Evidence map›Paper›PMID 37185644›Full record

Trial reportBMJ open2023

A predictive modelling approach to illustrate factors correlating with stunting among children aged 12-23 months: a cluster randomised pre-post study.

Md Ahshanul Haque, Nuzhat Choudhury, Barbie Zaman Wahid, Sm Tanvir Ahmed, Fahmida Dil Farzana, Mohammad Ali, Farina Naz, Towfida Jahan Siddiqua, Sheikh Shahed Rahman, Asg Faruque and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Determinants of Stunting among Children with Teenage Mothers: Evidence from Indonesia.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Md Ahshanul HaqueNutrition and Clinical Services Division, icddr,b, Dhaka, Bangladesh ahshanul.haque@icddrb.org.ORCID 0000-0003-3452-8367
Nuzhat ChoudhuryNutrition and Clinical Services Division, icddr,b, Dhaka, Bangladesh.ORCID 0000-0001-8345-5278
Barbie Zaman WahidNutrition and Clinical Services Division, icddr,b, Dhaka, Bangladesh.
Sm Tanvir AhmedChild Poverty Sector, Save the Children Bangladesh, Dhaka, Bangladesh.
Fahmida Dil FarzanaNutrition and Clinical Services Division, icddr,b, Dhaka, Bangladesh.
Mohammad AliNutrition and Clinical Services Division, icddr,b, Dhaka, Bangladesh.
Farina NazNutrition and Clinical Services Division, icddr,b, Dhaka, Bangladesh.
Towfida Jahan SiddiquaJohns Hopkins University, Bangladesh, Dhaka, Bangladesh.
Sheikh Shahed RahmanChild Poverty Sector, Save the Children Bangladesh, Dhaka, Bangladesh.
Asg FaruqueNutrition and Clinical Services Division, icddr,b, Dhaka, Bangladesh.ORCID 0000-0001-8343-4653
Tahmeed AhmedNutrition and Clinical Services Division, icddr,b, Dhaka, Bangladesh.ORCID 0000-0002-4607-7439
International Centre for Diarrhoeal Disease Research · BDSave the Children · BDJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to construct a predictive model in order to develop an intervention study to reduce the prevalence of stunting among children aged 12-23 months.

designThe study followed a cluster randomised pre-post design and measured the impacts on various indicators of livelihood, health and nutrition. The study was based on a large dataset collected from two cross-sectional studies (baseline and endline).

settingThe study was conducted in the north-eastern region of Bangladesh under the Sylhet division, which is vulnerable to both natural disasters and poverty. The study specifically targeted children between the ages of 12 and 23 months.

main outcome measuresChildhood stunting, defined as a length-for-age z-score <-2, was the outcome variable in this study. Logistic and probit regression models and a decision tree were constructed to predict the factors associated with childhood stunting. The predictive performance of the models was evaluated by computing the area under the receiver operating characteristic (ROC) curve analysis.

resultsThe baseline survey showed a prevalence of 52.7% stunting, while 50.0% were stunted at endline. Several factors were found to be associated with childhood stunting. The model's sensitivity was 61% and specificity was 56%, with a correctly classified rate of 59% and an area under the ROC curve of 0.615.

conclusionThe study found that childhood stunting in the study area was correlated with several factors, including maternal nutrition and education, food insecurity and hygiene practices. Despite efforts to address these factors, they remain largely unchanged. The study suggests that a more effective approach may be developed in future to target adolescent mothers, as maternal nutrition and education are age-dependent variables. Policy makers and programme planners need to consider incorporating both nutrition-sensitive and nutrition-specific activities and enhancing collaboration in their efforts to improve the health of vulnerable rural populations. TRIAL REGISTRATION NUMBER: RIDIE-STUDY-ID-5d5678361809b.

Indexed as

Growth DisordersNutritional StatusAdolescentBangladeshChildChild, PreschoolCross-Sectional StudiesHumansInfantPovertyPrevalenceepidemiologynutritionpublic health

Identifiers

PMID37185644
PMCPMC10151845
OpenAlexW4367048400

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.