Malnutrition in women is a significant public health concern and it is a serious issue in Bangladesh. The Bangladesh Demographic Health Survey (BDHS) 2022 was utilized to identify risk variables for malnourished females and fit several machine learning-based approaches to assess their nutritional status. This study included 7972 female individuals of various locations and ages. A chi-square test with a 5% significance level was used to identify possible risk variables for malnutrition in women. Naive Bayes, CART, Logistic Regression, Random Forest, Support Vector Machine, AdaBoost, Extreme Gradient Boosting, and Multilayer Perceptron; these eight machine learning-based classifiers were used to predict malnutrition in women. Summary information revealed that 48.4% of the population analyzed in this study were malnourished women. The chi-square test revealed that fourteen variables were substantially linked with malnutrition in women. Multilayer Perceptron had the highest accuracy of 0.71 for training data but it showed poor performance for the test data set. In terms of efficiency metrics such as accuracy, kappa, and F1 scores, Random Forest outperformed the others. In comparison to the other ML algorithms tested in this study, the Random Forest technique was a significantly effective machine learning-based technique for predicting women's malnutrition in Bangladesh. The proposed approach can help identify high-risk women for malnutrition, reducing the burden on the healthcare system.
Published in | World Journal of Public Health (Volume 10, Issue 1) |
DOI | 10.11648/j.wjph.20251001.16 |
Page(s) | 40-60 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
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Copyright © The Author(s), 2025. Published by Science Publishing Group |
Malnutrition, Machine Learning, AdaBoost, Cross Validation, Bangladesh
[1] | Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., De Onis, M., Ezzati, M., Grantham- McGregor, S., Katz, J., Martorell, R. and Uauy, R., 2013. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), pp. 427-451. |
[2] | Kapoor, S. K. and Anand, K., 2002. Nutritional transition: a public health challenge in developing countries. Journal of Epidemiology & Community Health, 56(11), pp. 804-805. |
[3] | Tanwi, T. S., Chakrabarty, S. and Hasanuzzaman, S., 2019. Double burden of malnutrition among ever-married women in Bangladesh: a pooled analysis. BMC women’s health, 19, pp. 1-8. |
[4] |
WHO, 2024. Malnutrition.
https://shorturl.at/ppC4q . September, 2024. |
[5] | Phelps, N. H., Singleton, R. K., Zhou, B., Heap, R. A., Mishra, A., Bennett, J. E., Paciorek, C. J., Lhoste, V. P., Carrillo-Larco, R. M., Stevens, G. A. and Rodriguez-Martinez, A., 2024. Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults. The Lancet, 403(10431), pp. 1027-1050. |
[6] | Islam, M. M., Rahman, M J., Islam, M. M., Roy, D. C., Ahmed, N. F., Hussain, S., Amanullah, M., Abedin, M. M. and Maniruzzaman, M., 2022. Application of machine learning based algorithm for prediction of malnutrition among women in Bangladesh. International Journal of Cognitive Computing in Engineering, 3, pp. 46-57. |
[7] | Kc, B., 2019. Factors responsible for non-communicable diseases among Bangladeshi adults. Biomedical Journal of Scientific & Technical Research, 20(1), pp. 14742- 14748. |
[8] | Nyberg, S. T., Batty, G. D., Pentti, J., Virtanen, M., Alfredsson, L., Fransson, E. I., Goldberg, M., Heikkilä, K., Jokela, M., Knutsson, A. and Koskenvuo, M., 2018. Obesity and loss of disease-free years owing to major non-communicable diseases: a multicohort study. The lancet Public health, 3(10), pp. e490-e497. |
[9] | Rahman, A. and Sathi, N. J., 2021. Sociodemographic risk factors of being underweight among ever-married Bangladeshi women of reproductive age: a multilevel analysis. Asia Pacific Journal of Public Health, 33(2-3), pp. 220-226. |
[10] | Rawal, L. B., Kanda, K., Mahumud, R. A., Joshi, D., Mehata, S., Shrestha, N., Poudel, P., Karki, S. and Renzaho, A., 2018. Prevalence of underweight, overweight and obesity and their associated risk factors in Nepalese adults: Data from a Nationwide Survey, 2016. PloS one, 13(11), p. e0205912. |
[11] | Boutari, C., Pappas, P. D., Mintziori, G., Nigdelis, M. P., Athanasiadis, L., Goulis, D. G. and Mantzoros, C. S., 2020. The effect of underweight on female and male reproduction. Metabolism, 107, p. 154229. |
[12] | Khan, M.N., Rahman, M.M., Shariff, A.A., Rahman, M. M., Rahman, M. S. and Rahman, M. A., 2017. Maternal undernutritionandexcessivebodyweightandriskofbirth and health outcomes. Archives of Public Health, 75, pp. 1-10. |
[13] | Melchor, I., Burgos, J., Del Campo, A., Aiartzaguena, A., Gutiérrez, J. and Melchor, J. C., 2019. Effect of maternal obesity on pregnancy outcomes in women delivering singleton babies: a historical cohort study. Journal of perinatal medicine, 47(6), pp. 625-630. |
[14] | Ismail, S. R., Mehmood, A., Rabiah, N., Abu- sulaiman, R. M. and Kabbani, M. S., 2021. Impact of the nutritional status of children with congenital heart diseases on the early post-operative outcome. Egyptian Pediatric Association Gazette, 69, pp. 1-8. |
[15] | Pal, A., Manna, S., Dalui, R., Mukhopadhyay, R. and Dhara, P. C., 2021. Undernutrition and associated factors among children aged 5-10 years in West Bengal, India: a community-based cross-sectional study. Egyptian Pediatric Association Gazette, 69, pp. 1-12. |
[16] | Ahmad, D., Afzal, M. and Imtiaz, A., 2020. Effect of socioeconomic factors on malnutrition among children in Pakistan. Future Business Journal, 6, pp. 1-11. |
[17] | Ekholuenetale, M., Tudeme, G., Onikan, A. and Ekholuenetale, C. E., 2020. Socioeconomic inequalities in hidden hunger, undernutrition, and overweight among under-five children in 35 sub-Saharan Africa countries. Journal of the Egyptian Public Health Association, 95, pp. 1-15. |
[18] | Hagos, S., Hailemariam, D., WoldeHanna, T. and Lindtjørn, B., 2017. Spatial heterogeneity and risk factors for stunting among children under age five in Ethiopia: A Bayesian geo-statistical model. PLoS One, 12(2), p. e0170785. |
[19] | Thompson, D.S., Younger-Coleman, N., Lyew-Ayee, P., Greene, L. G., Boyne, M. S. and Forrester, T. E., 2017. Socioeconomic factors associated with severe acute malnutrition in Jamaica. PloS one, 12(3), p. e0173101. |
[20] | Ekholuenetale, M., Barrow, A., Ekholuenetale, C. E. and Tudeme, G., 2020. Impact of stunting on early childhood cognitive development in Benin: evidence from Demographic and Health Survey. Egyptian Pediatric Association Gazette, 68, pp. 1-11. |
[21] | Rahman, M. S., Mushfiquee, M., Masud, M. S. and Howlader, T., 2019. Association between malnutrition and anemia in under-five children and women of reproductive age: Evidence from Bangladesh Demographic and Health Survey 2011. PloS one, 14(7), p. e0219170. |
[22] | Abedin, M. M., Haque, M. E., Sabiruzzaman, M., Al Mamun, A. S. M. and Hossain, M. G., 2019. Multinomial logistic regression analysis of factors influencing malnutrition of non-pregnant married women in Bangladesh: Evidence from Bangladesh Demographic and Health Survey-2014. 7th International Conference on Data Science and SDGs: Challenges, Opportunities and Realities, (18-19 December, 2019), Department of Statistics, University of Rajshahi, Bangladesh. |
[23] | Hossain, M. M., Islam, M. R., Sarkar, A. S. R., Khan, M. M. A. and Taneepanichskul, S., 2018. Prevalence and determinants risk factors of underweight and overweight among women in Bangladesh. Obesity Medicine, 11, pp. 1-5. |
[24] | Khanam, R, Lee, ASCC, Ram, M, Quaiyum, M, Begum, N, Choudhury, A, Christian, P, Mullany, LC & Baqui, AH 2018. ’Levels and correlates of nutritional status of women of childbearing age in rural Bangladesh’, Public health nutrition, vol. 21, no. 16, pp. 3037-3047. |
[25] | Kumar, D., Goel, N. K., Mittal, P. C. and Misra, P., 2006. Influence of infant-feeding practices on nutritional status of under-five children. The Indian Journal of Pediatrics, 73, pp. 417-421. |
[26] | Frongillo Jr, E. A., de Onis, M. and Hanson, K. M., 1997. Socioeconomic and demographic factors are associated with worldwide patterns of stunting and wasting of children. The Journal of Nutrition, 127(12), pp. 2302- 2309. |
[27] | Ngiam, K. Y. and Khor, W., 2019. Big data and machine learning algorithms for health-care delivery. The Lancet Oncology, 20(5), pp. e262-e273. |
[28] | Alghamdi, M., Al-Mallah, M., Keteyian, S., Brawner, C., Ehrman, J. and Sakr, S., 2017. Predicting diabetes mellitus using SMOTE and ensemble machine learning approach: The Henry Ford ExercIse Testing (FIT) project. PloS one, 12(7), p. e0179805. |
[29] | Jaiswal, M., Srivastava, A. and Siddiqui, T. J., 2019. Machine learning algorithms for anemia disease prediction. In Recent trends in communication, computing, and electronics: Select proceedings of IC3E 2018 (pp. 463-469). Springer Singapore. |
[30] | Khan, J. R., Chowdhury, S., Islam, H. and Raheem, E., 2019. Machine learning algorithms to predict the childhood anemia in Bangladesh. Journal of Data Science, 17(1), pp. 195-218. |
[31] | Appiahene, P., Asare, J. W., Donkoh, E. T., Dimauro, G. and Maglietta, R., 2023. Detection of iron deficiency anemia by medical images: a comparative study of machine learning algorithms. BioData Mining 16(2). |
[32] | Hsieh, C. H., Lu, R. H., Lee, N. H., Chiu, W. T., Hsu, M. H. and Li, Y. C. J., 2011. Novel solutions for an old disease: diagnosis of acute appendicitis with random forest, support vector machines, and artificial neural networks. Surgery, 149(1), pp. 87-93. |
[33] | Louridi, N., Douzi, S. and El Ouahidi, B., 2021. Machine learning-based identification of patients with a cardiovascular defect. Journal of Big Data, 8(1), p. 133. |
[34] | Laatifi, M., Douzi, S., Bouklouz, A., Ezzine, H., Jaafari, J., Zaid, Y., El Ouahidi, B. and Naciri, M., 2022. Machine learning approaches in Covid-19 severity risk prediction in Morocco. Journal of Big Data, 9(1), p. 5. |
[35] | Rezaeijo, S. M., Ghorvei, M., Abedi-Firouzjah, R. et al., 2021. Detecting COVID-19 in chest images based on deep transfer learning and machine learning algorithms. Egypt J Radiol Nucl Med 52(145). |
[36] | Meng, X. H., Huang, Y. X., Rao, D. P., Zhang, Q. and Liu, Q., 2013. Comparison of three data mining models for predicting diabetes or prediabetes by risk factors. The Kaohsiung Journal of Medical Sciences, 29(2), pp. 93- 99. |
[37] | Nibareke, T. and Laassiri, J., 2020. Using Big Data- machine learning models for diabetes prediction and flight delays analytics. Journal of Big Data, 7(1), p. 78. |
[38] | Sharma, T. and Shah, M., 2021. A comprehensive review of machine learning techniques on diabetes detection. Visual Computing for Industry, Biomedicine, and Art, 4, p. 30. |
[39] | Yu, W., Liu, T., Valdez, R., Gwinn, M. and Khoury, M. J., 2010. Application of support vector machine modeling for prediction of common diseases: the case of diabetes and pre-diabetes. BMC Medical Informatics and Decision Making, 10, pp. 1-7. |
[40] | Islam, M. M., Rahman, M. J., Roy, D. C., Tawabunnahar, M., Jahan, R., Ahmed, N. F. and Maniruzzaman, M., 2021. Machine learning algorithm for characterizing risks of hypertension, at an early stage in Bangladesh. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 15(3), pp. 877-884. |
[41] | Zhao, H., Zhang, X., Xu, Y., Gao, L., Ma, Z., Sun, Y. and Wang, W., 2021. Predicting the risk of hypertension based on several easy-to-collect risk factors: a machine learning method. Frontiers in Public Health, 9, p. 619429. |
[42] | Islam Pollob, S. A., Abedin, M. M., Islam, M. T., Islam, M. M. and Maniruzzaman, M., 2022. Predicting risks of low birth weight in Bangladesh with machine learning. PLOS One, 17(5), p. e0267190. |
[43] | Borson, N. S., Kabir, M. R., Zamal, Z. and Rahman, R. M., 2020, July. Correlation analysis of demographic factors on low birth weight and prediction modeling using machine learning techniques. In 2020 Fourth World Conference on Smart Trends in Systems, Security and Sustainability (WorldS4) (pp. 169-173). IEEE. |
[44] | Eliyati, N., Faruk, A., Kresnawati, E. S., & Arifieni, I. (2019). Support vector machines for classification of low birth weight in Indonesia. Journal of Physics: Conference Series, 1282. |
[45] | Faruk, A., Cahyono, E. S., Eliyati, N. and Arifieni, I., 2018. Prediction and classification of low birth weight data using machine learning techniques. Indonesian Journal of Science and Technology, 3(1), pp. 18-28. |
[46] | Bekele, W. T., 2022. Machine learning algorithms for predicting low birth weight in Ethiopia. BMC Medical Informatics and decision making, 22(1), p. 232. |
[47] | Talukder, A. and Ahammed, B., 2020. Machine learning algorithms for predicting malnutrition among under-five children in Bangladesh. Nutrition, 78, p. 110861. |
[48] | Shahriar, M. M., Iqubal, M. S., Mitra, S. and Das, A. K., 2019, July. A Deep Learning Approach to Predict Malnutrition Status of 0-59 Month’s Older Children in Bangladesh. In 2019 IEEE International Conference on Industry 4.0, Artificial Intelligence, and Communications Technology (IAICT) (pp. 145-149). IEEE. |
[49] | Khare, S., Kavyashree, S., Gupta, D. and Jyotishi, A., 2017. Investigation of nutritional status of children based on machine learning techniques using Indian demographic and health survey data. Procedia computer science, 115, pp. 338-349. |
[50] | Bitew, F. H., Nyarko, S. H., Potter, L. and Sparks, C. S., 2020. Machine learning approach for predicting under- fivemortalitydeterminantsinEthiopia: evidencefromthe 2016 Ethiopian Demographic and Health Survey. Genus, 76, pp. 1-16. |
[51] | Reis, R., Peixoto, H., Machado, J. and Abelha, A., 2017. Machine learning in nutritional follow-up research. Open Computer Science, 7(1), pp. 41-45. |
[52] | Momand, Z., Mongkolnam, P., Kositpanthavong, P. and Chan, J. H., 2020, January. Data mining based prediction of malnutrition in Afghan children. In 2020 12th International Conference on Knowledge and Smart Technology (KST) (pp. 12-17). IEEE. |
[53] | Rahman, S. M. J., Ahmed, N. A. M. F., Abedin, M. M., Ahammed, B., Ali, M., Rahman, M. J., Maniruzzaman, M., 2021. Investigate the risk factors of stunting, wasting, and underweight among under-five Bangladeshi children and its prediction based on machine learning approach. PLoS ONE 16(6), p. e0253172. |
[54] | Markos, Z., Doyore, F., Yifiru, M. and Haidar, J., 2014. Predicting Under nutrition status of under-five children using data mining techniques: The Case of 2011 Ethiopian Demographic and Health Survey. J Health Med Inform, 5(2), p. 152. |
[55] | Khudri, M. M., Rhee, K. K., Hasan, M. S. and Ahsan, K. Z., 2023. Predicting nutritional status for women of childbearing age from their economic, health, and demographic features: A supervised machine learning approach. Plos one, 18(5), p. e0277738. |
[56] | Turjo, E. A. and Rahman, M. H., 2024. Assessing risk factors for malnutrition among women in Bangladesh and forecasting malnutrition using machine learning approaches. BMC Nutrition, 10(1), p. 22. |
[57] |
NIPORT: Bangladesh Demographic and Health Survey 2022, 2024,
https://niport.portal.gov.bd . Dhaka, Bangladesh: NIPORT/ICF |
[58] | WHO, O., 2000, Preventing and managing the global epidemic. geneva. WHO Technical report series 894, 252. |
[59] | Ahmed, K. Y., Rwabilimbo, A. G., Abrha, S., Page, A., Arora, A., Tadese, F., Beyene, T. Y., Seiko, A., Endris, A. A., Agho, K. E. and Ogbo, F. A., 2020. Factors associated with underweight, overweight, and obesity in reproductive age Tanzanian women. PloS one, 15(8), p. e0237720. |
[60] | Han, J., Kamber, M., Pei, J., 2012, Data mining concepts and techniques third edition. 34 University of Illinois at Urbana-Champaign Micheline Kamber Jian Pei Simon Fraser University. |
[61] | Cover, T. M., 1965. Geometrical and statistical properties of systems of linear inequalities with applications in pattern recognition. IEEE Transactions on electronic computers, (3), pp. 326-334. |
[62] | Breiman, L., 2017. Classification and regression trees. Routledge. |
[63] | Gutierrez, D. D., 2015. Machine learning and data science: an introduction to statistical learning methods with R. Technics Publications. |
[64] | Breiman, L., 2001. Random forests. Machine learning, 45, pp. 5-32. |
[65] | Hastie, T., Tibshirani, R., Friedman, J. H., Friedman, J. H., 2017, The Elements of Statistical Learning: Data Mining, Inference, and Prediction, 2nd ed. Springer, California, USA. |
[66] | Freund, Y., Schapire, R. E., 1995. A desicion-theoretic generalization of on-line learning and an application to boosting. In: Vitányi, P. (eds) Computational Learning Theory. EuroCOLT 1995. Lecture Notes in Computer Science, vol 904. Springer, Berlin, Heidelberg. |
[67] | Chen, T. and Guestrin, C., 2016, August. Xgboost: A scalable tree-boosting system. In Proceedings of the 22nd acm sigkdd International Conference on knowledge discovery and Data Mining (pp. 785-794). |
[68] | Cybenko, G., 1989. Approximations by superpositions of a sigmoidal function. Mathematics of Control, Signals and Systems, 2, pp. 183-192. |
[69] | Amari, S., 1967. A theory of adaptive pattern classifiers. IEEE Transactions on Electronic Computers, (3), pp. 299-307. |
[70] | Haykin, S., 2009. Neural networks and learning machines, 3/E. Pearson Education India. |
[71] | Cifuentes, J., Marulanda, G., Bello, A. and Reneses, J., 2020. Air temperature forecasting using machine learning techniques: a review. Energies, 13(16), p. 4215. |
[72] | Paul, S. and Roy, S., 2020. Forecasting the average temperature rise in Bangladesh: a time series analysis. Journal of Engineering Science, 11(1), pp. 83-91. |
[73] | Cortes, C., Vapnik, V., 1995. Support-vector networks. Mach Learn 20, p. 273-297. |
[74] | Brownlee, J., 2016. Machine learning mastery with R: Get started, build accurate models and work through projects step-by-step. Machine Learning Mastery. |
[75] | Landis, J. R. and Koch, G. G., 1977. The measurement of observer agreement for categorical data. Biometrics, pp. 159-174. |
APA Style
Rahman, M. H., Turjo, E. A. (2025). Analyze the Determinants of Malnutrition in Women and Prognosticate Nutritional Status: Insights from the Bangladesh Demographic Health Survey 2022. World Journal of Public Health, 10(1), 40-60. https://doi.org/10.11648/j.wjph.20251001.16
ACS Style
Rahman, M. H.; Turjo, E. A. Analyze the Determinants of Malnutrition in Women and Prognosticate Nutritional Status: Insights from the Bangladesh Demographic Health Survey 2022. World J. Public Health 2025, 10(1), 40-60. doi: 10.11648/j.wjph.20251001.16
@article{10.11648/j.wjph.20251001.16, author = {Md. Habibur Rahman and Estiyak Ahmed Turjo}, title = {Analyze the Determinants of Malnutrition in Women and Prognosticate Nutritional Status: Insights from the Bangladesh Demographic Health Survey 2022}, journal = {World Journal of Public Health}, volume = {10}, number = {1}, pages = {40-60}, doi = {10.11648/j.wjph.20251001.16}, url = {https://doi.org/10.11648/j.wjph.20251001.16}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20251001.16}, abstract = {Malnutrition in women is a significant public health concern and it is a serious issue in Bangladesh. The Bangladesh Demographic Health Survey (BDHS) 2022 was utilized to identify risk variables for malnourished females and fit several machine learning-based approaches to assess their nutritional status. This study included 7972 female individuals of various locations and ages. A chi-square test with a 5% significance level was used to identify possible risk variables for malnutrition in women. Naive Bayes, CART, Logistic Regression, Random Forest, Support Vector Machine, AdaBoost, Extreme Gradient Boosting, and Multilayer Perceptron; these eight machine learning-based classifiers were used to predict malnutrition in women. Summary information revealed that 48.4% of the population analyzed in this study were malnourished women. The chi-square test revealed that fourteen variables were substantially linked with malnutrition in women. Multilayer Perceptron had the highest accuracy of 0.71 for training data but it showed poor performance for the test data set. In terms of efficiency metrics such as accuracy, kappa, and F1 scores, Random Forest outperformed the others. In comparison to the other ML algorithms tested in this study, the Random Forest technique was a significantly effective machine learning-based technique for predicting women's malnutrition in Bangladesh. The proposed approach can help identify high-risk women for malnutrition, reducing the burden on the healthcare system.}, year = {2025} }
TY - JOUR T1 - Analyze the Determinants of Malnutrition in Women and Prognosticate Nutritional Status: Insights from the Bangladesh Demographic Health Survey 2022 AU - Md. Habibur Rahman AU - Estiyak Ahmed Turjo Y1 - 2025/03/05 PY - 2025 N1 - https://doi.org/10.11648/j.wjph.20251001.16 DO - 10.11648/j.wjph.20251001.16 T2 - World Journal of Public Health JF - World Journal of Public Health JO - World Journal of Public Health SP - 40 EP - 60 PB - Science Publishing Group SN - 2637-6059 UR - https://doi.org/10.11648/j.wjph.20251001.16 AB - Malnutrition in women is a significant public health concern and it is a serious issue in Bangladesh. The Bangladesh Demographic Health Survey (BDHS) 2022 was utilized to identify risk variables for malnourished females and fit several machine learning-based approaches to assess their nutritional status. This study included 7972 female individuals of various locations and ages. A chi-square test with a 5% significance level was used to identify possible risk variables for malnutrition in women. Naive Bayes, CART, Logistic Regression, Random Forest, Support Vector Machine, AdaBoost, Extreme Gradient Boosting, and Multilayer Perceptron; these eight machine learning-based classifiers were used to predict malnutrition in women. Summary information revealed that 48.4% of the population analyzed in this study were malnourished women. The chi-square test revealed that fourteen variables were substantially linked with malnutrition in women. Multilayer Perceptron had the highest accuracy of 0.71 for training data but it showed poor performance for the test data set. In terms of efficiency metrics such as accuracy, kappa, and F1 scores, Random Forest outperformed the others. In comparison to the other ML algorithms tested in this study, the Random Forest technique was a significantly effective machine learning-based technique for predicting women's malnutrition in Bangladesh. The proposed approach can help identify high-risk women for malnutrition, reducing the burden on the healthcare system. VL - 10 IS - 1 ER -