Nutrition Status of School Children in Punjab, India: Findings from School Health Surveys

Author(s):  
Madhur Verma ◽  
Priyanka Sharma ◽  
Poonam Khanna ◽  
Rachana Srivastava ◽  
Soumya Swaroop Sahoo

Abstract Background School-going children and adolescents are rarely targeted in nutrition surveys, despite the significant impact of nutritional status on their health, cognition, educational achievements and future economic productivity. The present secondary data analysis evaluated the nutritional status of children and adolescents in the 5–18 years age group. Materials and methods The anthropometric measurements of children and adolescents studying in the government and government-aided schools were collected under the ‘Rashtriya Bal Swasthya Karyakram’ in the District Fatehgarh Sahib of Punjab, India between March and August 2018. It was analyzed using SPSS version 21. Mean and standard deviation for weight-for-age, height-for-age, body mass index (BMI) for age z-scores were calculated using World Health Organization’s Anthro-plus software. Results A total of 897 children’s data were included in the study. Out of 352 children in 5–9 years age group, mean weight, height and BMI were 15.7 ± 3.8 kg, 110.7 ± 10.6 cm and 12.7 ± 2.1 kg/m2. About 58.8%, 37.4% and 31.8% of the children were categorized as severely underweight, stunted and thin, respectively. In the 10–18 years age group, mean weight, height and BMI were 30.5 ± 9.5 kg, 140 ± 13.4 cm and 15.2 ± 2.6 kg/m2. Severe stunting was present in 19.4% of adolescents, while 26.9% were severely thin. Conclusion Our study depicts a high level of undernutrition in school-going children and adolescents. There is a need to strengthen the nutrition interventions for middle childhood and adolescence period that can help in a healthy transition from childhood to adulthood and break the intergenerational cycle of malnutrition. Lay summary National and state-level health-priorities focus mainly on improving the nutrition status of under-5-year children, while the school-going children and adolescents are usually neglected. The present secondary data analysis estimates the burden of malnutrition in school-going children and adolescents. These data were collected under one of India's national health programs that intend to tackle childhood illnesses. Our study depicts a high level of undernutrition in school-going children and adolescents. We found that girls were affected more by malnutrition in middle childhood, i.e. during 5–9 years (both by stunting and thinness) compared to boys. But in middle and late adolescence, males were more stunted and thin compared to females. Programs to support adolescents' nutrition interventions could provide an opportunity for a healthy transition from childhood to adulthood and could be an essential step in breaking the intergenerational cycle of malnutrition.

Author(s):  
Natasha Shaukat ◽  
Meesha Iqbal ◽  
Muhammad Arslan Khan

Background: Endemicity of intimate partner violence (IPV) against women is established globally. Children are directly dependent on mothers for care and nourishment. Literature has shown inconsistent association between IPV and nutritional status of children, and no nationwide study has been conducted in Pakistan to test this association. Thus, we aimed to do a secondary data analysis on Pakistan Demographic Health Survey (PDHS 2012-13) to explore the association of IPV and the nutritional status of children.Methods: This secondary data analysis was conducted on nationally representative data of PDHS 2012-13. All four provinces, including Islamabad Capital Territory and Gilgit Baltistan districts were taken, and two stage stratified random sampling was performed. The conflict tactics scale (CTS) was used to quantify Intimate Partner Violence (IPV), and its emotional and physical dimensions.Results: This study included mother-child dyads (n=1851) who completed the domestic violence module in PDHS. The lifetime prevalence of intimate partner violence was almost 40% among married women of reproductive age group. About 20% of women reported emotional violence and 2.5% women reported physical violence only. However, 16% of the women reported having suffered from both emotional and physical violence. Women who suffered from emotional violence had children with significantly higher odds of being underweight (OR, 95% CI: 1.57, 1.04-2.36) and stunted (OR, 95% CI: 1.54, 1.05-2.24) respectively. IPV was not found to be significantly associated with occurrence of wasting in children.Conclusions: Policy implications towards this issue call for establishing programmes and laws to protect women and children from the detrimental effects of violence. Provision of initiatives which focus on women autonomy and empowerment via increased access to education and economic opportunities.


2020 ◽  
Vol 4 (1) ◽  
pp. 15
Author(s):  
William Lie ◽  
Ika Febianti Buntoro ◽  
Rahel Rara Woda ◽  
Christina Olly Lada

Background: Indonesia is a country with the third highest tuberculosis incident in the world. Nutritional status is very important to patients with tuberculosis, an optimal nutritional status created an optimal immune system. Lack of adequate nutritional intake, prolonged the anti-tuberculosis drug treatment and caused them to get a slower recovery. Therefore, the writer found the need of knowing the relation of intensive phase treatment of anti-tuberculosis drugs with nutritional status of patients with tuberculosis in Kupang City.Objectives: To know the relation between intensive phase treatment of anti tuberculosis drugs with nutritional status of patients with tuberculosis in Kupang City.Methods: This study was an observational analytic study with a nested cohort design conducted by 11 public health centers in Kupang City by taking secondary data from medical records. The sampling technique used consecutive sampling with 84 respondents who met the inclusion and exclusion criteria. The study was analyzed univariately, and bivariately using Mc Nemar.Results: From 84 respondents, before intensive phase tuberculosis treatment 61 respondents (72.6%) had abnormal nutrition status, and 23 respondents (27.4%) had normal nutritional status, while after intensive phase tuberculosis treatment from 84 respondents it was found that 50 respondents (59.5%) had abnormal nutrition status, and 34 respondents (40.5%) had normal nutritional status. The result of the bivariate analysis test shows a significant different in nutritional status before and after tuberculosis treatment with p value = 0.001.Conclusions: There was a significant different in nutritional status before and after tuberculosis treatment indicating that anti-tuberculosis drug treatment can affect the nutritional status of patients with tuberculosis.Cl


Author(s):  
Amelira Haris Nasution ◽  
Hanter Hanter ◽  
Primananda Rahman

Fluctuation in the price of red chili pepper is an old problem in the horticultural product trade, moreover, the high level of red chili pepper consumption also has an impact on the sensitivity of red chili pepper prices in the market. The cause of this fluctuation is not only due to production and productivity factors of red chili pepper but also due to distribution factors and the role of marketing of each agency. The purpose of this study was (1) to describe the institutions involved in the marketing of red chili pepper; (2) to analyze the functions and roles of institutions in the marketing of red chili pepper; (3) to analyze the potential of institutional development in producing marketing recommendations system in the future. This research was conducted in North Sumatra by selecting 3 districts, namely Karo Regency, Deli Serdang Regency, and Dairi Regency. The data method used was a survey method with qualitative data analysis. The data used consisted of primary data (observation, interviews, and questionnaires) and secondary data (literature study). The method of processing and data analysis used was descriptive qualitative analysis. The results showed: (1) there are 2 main institutions in the marketing of red chili pepper, namely a marketing agency and a farmer institution; (2) those institutions have different roles in the marketing of red chili pepper and the results of the research show that marketing agencies have a bigger role in marketing red chili pepper; (3) the existing STA is the potential for farmer level institutional development. It is necessary to strengthen farmer level institution without forgetting farmers and also marketing institutions that play a role in the red chili marketing system.


2018 ◽  
Vol 128 (05) ◽  
pp. 325-331 ◽  
Author(s):  
Marie Auzanneau ◽  
Barbara Bohn ◽  
Ralf Schiel ◽  
Rainer Stachow ◽  
Sibylle Koch ◽  
...  

Abstract Introduction In Germany, inpatient rehabilitation is a well-established additive option in the therapeutic concept for children and adolescents with diabetes. However, its contribution in pediatric diabetes care is not known exactly. Our objective was to analyze inpatient rehabilitation in pediatric diabetes over eight years in Germany. Methods We requested secondary data from the German Statutory Pension Insurance Scheme to evaluate all completed inpatient rehabilitations for children and adolescents with diabetes (ICD-code E10-14) reimbursed by this institution between 2006 and 2013. For each type of diabetes, we analyzed the distribution of admissions by year, age-group, sex, nationality, and other documented diagnoses. All analyses were conducted via remote computing with IBM SPSS Version 24. Results Between 2006 and 2013, 5,403 admissions to inpatient rehabilitation for 4,746 children and adolescents with diabetes were documented. For type 1 diabetes (T1D; 88.5% of admissions), the number of yearly admissions increased from 458 in 2006 to 688 in 2013 (p=0.013), especially for age-group>5-10. The increase for type 2 diabetes (T2D) was not significant. Admissions were more frequent for girls (53.6%, p≤0.001), age>10-15 years (42.8%, p=0.001), and German nationality (98.5%). Obesity (T1D: 11.1%; T2D: 87.9%) and mental disorders (T1D: 11.6%; T2D: 27.4%) were the most frequent documented diagnoses in addition to diabetes. Conclusion This study provides a comprehensive overview of inpatient rehabilitation for children and adolescents with diabetes over many years in Germany. Until 2013, inpatient rehabilitation remained important in pediatric diabetes care, especially for children with mental disorders or obesity.


2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Marcus Valerius Peixoto ◽  
Andrezza Marques Duque ◽  
Allan Dantas Santos ◽  
Shirley Verônica Almeida Melo Lima ◽  
Társilla Pereira Gonçalves ◽  
...  

Cerebral Palsy (CP) is commonly associated with low socioeconomic status. Use of spatial statistics and a Geographic Information Systems (GIS) are scarce and may contribute to the understanding of CP in a social context. To that end a spatial analysis of CP in children and adolescents was performed to analyze the association of CP with levels of vulnerability in a city (Aracaju, Sergipe) in north-eastern Brazil. In addition, an ecological study was conducted with data obtained from a populationbased survey and secondary data. Exploratory spatial data analysis and linear regression were used. A total of 288 CP cases were identified, with a prevalence of 1.65/1,000 and differences among city neighbourhoods ranging from 0-4/1,000. The mean age of cases studied was 9 years 1 month, with a standard deviation of 5 years 2 months. Most study subjects with cerebral palsy (163) were male (56.4%). The distribution of CP in the study population was not homogeneous throughout the territory. Some areas had clusters, with more cases associated with areas of high vulnerability. Spatial data analysis using GIS was useful to gain an epidemiological understanding of CP distribution that can guide decisionmaking with respect to production, distribution, and regulation of health goods as well as services at the local level.


2020 ◽  
Vol 2 (1) ◽  
pp. 377-383
Author(s):  
Hasnizar ◽  
Evawany Aritonang ◽  
Etti Sudaryati

Adolescents are age group that is vulnerable to the nutritional problems. Factors that influence nutritional status in adolescents include physical activity. Physical activity including physical exercise which is one of the efforts to stabilize the intake and expenditure of food substances which is a priority source of energy in the body. The purpose of this study was to analyze the relationship of physical activity with nutritional status in students at SMK Negeri 1 Percut Sei Tuan, Deli Serdang District in 2019. The type of research used was quantitative research with cross sectional research design. The results obtained by the relationship of physical activity with the nutritional status of students p value of 0.003 or smaller than 0.05. The conclusion of the study is that there is a relationship of physical activity with nutritional status in students at SMK Negeri 1 Percut Sei Tuan. Students who are doing physical activity have normal nutritional status because there is a balance between energy intake and expenditure.


2017 ◽  
Vol 4 (2) ◽  
pp. 370 ◽  
Author(s):  
Sujaya Mukhopadhyay ◽  
Prasun Bhattacharjee ◽  
Payas Joshi

Background: Obesity is an emerging health problem in children and adolescents. Various screening tools are there for assessment of nutritional status and this study was done to compare various methods to screen for obesity and overweight in adolescents that can be used during school health check-up.Methods: This study was conducted in the urban schools of Vadodara city. 609 students were included in the study.Results: Maximum students were in the age group of 16-18 year of which 57.9% were males and 42.03 % females. By using BMI, 4.1% students were found to be obese and 12.8% overweight. 10% students had WHR above the cut-off levels. In 11.3% TSFT was above 90th centile.Conclusions: Comparison between the three parameters done using ANNOVA, shows that TSFT is better than BMI in detecting Obesity.    


2007 ◽  
Vol 1 (2) ◽  
pp. 26 ◽  
Author(s):  
Muhammad Aries ◽  
Drajat Martianto

<p class="MsoNormal" style="margin: 0cm 12.6pt 6pt 18pt; text-align: justify; text-indent: 27pt;"><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">The study was aimed to estimate  GDP lost due to Protein Energy Malnutrition (PEM) among under five children at various provinces in Indonesia. It was a descriptive study used secondary data.  Data analysis was conducted in Bogor, from January to March 2006. The data uses are prevalence of PEM among under five children in various provinces in 2003, Gross Regional Domestic Product (GRDP) of provinces in Indonesia by industrial origin 2000 - 2004, population by province, sex and age group 2003, composite Consumers Price Index (CPI) of 45 cities (2002 = 100). The study showed that the economic lost due to malnutrition (PEM) among under five children in Indonesia was ranged from 0.27% to 1.21% GDP.</span></p>


2021 ◽  
Vol 21 (suppl 2) ◽  
pp. 429-435
Author(s):  
Ana Nery Melo Cavalcante ◽  
Lohanna Valeska de Sousa Tavares ◽  
Maria Luiza Almeida Bastos ◽  
Rosa Lívia Freitas de Almeida

Abstract Objectives: to describe the clinical-epidemiological profile of children and adolescents notified by COVID-19 in Ceará. Methods: descriptive epidemiological study from open data repositories of the State Government of Ceará, about cases of OVID-19 in children and adolescents, from 03/15/2020 to 07/31/2020. For data analysis the tests χ2 Pearson, Fisher's exact and Poisson's regression with robust variance were used. Results: 48,002 cases of children and adolescents suspected of COVID-19 were reported, of which 18,180 (8.9%) were confirmed. The median of confirmed cases was 12 years old, 10.5% were newborns/lactants, 10.7% were pre-school children, 21.2% were school children and 57.7% were adolescents. They evolved to death 0.3% of the cases, of which 15% had comorbidities. They needed hospitalization 1.8% of the cases. The highest probability of hospitalization was found in newborns/lactants, male and with comorbidities. Conclusions: most of the confirmed cases occurred in adolescents, however, the evolution of the disease was more severe and with greater need for hospitalization in the age group of newborns/lactants, being the male gender and the presence of comorbidities additional factors for the need for hospitalization.


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