectively, and 23% among >65 years old high-risk patients. The identified guidelines lack methodological rigor and have limitations in their applicability. The seasonality was more evident in South America than in Central America and The Caribbean, with a clear gap during the pandemic.</p><p><strong>Conclusion: </strong>This is the most exhaustive and updated body of evidence describing a significant burden of RSV in LAC, particularly at the extremes of life, and its seasonality patterns. Our findings could contribute could contribute facilitating effective prevention and treatment strategies for this significant public health problem.</p><p><strong>Systematic review registration: </strong>PROSPERO CRD UK (registration number: CRD42023393731).</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence for training and reporting infection prevention measures in critical wards.","authors":"Francesca Simioli, Anna Annunziata, Antonietta Coppola, Anna Iervolino, Mariacristina Boccia, Giuseppe Fiorentino","doi":"10.3389/fpubh.2024.1442188","DOIUrl":"10.3389/fpubh.2024.1442188","url":null,"abstract":"","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changing paradigm of malnutrition among Bangladeshi women of reproductive age and gaps in national Nutrition Policies and Action Plans to tackle the emerging challenge.","authors":"Shusmita Khan, M Moinuddin Haider, Kanta Jamil, Karar Zunaid Ahsan, Saiqa Siraj, Afrin Iqbal, Gustavo Angeles","doi":"10.3389/fpubh.2024.1341418","DOIUrl":"10.3389/fpubh.2024.1341418","url":null,"abstract":"<p><strong>Objective: </strong>The main objective of this paper is to document the changing paradigm of malnutrition in Bangladesh and estimating how this is creating an intergenerational risk. This paper also examines national policy responses to tackle the silent epidemic of double burden of malnutrition.</p><p><strong>Methods: </strong>Publicly available datasets of five Bangladesh Demographic and Health Surveys were used to see the changing paradigm of malnutrition among Bangladesh women. In addition to that, four national policies concerning, maternal and child health; and nutrition were reviewed using CDC's 2013 Policy Analytical Framework.</p><p><strong>Results: </strong>In Bangladesh, the share of ever-married women aged 15-49 who were underweight declined sharply between 2007 and 2017-2018, from 30 to 12%. In the same period, the proportion of women who were overweight or obese increased from 12 to 32%. Despite remarkable progress in reducing undernourishment among women, the share of well-nourished remained unchanged: 58% in 2007 and 56% in 2017-2018, mainly due to the shift in the dominant burden from undernutrition to overnutrition. This shift occurred around 2012-2013. Currently, in Bangladesh 0.8 million of births occur to overweight women and 0.5 million births occur to underweight women. If the current trend in malnutrition continues, pregnancies/births among overweight women will increase. Bangladesh's existing relevant policies concerning maternal health and nutrition are inadequate and mostly address the underweight spectrum of malnutrition.</p><p><strong>Discussion: </strong>Both forms of malnutrition pose a risk for maternal and child health. Underweight mothers are at risk of having anemia, antepartum/postpartum hemorrhage, and premature rupture of membranes. Maternal obesity increases the risk of perinatal complications, such as gestational diabetes, gestational hypertension, and cesarean deliveries. Currently, around 24% of the children are born to overweight/obese mothers and 15% to underweight mothers. Bangladesh should revise its national policies to address the double burden of malnutrition among women of reproductive age across pre-conception, pregnancy, and post-natal stages to ensure optimum maternal and child health.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11524151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}