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Prevalence and sociodemographic determinants of household-level double burden of malnutrition in Bangladesh

  • Subhasish Das (a1), Shah Mohammad Fahim (a1), Md Saimul Islam (a2), Tuhin Biswas (a3), Mustafa Mahfuz (a1) (a4) and Tahmeed Ahmed (a1)...

Abstract

Objective

To investigate the prevalence and sociodemographic determinants of household-level mother–child double burden (MCDB) of malnutrition in Bangladesh.

Design

The analysis was done using Bangladesh Demographic and Health Survey 2014 data. Multivariable logistic regression identified the sociodemographic factors associated with double-burden households.

Setting

Nationally representative cross-sectional survey.

Participants

A total of 5951 households were included in the analysis.

Results

A coexistence of overweight or obese mother and underweight or stunted or wasted child (OWOBM/USWC) was found in 6·3 % households. The prevalence of overweight or obese mother and underweight child (OWOBM/UWC) was 3·8 %, of overweight or obese mother and stunted child (OWOBM/STC) was 4·7 %, and of overweight or obese mother and wasted child (OWOBM/WSC) was 1·7 %. Mother’s age 21–25 years at first birth, middle wealth index group, having two or three children and having four or more children showed statistically significant (P<0·05) associations with OWOBM/UWC. Households with mother’s age 21–25 years at first birth, middle wealth index group, no exposure to information media, having two or three children and having four or more children had higher odds of OWOBM/STC and OWOBM/USWC which were statistically significant (P<0·05). Delivery of child through caesarean section was significantly associated with OWOBM/USWC (P<0·05).

Conclusions

Although the prevalence of MCDB of malnutrition in Bangladesh is low, prevention programmes must consider the nutrition concerns of the entire household to prevent future risks. Such programmes also need to be tagged with family planning and increasing awareness through social and behaviour change counselling and exposure to information media.

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Copyright

Corresponding author

*Corresponding author: Email subhasish.das@icddrb.org

References

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1. Sekiyama, M, Jiang, HW, Gunawan, B et al. (2015) Double burden of malnutrition in rural West Java: household-level analysis for father–child and mother–child pairs and the association with dietary intake. Nutrients 7, 83768391.
2. Ramirez-Zea, M, Kroker-Lobos, MF, Close-Fernandez, R et al. (2014) The double burden of malnutrition in indigenous and nonindigenous Guatemalan populations. Am J Clin Nutr 100, issue 6, 1644S1651S.
3. Kimani-Murage, EW, Muthuri, SK, Oti, SO et al. (2015) Evidence of a double burden of malnutrition in urban poor settings in Nairobi, Kenya. PLoS One 10, e0129943.
4. Kapoor, S & Anand, K (2002) Nutritional transition: a public health challenge in developing countries. J Epidemiol Community Health 56, 804805
5. El Kishawi, RR, Soo, KL, Abed, YA et al. (2016) Prevalence and associated factors for dual form of malnutrition in mother–child pairs at the same household in the Gaza Strip–Palestine. PLoS One 11, e0151494.
6. Dewey, KG & Begum, K (2011) Long‐term consequences of stunting in early life. Matern Child Nutr 7, 518.
7. Misra, A, Singhal, N, Sivakumar, B et al. (2011) Nutrition transition in India: secular trends in dietary intake and their relationship to diet‐related non‐communicable diseases. J Diabetes 3, 278292.
8. Doak, CM, Adair, LS, Monteiro, C et al. (2000) Overweight and underweight coexist within households in Brazil, China and Russia. J Nutr 130, 29652971.
9. Hanandita, W & Tampubolon, G (2015) The double burden of malnutrition in Indonesia: social determinants and geographical variations. SSM Popul Health 1, 1625.
10. National Institute of Population Research and Training, Mitra and Associates, & ICF International (2014) Bangladesh Demographic and Health Survey BDHS 2014: Key Indicators. Dhaka and Calverton, MD: NIPORT, Mitra and Associates, and ICF International.
11. Siddiquee, T, Bhowmik, B, Moreira, NCDV et al. (2015) Prevalence of obesity in a rural Asian Indian (Bangladeshi) population and its determinants. BMC Public Health 15, 860.
12. Oddo, VM, Rah, JH, Semba, RD et al. (2012) Predictors of maternal and child double burden of malnutrition in rural Indonesia and Bangladesh. Am J Clin Nutr 95, 951958.
13. World Health Organization (2017) The Double Burden of Malnutrition: Policy Brief. Geneva: WHO.
14. NHLBI Obesity Education Initiative Expert Panel on the Identification, Evaluation, and Treatment of Obesity in Adults (1998) Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. Bethesda, MD: National Heart, Lung, and Blood Institute.
15. Firth, D (1993) Bias reduction of maximum likelihood estimates. Biometrika 80, 2738.
16. Heinze, G, Ploner, M, Dunkler, D et al. (2013) logistf: Firth’s bias reduced logistic regression. R package version 1. https://rdrr.io/cran/logistf/ (accessed December 2018).
17. Jehn, M & Brewis, A (2009) Paradoxical malnutrition in mother–child pairs: untangling the phenomenon of over-and under-nutrition in underdeveloped economies. Econ Hum Biol 7, 2835.
18. Wong, C, Zalilah, M, Chua, E et al. (2015) Double-burden of malnutrition among the indigenous peoples (Orang Asli) of Peninsular Malaysia. BMC Public Health 15, 680.
19. Oddo, VM, Rah, JH, Semba, RD et al. (2012) Predictors of maternal and child double burden of malnutrition in rural Indonesia and Bangladesh. Am J Clin Nutr 95, 951958.
20. Dieffenbach, S & Stein, AD (2012) Stunted child/overweight mother pairs represent a statistical artifact, not a distinct entity. J Nutr 142, 771773.
21. Kosaka, S & Umezaki, M (2017) A systematic review of the prevalence and predictors of the double burden of malnutrition within households. Br J Nutr 117, 11181127.
22. Lee, J, Houser, RF, Must, A et al. (2012) Socioeconomic disparities and the familial coexistence of child stunting and maternal overweight in Guatemala. Econ Hum Biol 10, 232241.
23. Leroy, JL, Habicht, J-P, González de Cossío, T et al. (2014) Maternal education mitigates the negative effects of higher income on the double burden of child stunting and maternal overweight in rural Mexico. J Nutr 144, 765770.
24. Garrett, J & Ruel, MT (2005) The coexistence of child undernutrition and maternal overweight: prevalence, hypotheses, and programme and policy implications. Matern Child Nutr 1, 185196.
25. Caballero, B (2005) A nutrition paradox – underweight and obesity in developing countries. N Engl J Med 352, 15141516.
26. Wakefield, MA, Loken, B & Hornik, RC (2010) Use of mass media campaigns to change health behaviour. Lancet 376, 12611271.
27. Pekmez, CT, Dragsted, LO & Brahe, LK (2018) Gut microbiota alterations and dietary modulation in childhood malnutrition – the role of short chain fatty acids. Clin Nutr. Published online: 17 February 2018. doi: 10.1016/j.clnu.2018.02.014.
28. Dominguez-Bello, MG, Costello, EK, Contreras, M et al. (2010) Delivery mode shapes the acquisition and structure of the initial microbiota across multiple body habitats in newborns. Proc Natl Acad Sci U S A 107, 1197111975.
29. Grölund, M-M, Lehtonen, O-P, Eerola, E et al. (1999) Fecal microflora in healthy infants born by different methods of delivery: permanent changes in intestinal flora after cesarean delivery. J Pediatr Gastroenterol Nutr 28, 1925.

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Prevalence and sociodemographic determinants of household-level double burden of malnutrition in Bangladesh

  • Subhasish Das (a1), Shah Mohammad Fahim (a1), Md Saimul Islam (a2), Tuhin Biswas (a3), Mustafa Mahfuz (a1) (a4) and Tahmeed Ahmed (a1)...

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