Risk Factors of Acute Malnutrition Among Under Five Years Children in Northern Bangladesh

Background: The developmental, medical, economic and social impacts of acute malnutrition in children are serious and long lasting for individuals, families, communities and countries. Malnutrition in childhood damages a child’s both physical and cognitive development and this damage is largely irreversible. These ultimately perpetuate illness, poverty and inequality. Childhood acute malnutrition is multifactorial in origin and majority of them are preventable. Objective: The purpose of this study was to identify the factors associated with acute malnutrition among under five years children in northern Bangladesh. Methods: This matched case control study was carried out in Chapainawabganj general hospitals, Chapainawabganj. Total 180 children aged 6-59 months (90 cases-WHZ < -2 and 90 control-WHZ ≥ -2) were included for this study. Informed written consent was taken from the guardians of all children. Data were recorded by using a semi-struc-tured questionnaire. Height and weight of children and their parents were measured by measuring tape and weight machine. BMI of children and parents, and weight-for-height Z scores of children were calculated. Data were analyzed by the SPSS 24. Chi-squared (ꭓ2) test and Fisher's exact test were performed to compare frequencies between the groups of each variable. Unpaired t-test was performed to compare the means between the groups. Multivariable logistic regression analysis was used to identify independent risk factors of acute malnutrition. Results: The mean age of the acute malnourished children was 25.84±15.09 months with slight male predominance (male female ratio 1.14:1). The mean weight for height Z score of the cases was -2.93±0.41. Monthly family income <10000 BDT, younger mother (age ≤25 years), younger father (age ≤20 years), less educated mother (Illiterate or up to primary), less educated father (Illiterate or up to primary), undernourished mother (BMI <18.50 kg/m2) and predominant breast feeding stop before 4 months had found to be significantly associated with acute malnourishment (p<0.05). Conclusion: Acute malnutrition is a multifactorial pathological condition. The measures against the associated factors of malnutrition specially risk factors should be taken when we will design a preventive program for the eradication of acute malnutrition of under 5 children.