{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T03:23:53Z","timestamp":1792034633409,"version":"4.4.0"},"reference-count":55,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,6,22]],"date-time":"2025-06-22T00:00:00Z","timestamp":1750550400000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Food Science &amp;amp; Nutrition"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Child undernutrition remains a significant public health issue in Bangladesh, with high rates of stunting, wasting, and underweight. The Composite Index of Anthropometric Failure (CIAF) offers a comprehensive tool for assessing overall undernutrition. Although previous studies in Bangladesh have utilized CIAF, they have relied on older datasets. Estimating the current status is essential for designing and implementing targeted interventions due to the dynamic nature of undernutrition. This study aimed to provide updated insights by analyzing the CIAF and its determinants among children under 5\u2009years, using the most recent 2022 Bangladesh Demographic and Health Survey (BDHS) data. A total of 3950 under\u20105\u2010year\u2010old children were included. The modified Poisson regression was employed to identify the associated factors. The overall prevalence of CIAF was 33.7%, with subgroups of wasted and underweight (4.7%), stunted and underweight (10.8%), wasting, stunting, and underweight (3.4%), only wasted (3%), only stunted (8.8%), and only underweight (3%). Factors associated with higher risk of CIAF included older aged child, higher birth order (ARR: 1.30, 95% CI: 1.08\u20131.58), smaller birth size (ARR: 1.45, 95% CI: 1.24\u20131.70), uneducated mothers (ARR: 1.49, 95% CI: 1.16\u20131.93), maternal underweight (ARR: 1.28, 95% CI: 1.13\u20131.46), short stature (ARR: 1.54, 95% CI: 1.40\u20131.70). Children from the poorest households (ARR: 1.25, 95% CI: 1.02\u20131.53) and Sylhet (ARR: 1.22, 95% CI: 1.02\u20131.47) also had a higher risk. This study suggests strengthening community\u2010based nutrition\u2010specific programs along with improving access to healthcare, family planning, food assistance, and income opportunities to reduce child undernutrition in Bangladesh.<\/jats:p>","DOI":"10.1002\/fsn3.70499","type":"journal-article","created":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T00:08:48Z","timestamp":1750637328000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Prevalence and Determinants of the Composite Index of Anthropometric Failure in Children Under Five Years in Bangladesh: Insights From a National Survey"],"prefix":"10.1002","volume":"13","author":[{"given":"Rafid","family":"Hassan","sequence":"first","affiliation":[{"name":"Nutrition Research Division International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahadoth","family":"Hossain","sequence":"additional","affiliation":[{"name":"Institute of Nutrition and Food Science University of Dhaka  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md Mahbub","family":"Alam","sequence":"additional","affiliation":[{"name":"Institute of Nutrition and Food Science University of Dhaka  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjib","family":"Saha","sequence":"additional","affiliation":[{"name":"Health Economics Unit, Department of Clinical Science (Malmo) Lund University  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanjina","family":"Akter","sequence":"additional","affiliation":[{"name":"Department of Zoology University of Dhaka  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masum","family":"Ali","sequence":"additional","affiliation":[{"name":"Nutrition and Health Science, Laney Graduate School Emory University  Atlanta USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4252-5804","authenticated-orcid":false,"given":"Md Ruhul","family":"Amin","sequence":"additional","affiliation":[{"name":"Institute of Nutrition and Food Science University of Dhaka  Dhaka 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