Evidence map›Paper›PMID 41620673›Full record

ArticleBMC pediatrics2026

Prevalence and determinants of child malnutrition in Bangladesh: a comparative analysis of multilevel modeling.

Afroza Jannat Suchana, Syed Toukir Ahmed Noor, Md Rafil Tazir Shah, Ahmad Kabir, Mohammad Romel Bhuia

Abstract readComparative Study
In one paragraph

Article in BMC pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Afroza Jannat SuchanaDepartment of Statistics, Shahjalal University of Science & Technology, Sylhet-3114, Bangladesh.ORCID 0009-0008-6384-9884
Syed Toukir Ahmed NoorDepartment of Statistics, Shahjalal University of Science & Technology, Sylhet-3114, Bangladesh.ORCID 0000-0001-5111-7055
Md Rafil Tazir ShahDepartment of Statistics, Shahjalal University of Science & Technology, Sylhet-3114, Bangladesh.ORCID 0009-0001-2867-2963
Ahmad KabirDepartment of Statistics, Shahjalal University of Science & Technology, Sylhet-3114, Bangladesh.
Mohammad Romel BhuiaDepartment of Statistics, Shahjalal University of Science & Technology, Sylhet-3114, Bangladesh. romel_stat@yahoo.com.ORCID 0009-0002-3615-4215

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChild malnutrition is a critical public health issue in Bangladesh, significantly affecting child development and health. This study analyzes the prevalence and determinants of malnutrition among children under five years old using data from the Bangladesh Demographic and Health Survey (BDHS) 2017-18.

methodsThe study employed Generalized Linear Mixed Models (GLMM) and Generalized Estimating Equations (GEE) to examine socio-economic, demographic, and health-related factors associated with stunting, wasting, and underweight conditions among children.

resultsThe study found that 31% of children were stunted, 22% were underweight, and 8% were wasted in Bangladesh in 2017-18, with overlaps likely among these forms of malnutrition. Higher parental education levels and wealthier household status were significantly (p < 0.05) associated with a lower prevalence of malnutrition. Children from Sylhet had 1.3 times higher odds of being stunted (AOR = 1.3, 95% C.I. = 1.05-1.65) and 1.46 times higher odds of being underweight (AOR = 1.46, 95% C.I. = 1.14-1.88) compared to children from Barisal. Mothers with normal BMI were significantly less likely to have stunted (AOR = 0.67, 95% C.I. = 0.56-0.79), wasted (AOR = 0.49, 95% C.I. = 0.37-0.66), and underweight (AOR = 0.63, 95% C.I. = 0.53-0.75) children compared to mothers with underweight BMI. Both GLMM and GEE models identified the same associated factors for stunting, wasting, and underweight, with close estimates. However, GLMM was found to have better predictive power for all three models, as indicated by higher area under the curve (AUC) values.

conclusionThe findings emphasize the association of poor parental education, economic conditions, and maternal health with child malnutrition in Bangladesh. The GLMM demonstrated better predictive power based on AUC values across all three outcomes, making it a more reliable choice for this type of analysis. Policymakers should prioritize enhancing maternal education, household economic status, and access to healthcare services.

Indexed as

Child Nutrition DisordersBangladeshChild, PreschoolFemaleGrowth DisordersHealth SurveysHumansInfantMaleMultilevel AnalysisPrevalenceSocioeconomic FactorsThinnessWasting SyndromeBangladeshGEEGLMMMalnutritionStuntingUnderweightWasting

Identifiers

PMID41620673
PMCPMC12947358

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