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Article

Childhood Disability and Nutrition: Findings from a Population-Based Case Control Study in Rural Bangladesh

1
CSF Global, Dhaka 1213, Bangladesh
2
Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka 1213, Bangladesh
3
School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland 4701, Australia
4
Discipline of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney 2145, Australia
5
Cerebral Palsy Alliance Research Institute, The University of Sydney, Sydney 2050, Australia
6
Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland 4700, Australia
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(11), 2728; https://doi.org/10.3390/nu11112728
Received: 30 September 2019 / Revised: 31 October 2019 / Accepted: 4 November 2019 / Published: 11 November 2019
(This article belongs to the Special Issue Cerebral Palsy and Nutrition—A Global Perspective)
Background: Evidence regarding the complex relationship between childhood disability and malnutrition is limited in low and middle income countries. We aimed to measure the association between childhood disability and malnutrition in rural Bangladesh. Method: We conducted a population-based case control study among children aged <18 years in a rural sub-district (i.e., Shahjadpur) in Bangladesh. Children with permanent disability (i.e., Cases) and their age/sex-matched peers (i.e., Controls) were identified from the local community utilizing the key informant method. Socioeconomic, anthropometric, and educational information was collected using a pre-tested questionnaire. Only Cases underwent detailed medical assessment for clinical and rehabilitation information. Descriptive and bivariate analyses were performed. Results: Between October 2017 and February 2018, 1274 Cases and 1303 Controls were assessed. Cases had 6.6 times and 11.8 times higher odds of being severely underweight and severely stunted respectively than Controls. Although epileptic children had the highest overall prevalence of malnutrition, the age/sex-adjusted odds of malnutrition were significantly higher among children with physical impairments. Underweight and/or stunting among children with disability was significantly associated with parental educational qualification, socioeconomic status and mainstream school attendance. Conclusion: The significantly high proportion of severe malnutrition among children with disability calls for urgent action and implementation of inclusive nutrition intervention programs in rural Bangladesh. View Full-Text
Keywords: childhood disability; malnutrition; epidemiology; key informant method; Bangladesh childhood disability; malnutrition; epidemiology; key informant method; Bangladesh
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MDPI and ACS Style

Jahan, I.; Karim, T.; Al Imam, M.H.; Das, M.C.; Ali, K.M.; Muhit, M.; Khandaker, G. Childhood Disability and Nutrition: Findings from a Population-Based Case Control Study in Rural Bangladesh. Nutrients 2019, 11, 2728. https://doi.org/10.3390/nu11112728

AMA Style

Jahan I, Karim T, Al Imam MH, Das MC, Ali KM, Muhit M, Khandaker G. Childhood Disability and Nutrition: Findings from a Population-Based Case Control Study in Rural Bangladesh. Nutrients. 2019; 11(11):2728. https://doi.org/10.3390/nu11112728

Chicago/Turabian Style

Jahan, Israt, Tasneem Karim, Mahmudul H. Al Imam, Manik C. Das, Khaled M. Ali, Mohammad Muhit, and Gulam Khandaker. 2019. "Childhood Disability and Nutrition: Findings from a Population-Based Case Control Study in Rural Bangladesh" Nutrients 11, no. 11: 2728. https://doi.org/10.3390/nu11112728

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