Maternal and Child Nutrition最新文献

{"title":"An Unhealthy Start: The Nutritional Composition, Processing, and on-Pack Claims of Commercial Foods for Infants and Toddlers in Thailand","authors":"Abhirat Supthanasup,&nbsp;Nisachol Cetthakrikul,&nbsp;Andini Pramono,&nbsp;Matthew Kelly","doi":"10.1111/mcn.70187","DOIUrl":"10.1111/mcn.70187","url":null,"abstract":"<p>Nutrition during the first 1000 days of life is vital for fostering child health. Commercial foods for infants and toddlers are now increasingly prevalent, yet their nutritional quality and insufficiently regulated marketing are a global concern. This cross-sectional audit comprehensively assessed the nutritional composition, processing levels, on-pack claims, and compliance with the WHO Nutrient and Promotion Profile Model (NPPM) nutrient composition requirements of 216 products available in Thailand. Our findings revealed that ultra-processed products dominated the market (59.7%), with 43.5% of all foods containing added free sugars. Snacks and finger foods were the largest and most concerning category, 77.7% of these were ultra-processed, 67.0% contained added free sugar, and 25.9% had added salt. Nutritionally, this category was high in energy, sugar, and sodium but deficient in micronutrients. Compliance with WHO NPPM nutrient composition was highly variable and particularly low for snacks concerning added free sugars. The prevalence of on-pack claims was high, with composition and nutrition (96.8%), health (58.8%), and marketing (88.4%) claims. Therefore, urgent policy interventions are required to address the prevalence of nutritionally inadequate products and misleading claims.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"22 2","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.70187","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Drivers of Child Food Poverty in Ethiopia: Evidence From a Nationally Representative Survey","authors":"Adamu Belay,&nbsp;Ramadhani Noor,&nbsp;Bedasa Tessema,&nbsp;Meseret woldeyohannes,&nbsp;Nahom Tefera,&nbsp;Meron Girma,&nbsp;Alemnesh Petros,&nbsp;Nardos Birru,&nbsp;Yetayesh Maru,&nbsp;Stanley Chitekwe,&nbsp;Hiwot Darsene,&nbsp;kaleab Baye,&nbsp;Masresha Tessema","doi":"10.1111/mcn.70186","DOIUrl":"10.1111/mcn.70186","url":null,"abstract":"<p>Child food poverty, defined as inadequate access to and consumption of a nutritious and diverse diet in early childhood, can have lasting consequences for health, development, and economic productivity. However, nationally representative data on its magnitude and factors remain scarce in Ethiopia. This study aims to estimate the prevalence of child food poverty at national and regional levels, identify its key factors, and quantify the absolute burden among children under 5 years of age. We conducted a population-based, cross-sectional Food and Nutrition Strategy baseline survey. Dietary intake was assessed using a 24-h recall for children aged 6–23 months (<i>n</i> = 2,969). Proportion of severe- (0–2 food groups) and moderate- (3–4 food groups) child food poverty was calculated. Multivariable logistic regression was used to identify predictors of severe food poverty. Extrapolations were performed to estimate the absolute number of children aged 6–59 months experiencing food poverty nationally. Overall, 92% of children aged 6–23 months lived in severe or moderate food poverty, which translates to about 12 million Ethiopian children under five. Significant predictors of severe food poverty included low maternal education (AOR 1.72, 95% CI: 1.22,2.41), no antenatal care visits (AOR 1.69, 95% CI: 1.38,2.08), and lowest household wealth quintile (AOR 2.98, 95% CI: 1.85,4.68). Child food poverty is widespread in Ethiopia, with substantial regional variation and strong links to maternal education, healthcare access, and household wealth. Urgent, multi-sectoral nutrition interventions are needed to protect young children's, strengthen public health systems, and enhance emergency preparedness.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"22 2","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.70186","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dietary Patterns and Predictors of Food Insecurity and Poor Diet Among Children Less Than 5 Years in the Arid and Semi-Arid Region of Kenya: A Longitudinal Study","authors":"Calistus Wilunda,&nbsp;Linda Adair,&nbsp;Valerie L. Flax,&nbsp;Faith Thuita,&nbsp;Estelle Sidze,&nbsp;Dickson Amugsi,&nbsp;Bonventure Mwangi,&nbsp;Albert Webale,&nbsp;Esther Anono,&nbsp;Hazel Odhiambo,&nbsp;Elizabeth Kimani-Murage,&nbsp;Chessa K. Lutter","doi":"10.1111/mcn.70190","DOIUrl":"10.1111/mcn.70190","url":null,"abstract":"<p>We examined the diets of children 6–23 and 24–59 months participating in a 2 year, six-wave longitudinal study conducted in Samburu and Turkana counties, Kenya. Data were collected between June 2021 and September 2023. Information on child feeding practices was collected following WHO and UNICEF guidelines. Grains, roots, and tubers were nearly universally consumed. Dairy was the dominant animal source food (ASF), though declined sharply from Wave 1–5 among children 6–23 months and remained low across waves among children 24–59 months. The proportion of children who consumed fruits and vegetables, legumes and nuts, and eggs was low across waves. About half of the children, 6–23 months consumed sweet drinks at Wave 1, and consumption increased thereafter in both counties. Among children 24–59 months, nearly 90% of children in Samburu and about 65% in Turkana consumed a sweet drink across waves. Across all survey waves, only 11% and 5% of observations included foods from four or more food groups (representing minimum dietary diversity) in Samburu and Turkana, respectively. The mean number of food groups consumed ranged between 1.5 and 2.5, even among food-secure households, though children in food-secure households consumed about 0.5 more food groups. Children were more likely to consume dairy or any other ASF compared with their mothers, suggesting that mothers prioritize the nutritional needs of children over their own. The high prevalence of sweet drink consumption is mainly from sweetened tea, often given as a milk substitute when milk is unavailable in pastoral and agropastoral households.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"22 2","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.70190","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 International Board Certified Lactation Consultant (IBCLC) Support on Breastfeeding in the UK and Ireland-A Scoping Review.","authors":"Emily Lunny, Helen Gray, Elen Davies, Amy Brown, Catrin Griffiths","doi":"10.1111/mcn.70189","DOIUrl":"10.1111/mcn.70189","url":null,"abstract":"<p><p>Breastfeeding is important for infant and maternal physical and mental health. Despite this, the United Kingdom (UK) and Ireland have the lowest breastfeeding rates in the world with between 34% and 52% of women breastfeeding partially or exclusively at 6-8 weeks across the nations. This is driven by complex biological, social, psychological and economic factors. However, a significant body of evidence shows that mothers who receive skilled breastfeeding support are more likely to breastfeed for longer. Effective breastfeeding support can be delivered by a range of trained professionals and peer supporters depending on need. The highest specialist support is provided by International Board Certified Lactation Consultants (IBCLCs). Research from the USA has shown the positive impact of IBCLC support upon breastfeeding duration and experience. However, there is limited data on this topic from the UK and Ireland. Given significant differences in IBCLC access and health care systems, this review therefore aimed to explore the impact of IBCLCs in the UK and Ireland. Of 5169 papers retrieved, only four studies met the eligibility criteria. Four themes were identified; breast milk feeding rates increased, breastfeeding duration increased, lack of specialised IBCLC support available outside of study and format of support delivery, including group based or 1-1 support. The findings show increased access to IBCLC support may increase breastfeeding rates in the UK and Ireland. However, the findings are limited due to poor quality studies and recruitment bias. The paucity of evidence highlights the need for further research on this topic.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"22 2","pages":"e70189"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13128957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Providing Choice: Exploring Maternal Perceptions of Infant Feeding When Supplementation Is Required.","authors":"Oby Ezeigbo, Jannette Festival, Christine Ou, Jennifer Dion, Heather Christine Rusi, Meredith Brockway","doi":"10.1111/mcn.70164","DOIUrl":"10.1111/mcn.70164","url":null,"abstract":"<p><p>Exclusive breastfeeding is recommended for the first 6 months of life. However, many full-term infants require supplementation in the first few days of life, with formula often being the only supplementation option provided. With increased awareness and availability, donor human milk is becoming a viable alternative for supplementation in full-term infants. This study aimed to understand how having a choice to supplement infants with donor human milk rather than formula informed maternal experiences with infant feeding. Using a qualitative descriptive design, we conducted 15 semi-structured interviews with mothers who chose to supplement their infant with donor human milk. The semi-structured interview guide was co-developed with milk banking associations to elicit feeding goals, perceptions of donor human milk, infant feeding experiences in the first weeks of life and perceived well-being, health, and feelings around supplementation. Interviews were analyzed using reflexive thematic analysis. Of the 15 participants, over half delivered via cesarean section (n = 8), the majority were primiparous and had no previous breastfeeding experience (n = 12) and most wanted to exclusively breastfeed their infant (n = 11). Four overarching themes were identified: (1) feeding experience, (2) supplementation, (3) maternal well-being, and (4) feasibility. Choosing donor human milk positively impacted participant mental health, helped relieve stress from the pressure to breastfeed, and provided peace of mind. Donor human milk may provide a feasible intervention that may help to mitigate maternal distress by providing a supplement that is more to similar breastmilk, while breastfeeding is being established.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"22 2","pages":"e70164"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13092807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mothers' Experiences of Formula Feeding Support in the UK: A Qualitative Systematic Review.","authors":"Eilish James, Gary Hoang, Daniel Lange, Kate Jolly, Joanne Clarke","doi":"10.1111/mcn.70182","DOIUrl":"10.1111/mcn.70182","url":null,"abstract":"<p><p>Most babies in the UK and Ireland receive formula milk in their first 6 months of life. Understanding mothers' perceptions of formula feeding support is crucial in shaping practical guidelines, research-based strategies and future policies to support formula feeding decisions. This review aimed to synthesise qualitative evidence on mothers' experiences of formula feeding support in the UK and Ireland. The Cochrane Handbook guidance for systematic reviews was followed and MEDLINE, CINAHL, PsycINFO, Web of Science and ASSIA (ProQuest) databases were searched. Ten included papers were assessed for methodological quality using a CASP checklist. The Thomas and Harden three-stage approach was used to thematically synthesise the data. The synthesised findings include: (1) Limited support for formula feeding, (2) Withheld or conflicting healthcare professional support, and (3) Emotional health and wellbeing impact on mothers. Mothers who formula feed require empathetic, formal guidance from HCPs as they navigate their feeding journey. This review highlights predominantly negative experiences due to inadequate support received. Formula feeding support should be recognised as an essential element in perinatal care. Future research could investigate effective interventions for formula feeding support strategies.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"22 2","pages":"e70182"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of Healthcare Professionals Regarding the Cultural Food Practices of African Migrant Women During Pregnancy and Postpartum in Australia.","authors":"Bolanle R Olajide, Paige van der Pligt, Vidanka Vasilevski, Fiona H McKay","doi":"10.1111/mcn.70183","DOIUrl":"10.1111/mcn.70183","url":null,"abstract":"<p><p>In African societies, cultural food practices often restrict or prohibit the consumption of certain foods during pregnancy. While some of these practices persist after migration, how healthcare professionals (HCPs) perceive the influence of these practices on African migrant women's food practices in Australia remains unexplored. Understanding HCPs' perceptions of African migrant women's food practices will provide insights into how these practices are understood and addressed in clinical settings. This study examines HCPs' perceptions of the cultural food practices and nutrition behaviours of African migrant women during pregnancy and the postpartum period in Australia. Participants were recruited through convenience and snowball sampling. In-depth semi-structured interviews were conducted with 15 HCPs who had experience providing antenatal care to African migrant women in Australia. Thematic analysis was used to analyse the data. Three themes were identified: (1) HCPs' perceptions of women's cultural food practices, (2) challenges in delivering general healthy eating information, and (3) strategies for providing effective nutrition advice. Few HCPs were aware of the specific restrictive food practices among the African migrant women they support. HCPs perceived that the healthy eating information provided to these women was not always effective and culturally appropriate due to the constraints on consultation time and a lack of culturally appropriate resources. Participants expressed a need for in-service education, tailored resources on African foods to enhance culturally appropriate care, and support for continuity of care. This study highlights the challenges HCPs face in providing culturally appropriate nutrition support to African migrant women during pregnancy and postpartum. Addressing these gaps through supportive training for HCPs and culturally tailored resources for women is needed.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"22 2","pages":"e70183"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Low Maternal Body Mass Index (BMI) and the Co-Occurrence of Multiple Forms of Childhood Undernutrition: A Systematic Review and Meta-Analysis.","authors":"Biniyam Sahiledengle, Paul Ward, Bereket Duko, Kingsley Agho, Lillian Mwanri","doi":"10.1111/mcn.70188","DOIUrl":"10.1111/mcn.70188","url":null,"abstract":"<p><p>Low maternal Body Mass Index (BMI) is a critical risk factor for child undernutrition. While its association with single anthropometric deficits such as stunting or wasting is well documented, evidence on its relationship with the co-occurrence of multiple forms of undernutrition remains scarce. The Composite Index of Anthropometric Failure (CIAF) is a summary measure that classifies children as having anthropometric failure if they are stunted, wasted, underweight, or any combination of these, thereby capturing both single and concurrent deficits. This systematic review and meta-analysis explored the relationship between maternal underweight and CIAF in children under five, addressing a significant research gap. We systematically searched major databases, including MEDLINE (PubMed), Embase, Scopus, CINAHL, ProQuest (EBSCO), ScienceDirect, Global Index Medicus, and the Cochrane Library, without language or geographic restrictions, to identify relevant observational studies. We pooled extracted confounder-adjusted odds ratios (ORs) and 95% confidence intervals (CIs) using an inverse-variance weighted random-effects meta-analysis, with heterogeneity assessed using the I² statistic. Sensitivity analyses were conducted to evaluate the robustness of the results, and subgroup and meta-regression analyses were performed to explore heterogeneity. Pooled prevalence ratios (PRs) and prevalence differences (PDs) were estimated to quantify the relative and absolute inequalities in CIAF prevalence between children of mothers with normal weight and those with underweight mothers, respectively. A total of 19 studies, comprising 536,840 mother-child pairs, were included in the final analysis. Children of underweight mothers, compared with those of normal-weight mothers, had 34% higher odds of CIAF (pooled OR: 1.34, 95% CI: 1.25-1.44, n = 375,248), with significant relative (pooled PR: 1.32, 95% CI: 1.06-1.64) and absolute inequalities (pooled PD: 0.13, 95% CI: 0.03-0.23). Subgroup analysis by geographic region showed a significant association between low maternal BMI and increased CIAF odds in children under five (pooled OR: 1.47, 95% CI: 1.39-1.56 in Asia; pooled OR: 1.16, 95% CI: 1.12-1.20 in Africa). No significant evidence of publication bias was detected. These findings indicate that low maternal BMI is significantly associated with an increased risk of CIAF in children under five. Substantial inequities in CIAF prevalence exist across maternal BMI groups, with children of underweight mothers disproportionately affected by higher burdens of CIAF. Prioritising nutritional interventions that address maternal underweight during preconception and pregnancy is essential to reduce multiple forms of undernutrition in children.  .</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"22 2","pages":"e70188"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Her Health Behavior, Her Choice? Decision-Making Power Over Key Health and Nutrition Behaviors Among Pregnant and Lactating Women in Jordan.","authors":"Laurie C Miller, Regina Brown, Reema Safadi, Yanlin Ren, Afnan Alghanmi, Ian G Moore, Robin Shrestha, Patrick Webb, Shibani Ghosh","doi":"10.1111/mcn.70184","DOIUrl":"10.1111/mcn.70184","url":null,"abstract":"<p><p>Women's participation in family diet and health decisions is strongly associated with better family outcomes.  We examined decision-making power among participants in a Community Health and Nutrition Program in Jordan, which sought to improve maternal, infant, and young child nutrition (MIYCN) and modern contraception through service-provider training and media campaigns. Cross-sectional surveys in Amman, Karak, and Zarqa governates enrolled 3518 pregnant/lactating women (PLW) in the program (2021-23).  PLW respondents indicated whether receiving messages about MIYCN and contraceptive use changed their practices, and whether their decision-making was total, shared with other family members (husbands, mothers, mothers-in-law), or not possible for these choices. Results were analyzed using chi-square tests and multiple linear regressions.  After receiving program messages, 78% of PLW changed ≥ 1 practice. Between 52.8% and 90.3% of PLW had decision-making power to accept or reject recommendations for the six targeted behaviors. Compared to Amman, Zarqa residence was negatively associated with decision-making power over women's dietary diversity (OR = 0.418, p < 0.05) and early initiation of breastfeeding (OR = 0.493, p < 0.05), while Karak residence was negatively associated with decision-making power over modern contraceptive use (OR = 0.419, SE = 0.116, p < 0.01). Number of children was positively associated with decision-making power over exclusive breastfeeding (OR = 1.18, p < 0.01). Nationality, age, and wealth were not associated with decision-making power over these practices. Decision-making power varied among PLW in the program: PLW living outside Amman and those with fewer children had less autonomy to change practices. Further research is needed to understand how to best support decision-making power among these populations. Trial Registration: Registered at clinicaltrials.gov (NCT05365698).</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"22 2","pages":"e70184"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13105286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Higher Pre- and Post-Monsoon Temperatures and Their Impact on Child Undernutrition in Bangladesh","authors":"Syed Shahadat Hossain,&nbsp;Souvik Ghoshal Aranya,&nbsp;Jahida Gulshan,&nbsp;Md. Bazlur Rashid","doi":"10.1111/mcn.70176","DOIUrl":"10.1111/mcn.70176","url":null,"abstract":"<p>Child malnutrition remains a critical public health concern in Bangladesh, with emerging evidence linking climatic variability to nutritional outcomes. This study examines the impact of unusual seasonal temperature deviations, particularly in the pre- and post-monsoon periods, on child malnutrition. District-level time series climatic data from 2007 to 2018 were analyzed alongside the pooled cross-sectional children's data, the Multiple Indicator Cluster Survey (MICS) of 2012 and 2019, to assess these effects. Factor analysis and multilevel logistic regression model were used for analyzing the data where factor analysis identified the pre- and post-monsoon seasons as a dominant weather factor, and multilevel logistic regression evaluated its association with malnutrition after adjustment for other individual-level, household-level, and maternal characteristics. Results indicate that higher-than-usual temperatures in pre- and post-monsoon seasons significantly increase stunting, while lower-than-usual monsoon temperatures do the same to both stunting and wasting. These findings suggest that deviations from historical climatic norms may negatively affect child nutrition. Strengthening climate-sensitive nutrition policies and early warning systems is essential in mitigating the impact of unseasonal temperature anomalies on child health in Bangladesh.</p>","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":"22 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.70176","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}