Evidence map›Paper›PMID 31419251›Full record

ArticlePloS one2019

Double burden of malnutrition at household level: A comparative study among Bangladesh, Nepal, Pakistan, and Myanmar.

Asibul Islam Anik, Md Mosfequr Rahman, Md Mostafizur Rahman, Md Ismail Tareque, Md Nuruzzaman Khan, M Mahmudul Alam

Abstract readComparative Study
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Double Burden of Malnutrition in Mother and Child Pairs in an Urban Resettlement Colony of East Delhi: A Cross-sectional Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026
    Article
  5. Article
  6. Defining double burden of malnutrition across individual, household and population level: A narrative review.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2026
    Review
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  19. Mother-child dyads of overnutrition and undernutrition in sub-Saharan Africa.Journal of health, population, and nutrition · 2024
    Article
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Asibul Islam AnikDepartment of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh.ORCID 0000-0002-6885-2256
Md Mosfequr RahmanDepartment of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh.
Md Mostafizur RahmanDepartment of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh.
Md Ismail TarequeDepartment of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh.
Md Nuruzzaman KhanDepartment of Population Sciences, Jatiya Kabi Kazi Nazrul Islam University, Trishal, Mymensingh, Bangladesh.
M Mahmudul AlamDepartment of Statistics, University of Rajshahi, Rajshahi, Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coexistence of overweight mother and stunted child at the same household is a type of Double Burden of Malnutrition at Household Level (DBMHL). This particular public health concern is now emerging at an alarming rate among most of the South Asian and its neighboring lower-and-middle income countries which are going through nutritional transition. This study has examined the prevalence rate and the risk factors of DBMHL along with the socio-economic inequality in DBMHL among Bangladesh, Nepal, Pakistan, and Myanmar.

methodsLatest Demographic and Health Survey datasets were used in this study. To identify the significant association of DBMHL with socio-demographic characteristics, a multivariate technique named as logistic regression model, and for measuring socio-economic inequalities in DBMHL prevalence, relative index of inequality (RII) and slope index of inequality (SII) were used.

resultsThe prevalence rates of DBMHL were 4.10% (urban: 5.57%, rural: 3.51%), 1.54% (urban: 1.63%, rural: 1.42%), 3.93% (urban: 5.62%, rural: 3.20%), and 5.54% (urban: 6.16%, rural: 5.33%) respectively in Bangladesh, Nepal, Pakistan, and Myanmar. The risk ratios (RR) obtained from RII for Bangladesh, Nepal, Pakistan and Myanmar were 1.25, 1.25, 1.14, and 1.09, respectively, and β coefficient from SII were 0.01, 0.004, 0.005, and 0.006 unit respectively. In addition to not breastfeeding [Bangladesh (AOR: 1.55; 95% CI: 1.11-2.15), Myanmar (AOR: 1.74; 95% CI: 1.02-2.95)], respondent's older age (in Bangladesh, Nepal, and Myanmar), child's older age (in Pakistan and Myanmar), and middle and rich groups of wealth-index (in Bangladesh and Pakistan) were strong risk factors for DBMHL. On the other hand, female child [Nepal (AOR: 0.50; 95% CI: 0.26-0.95), Pakistan (AOR: 0.58; 95% CI: 0.41-0.84)], higher education [in Pakistan], respondent not participated in decision making [in Bangladesh and Nepal] and media access [Nepal (AOR: 0.44; 95% CI: 0.20-0.98)] had negative association with DBMHL.

conclusionThe DBMHL persists in all selected countries, with a higher prevalence in urban areas than in rural areas. In order to control the higher prevalence of DBMHL in urban areas, respective countries need urgent implementation of multisectoral actions through effective policies and empowering local communities.

Indexed as

Cost of IllnessFamily CharacteristicsAdolescentAdultBangladeshChild HealthChild, PreschoolFemaleGrowth DisordersHumansInfantInfant, NewbornMaleMalnutritionMiddle AgedMothers

Identifiers

PMID31419251
PMCPMC6697370

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.