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International Journal of Pediatrics
Volume 2014 (2014), Article ID 267806, 5 pages
http://dx.doi.org/10.1155/2014/267806
Research Article

Factors Associated with Acute Malnutrition among Children Admitted to a Diarrhoea Treatment Facility in Bangladesh

1University of Arkansas, Fayetteville, AR, USA
2Centre for Nutrition and Food Security, and Nutrition Unit, Dhaka Hospital, icddr,b, Mohakhali, Dhaka 1212, Bangladesh

Received 10 November 2013; Accepted 4 February 2014; Published 11 March 2014

Academic Editor: Samuel Menahem

Copyright © 2014 Connor Fuchs et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

To assess the risk factors for acute malnutrition (weight-for-height -score (WHZ) < −2), a case-control study was conducted during June–September 2012 in 449 children aged 6–59 months (178 with WHZ < −2 and 271 comparing children with WHZ ≥ −2 and no edema) admitted to the Dhaka Hospital of icddr,b in Bangladesh. The overall mean ± SD age was 12.0 ± 7.6 months, 38.5% (no difference between case and controls). The mean ± SD WHZ of cases and controls was −3.24 ± 1.01 versus −0.74 ± 0.95 ( ), respectively. Logistic regression analysis revealed that children with acute malnutrition were more likely than controls to be older (age > 1 year) (adjusted OR (AOR): 3.1, ); have an undernourished mother (body mass index < 18.5), (AOR: 2.8, ); have a father with no or a low-paying job (AOR: 5.8, ); come from a family having a monthly income of <10,000 taka, (1 US$ = 80 taka) (AOR: 2.9, ); and often have stopped predominant breastfeeding before 4 months of age (AOR: 2.7, ). Improved understanding of these characteristics enables the design and targeting of preventive-intervention programs of childhood acute malnutrition.