Factors influencing childhood anaemia in Bangladesh: a two level logistic regression analysis.

BACKGROUND: Anemia is not only a major public health problem among children in developing countries, it is also an important predictor for their future growth and development. The objective of this study was to identify possible factors associated with anemia among pre-school children in Bangladesh after removing a cluster effect of the population, and to determine the prevalence of this condition. METHODS: Data for this study was extracted from the 2011 Bangladesh Demographic and Health Survey (BDHS-2011). In this survey, data was collected using a two-stage stratified cluster sampling approach. The chi-square test and a two-level logistic regression model were used for further analysis. RESULTS: Data from 2231 children aged 6-59 months were included for analysis. The prevalence of child anemia was noted to be 52.10%. Among these anemic children, 48.40% where from urban environment and 53.90% were from rural areas. The prevalence of mild, moderate and severe anemia among children was 57.10, 41.40 and 1.50% respectively. The two-level logistic regression model revealed that the following factors were associated with childhood anemia: children of anemic mothers (p < 0.01), undernourished children (p < 0.05), younger children (age < 2 years) (p < 0.01) and children from poor family (p < 0.05). Lastly, anemia was more common among children living in Barisal and Rangpur divisions compared to those from Dhaka division (p < 0.01), and among non-Muslims than Muslim (p < 0.05). CONCLUSIONS: Our study showed that prevalence of anemia among pre-school children in Bangladesh was very high (52.10%). We noted that young children of anemic mothers, from poor families, and being undernourished were at higher risk of developing anemia. Since most of these risk factors were related to socioeconomic conditions, they were potentially modifiable. Therefore, our findings may be useful for the health authorities to identify children at risk for remedial action and to plan for preventive measures.

Correction to: Factors influencing childhood anaemia in Bangladesh: a two level logistic regression analysis.

Following publication of the original article [1], the authors reported that name that appeared in published online version is incorrect.

Prevalence and factors associated with early initiation of breastfeeding among Bangladeshi mothers: A nationwide cross-sectional study.

BACKGROUND: Early initiation of breastfeeding (EIBF) is associated with better health of the mothers and reduced risk of neonatal mortality. The objective of this study was to determine the prevalence of EIBF and associated factors among Bangladeshi mothers. METHODS: The data was extracted from the Bangladesh Demographic and Health Survey (BDHS)-2014. A total of 4,092 married non-pregnant Bangladeshi mothers who had at least one child aged 2 years or younger were included in this study. A two-level logistic regression model was used to remove the clustering effect for finding the impact of socio-economic and demographic factors on EIBF. RESULTS: The prevalence of EIBF among Bangladeshi mothers was 51.4% (urban: 47.1% and rural: 53.4%). A two -level logistic regression model showed that mothers living in the Sylhet division (p<0.01) and rural environment (p<0.05) were more likely to practice EIBF. Mothers who were obese or overweight (p<0.01), had secondary (p<0.05) or higher education (p<0.01) were less likely to provide early breastfeeding to their newborn babies compared to their counterparts. Those who delivered by caesarian-section (p<0.01) were less likely to perform EIBF while those who attended an antenatal care clinic more than 3 times (p<0.05) were more likely to do so. CONCLUSIONS: About half of the Bangladeshi mothers did not start breast-feeding within one hour after birth. This study identified several geographical and socio-demographic factors that were associated with EIBF, and hope that this information will help the government to focus their resources to promote early breastfeeding.

Trends and future of maternal and child health in Bangladesh.

BACKGROUND: Maternal and child health is one of the most important issues in a developing country like Bangladesh. This study evaluates the trends in maternal and child health indicators of Bangladesh. METHODS: The secondary data used in this study was extracted from the World Bank Dataset. The selected indicators were maternal mortality ratio (MMR), under-five children mortality and neonatal mortality rate, and prevalence of stunting and wasting of under-five children. Trend analysis technique and ARIMA forecasting models were used in this study to find currents trend and predict the future of selected indicators. RESULTS: This study revealed clear evidence that neonatal, under-five child and maternal mortality in Bangladesh had been gradually decreasing during the last two and half decades. The decreasing rate of these indicators suggests that it should be possible to achieve the national target of sustainable development goals (SDGs) of Bangladesh by 2021. While, it was observed that the prevalence of underweight, stunting and wasting among under-five children was still high, these indicators have been slowly decreasing over time. The decreasing rate of these indicators displayed that without guided measures, the Bangladesh government would not be able to achieve the target goal of child malnutrition by 2021 under SDG-2.2. CONCLUSION: It is recommended that the government, as well as non-government health organizations (NGOs), and other policy makers should provide programs that are effective so that the national target goals can be achieved by the year 2030. Consequently, our findings should assist in the achievement of the national goals in Bangladesh regarding these health issues.

Body mass index of married Bangladeshi women: trends and association with socio-demographic factors.

Body mass index (BMI) is a good indicator of nutritional status in a population. In underdeveloped countries like Bangladesh, this indicator provides a method that can assist intervention to help eradicate many preventable diseases. This study aimed to report on changes in the BMI of married Bangladeshi women who were born in the past three decades and its association with socio-demographic factors. Data for 10,115 married and currently non-pregnant Bangladeshi women were extracted from the 2007 Bangladesh Demographic and Health Survey (BDHS). The age range of the sample was 15-49 years. The mean BMI was 20.85 ± 3.66 kg/m(2), and a decreasing tendency in BMI was found among birth year cohorts from 1972 to 1992. It was found that the proportion of underweight females has been increasing in those born during the last 20 years of the study period (1972 to 1992). Body mass index increased with increasing age, education level of the woman and her husband, wealth index, age at first marriage and age at first delivery, and decreased with increasing number of ever-born children. Lower BMI was especially pronounced among women who were living in rural areas, non-Muslims, employed women, women not living with their husbands (separated) or those who had delivered at home or non-Caesarean delivery.

Age at menarche of university students in Bangladesh: secular trends and association with adult anthropometric measures and socio-demographic factors.

Age at menarche has been shown to be an important indicator for diseases such as breast cancer and ischaemic heart disease. The aim of the present study was to document secular trends in age at menarche and their association with anthropometric measures and socio-demographic factors in university students in Bangladesh. Data were collected from 995 students from Rajshahi University using a stratified sampling technique between July 2004 and May 2005. Trends in age at menarche were examined by linear regression analysis. Multiple regression analysis was used to assess the association of age at menarche with adult anthropometric measures and various socio-demographic factors. The mean and median age of menarche were 13.12+/-1.16 and 13.17 years, respectively, with an increasing tendency among birth-year cohorts from 1979 to 1986. Menarcheal age was negatively associated with BMI (p<0.01), but positively associated with height (p<0.05). Early menarche was especially pronounced among students from urban environments, Muslims and those with better educated mothers. Increasing age at menarche may be explained by improved nutritional status among Bangladeshi populations. Early menarche was associated with residence location at adolescence, religion and mother's education.

Secular changes in head dimensions of Japanese adult male students over eight decades.

The aim was to study secular changes in head dimensions of Japanese adult males. The subjects were all of Japanese birth and Japanese ancestry. The age range of the subjects was between 18 and 25 years. Four head measurements were taken: head length, head breadth, head height and head circumference. In addition, stature and body weight were also measured. All measurements were made by one observer (Fumio Ohtsuki) from 1998 to 2001. The present sample was compared with the series taken between 1910 and 1917 of Matsumura (J Fak Sci Imp Univ Tokyo Sec 1 (1925) 1) and the one measured in 1965 of Morita and Ohtsuki (Hum Biol 45 (1973) 151). The present study demonstrated the presence of larger means for head length, head breadth and cephalic index in the current sample than in their predecessors of about 35-85 years ago. Also, the present series displayed larger head circumference than that of the Morita and Ohtsuki series. Using ANOVA, head length and head breath showed significant (p<0.01) differences among all birth-year cohorts from 1978 to 1983 of the current sample. Head height, head circumference and cephalic index did not display significant differences. However, the slope of the regression line indicated that all measurements as well as the cephalic index showed slightly decreasing tendencies during the investigated period. These results suggest that brachycephalization has been occurring for approximately about 35-85 years in adult Japanese males, but the change seems to have become reversed slightly during the period covered by the present sample.

A quantitative approach for measuring crowding in the dental arch: Fourier descriptors.

Dental crowding is defined as a discrepancy between tooth size and jaw size that results in a misalignment of the tooth row. Proposed reasons for crowding include excessively large teeth, small jaws, and a combination of both. Nevertheless, the parameters that would allow the prediction of crowding have not been identified. This study compared the shape of crowded and uncrowded dental arches, matched for size and sex. The application of elliptical Fourier functions (EFFs) provided an accurate numeric description of the dental arch form. Dental casts from the Nihon University School of Dentistry at Matsudo, Chiba, Japan, were studied. Group I, the control group, consisted of 118 dental cast pairs (49 female, 69 male, aged 20.40 +/- 1.68 years [mean +/- SD]) with little or no crowding. Group II, which exhibited crowding, consisted of 78 dental cast pairs (64 female, 14 male, aged 19.67 +/- 4.95 years). From photographs, a set of 24 homologous points describing the tooth row was identified. These points were then fitted with EFFs. Each maxillary and mandibular outline was subsequently standardized for size by scaling the bounded area to a constant 10,000 mm(2). These "shape only" data were used to assess differences between arches in the 2 groups. By multivariate analysis of variance, statistically significant shape differences between groups I and II were obtained for both arches. Patients with crowding exhibited more variability than did the controls. This variability was illustrated with canonical axes derived from discriminant function analysis.

Secular trends for takeoff and maximum adolescent growth for eight decades of Japanese cohort data.

The presence of secular trends in the onset or takeoff of the adolescent growth spurt and subsequent adolescent growth of Japanese boys and girls were investigated using data published in "The Statistical Report of the School Health Survey" by the Ministry of Education, Science, Sports and Culture, Japan. An optimum kernel regression method was used to derive the biological parameters of the adolescent growth curve. An increasing trend in height at takeoff (i.e., height at the onset of the adolescent growth spurt) and height at peak height velocity (PHV) among Japanese children was evident during the 8 decades covered in this study. Age at PHV (i.e., the timing of the maximum adolescent growth) for each sex has decreased. Age at takeoff (i.e., the timing of the onset of the adolescent growth spurt) has decreased in boys during this century, but was almost constant in girls at about 7.8 years of age. Moreover, the interval between age at takeoff and age at PHV in girls has gradually decreased over this century. Since the birth year 1915, velocity at takeoff for girls was markedly greater than that for boys, whereas peak height velocity for girls was significantly less than that for boys (P < 0.05). Am. J. Hum. Biol. 12:702-712, 2000. Copyright 2000 Wiley-Liss, Inc.

Method for analyzing complex two-dimensional forms: Elliptical Fourier functions.

A generalized procedure, elliptical Fourier analysis, for accurately characterizing the shape of complex morphological forms of the type commonly encountered in the biological sciences, is described. Elliptical Fourier functions are derived as a parametric formulation from conventional Fourier analysis, i.e., as a pair of equations that are functions of a third variable. The use of elliptical Fourier functions circumvents three restrictions that have limited conventional Fourier analysis to certain classes of shapes. These restrictions are (1) equal divisions over the interval or period; (2) dependency on the coordinate system, i.e., conventional Fourier functions are not "coordinate free"; and (3) the presence of shapes with outlines that curve back on themselves, a common occurrence. These three limitations are effectively removed with the utilization of elliptical Fourier functions, facilitating the analysis of a much larger class of two-dimensional forms.