Reviewer ’s report  
 
Title: Double burden of malnutrition among ever -married women in Bangladesh: A pooled 
analysis  
 
Version: 0 Date: 18 May 2018  
 
Reviewer: Xiaoyan Iris Leng  
 
Reviewer's report:  
 
The paper described double b urden of malnutrition (overweight/obese and underweight) among 
ever-married women in Bangladesh based on the four pooled surveys over a ten year period 
(2004 to 2014).   
 
The data are of interest of public health concerns however the I have some major conc erns that 
authors need to address:  
1. When using the pooled survey, please make sure there is no repeated measures on some of 
the participants.  
 
2. My major concern is the statistical analysis using multinomial logistic regression. The 
description of the anal ysis was minimum. It is not clear what variables are included in the 
model. What link function was used? What is relative risk ratio (RRR)???? Did the authors 
mean relative risk/risk ratio??? How did the authors get that? In general odds ratios were 
estima ted from multinomial regression. If the authors used relative risk/risk ratio, how did 
they converted the values from odds ratios? When the even is not rare, odds ratio are not 
suppose to approximate relative risk/risk ratios. The authors should include a statistician 
when doing the analysis.  
 
3. Since those data were from four different surveys, it would be interesting to see how year 
interact with the socio -demographic characteristics, i.e. , are the socio -demographic 
characteristics effect differ across th e four surveys? The will provide more insight on the 
prevalence of malnutrition.  
 
Minor concerns:  
On page 4: first paragraph, low birth weight, preterm birth ,..... higher risk of early mortality are 
not communicable diseases.  
On page 5: there are too much redundant information of prevalence of malnutrition, please 
consolidate and summarize.  
On page 5: BDHS first appeared without spelling out.  
On page 8: second paragraph first sentence, did the authors mean underweight. The numb er is 
not consistent with Table 1.  
On page 10: the paragraph after table 1, the number for richer and richest are not consistent with 
table 1.  
Table 1: Age category is not consistent with text (13~19???)  
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
No 
 
Does the work include the necessary controls?  
If not, please specify which c ontrols are required in your comments to the authors.  
 
No 
 
Are the conclusions drawn adequately supported by the data shown?  
If not, please explain in your comments to the authors.  
 
No 
 
Are you able to assess any statistics in the manuscript or would you reco mmend an  
additional statistical review?  
If an additional statistical review is recommended, please specify what aspects require further  
assessment in your comments to the editors.  
 
I am able to assess the statistics  
 
Quality of written English  
Please indicate the quality of language in the manuscript:  
 
Needs some language corrections before being published  
 
Declaration of competing interests  
Please complete a declaration of competing interests, considering the following questions:  
 
1. Have you in t he past five years received reimbursements, fees, funding, or salary from an  
organisation that may in any way gain or lose financially from the publication of this  
manuscript, either now or in the future?  
 
2. Do you hold any stocks or shares in an organisat ion that may in any way gain or lose  
financially from the publication of this manuscript, either now or in the future?  
 
3. Do you hold or are you currently applying for any patents relating to the content of the  
manuscript?  
 
4. Have you received reimbursemen ts, fees, funding, or salary from an organization that 
holds  or has applied for patents relating to the content of the manuscript?  
 
5. Do you have any other financial competing interests?  
 
6. Do you have any non -financial competing interests in relation to t his paper?  
 
If you can answer no to all of the above, write 'I declare that I have no competing interests' 
below.  If your reply is yes to any, please give details below.  
 
I declare that I have no competing interests  
 
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