Browsing by Author "Rahman, S M Mustafizur"

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Double burden of malnutrition among elderly people in Bangladesh: Evidence from the National Nutrition Surveillance Study
(Oxford Academic, 2020-06) Hasan, Mehedi; Shamim, Abu Ahmed; Hossain, Md. Mokbul; Hanif, Abu Abdullah Mohammad; Hossaine, Moyazzam; Ullah, Mohammad Aman; Sarker, Samir Kanti; Rahman, S M Mustafizur; Mitra, Dipak Kumar; Haque, Md. Emdadul; Mridha, Malay
Objectives: Double burden of malnutrition (DBM), referred as the coexistence of undernutrition and overnutrition, is an evolving public health concern. There is a paucity of data about DBM among elderly people in Bangladesh. In the recently completed round of the national nutrition surveillance (NNS 2018–2019), we assessed the prevalence and determinants of DBM among elderly people. Methods In the NNS, we collected data from 30,005 persons in 6 population groups from 82 clusters (57 rural, 15 non-slum urban, and 10 slums) selected using multistage cluster sampling. We collected socio-demographic, life-style and anthropometric data from 4817 respondents aged >60 years. Underweight was defined as body mass index (BMI) <18.5 kg/m2 and overweight/obesity as BMI ≥ 23 kg/m2. Results The weighted prevalence of underweight was 26.8%, and was higher among elderly aged ≥70 years (34.4%), male (28.5%), non-diabetic (28.5%), rural residents (27.1%) and with inadequate fruits and vegetables consumption (27.1%). The weighted prevalence of overweight was 27.0%, and was higher among elderly aged 60–69 years (29.8%), female (30.8), diabetic (51.0%), urban residents (48.2%), with poor physical activity (31.3%), and with inadequate fruits and vegetables consumption (27.4%). As education and wealth status increased, the prevalence of underweight decreased and the prevalence of overweight and obesity increased. In multivariable logistic regression, male gender (AOR: 1.33, 95% CI: 1.18,1.51), being non-diabetic (AOR: 1.50, 95% CI: 1.23,1.82), having no education (AOR: 1.73, 95% CI: 1.35,2.22), and having adequate physical activity (AOR: 1.19, 95% CI: 1.05,1.35) were associated with underweight. However, urban residency (AOR: 1.73, 95% CI: 1.41,2.12), 60–69 years age (AOR: 1.59, 95% CI: 1.36,1.85), being female (AOR: 1.81, 95% CI: 1.56,2.10), having diabetes (AOR: 2.52, 95% CI:2.07,3.08), being Muslim (AOR: 1.25, 95% CI: 1.04,1.53), and having inadequate physical activity (AOR: 1.36, 95% CI: 1.18,1.57) were associated with overweight. Conclusions The overall prevalence of undernutrition and overnutrition is very high among elderly population in Bangladesh. The government together with national and international organizations should implement population-based interventions to prevent and control DBM.
Elderly women are disproportionately vulnerable to hypertension in Bangladesh: Evidence from the National Nutrition Surveillance Study
(Oxford Academic, 2020-06) Hanif, Abu Abdullah Mohammad; Shamim, Abu Ahmed; Hossain, Md. Mokbul; Hasan, Mehedi; Hossaine, Moyazzam; Ullah, Mohammad Aman; Sarker, Samir Kanti; Rahman, S M Mustafizur; Mitra, Dipak Kumar; Haque, Md. Emdadul; Mridha, Malay
Objectives: Bangladesh has a dearth of information on the prevalence and factors associated with hypertension among elderlies. We assessed the prevalence, sex differences in prevalence, and factors associated with hypertension in the most recent national nutrition surveillance round (2018–19). Methods We analyzed data of 4817 elderlies (≥60 years) from 82 clusters (57 rural, 15 urban and 10 slum) selected by multistage cluster sampling. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg and/or having a history of hypertension. We analyzed data using Stata 15.0. Results The weighted prevalence of hypertension was 42%, and 56% for elderly males, and females, respectively; and was higher among females for many socio-demographic, behavioural and anthropetric variables including age 70 + years (58% vs. 46%); high waist circumference (69% vs. 65%); diabetes (69% vs. 65%); living in rural (55% vs. 41%), urban (63% vs. 45%) and slum (50% vs. 30%) area; Muslim (56% vs. 42%); insufficient physical activity (60% vs 52%); and inadequate fruits/vegetables intake (56% vs. 43%). Among females, the factors associated with hypertension were age 70 + years (AOR: 1.40, 95% CI: 1.15–1.71), waist circumference ≥80 cm (AOR: 2.20, 95% CI: 1.82–2.67), diabetes (AOR: 1.82, 95% CI: 1.35–2.45), and inadequate physical activity (AOR: 1.38, 95% CI: 1.15–1.67). Among males, these factors were age 70 + years (AOR: 1.32, 95% CI: 1.09–1.60), waist circumference ≥90 cm (AOR: 2.76, 95% CI: 2.22–3.43), diabetes (AOR: 1.36, 95% CI: 1.02–1.82), slum-dwelling (AOR: 0.71, 95% CI: 0.52–0.96), > 10 years of education (AOR: 1.83; 95% CI: 1.38, 2.44), inadequate physical activity (AOR: 1.50, 95% CI: 1.25–1.81), and current smoking (AOR: 0.74; 95% CI: 0.61, 0.89). In both males and females, fruits and vegetables intake was not assicaited with hypertension. Conclusions In Bangladesh, the elderly female population is disproportionately affected by hypertension. They were found having a consistent pattern of higher prevalence of hypertension for many socio-demographic, behavioral, and anthropometric variables. The ministry of health of Bangladesh should consider this disproportionately high prevalence of hypertension among elderly females while designing and implementing health programs.
Gender-specific prevalence and associated factors of hypertension among elderly Bangladeshi people: Findings from a nationally representative cross-sectional survey
(BMJ Journals, 6/21/2021) Hanif, Abu Abdullah Mohammad; Shamim, Abu Ahmed; Hossain, Md Mokbul; Hasan, Mehedi; Khan, Md Showkat Ali; Hossaine, Moyazzam; Ullah, Mohammad Aman; Sarker, Samir Kanti; Rahman, S M Mustafizur; Mitra, Dipak K; Mridha, Malay Kanti
Objective: We aimed to estimate the gender-specific prevalence and associated factors of hypertension among elderly people in Bangladesh. Design and method We analysed data from the food security and nutrition surveillance round 2018–2019. The multistage cluster sampling method was used to select the study population. Hypertension was defined as systolic blood pressure ≥140mmHg and/or diastolic blood pressure ≥90mmHg and/or having a history of hypertension. We carried out the descriptive analysis, bivariate and multivariable logistic regression to report the weighted prevalence of hypertension as well as crude and adjusted ORs with 95% CI. A p value<0.05 was considered statistically significant. Setting The study was conducted in 82 clusters (57 rural, 15 non-slum urban and 10 slums) in all eight administrative divisions of Bangladesh. Participants A total of 2482 males and 2335 females aged ≥60 years were included in this analysis. Results The weighted prevalence of hypertension was 42% and 56% among males and females, respectively. The prevalence was higher among females across all sociodemographic, behavioural and clinical strata. Factors associated with higher odds of hypertension (adjusted OR (AOR) (95% CI) for males and females, respectively) were age ≥70 years (1.32 (1.09, 1.60) and 1.40 (1.15, 1.71)); insufficient physical activity (1.50 (1.25, 1.81) and 1.38 (1.15, 1.67)); higher waist circumference (2.76 (2.22, 3.43) and 2.20 (1.82, 2.67)); and self-reported diabetes (1.36 (1.02, 1.82) and 1.82 (1.35, 2.45)). Additionally, living in slums decreased (0.71 (0.52, 0.96)) and education >10 years increased odds of hypertension (1.83 (1.38, 2.44)) among males. Conclusion In Bangladesh, half of the elderly persons were hypertensive, with a higher prevalence in females. In both sexes, odds of hypertension was higher among persons with older age (≥70 years), insufficient physical activity, higher waist circumference and self-reported diabetes. The Ministry of Health of Bangladesh should consider these findings while designing and implementing health programmes for elderly population.
Inadequate dietary diversity and Its determinants among adolescent girls and boys: Evidence from the National Nutrition surveillance study in Bangladesh
(Oxford Academic, 5/29/2020) Akter, Fahmida; Hossain, Md Mokbul; Shamim, Abu Ahmed; Hasan, Mehedi; Hanif, Abu Abdullah Mohammad; Hossaine, Moyazzam; Ullah, Mohammad Aman; Sarker, Samir Kanti; Rahman, S M Mustafizur; Mitra, Dipak Kumar; Haque, Md Emdadul; Mridha, Malay
Objectives: Bangladesh is experiencing triple burden of malnutrition among adolescents, which may be associated with inadequate dietary diversity (IDD). In the recently completed round of the national nutrition surveillance (NNS 2018–2019), we explored the prevalence of IDD and its determinants among adolescent girls and boys. Methods A total of 4808 adolescent girls and 4761 adolescent boys were interviewed. We used minimum dietary diversity for women (MDD-W) questionnaire to collect dietary data. IDD was defined as consumption of <5 food groups out of 10 food groups in the past 24 hours. Bivariate and multivariable logistic regression were performed to identify risk factors for IDD among adolescent girls and boys. Results The prevalence of IDD was 55.5% and 50.6% among the adolescent girls and boys. Prevalence of IDD decreased with an increase of educational attainment among girls (no education 77.8% and grade 10 completed education 49.2%) and boys (no education 68.2% and grade 10 completed education 44.2%). The prevalence of IDD in slum, urban and rural areas was 66.4%, 55.6%, and 51.9% among girls and 61.4%, 50.5% and 52.6% among boys, respectively. Prevalence of IDD was lowest among the richest wealth quintile (girls: 45.4% and boys: 43.1%). Among adolescent girls education (e.g., for grade 10 completed, AOR: 3.42, P = 0.002), marital status (AOR: 1.24, P = 0.046), processed food consumption (AOR: 1.66, P < 0.001), television viewing time (e. g. for ≤60 min/day, AOR: 1.37, P < 0.001), and sex of household head (AOR: 0.81, P = 0.003) were significantly associated with IDD. Among the adolescent boys age (AOR: 0.82, P = 0.024), education (e.g., for grade 10 completed, AOR: 2.36, P < 0.001), sex of household heads (AOR: 0.80, P = 0.002), livestock ownership (AOR: 1.22, P = 0.012), fruits and vegetable consumption (AOR: 1.38, P = 0.004), processed food intake (AOR: 1.74, P < 0.001), physical activity (AOR: 0.76, P = 0.001), and television viewing time (e. g. for ≤60 min/day, AOR: 1.19, P = 0.021) were significantly associated with IDD. Conclusions About more than half of the adolescent girls and boys consume inadequately diversified diet in Bangladesh. The study identified a number of factors associated with IDD, which should be addressed through comprehensive and sustainable public health interventions.
Nutrition of children and women in Bangladesh: trends and directions for the future
(© 2012 Journal of Health, Population and Nutrition, 2012) Ahmed, Tahmeed; Mahfuz, Mustafa; Ireen, Santhia; Ahmed, A. M. Shamsir; Rahman, Sabuktagin; Islam, M Munirul; Alam, Nurul; Hossain, Md Iqbal; Rahman, S M Mustafizur; Ali, M Mohsin; Choudhury, Fatima Perveen; Cravioto, Alejandro
Although child and maternal malnutrition has been reduced in Bangladesh, the prevalence of underweight (weight-for-age z-score <-2) among children aged less than five years is still high (41%). Nearly one-third of women are undernourished with body mass index of <18.5 kg/m2. The prevalence of anaemia among young infants, adolescent girls, and pregnant women is still at unacceptable levels. Despite the successes in specific programmes, such as the Expanded Programme on Immunization and vitamin A supplementation, programmes for nutrition interventions are yet to be implemented at scale for reaching the entire population. Given the low annual rate of reduction in child undernutrition of 1.27 percentage points per year, it is unlikely that Bangladesh would be able to achieve the United Nations' Millennium Development Goal to address undernutrition. This warrants that the policy-makers and programme managers think urgently about the ways to accelerate the progress. The Government, development partners, non-government organizations, and the academia have to work in concert to improve the coverage of basic and effective nutrition interventions, including exclusive breastfeeding, appropriate complementary feeding, supplementation of micronutrients to children, adolescent girls, pregnant and lactating women, management of severe acute malnutrition and deworming, and hygiene interventions, coupled with those that address more structural causes and indirectly improve nutrition. The entire health system needs to be revitalized to overcome the constraints that exist at the levels of policy, governance, and service-delivery, and also for the creation of demand for the services at the household level. In addition, management of nutrition in the aftermath of natural disasters and stabilization of prices of foods should also be prioritized.
Nutrition of children and women in Bangladesh: trends and directions for the future
(© 2012 Journal of Health, Population and Nutrition, 2012) Ahmed, Tahmeed; Mahfuz, Mustafa; Ireen, Santhia; Ahmed, A. M. Shamsir; Rahman, Sabuktagin; Islam, M Munirul; Alam, Nurul; Hossain, Md Iqbal; Rahman, S M Mustafizur; Ali, M Mohsin; Choudhury, Fatima Perveen; Cravioto, Alejandro
Although child and maternal malnutrition has been reduced in Bangladesh, the prevalence of underweight (weight-for-age z-score <-2) among children aged less than five years is still high (41%). Nearly one-third of women are undernourished with body mass index of <18.5 kg/m2. The prevalence of anaemia among young infants, adolescent girls, and pregnant women is still at unacceptable levels. Despite the successes in specific programmes, such as the Expanded Programme on Immunization and vitamin A supplementation, programmes for nutrition interventions are yet to be implemented at scale for reaching the entire population. Given the low annual rate of reduction in child undernutrition of 1.27 percentage points per year, it is unlikely that Bangladesh would be able to achieve the United Nations' Millennium Development Goal to address undernutrition. This warrants that the policy-makers and programme managers think urgently about the ways to accelerate the progress. The Government, development partners, non-government organizations, and the academia have to work in concert to improve the coverage of basic and effective nutrition interventions, including exclusive breastfeeding, appropriate complementary feeding, supplementation of micronutrients to children, adolescent girls, pregnant and lactating women, management of severe acute malnutrition and deworming, and hygiene interventions, coupled with those that address more structural causes and indirectly improve nutrition. The entire health system needs to be revitalized to overcome the constraints that exist at the levels of policy, governance, and service-delivery, and also for the creation of demand for the services at the household level. In addition, management of nutrition in the aftermath of natural disasters and stabilization of prices of foods should also be prioritized.
Nutrition of children and women in Bangladesh: trends and directions for the future
(© 2012 Journal of Health, Population and Nutrition, 2012) Ahmed, Tahmeed; Mahfuz, Mustafa; Ireen, Santhia; Ahmed, A. M. Shamsir; Rahman, Sabuktagin; Islam, M Munirul; Alam, Nurul; Hossain, Md Iqbal; Rahman, S M Mustafizur; Ali, M Mohsin; Choudhury, Fatima Perveen; Cravioto, Alejandro
Although child and maternal malnutrition has been reduced in Bangladesh, the prevalence of underweight (weight-for-age z-score <-2) among children aged less than five years is still high (41%). Nearly one-third of women are undernourished with body mass index of <18.5 kg/m2. The prevalence of anaemia among young infants, adolescent girls, and pregnant women is still at unacceptable levels. Despite the successes in specific programmes, such as the Expanded Programme on Immunization and vitamin A supplementation, programmes for nutrition interventions are yet to be implemented at scale for reaching the entire population. Given the low annual rate of reduction in child undernutrition of 1.27 percentage points per year, it is unlikely that Bangladesh would be able to achieve the United Nations' Millennium Development Goal to address undernutrition. This warrants that the policy-makers and programme managers think urgently about the ways to accelerate the progress. The Government, development partners, non-government organizations, and the academia have to work in concert to improve the coverage of basic and effective nutrition interventions, including exclusive breastfeeding, appropriate complementary feeding, supplementation of micronutrients to children, adolescent girls, pregnant and lactating women, management of severe acute malnutrition and deworming, and hygiene interventions, coupled with those that address more structural causes and indirectly improve nutrition. The entire health system needs to be revitalized to overcome the constraints that exist at the levels of policy, governance, and service-delivery, and also for the creation of demand for the services at the household level. In addition, management of nutrition in the aftermath of natural disasters and stabilization of prices of foods should also be prioritized.
Prevalence and associated factors of depression among adolescent boys and girls in Bangladesh: Findings from a nationwide survey
(BMJ Journals, 1/17/2021) Mridha, Malay Kanti; Hossain, Md Mokbul; Khan, Md Showkat Ali; Hanif, Abu Abdullah Mohammad; Hasan, Mehedi; Mitra, Dipak; Hossaine, Moyazzam; Ullah, Mohammad Aman; Sarker, Samir Kanti; Rahman, S M Mustafizur; Bulbul, Md M Islam; Shamim, Abu Ahmed
Objective: To assess the prevalence of and factors associated with depression among adolescent boys and girls. Design: We conducted a nationwide cross-sectional study. Setting: This study was carried out in 82 randomly selected clusters (57 rural, 15 non-slum urban and 10 slums) from eight divisions of Bangladesh. Participants: We interviewed 4907 adolescent boys and 4949 adolescent girls. Primary and secondary outcome measures The primary outcome measure was ‘any depression’ and the secondary outcome measures were types of depression: no or minimal, mild, moderate, moderately severe and severe. Results: The overall prevalence of no or minimal, mild, moderate, moderately severe and severe depression was 75.5%, 17.9%, 5,4%, 1.1% and 0.1%, respectively. Across most of the sociodemographic, lifestyle and anthropometric strata, the prevalence of any depression was higher among adolescent girls. In both sexes, depression was associated with higher age, higher maternal education, paternal occupation e.g., business, absence of a 6–9-year-old member in the household, food insecurity, household consumption of unfortified oil, household use of non-iodised salt, insufficient physical activity (adjusted odds ratio, AOR: 1.24 for boys, 1.44 for girls) and increased television viewing time e.g., ≥121minute/day (AOR: 1.95 for boys, 1.99 for girls). Only among boys, depression was also associated with higher paternal education e.g., complete secondary and above (AOR: 1.42), absence of another adolescent member in the household (AOR: 1.34), household use of solid biomass fuel (AOR: 1.39), use of any tobacco products (AOR: 2.17), and consumption of processed food (AOR: 1.24). Only among girls, non-slum urban residence, Muslim religion, and household size ≤4 were also associated with depression. Conclusion: The prevalence of depression among adolescent boys and girls is high in Bangladesh. In most sociodemographic, lifestyle and anthropometric strata, the prevalence is higher among girls. In this age group, depression is associated with a number of sociodemographic and lyfestyle factors. The government of Bangladesh should consider these findings while integrating adolescent mental health in the existing and future programmes.
Prevalence of and Factors Associated with Insufficient Physical Activity Among Adolescents: Evidence from the National Nutrition Surveillance Study
(Oxford Academic, 5/29/2020) Hossain, Md Mokbul; Shamim, Abu Ahmed; Hasan, Mehedi; Hanif, Abu Abdullah Mohammad; Hossaine, Moyazzam; Ullah, Mohammad Aman; Sarker, Samir Kanti; Rahman, S M Mustafizur; Mitra, Dipak Kumar; Haque, Md Emdadul; Mridha, Malay
Objectives: The World Health Organization (WHO) set a target of 15% relative reduction of the prevalence of insufficient physical activity (IPA) by 2025 among adolescents and adults globally. In Bangladesh, there is no national estimates of the prevalence of IPA among adolescents. In the recently completed round of the national nutrition surveillance (NNS 2018–2019), we aimed to estimate the prevalence and risk factors associated with IPA among adolescent girls and boys. Methods: NNS was conducted in 57 rural, 15 urban and 10 slum clusters selected using multistage cluster sampling. In these clusters, we collected data from 4732 adolescent girls and 4761 adolescent boys. We used Global Physical Activity Questionnaire to collect physical activity (PA) data. The WHO recommended cut off points for IPA (5–17 years: <300 minutes of moderate to vigorous-intensity PA weekly; 18–19 years: <150 minutes of moderate intensity PA weekly or <75 minutes of vigorous-intensity PA weekly) were used to estimate the prevalence of IPA. Bivariate and multivariable logistic regression were performed to identify factors associated with IPA. Results: Prevalence of IPA among girls and boys were 50.6% and 29.4%, respectively and the prevalence was significantly higher among early adolescents (10–14 years) than late adolescents in both boys and girls. The IPA prevalence was the highest among the adolescents living in non-slum urban areas (girls: 77.9% and boys: 64.6%). The IPA prevalence in slum areas was 36.6% for girls and 34.0% for boys; and in rural areas was 50.0% for girls and 28.2% for boys. For both girls and boys, age group, occupation and >6 hours of sitting per day were associated with IPA. Place of residence, consumption of fruits and vegetables, education and paternal occupation were associated with IPA only among the boys. On the other hand, maternal and paternal education and overweight/obesity were associated with IPA only among the girls. Conclusions: One in every two adolescent girls and one in every three adolescent boys do not meet the WHO recommended level of PA in Bangladesh. This study identified several modifiable factors associated with IPA among adolescent boys and girls and these factors should be addressed through comprehensive public health interventions in order to improve adolescent health in Bangladesh.
Prevalence of Non-communicable disease risk factors among adolescent girls and boys in Bangladesh: Evidence from the National Nutrition Surveillance Study
(Oxford Academic, 2020-06) Urmy, Nushrat Jahan; Shamim, Abu Ahmed; Hossain, Md. Mokbul; Hasan, Mehedi; Hanif, Abu Abdullah Mohammad; Hossaine, Moyazzam; Ullah, Mohammad Aman; Sarker, Samir Kanti; Rahman, S M Mustafizur; Mitra, Dipak Kumar; Haque, Md. Emdadul; Mridha, Malay
Objectives: Non-communicable diseases (NCD) and their risk factors have become a major public health problem worldwide. Understanding NCD risk factors among adolescents is important as many risk behaviors start in this period. In the recently completed round of national nutrition surveillance (NNS 2018–2019), we assessed the prevalence of NCD risk factors among adolescents and the factors associated with the co-presence of multiple risk factors. Methods This study was conducted in 82 randomly selected clusters (57 rural, 15 non-slums urban and 10 slums) from Bangladesh. We interviewed 4761 adolescent boys and 4808 adolescent girls for selected NCD risk factors using the World Health Organization (WHO) STEPS questionnaire. We also measured the height and weight of adolescents. Results The prevalence of insufficient fruits and vegetables intake, inadequate physical activity, any tobacco use, overweight and obesity in adolescent boys and girls was 90.8% and 93.6%, 33.4% and 51.9%, 4.5% and 0.9%, and 7.7% and 11.3%, respectively. The prevalence of one, two and three NCD risk factors among adolescent boys and girls was 55.5% and 42.5%, 35.1% and 48.8%, and 3.5% and 5.9%, respectively. Co-presence of two or more risk factors was higher among adolescent girls and early adolescent girls. For adolescent boys, area of residence (non-slum urban: AOR 2.8, P < 0.001; slum: AOR 1.6, P < 0.001), father's occupation (farmer: AOR 0.70, P = 0.005), and household wealth status (middle quintile, AOR 0.8, P = 0.022) were associated with: co-presence of multiple risk factors. In case of adolescent girls, age (15–19 y: AOR 0.8, P = 0.002), area of residence (non-slum urban: AOR 2.2, P < 0.001; slum: AOR 1.4, P < 0.001), occupation (non-student: AOR 0.6, P < 0.001), maternal education (e.g., partial secondary: AOR: 1.6, P < 0.001), father's occupation (e.g., farmer: AOR 0.6, P < 0.001) were associated with co-presence of multiple risk factors. Conclusions We found a high prevalence of NCD risk factors among adolescent boys and girls in Bangladesh. The co-presence of multiple risk factors was higher among girls than the boys and among early adolescent girls than the late-adolescent girls. The government and others should address these risk factors while implementing programs for improving the health of adolescents in Bangladesh.