scholarly journals Prevalence of low serum zinc concentrations in Indian children and adolescents: findings from the Comprehensive National Nutrition Survey 2016–18

Author(s):  
Raghu Pullakhandam ◽  
Praween K Agrawal ◽  
Rajini Peter ◽  
Santu Ghosh ◽  
G Bhanuprakash Reddy ◽  
...  

ABSTRACT Background It is thought that there is a high risk of zinc deficiency in India, but there are no representative national estimates. Objectives We aimed to evaluate the national and state-level prevalence of low serum zinc concentrations (SZCs) in Indian children from the nationally representative Comprehensive National Nutrition Survey. Methods Prevalence of low SZC, adjusted for C-reactive protein, was estimated among preschool (1–4 y; n = 7874) and school-age children (5–9 y; n = 10,430) and adolescents (10–19 y; n = 10,140), using SZC cutoffs defined by the International Zinc Nutrition Consultative Group. Results Prevalence of low SZC was high among adolescents (31.1%; 95% CI: 29.8%, 32.4%), compared with school-age (15.8%; 95% CI: 15.3%, 16.3%) or preschool children (17.4%; 95% CI: 16.7%, 18.0%). However, stratification of prevalence by fasting status or using an alternative lower SZC cutoff independent of fasting status led to a reduction in prevalence by 3.7% or 7.8% in children <10 y, respectively. The prevalence of low SZC was higher among rural preschool children, those belonging to households with poor socioeconomic status, and those with severe stunting or underweight. Preschool children with diarrhea (22.6%; 95% CI: 20.8%, 24.4%), productive cough (22.7%; 95% CI: 18.5%, 27.5%), or malaria/dengue (38.5%; 95% CI: 29.4%, 48.2%) in the 2 wk preceding the survey had a higher prevalence of low SZC than those without morbidity (16.5%; 95% CI: 15.9%, 17.2%; 17.6%; 95% CI: 16.9%, 18.2%; and 17.5%; 95% CI: 16.8%, 18.1%, respectively). Conclusions The national prevalence of low SZC among preschool (17%) or school-age children (16%) was <20%, which is considered the cutoff indicating a problem of public health significance; but there were variations by state and socioeconomic status. In adolescents, however, the prevalence of low SZC was 31%, which warrants further investigation. The association of low SZC with diarrhea in preschool children necessitates better coverage of Zn administration in the management of diarrhea.

2021 ◽  
Author(s):  
Raghu Pullakhandam ◽  
Santu Ghosh ◽  
Bharati Kulkarni ◽  
G. Bhanuprakash Reddy ◽  
Hemalatha Rajkumar ◽  
...  

Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 281
Author(s):  
Jorge Vargas-Meza ◽  
Manuel A. Cervantes-Armenta ◽  
Ismael Campos-Nonato ◽  
Claudia Nieto ◽  
Joaquín Alejandro Marrón-Ponce ◽  
...  

Population studies have demonstrated an association between sodium and potassium intake and blood pressure levels and lipids. The aim of this study was to describe the dietary intake and contribution of sodium and potassium to the Mexican diet, and to describe its association with nutrition status and clinical characteristics. We analyzed a national survey with 4219 participants. Dietary information was obtained with a 24-h recall. Foods and beverages were classified according to level of processing. The mean intake (mg/d) of Na was 1512 in preschool children, 2844 in school-age children, 3743 in adolescents, and 3132 in adults. The mean intake (mg/d) of K was 1616 in preschool children, 2256 in school-age children, 2967 in adolescents, and 3401 in adults. Processed and ultra-processed foods (UPF) contribute 49% of Na intake in preschool children, 50% in school-age children, 47% in adolescents, and 39% in adults. Adults with high Na intake had lower serum concentrations of cholesterol, HDL-c, and LDL-c. A significant proportion of the Mexican population has a high intake of Na (64–82%) and low K (58–73%). Strategies to reduce Na and increase K intake need to reduce the possibility of having high BP and serum lipid disturbances.


2003 ◽  
Vol 45 ◽  
pp. 551-557 ◽  
Author(s):  
Bernardo Hernández ◽  
Lucía Cuevas-Nasu ◽  
Teresa Shamah-Levy ◽  
Eric A Monterrubio ◽  
Claudia Ivonne Ramírez-Silva ◽  
...  

Author(s):  
Dasril Oktariyani ◽  
Yuni Resi Fitri ◽  
Rahmatiqa Chamy

Background: The incidence of stunting in the Lapai Public Health Center has increased. The incidence of stunting in primary school-age children 6-12 years is a manifestation of stunting in infants, with 84 cases. Socio-Economic Level and Dietary Patterns are one of the factors that influence stunting. The aim of the study was to determine the socioeconomic and dietary patterns with the incidence of stunting in elementary school children in Lapai Public Health Center, Padang.Methods: This type of research is observational analytic with case-control study program. The study period was June 2019 with a sample of 19 cases and 19 controls. Data collection using questionnaires and univariate analysis using descriptive statistics in the form of frequency and percentage distributions while bivariate with chi-square test α 0.05.Results: From the results of the case group more than half (63.2%) of respondents have high socioeconomic status, more than half (63.2%) of respondents have good dietary patterns, there is no relationship between socioeconomic status with the stunting incidents and there is a meaningful relationship between dietary patterns and stunting incidents. From analysis, the OR value was 14 times the risk of stunting in elementary school children in Lapai Public Health Center.Conclusions: Dietary patterns in school-age children have an important role in improving nutritional status. It is recommended for families to pay attention to children's dietary patterns, adjust their diet according to schedule and accompany children when eating and to the health center to provide counselling to families to play a role in providing care for the child's eating.


2017 ◽  
Vol 60 (10) ◽  
pp. 2924-2934 ◽  
Author(s):  
Anna Eva Hallin ◽  
Christina Reuterskiöld

Purpose The first aim of this study was to investigate if Swedish-speaking school-age children with language impairment (LI) show specific morphosyntactic vulnerabilities in error detection. The second aim was to investigate the effects of lexical frequency on error detection, an overlooked aspect of previous error detection studies. Method Error sensitivity for grammatical structures vulnerable in Swedish-speaking preschool children with LI (omission of the indefinite article in a noun phrase with a neuter/common noun, and use of the infinitive instead of past-tense regular and irregular verbs) was compared to a control error (singular noun instead of plural). Target structures involved a high-frequency (HF) or a low-frequency (LF) noun/verb. Grammatical and ungrammatical sentences were presented in headphones, and responses were collected through button presses. Results Children with LI had similar sensitivity to the plural control error as peers with typical language development, but lower sensitivity to past-tense errors and noun phrase errors. All children showed lexical frequency effects for errors involving verbs (HF > LF), and noun gender effects for noun phrase errors (common > neuter). Conclusions School-age children with LI may have subtle difficulties with morphosyntactic processing that mirror expressive difficulties in preschool children with LI. Lexical frequency may affect morphosyntactic processing, which has clinical implications for assessment of grammatical knowledge.


2009 ◽  
Vol 3 (1) ◽  
pp. 2-9 ◽  
Author(s):  
Thomas Hensel

This study used a naturalistic design to investigate the effectiveness of eye movement desensitization and reprocessing (EMDR) with children and adolescents who were exposed to single-incident trauma. Participants were 36 children and adolescents ranging in age from 1 year 9 months to 18 years 1 month who were referred consecutively to the author’s private practice. Assessments were conducted at intake, post-waitlist/pretreatment, and at follow up. EMDR treatment resulted in significant improvement (Cohen’s d = 1.87). Follow-ups after 6 months revealed stable, further slight improvement. It was shown that children younger than 4 years of age can be treated using EMDR and that the group of preschool children had the same benefit from the treatment as the school-age children.


2003 ◽  
Vol 31 (5) ◽  
pp. 509-522 ◽  
Author(s):  
David P. Fitzgerald ◽  
Karen J. White

Parental use of victim-centered discipline (VCD) (Hoffman, 1975) was examined as it related to children's perspective-taking, social behavior, and peer acceptance. Participants were 93 (50 girls, 43 boys) primarily Caucasian (87%) school-age children. Perspective-taking was assessed via Selman's (1979) interpersonal understanding interview. Peers, parents, and teachers assessed social behavior. Nominations and play ratings determined peer acceptance. Results indicated that VCD was positively related to children's perspective-taking. Perspective-taking was negatively related to aggression and positively related to prosocial behavior. Results suggested perspective-taking mediates the previous relationship established between VCD and social behavior. Peer acceptance was negatively related to aggression and positively related to prosocial behavior. Age and socioeconomic status also were related to the pattern of relationships between VCD, perspective-taking, and social behavior.


2008 ◽  
Vol 101 (10) ◽  
pp. 1534 ◽  
Author(s):  
Stefan Pilz ◽  
Harald Dobnig ◽  
Brigitte M. Winklhofer-Roob ◽  
Wilfried Renner ◽  
Ursula Seelhorst ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document