The association between malnutrition and childhood disability in low‐ and middle‐ income countries: systematic review and meta‐analysis of observational studies

Hume-Nixon, Maeve; Kuper, Hannah

doi:10.1111/tmi.13139

Cited by 48 publications

(63 citation statements)

References 50 publications

(83 reference statements)

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Section: Discussionmentioning

confidence: 99%

“…The interaction between disability and malnutrition has been reported repeatedly in different studies [5,6,7]. In their recent systematic review, Hume-Nixon et al reported a 53% positive association between childhood disability and malnutrition in LMICs [6]. The review included 17 studies from LMCIs and pooled analysis showed three times higher odds of underweight and two times higher odds of stunting and wasting among children with disabilities compared to controls [6].…”

Section: Discussionmentioning

confidence: 99%

“…In their recent systematic review, Hume-Nixon et al reported a 53% positive association between childhood disability and malnutrition in LMICs [6]. The review included 17 studies from LMCIs and pooled analysis showed three times higher odds of underweight and two times higher odds of stunting and wasting among children with disabilities compared to controls [6]. However, according to the authors, due to a limited number of studies on this topic from LMICs, the effect of the underlying factors on association between malnutrition and childhood disability could not be measured [6].…”

Section: Discussionmentioning

confidence: 99%

“…Malnutrition plays a crucial role as both the cause and consequence of childhood disability [2,5]. In a recent systematic review, the pooled analyses showed that children with disability have 3.0 times higher odds of being underweight compared to children without disability [6]. In another study conducted in Kenya, it was found that children with disability had 2.2 times higher odds of being underweight and 1.7 times higher odds of being stunted when compared to their age/sex-matched peers who did not have any forms of permanent disability [7].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2019

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2019

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“…For example, in a recent systematic review of 150 studies in LMICs, 81% found that people with disabilities were economically poorer compared with people without disabilities (Banks et al 2017). Similarly, other studies have found that people with disabilities experience high levels of multidimensional poverty, such as malnutrition and lower levels of health, barriers to accessing education and healthcare, and exclusion from decent work and social participation Hume-Nixon and Kuper 2018;Mizunoya and Mitra 2013;Mizunoya et al 2018). Poverty may even be underestimated amongst people with disabilities, due for example to high out-of-pocket spending on disability-related items (e.g.…”

Section: Introductionmentioning

confidence: 99%

Access to Social Protection Among People with Disabilities: Mixed Methods Research from Tanahun, Nepal

Banks

Walsham

Neupane³

et al. 2019

Eur J Dev Res

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While people with disabilities are often targeted as key beneficiaries of social protection, there is little evidence available on their participation in existing programmes. This study uses mixed methods to explore access to disability-targeted and non-targeted social protection programmes in Nepal, particularly the District of Tanahun. In total, 31% of people with disabilities had Disability Identification Cards, which entitles them to a range of different social protection benefits depending on the card level, including disability-targeted social assistance (received by 13% of people with disabilities). Overall, 37% of people with disabilities received social assistance, which was higher than for people without disabilities (21%). The most commonly accessed form of social assistance was the Old Age Allowance, which had universally high coverage amongst both people with and without disabilities. Uptake of disability-targeted social protection entitlements other than social assistance (e.g. scholarships, discounted transportation and health services) was generally low. Factors impacting upon access included the geographic and financial accessibility of the application process, procedures for determining eligibility and compliance of service providers.

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Factors associated with fathers' involvement in infant and young child feeding and nurturing care in the urban slums of Bangladesh: A cross‐sectional study

Bhattacharyya

Sarker

Akter

et al. 2023

Food Science & Nutrition

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Optimal infant and young child feeding (IYCF) and nurturing care during the first years of children's lives are crucial for ensuring their growth and development. The IYCF and nurturing practices are associated with a multifaceted interplay of context‐specific factors where fathers' involvement is necessary. The aim of this study is to explore the current scenario of fathers' involvement in IYCF practices in the urban slums of Bangladesh. A cross‐sectional survey among the residents of the Sat Tola slum in Dhaka, the capital of Bangladesh was conducted. To avoid social desirability bias, 361 mothers of children aged <24 months were interviewed regarding fathers' involvement. An operational definition of father's involvement was developed based on 11 criteria and then scoring was applied to classify ‘Good Involvement’ and associated factors were identified using multivariable logistic regression. Fathers' mean age was around 31 (SD ± 6.09) years and the majority of them (44.32%) completed primary education. Fathers had diversified occupations such as day laborer (32.41%), garment worker (22.71%), and business (14.96%). Factors that were significantly associated with the father's involvement in IYCF practices include educational status (aOR = 3.98, 95% CI = 1.91, 8.26, p < .00) and theiroccupational status (aOR = 0.34, 95% CI = 0.16, 0.70, p = .00). Fathers were more active for their first child (aOR: 1.99, 95% CI = 1.04, 3.79, p = .03). Having child in the age group of 14–20 months (aOR = 2.73, 95% CI = 1.32, 5.64, p = <.01) and wife in the age group of 21–30 years (aOR = 2.34, 95% CI = 1.20, 4.58, p = .01) were significantly associated. The study finding explored that fathers' education and occupation as well as mothers' age and education were significantly associated factors for fathers' involvement in the IYCF practices. Further longitudinal studies are recommended to establish the causal relationship between fathers' involvement with IYCF and their impact on child growth and development.

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The association between malnutrition and childhood disability in low‐ and middle‐ income countries: systematic review and meta‐analysis of observational studies

Abstract: Children with disabilities may be a vulnerable group for undernutrition in LMICs, which should be reflected in disability and nutritional programming and policy-making.

Cited by 48 publications

References 50 publications

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

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

Access to Social Protection Among People with Disabilities: Mixed Methods Research from Tanahun, Nepal

Factors associated with fathers' involvement in infant and young child feeding and nurturing care in the urban slums of Bangladesh: A cross‐sectional study

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