Prevalence of undernutrition among pre-school children of Chapra, Nadia District, West Bengal, India, measured by composite index of anthropometric failure (CIAF)

2009 ◽  
Vol 67 (3) ◽  
pp. 269-279 ◽  
Author(s):  
Sadaruddin Biswas ◽  
Kaushik Bose ◽  
Ashish Mukhopadhyay ◽  
Mithu Bhadra
2013 ◽  
Vol 76 (1) ◽  
pp. 109-116 ◽  
Author(s):  
Atanu Acharya ◽  
Gopal Chandra Mandal ◽  
Kaushik Bose

Abstract Malnutrition is a leading cause of child mortality in India. To counteract this problem, a nutrition supplementation programme has been operating under the Integrated Child Development Service (ICDS) scheme in India since 1975. Recently, the Composite Index of Anthropometric Failure (CIAF) has been implemented to measure the seriousness and severity of overall under-nutrition in a population. Since this index presents a more complete picture than the previous three conventional measures. CIAF is utililized in this study which focuses on the overall burden of under-nutrition determination in pre-school children in Purba Medinipur, West Bengal, India. Our study was conducted in 10 Integrated Child Development Service (ICDS) centres, commonly known as “Anganwadi”, in the villages of the Argoal Gram Panchayat at Patashpur - II block. The total sample of 225 Bengalee ethnic children aged between 3 and 6 years was composed of 115 girls and 110 boys. The overall age and gender-combined prevalence of stunting, underweight and wasting recorded was 30.7%, 42.7% and 12.0%, respectively, and these rates were considered high (30-39%), very high (≥ 40%) and high (10-14%), respectively. CIAF results revealed the same trend, with 50.2% of these children affected by anthropometric failure, with the prevalence of underweight, wasting and CIAF higher in boys than in girls. This 50.2% CIAF result highlighted that approximately half the study children were undernourished. Since this figure is much higher than that estimated by any of the three conventional indicators,, CIAF has thus proven a far better indicator in assessing the overall burden of under-nutrition in a population. The nutritional status of the children in this study requires serious remedial action.


2013 ◽  
Vol 38 (2) ◽  
pp. 109 ◽  
Author(s):  
Debashis Dutt ◽  
GirishKumar Pandey ◽  
Dipak Pal ◽  
Suprakas Hazra ◽  
TusharKanti Dey

2019 ◽  
Vol 22 (18) ◽  
pp. 3327-3335
Author(s):  
IF Bejarano ◽  
EE Oyhenart ◽  
MF Torres ◽  
MF Cesani ◽  
M Garraza ◽  
...  

AbstractObjective:The Composite Index of Anthropometric Failure (CIAF) can only be applied to children under 5 years of age and does not contemplate obesity. The aim of this study was to propose an Extended CIAF (ECIAF) that combines the characterization of malnutrition due to undernutrition and excess weight, and apply it in six Argentine provinces.Design:ECIAF excludes children not in anthropometric failure (group A) and was calculated from a percentage of children included in malnutrition categories B: wasting only; C: wasting and underweight; D: wasting, stunting and underweight; E: stunting and underweight; F: stunting only; Y: underweight only; G: only weight excess; and H: stunting and weight excess.Setting:Cross-sectional study conducted in Buenos Aires, Catamarca, Chubut, Jujuy, Mendoza and Misiones (Argentina).Participants:10 879 children of both sexes aged between 3 and 13·99.Results:ECIAF in preschool children (3 to 4·99 years) was 15·1 %. The highest prevalence was registered in Mendoza (16·7 %) and the lowest in Misiones (12·0 %). In school children (5 to 13·99 years) ECIAF was 28·6 %. Mendoza also recorded the highest rate (30·7 %), while Catamarca and Chubut had the lowest values (27·0 %). In the whole sample, about 25 % of the malnutrition was caused by undernutrition and 75 % by excess weight.Conclusions:The ECIAF summarizes anthropometric failure by both deficiency and excess weight and it highlights that a quarter of the malnutrition in the Argentine population was caused by undernutrition, although there are differences between Provinces (P < 0·05). ECIAF estimates are higher than those of CIAF or under-nutrition.


2020 ◽  
pp. 1-12
Author(s):  
Pikli Khanra ◽  
Kaushik Bose ◽  
Raja Chakraborty

Abstract Maternal education plays a central role in children’s health and nutrition. Living conditions and socioeconomic status are linked with mother’s education, which in turn determines the health and development of a child. The Composite Index of Anthropometric Failure (CIAF) is a single indicator that reflects overall rate of three conventional indices of undernutrition: underweight, stunting and wasting. The study was undertaken among 621 rural Bengalee children (308 boys and 313 girls) aged 3–12 years from the Purba Medinipur district of West Bengal, India. Height (cm) and weight (kg) were recorded and NCHS standard values used to calculate z-scores (<–2SD). The same data were used to calculate CIAF as an indicator of ‘anthropometric failure’ (AF) or undernutrition. The prevalence of AF among the children was 59.40%. Chi-squared analysis was employed to evaluate the significance of differences in the prevalence of CIAF between the sexes and the association between nutritional indicators and socioeconomic parameters in the two sexes. Multiple binary logistic regression (MBLR) analyses (including the forward stepwise method) were also performed. Odds ratios with 95% confidence intervals were used to assess the risk of having AF. Results showed that mother’s education was significantly associated with undernutrition (AF) controlling for the other factors considered. A very high prevalence of undernutrition is persisting in this region of India despite national nutritional supplementation programmes being operational. More attention to the improvement of living conditions and hygiene, and more particularly the education of women, in this population might be effective in attaining improved child growth and health.


2009 ◽  
Vol 72 (1) ◽  
pp. 81-88 ◽  
Author(s):  
Subal Das ◽  
Kaushik Bose

Report on "anthropometric failure" among rural 2-6 years old Indian Bauri caste children of West BengalThis study was undertaken to determine the overall prevalence of undernutrition using the composite index of anthropometric failure (CIAF) among the Bauri caste rural preschool children of the Purulia District, West Bengal, India. A total of 347 children (185 boys and 162 girls) aged 2-6 years were measured. Stunting, underweight and wasting were used to evaluate the nutritional status of the subjects (compared with children of the United States NCHS reference sample) and CIAF for the total children. Among the studied Bauri children, 39.2% were stunted, 51.2% - underweight and 26.6% - wasted. The CIAF showed a higher prevalence of undernutrition, with a total of 66.3% of Bauri caste preschool children suffering from at least one type of "anthropometric failure". Among the studied children only 33.7% showed no failure. Valuable health and nutrition promotional programs can be formulated based on the CIAF findings with the ultimate objective of reducing childhood undernutrition in a population of India.


Author(s):  
Rudra Ray ◽  
Maitreyee Bhattacharyya

Background: Anemia is a major public health problem worldwide. School children are more vulnerable to this disease due to their rapid growth need of high iron. Therefore, it is a critical health concern because it affects growth and physical performance. This study was undertaken to investigate the prevalence of anemia among different areas and sub-caste of tribal school children in West Bengal.Methods: Complete hemogram was performed on Sysmex (KX-21) automated cell counter. Haemoglobin analysis was done by high performance liquid chromatography (HPLC, from Bio Rad Variant II). Ferritin estimation was done by ELISA based method. A software (Thaltribe) was prepared to record and maintain the data of the screened population.Results: Total number of school students from all the districts of West Bengal included in this study was 45887. Among the total population 49.88% were found to carry low Hb and 28.45% had low ferritin. Among the population who had normal ferritin (N=32832), there were 46.59% (N=15298) carrying low Hb. Among total 15298 cases who had low Hb with normal ferritin level, 10741 (70.21%) remained undiagnosed who were not detected to be thalassaemia carrier or thalassaemia disease (HPLC normal) and also did not carry alpha globin gene mutation.Conclusions: On the contrary to the common belief that iron is the main source of anemia, it was observed in this study that around 25% of anemic children did not have iron deficiency. This group requires further evaluation to investigate the reason of anemia.


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