Association Between Chronic Arsenic Exposure and Nutritional Status Among the Women of Child Bearing Age: A Case Control Study in Bangladesh

The Project :

Undernourished people are potentially more vulnerable to exposure to toxic elements like arsenic as the negative effects on health might be aggravated by poor nutritional status. The role of nutritional factors in arsenic metabolism and toxicity is not clear. Limited studies have indicated that poor nutritional status may increase the risk of arsenic related health effects. Participants with poor nutritional status were reported from West Bengal, India to have an overall 1.6 fold-increase in the prevalence of keratoses, suggesting that malnutrition may increase the susceptibility for arsenic toxicity. Malnutrition is also highly prevalent in Bangladesh. Malnourished women carry a higher risk of adverse pregnancy outcomes. Chronic exposure to high arsenic (>50 mg/L) through drinking water also increases the risk of adverse pregnancy outcomes. They synergistic effects of malnutrition and chronic arsenic exposure may worsen the adverse pregnancy outcomes. Considering the circumstances NGO Forum initiated the case-control study project in collaboration with the Centre for Clinical Epidemiology & Biostatistics (CCEB), the University of Newcastle, Australia. International Atomic Agency, Vienna, Austria is providing necessary support for conducting the research project.

Project Implementation Area : 

The study is being conducting in all the villages of the Nezamkandi union of Kashiani upazila of the Gopalganj district of Bangladesh.

Project Duration :  August 2005 – July 2008

Project Objective :

The major objective of the project is to determine the association between chronic arsenic exposure and nutritional status in women of child bearing age.

Specific Objectives :

The specific objectives are to determine the prevalence of malnutrition among the study women; to assess the methylation pattern of the study women; to determine the correlation between total body water and body mass index and to determine the correlation between arsenic in drinking water and urinary arsenic concentration.

Project Activities:

  Baseline survey
 Selection of cases and controls
■  Development, pre-testing and finalization of the cases and controls
■  Interview of the cases and controls
■  Analyzing of the water and urine samples
■  Data entry and editing

Project Output:

The study findings will have important programmatic implications in the context of providing alternative arsenic-free water supplies in Bangladesh with special emphasis on the arsenic exposed women of child bearing age.

 
 
CMWSP-CHT
Ground Water Arsenic Poisoning
Integrated Community-based Arsenic Mitigation Programme
ASEH
Jibon O Jibika
HRD
SHN
Improved Health and Socio-eco Development for Coastal People.
WASPA ASIA
NGO & Civil Society Networking Project GOB-Danida Water Supply and Sanitation Sector Programme Support (WSSPS)Phase II
Association Between Chronic Arsenic Exposure and Nutritional Status Among the Women of Child Bearing Age: A Case Control Study in Bangladesh
Pilot Project on Safe Water System (SWS): (A Household-based Water Treatment and Safe Storage in Urban High-risk Areas of Bangladesh)
BETV-SAM (Bangladesh Environmental Technology Verification – Support to Arsenic Mitigation)
Deployment of Arsenic Removal Technologies (DART)
 
 
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