Background: Childhood malnutrition remains a significant global public health concern. The Demographic and Health Surveys (DHS) program provides specific data on child health across numerous countries. This meta-analysis aims to comprehensively assess machine learning (ML) applications in DHS data to predict malnutrition in children. Methods: A comprehensive search of the peer-reviewed literature in PubMed, Embase, and Scopus databases was conducted in January 2024. Studies employing ML algorithms on DHS data to predict malnutrition in children under 5 years were included. Using PROBAST (Prediction model Risk Of Bias Assessment Tool), the quality of the listed studies was evaluated. To conduct meta-analyses, Review Manager 5.4 was used. Results: A total of 11 out of 789 studies were included in this review. The studies were published between 2019 and 2023, with the major contribution from Bangladesh (n = 6, 55%). Of these, ten studies reported stunting, three reported wasting, and four reported underweight. A meta-analysis of ten studies reported a pooled accuracy of 68.92% (95% CI: 66.04, 71.80; I² = 100%) among ML models for predicting stunting in children. Three studies indicated a pooled accuracy of 84.39% (95% CI: 80.90, 87.87; I² = 100%) in predicting wasting. A meta-analysis of four studies indicated a pooled accuracy of 73.60% (95% CI: 70.01, 77.20; I² = 100%) for ML models predicting underweight status in children. Conclusions: This meta-analysis indicated that ML models were observed to have moderate to good performance metrics in predicting malnutrition using DHS data among children under five years.

This study develops a unified multiscale–machine learning framework to interpret and predict thermo-mechanical wear regime transitions in MWCNT- and nanoclay-reinforced bio-based epoxy composites. A physics-informed master wear formulation integrating real contact mechanics, geometry-dependent shear transfer, interfacial adhesion energetics, and fracture-controlled matrix detachment was combined with interpretable machine learning analytics on a unified tribological dataset. In the CNT system, increasing loading from 0.1 to 0.4 wt.% enhanced interfacial adhesion energy density from 0.00813 to 0.01906 J/m², resulting in a monotonic reduction in the wear rate from 0.00918 to 0.00613 mm³/N·m (~33% reduction). In contrast, nanoclay exhibited an optimum behavior, with a minimum wear at 0.25 wt.% (0.000093 mm³/N·m; 7.9% reduction vs. neat clay baseline), followed by deterioration at a higher loading due to dispersion loss. The unified probabilistic regime classification of low-wear conditions (k < 0.007 mm³/N·m) achieved an ROC − AUC = 0.9256 and balanced accuracy = 94.3%, with thermo-mechanical severity identified as the dominant regime-switching driver. Reinforcement identity significantly modulated regime stability, confirming distinct shear transfer (Carbon Nano Tubes(CNT)) and confinement/tribofilm (clay) mechanisms within a common mathematical framework. By enabling the durability-oriented design of bio-based tribological systems and extending component service life through predictive stability mapping, this work contributes to resource-efficient materials engineering and reduced lifecycle waste, supporting Sustainable Development Goals SDG 9 (Industry, Innovation and Infrastructure), SDG 12 (Responsible Consumption and Production), and SDG 13 (Climate Action).

Childhood stunting remains a major public health challenge in India and is influenced by multiple socioeconomic and environmental factors. This ecological study examined district-level correlates of childhood stunting, including Crimes Against Women (CAW), the Multidimensional Poverty Index (MPI), and drought severity, using data from NFHS-5, the National Crime Records Bureau, NITI Aayog’s MPI reports, and the Drought Atlas of India. Spatial autocorrelation and Spatial regression models were applied alongside machine learning approaches and SHAP-based Explainable AI (XAI) interpretation. Childhood stunting exhibited significant spatial clustering (Moran’s I = 0.520, p < 0.001), with hotspots in northern, central, and eastern India. Higher stunting was associated with higher birth order, low maternal BMI, child anaemia, and MPI, and negative associations with iodised salt usage, electricity access, and timely postnatal care. A significant spatial lag parameter (ρ = 0.348) indicated substantial spillover effects. Machine learning models consistently identified MPI, drought severity, and CAW as key predictors. The integrated spatial and machine learning framework identifies key correlates and spatial dependencies of childhood stunting, highlighting the need for region-specific, multisectoral interventions.