{"title":"孟加拉国5岁以下儿童营养不良的共存形式：2012-13年和2019年多指标类集调查结果","authors":"Md Ridwan Islam, Md Fuad Al Fidah, Md Mushfiqur Rahman, Tahmeed Ahmed, Sharika Nuzhat","doi":"10.1017/S1368980025000448","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Underweight, wasting and stunting are crucial malnutrition indicators responsible for morbidities among children. Data regarding coexisting forms of malnutrition (CFM) are scarce. We aimed to investigate the prevalence and associated factors of CFM across two survey years among under-5 Bangladeshi children.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Data were acquired from two rounds of Multiple Indicator Cluster Survey (MICS), Bangladesh conducted in 2012-13 and 2019. <i>Subjects:</i> The analysis included 43 946 (2012-13: 20 885; 2019: 23 061) under-5 children.</p><p><strong>Results: </strong>Binomial proportion test, slope index of inequality and multinomial logistic regression models were used for analysis. The prevalence of CFM was 27·45 % and 18·56 % in 2012-13 and 2019, respectively. A significant decrease in the prevalence of CFM was seen across the surveys (<i>P</i>-value < 0·001). Children from urban residence ((2012-13:aOR = 0·70, 95 % CI: 0·64, 0·77); (2019:aOR = 0·71, 95 % CI: 0·65, 0·78), higher maternal education ((2012-13:aOR = 0·28, 95 % CI: 0·24, 0·32); (2019:aOR = 0·28, 95 % CI: 0·24, 0·32), larger size at birth ((2012-13:aOR = 0·62, 95 % CI: 0·52, 0·73); (2019:aOR: 0·60, 95 % CI: 0·50, 0·73) and richest wealth quintile ((2012-13:aOR = 0·25, 95 % CI: 0·22, 0·28); (2019:aOR: 0·30, 95 % CI: 0·27, 0·34)) had lower odds of suffering from CFM compared with their counterparts. Children from poorer quintiles were more influenced by CFM than richer quintiles (Coef.:-0·175, 95 % CI: -0·192, -0·157, <i>P</i>-value < 0·001). Higher percentage of CFM was observed among rich families in 2019 compared with 2012-13 (24·50 % and 20·15 %, respectively; <i>P</i>-value < 0·001).</p><p><strong>Conclusion: </strong>The findings of this study should help the researchers and policymakers to understand CFM more clearly and plan prospective studies to explore CFM outcomes. Targeted interventional approaches are needed among parents of rural communities to control the burden of CFM.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e84"},"PeriodicalIF":3.0000,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100559/pdf/","citationCount":"0","resultStr":"{\"title\":\"Coexisting forms of malnutrition among under-5 children in Bangladesh: results from 2012 to 13 and 2019 Multiple Indicator Cluster Surveys.\",\"authors\":\"Md Ridwan Islam, Md Fuad Al Fidah, Md Mushfiqur Rahman, Tahmeed Ahmed, Sharika Nuzhat\",\"doi\":\"10.1017/S1368980025000448\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Underweight, wasting and stunting are crucial malnutrition indicators responsible for morbidities among children. Data regarding coexisting forms of malnutrition (CFM) are scarce. We aimed to investigate the prevalence and associated factors of CFM across two survey years among under-5 Bangladeshi children.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Data were acquired from two rounds of Multiple Indicator Cluster Survey (MICS), Bangladesh conducted in 2012-13 and 2019. <i>Subjects:</i> The analysis included 43 946 (2012-13: 20 885; 2019: 23 061) under-5 children.</p><p><strong>Results: </strong>Binomial proportion test, slope index of inequality and multinomial logistic regression models were used for analysis. The prevalence of CFM was 27·45 % and 18·56 % in 2012-13 and 2019, respectively. A significant decrease in the prevalence of CFM was seen across the surveys (<i>P</i>-value < 0·001). Children from urban residence ((2012-13:aOR = 0·70, 95 % CI: 0·64, 0·77); (2019:aOR = 0·71, 95 % CI: 0·65, 0·78), higher maternal education ((2012-13:aOR = 0·28, 95 % CI: 0·24, 0·32); (2019:aOR = 0·28, 95 % CI: 0·24, 0·32), larger size at birth ((2012-13:aOR = 0·62, 95 % CI: 0·52, 0·73); (2019:aOR: 0·60, 95 % CI: 0·50, 0·73) and richest wealth quintile ((2012-13:aOR = 0·25, 95 % CI: 0·22, 0·28); (2019:aOR: 0·30, 95 % CI: 0·27, 0·34)) had lower odds of suffering from CFM compared with their counterparts. Children from poorer quintiles were more influenced by CFM than richer quintiles (Coef.:-0·175, 95 % CI: -0·192, -0·157, <i>P</i>-value < 0·001). Higher percentage of CFM was observed among rich families in 2019 compared with 2012-13 (24·50 % and 20·15 %, respectively; <i>P</i>-value < 0·001).</p><p><strong>Conclusion: </strong>The findings of this study should help the researchers and policymakers to understand CFM more clearly and plan prospective studies to explore CFM outcomes. Targeted interventional approaches are needed among parents of rural communities to control the burden of CFM.</p>\",\"PeriodicalId\":20951,\"journal\":{\"name\":\"Public Health Nutrition\",\"volume\":\" \",\"pages\":\"e84\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-04-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100559/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Public Health Nutrition\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1017/S1368980025000448\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health Nutrition","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/S1368980025000448","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
Coexisting forms of malnutrition among under-5 children in Bangladesh: results from 2012 to 13 and 2019 Multiple Indicator Cluster Surveys.
Objective: Underweight, wasting and stunting are crucial malnutrition indicators responsible for morbidities among children. Data regarding coexisting forms of malnutrition (CFM) are scarce. We aimed to investigate the prevalence and associated factors of CFM across two survey years among under-5 Bangladeshi children.
Design: Cross-sectional study.
Setting: Data were acquired from two rounds of Multiple Indicator Cluster Survey (MICS), Bangladesh conducted in 2012-13 and 2019. Subjects: The analysis included 43 946 (2012-13: 20 885; 2019: 23 061) under-5 children.
Results: Binomial proportion test, slope index of inequality and multinomial logistic regression models were used for analysis. The prevalence of CFM was 27·45 % and 18·56 % in 2012-13 and 2019, respectively. A significant decrease in the prevalence of CFM was seen across the surveys (P-value < 0·001). Children from urban residence ((2012-13:aOR = 0·70, 95 % CI: 0·64, 0·77); (2019:aOR = 0·71, 95 % CI: 0·65, 0·78), higher maternal education ((2012-13:aOR = 0·28, 95 % CI: 0·24, 0·32); (2019:aOR = 0·28, 95 % CI: 0·24, 0·32), larger size at birth ((2012-13:aOR = 0·62, 95 % CI: 0·52, 0·73); (2019:aOR: 0·60, 95 % CI: 0·50, 0·73) and richest wealth quintile ((2012-13:aOR = 0·25, 95 % CI: 0·22, 0·28); (2019:aOR: 0·30, 95 % CI: 0·27, 0·34)) had lower odds of suffering from CFM compared with their counterparts. Children from poorer quintiles were more influenced by CFM than richer quintiles (Coef.:-0·175, 95 % CI: -0·192, -0·157, P-value < 0·001). Higher percentage of CFM was observed among rich families in 2019 compared with 2012-13 (24·50 % and 20·15 %, respectively; P-value < 0·001).
Conclusion: The findings of this study should help the researchers and policymakers to understand CFM more clearly and plan prospective studies to explore CFM outcomes. Targeted interventional approaches are needed among parents of rural communities to control the burden of CFM.
期刊介绍：
Public Health Nutrition provides an international peer-reviewed forum for the publication and dissemination of research and scholarship aimed at understanding the causes of, and approaches and solutions to nutrition-related public health achievements, situations and problems around the world. The journal publishes original and commissioned articles, commentaries and discussion papers for debate. The journal is of interest to epidemiologists and health promotion specialists interested in the role of nutrition in disease prevention; academics and those involved in fieldwork and the application of research to identify practical solutions to important public health problems.
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