scholarly journals Prevalence of undernutrition and its determinants among preschool children in a rural community of Shimoga, Karnataka

Author(s):  
Vijaykumar P. Mane ◽  
M. V. Sagar ◽  
Revathy R.

Background: Undernutrition is a major health and nutrition problem in India especially among preschool children. It is an important cause of childhood mortality and morbidity and also leads to permanent impairment of physical and mental growth of those who survive. The objective of the study was to estimate the prevalence of undernutrition among preschool children in the study setting and to determine various factors associated with undernutrition of the child.Methods: A cross sectional study was conducted among 400 preschool children in the field practice area of PHC Aaynoor, Shivamogga, Karnataka. Cluster sampling technique was used for sample selection. Data was collected by interviewing the parent /guardian using a pretested and semistructured questionnaire and anthropometric measurements were done as per standard techniques. Statistical analysis was done using WHO Epi-info software version 3.5.4.Results: The prevalence of underweight, stunting and wasting was observed in 38%, 43% and 15.8% of children respectively. The study found significant association between the prevalence of undernutrition and gender, birth weight, birth order, number of siblings, caste, paternal literacy and availability of toilet in the house of the child.Conclusions: The present study revealed that the problem of undernutrition is critical in the study area and identifies multiple risk factors for its causation, thereby signifying a well - coordinated multi sectorial approach to curb the same. 

Author(s):  
Vijaykumar P. Mane ◽  
Yuvaraj Bhanot Yenkanaik ◽  
Shankrappa Dhanapur ◽  
Sangappa Yallammanavar ◽  
Rashmi Sreenivasamurthy

Background: Tobacco is a major risk factor for a number of diseases affecting all age groups. One person dies every six seconds due to tobacco use and up to half of current users will eventually die of a tobacco-related disease. Government of India has enacted cigarette and other tobacco products act (COTPA) in the year 2003 to control tobacco use. The objective of study was to estimate the level of compliance to selected sections (4 to 9) of COTPA (cigarette and other tobacco products – prohibition of advertisement and regulation of trade and commerce, production, supply and distribution) act, 2003 in Koppal district, Karnataka.Methods: The present study was a cross sectional study conducted as an independent evaluation of COTPA act 2003 in Koppal district as per National Tobacco Control Program guidelines. Cluster sampling technique was used for sample selection and sample consisted of 158 public places, 102 educational institutional, 87 shops/ sell points and 60 tobacco products. Data entry and analysis was done using microsoft office excel 2013.Results: The prevalence of compliance to section 4, 5, 6A, 6B, 7, 8 and 9 of COTPA act 2003 in Koppal district were 80.3%, 96.5%, 98.9%, 64.8%, 53.3%, 63.3% and 50% respectively.Conclusions: Compliance level was poor especially in relation to display of health warnings on tobacco products which needs to be tackled through strict enforcement of the existing laws.


Author(s):  
Nandini Shukla ◽  
Neelam A. Toppo ◽  
Aditya Thakur ◽  
Pradeep Kumar Kasar

Background: “Malnutrition is a silent emergency”. Malnutrition is not only an important cause of childhood mortality and morbidity, but also leads to permanent impairment of both physical and mental growth of those who survive. Methods: Cross sectional study was conducted among 720 children of age group 06-59 months in randomly selected eight wards of Jabalpur District. Multistage random sampling technique was used for the selection of study subjects. Predesigned questionnaire was used to collect data and anthropometric measurements were done. Data entry and analysis was done using Epi Info™ 7.1.5 and SPSS 20.0 (free trial version). Results: The prevalence of underweight, stunting and wasting were found to be 34.3%, 41.5% and 18.9% respectively while the prevalence of obese and overweight was 3.1% and 7.4% respectively. Malnutrition was found to be higher among the children born with low birth weight, having higher birth order, more number of siblings, those with incomplete immunization status and inappropriate feeding practices i.e. lack of exclusive breast feeding and improper weaning. Conclusions: The present study demonstrates the multiple risk factors for childhood malnutrition, encompassing sectors other than health alone like social and economic sectors, requiring multisectoral approach to fight against the silent killer of childhood malnutrition. 


Author(s):  
Nur Annisya ◽  
Linda Armelia

Background: Chronic Kidney Disease (CKD) is a pathophysiological process with a diverse etiology, resulting in slow progressive kidney function. Hemodialysis is used as a therapy to replace deteriorating renal function. PGK has high mortality and morbidity, because it can cause various complications, one of the complications of PGK is the regulation of mineral settings, especially calcium and phosphate. Methods: The type of research in this study is descriptive quantitative with cross sectional study design. The population in this study were PGK patients undergoing hemodialysis at Anna Medika Bekasi Hospital. Sample selection using simple random sampling technique with condition to fulfill inclusion criteria. Secondary data retrieval (medical record). Results: From 55 samples were 32 patients (58.2%) with hypocalcemia category, 14 patients (25.4%) with normal calcium level, 9 patients (16.4%) with hypercalcemia category, 10 patients (18.2%) with hypophosphatemia category, 4 patients (7.3% ) with normal phosphorus levels and 41 patients (74.5%) by category. Of 32 patients (58.2%) hypocalcemia and 41 (74.5%) hyperphosphatemia which decreased calcium along with a rise in phosphorus by 22 patients (40%). Conclusion: In this study it was found that patients were more likely to have hypocalcemia and hyperphosphatemia. Less than half the patients had decreased levels of calcium along with elevated levels of phosphorus.


2018 ◽  
Vol 9 (1) ◽  
pp. 57-62
Author(s):  
Muhammad Sazzad Hossain ◽  
Md Sirajul Islam ◽  
Sharmin Abbasi

Background: Pregnancy and childbirth related complications are the leading causes of maternal mortality and morbidity in Bangladesh. An estimate shows that about 28,000 mothers die in each year in Bangladesh due to obstetric complications. The aim of this study was to find out the birth practice among rural women in Bangladesh.Material and Methods: This descriptive cross sectional study was carried out among 1220 respondents by purposive sampling technique from July 2016 to June 2017 in different Private Hospital, Dhaka. Data were collected by a structured questionnaire duly pretested through face to face interview. Data were analyzed manually and by using computer.Results: Then study revealed that majority of the respondents 80% were Muslims by religion and about 26% respondents were found within the age 25-29 years with mean age 31±7.59 years. Most of them 86% were literate and only 14% were found illiterate. Among the respondents 75% were Housewives and 11%, 9%, 1% and 4% were involved in Service, Business, Agriculture and others occupation respectively. Moreover, 78% respondents monthly income were less than TK 3000. About 43% & 16% respondents were found to have 2 & 3 children respectively. In this study, about 73% received antenatal visit and among them 57% received 1 to 3 antenatal visits and 74% received TT immunizations. It was found that 69%, 54% and 59% received antenatal advices on healthy diet, personal hygiene, drug use respectively. Home delivery and Hospital delivery practice were found among 44% & 56% respondents respectively. The reasons for home delivery like Feeling comfortable, Family decision and Financial problem were found in 60%, 26% & 42% respondents respectively. The most common complications during last delivery were obstructed labor, found among 39% respondents.Conclusion: Still now women prefer home delivery. Major reasons for home delivery were Feeling comfortable, Family decisions and Financial problems. Delivery conduction by qualified doctors were found only among 47% women. Efforts needed to increase maternal health related knowledge and awareness towards birth practice to facilitate decision in minimizing complications and mortality.Anwer Khan Modern Medical College Journal Vol. 9, No. 1: Jan 2018, P 57-62


2021 ◽  
Vol 15 (10) ◽  
pp. 3026-3029
Author(s):  
Muhammad Hassan ◽  
Obaid Bajwa ◽  
Amina Tariq ◽  
Roshaney Aslam ◽  
Aqsa Arif ◽  
...  

Aim: To identify the presence of Medical Student Syndrome in dental students of Lahore compared to non-dental students Method: This cross-sectional study was conducted in Lahore (Aug 2019 to Nov 2020). A structured questionnaire was adopted, modified and distributed amongst university going dental and non-dental students of various universities in Lahore. The sample selection was done using the cluster and consecutive sampling technique. Results: When asked about worrying too much about being seriously ill, 158(56.8%) of the respondents agreed with the statement. Similarly, when asked about being aware of the sensations occurring in the body, 211(75.8%) participants stated that they were aware of the sensations and critically analyzed them. Amongst the students, 149(53.6%) agreed with the statement that they frequently checked their bodies for signs and symptoms of disease only 62(22.3%) disagreed with the statement and the rest were neutral. Conclusion: To conclude, the Medical Student Syndrome as a separate entity amongst dental students cannot be established as a mental health issue based on the results of this study. However, the presence of hypochondriac behavior amongst the students’ needs to be further evaluated in Lahore. Keywords: Non-dental students, Dental Students, Medical Student Syndrome, Mental Health


2015 ◽  
Vol 10 (3) ◽  
pp. 276-284
Author(s):  
Encarnación Soriano-Ayala ◽  
Verónica C. Cala

AbstractIntroduction: Globalization has favored intra-European Commission (EC) and extra-EC migration to Spain. One of the most numerous cultural groups that have settled in the southern Spain is from Romania. Coexistence, especially in schools, has made us become interested in knowing the eating habits at breakfast of Romanian and Spanish populations. Numerous studies show that the food intake at breakfast, mostly made before leaving home, has an incidence on the physic wellbeing of adolescent throughout the day. The processes of acculturation are also inseparable from the eating habits, health and life, that maintain the migrant teenagers. Breakfast is analyzed as one of the habits more associated with diet quality; paradoxically, one of the findings of our study, many adolescents do not take a proper breakfast every day.Objectives: The study analyzes the characteristics and the main cultural and gender differences in the implementation of breakfast: its maintenance or omission in young autochthonous and immigrants of Romanian origin in the southeast Spanish schools. Design. This is a cross-sectional study with a cluster sampling in two Primary schools and seven Secondary schools. The instrument applied was an adaptation of the KIDSCREEN-27 questionnaire. Sample. It has been formed by 1472 students between 11 and 18 years old; nationality: 1315 were Spanish and 157 were Romanians. Data analysis. Descriptive and differential analyses using the chi-square and U of Mann-Whitney statistics.Results: In the study we identified 1.2% of Spaniards and 3.3% of Romanians who either skip breakfast or do not eat foods throughout the morning. The main breakfast foods of the Spanish students are dairy, bread and cereals, cookies, juice and olive oil; for the Romanian students the basic foods at breakfast are cereals, dairy products, juices, biscuits and jams. We have found significant differences between the two compared cultural groups. We also found significant differences between the food eaten by men of the two cultural groups (Spanish and Romanian) and by the food eaten by women (Spanish and Romanian) in the breakfast food.Conclusions: The results show the need to further promote and implement educational programs that encourage students to make breakfast before leaving home. Also, it is necessary, they take care of the intake of the right foods to start the day and contemplate this habit from a transcultural and gender approach. Significant differences were identified in the breakfast practice food by both genders and cultural groups.


Author(s):  
Sivakumar C. P. ◽  
Jose Joseph ◽  
Manjula V. D.

Background: Overweight and obesity during childhood is a matter of growing concern among many low and middle income countries. Obesity in the developing world can be seen as a result of a series of changes in diet, physical activity health and nutrition. This is collectively known as ‘nutrition transition.Methods: The present study was conducted in an urban area of Kottayam district in Kerala. The schools were stratified into government, aided and unaided categories. Cluster sampling technique was used and data was collected after informed consent.Results: Obesity and overweight were found to be higher in children who consume butter/ghee, fried local foods, red meat/chicken and pizza/burgers frequently. The factors related to eating behaviour include time for finishing meals, parent force to eat, skipping of breakfast, family eats out and consumption of fast food.Conclusions: Nutritional transition has contributed to the problem of adolescent obesity.


2020 ◽  
Vol 32 (1) ◽  
pp. 1-8
Author(s):  
Md Faruq Alam ◽  
Mekhala Sarkar ◽  
Mohammad Tariqul Alam ◽  
Helal Uddin Ahmed ◽  
Avra Das Bhowmik ◽  
...  

The prevalence of substance use is on rising trend in the country. This two-stage nationwide multicentric community based cross sectional study was conducted by National Institute of Mental Health (NIMH), Dhaka during the period of September 2017 to July 2018 to determine the prevalence of substance use as well as to identify the proportion of users used different substances and to find out socio-demographic correlates of substance use in Bangladesh. The sample were collected by cluster sampling technique. In the first stage data were collected from 19692 respondents aged between 7 years and above in 140 clusters through face-to-face interview using semi-structured questionnaires to collect information by trained data collector. Diagnoses of substance use were made in the second stage of interview by research psychiatrists following DSM-5 diagnostic criteria of mental disorders. Descriptive and inferential statistics of the collected data was done using standard statistical parameters. SPSS programme (Version 23) was used to summarize and to analyze the data. The results showed that, the prevalence of substance use was found as 3.3% among the population 18 years and above. Prevalence of substance use was 4.8% in male and 0.6% in female. Most frequently used substances include cannabis in (42.7%), alcohol in 27.5%, amphetamine (yaba) in 15.2%, opioid in 5.3% and sleeping pills in 3.4% users. Among professions of substance users 6.7% were labors, 5.7% unemployed, 4.3% business men, 3.8% farmers and 3.5% service holders. Extremes of social classes were found as increased users of substances such as people with low income 3.2% and people with high income 3.8% using as against 2.6% in middle income group. The data of this community survey will be used for planning of mental health services in Bangladesh. Bang J Psychiatry June 2018; 32(1): 1-8


Author(s):  
Rabeya Sultana

Background: Despite the high prevalence of secondhand smoke exposure among Bangladeshi adults, little is known about the knowledge regarding the health effects of exposure to secondhand smoke among the youth aged 15-24 years in Bangladesh. Against this background, the present study was conducted among the youth in Bangladesh to ascertain their levels of knowledge regarding health effects of secondhand smoke and its associated factors.Methods: This was a cross-sectional study of 656 respondents between the age of 15-24 years old selected by multistage cluster sampling. This study was conducted in Dhaka Division, Bangladesh. Data was analyzed using Chi square testing and multivariate logistic regression.Results: The proportion of good, average and poor knowledge scores among respondents were 30.5%, 50.0% and 19.5% respectively. Age and education were significant independent predictors of good knowledge. Furthermore, education and gender were tended as independent predictor of average knowledge. OR for age: 1.12 (95% CI: 1.01 to 1.25); OR for education: 1.27 (95% CI: 1.15 to 1.40).Conclusions: Overall, the results of this study found that less than one-third of the youth had a good level of knowledge on secondhand smoke health effects. The government needs to focus more on less-educated individuals and adolescents if a successful policy is to be implemented.


Author(s):  
Sreedevi C.

Background: Immunization is an important cost effective tool for preventing the morbidities and mortalities caused by vaccine preventable diseases. The objectives of this study were to assess the universal immunization programme coverage of children of 12–23 months of age in Kozhikode district and to study the factors associated with immunization coverage.Methods: A cross sectional study was conducted in 30 randomly selected electoral wards of Kozhikode district which were selected using multi stage cluster sampling technique during April 2013 to May 2014.Results: 469 children were studied from 30 clusters. 75.5% was fully immunized while 1.5% was unimmunized. Dropout rate for DPT 3 to Measles was the highest accounting to 20.2%. Most common reason for failure of immunization among unimmunized was that the parents didn’t feel the need (57.1%) and for partially immunized was the illness of the child (27.8%) followed by lack of awareness of the time of immunization (22.2%). Religion, early age of the mother at marriage and first delivery and high birth order were significantly associated with a higher proportion of partially immunized while higher education of the parents (>12th standard), health worker’s home visit in the first year of the child and presence of immunization card were significantly associated with a high full immunization coverage (p<0.05).Conclusions: Immunization coverage of 75.5% is far behind the target to be achieved. 1.5% of the children didn’t get any of the vaccinations. It is very important to increases the coverage to prevent the re-emergence of vaccine preventable diseases.


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