scholarly journals Assessment of nutritional status by composite index of anthropometric failure (CIAF): a study among preschool children of Sagar Block, South 24 Parganas District, West Bengal, India

2018 ◽  
Vol 81 (3) ◽  
pp. 269-277 ◽  
Author(s):  
Sadaruddin Biswas ◽  
Som Prasad Giri ◽  
Kaushik Bose

Abstract Being a developing nation, rural India is still facing a serious health problem in form of undernutrition particularly among young children. To optimize this problem, the Central Government has been operating a nationwide nutritional intervention programme in the form of Integrated Child Development Service (ICDS) scheme. Unfortunately, it has failed to achieve the desired goal during last four decades. Therefore the present study was designed to measure the seriousness and severity of overall undernutrition using Composite Index of Anthropometric Failure (CIAF) among the rural Bengalee preschool children of Sagar Block, South 24 Parganas, West Bengal, India. This cross-sectional study was conducted among 656 preschool children (326 boys and 330 girls) aged 3 to 5 years. Height (cm) and weight (kg) measurements were taken according to standard procedure, age and sex specific 2 z-scores values of height-for-age, weight-for-height and weight-for-age were used to assess stunting, wasting and underweight, respectively, as per the World Health Organization Guidelines. CIAF was also computed as per standard methodology to assess the degree of undernutrition among the studied children. The overall age and sex combined prevalence of stunting, wasting, underweight and CIAF was 26.2%, 35.4%, 51.1% and 61.3%, respectively. CIAF showed a higher prevalence of undernutrition (61.28%) in comparison to other three indicators i.e., stunting, wasting and underweight. We conclude that the nutritional status of the subjects was not satisfactory. It was also established that the CIAF is a better indicator of nutritional status than traditional measures of stunting, wasting and underweight, because it determines overall (total) anthropometric failure.

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.


2019 ◽  
Vol 82 (2) ◽  
pp. 163-174
Author(s):  
Nitamoni Bharali ◽  
Kh. Narendra Singh ◽  
Nitish Mondal

Abstract Undernutrition is considered to be a serious public health problem in most of the developing countries. Globally, the anthropometric measures are widely used to estimate the magnitude of undernutrition in children. The Composite Index of Anthropometric Failure (CIAF) provides the overall magnitude of undernutrition as an aggregate single measure over the conventional anthropometric indices and helps in identification of single or double or multiple anthropometric failures in preschool children. The present investigation assesses the age-sex specific prevalence of undernutrition using both conventional anthropometric measures and CIAF among Sonowal Kachari tribal preschool children of Assam, India. This cross-sectional investigation was carried out among 362 (162 boys and 190 girls) Sonowal Kachari tribal children younger than 5 years of flood affected regions of Lakhimpur district of Assam, India. Anthropometric measurements of height and weight were measured using standard procedures. Age-sex specific Z-score value of weight-for-age, height-for-age and weight-for-height were calculated by using WHO-Anthro, v. 3.2.2. A child Z-score <−2.00 of any anthropometric indices was considered to be undernourished and the standard CIAF classification was used to calculate the prevalence of undernutrition. The overall prevalence of wasting, underweight, stunting and CIAF was observed to be 11.6%, 22.9%, 36.2%, and 48.6%, respectively. The sex-specific prevalence of wasting (15.8% vs. 6.9%), underweight (30.5% vs. 14.5%) and stunting (42.1% vs. 29.6%) observed to be significantly higher among girls than boys (p<0.05). The girls (61.05%) were found to be more affected than boys (34.9%) by CIAF (p<0.01). The present investigation reported higher magnitude of undernutrition using CIAF over conventional anthropometric measures, hence the CIAF is relatively better indicator that reflects higher magnitude of undernourishment as compared to any conventional anthropometric indices in children. This research investigation has also reinforced the importance of appropriate intervention programme and strategies needed to reduce the prevalence of undernutrition in childhood and in population as a whole.


2020 ◽  
Vol 6 (2) ◽  
pp. 34-46
Author(s):  
Prasanta Sabud ◽  
Tarapada Ghosh ◽  
Arup Dhar ◽  
Sarnali Dutta ◽  
Samiran Bisai ◽  
...  

Aim To assess the sanitation and hygienic practices of women and its effects on the nutritional status of the mother and preschool children of the Lodha tribal community in two districts of West Bengal. Methods A cross-sectional study was conducted during November, 2014 - December, 2018 of 941 Lodha mothers and 1043 of their preschool children in Paschim Medinipur and Jhargram districts. All information was collected by using KAP questionnaire following interview and group discussion. Mother nutritional status was assessed based on body mass index (BMI) and mid upper arm circumference (MUAC). A child was classified as underweight, stunting and wasting as weight-for-age, height-for-age and weight-of -height Z-score below -2 standard deviation of WHO standard. Results This study found 35% of the households used safe drinking water. Almost 97.2% of the mother had the low hand wash score and about 67.1% of them had an average WaSH score. Overall, 41.6% and 1.6% mothers were suffered from undernutrition (BMI <18.5 kg/m2) and overweight/obesity (BMI≥25kg/m2). Whereas, 48.9% women were undernourished based on MUAC<22.0cm. Moreover, the overall prevalence of wasting, stunting and underweight of preschool children was 31.9%, 62.1% and 61.3%, respectively. The WaSH score of family was significantly associated with child stunted and underweight. Conclusion There is a good association between poor household WaSH practices with child undernutrition and morbidity. Hence, there is an urgent need to develop the comprehensive knowledge, attitude and practice (KAP) guidelines in their language to educate them about appropriate water storage, retrieval methods, sanitation and hand washing practices.


2019 ◽  
Vol 44 (3) ◽  
pp. 152-159
Author(s):  
K Yeasmin ◽  
T Yeasmin

Background: Undernutrition is one of the major responsible factors of morbidity and mortality among preschool children in the most developing countries. Weight for age Z-score (WAZ), height for age Z-score (HAZ) and weigh for height Z-score (WHZ) are widely used for indicating nutritional status of children. Therefore, the study was conducted to interpret the nutritional status based on head circumference for age z score (HCAZ), WAZ, HAZ and WHZ among children aged from 36 to 71 months in Rajshahi City area, Bangladesh. Methods: This cross-sectional study included one thousand and thirty five preschool children. Of them, 538 were boys and 497 were girls. Data were collected during the period of March 2017 to March 2018, using multistage random sampling method. Head circumference (HC) was measured (cm) and HC-for-age Z-score (HCAZ) was calculated according to World Health Organization recommendations. Z-score values of HC <-2 standard deviation below from the reference population were considered as undernourished. Z score -3 <HC< -2 standard deviation were taken as moderately undernourished whereas, ‘≤−3’ standard deviation were considered as severely undernourished, respectively. Results: Among boys the mean age and HC were 53.58 ± 10.68 and 48.62 ± 1.87 whereas, among girls the mean age and HC were 51.35 ± 11.17 and 48.00 ± 1.84 respectively. According to HC, the rate of moderate and severe malnourished children among boys were 33.3 % and 6.3% and among girls 30% and 13.5% respectively. The prevalence of malnutrition was higher according to HC for age in comparison to other parameters. The study revealed that 33.3% and 12.4% stunted, 41.3% and 12.7% underweight and 41.9% and 9.5% wasted children were moderately malnourished and severely malnourished according to HC respectively. The relationship between these three indicators and HC for age were statistically significant. Conclusion: As head circumference (HC) is a reliable physical index of both past nutritional situation and brain development and important indicator for measuring nutritional status, routine measurement and intervention for assessing and removing undernutrition is to be recommended. Bangladesh Med Res Counc Bull 2018; 44: 152-159


2013 ◽  
Vol 42 (5) ◽  
pp. 378-383 ◽  
Author(s):  
Angela Xavier ◽  
Roosevelt Da Silva Bastos ◽  
Aline Megumi Arakawa ◽  
Magali De Lourdes Caldana ◽  
José Roberto De Magalhães Bastos

INTRODUCTION: Dental caries and nutritional status in children in preschool age are serious public health problems, with multifactorial etiology, with diet as a common risk factor. OBJECTIVE: This cross-sectional study assessed the relationship between dental caries and nutritional status of preschool children attending public schools in a city in the State of Sao Paulo. MATERIAL AND METHOD: The study population was comprised of 3-5 year-old preschool children (n = 229) attending public schools, in which dmft (decay, missing, filled, teeth) was used for dental caries assessment and Body Mass Index (BMI) was used for nutritional status in accordance with the recommendations of the World Health Organization. Statistical analysis was performed in a descriptive way through absolute and relative frequencies and Spearman Correlation test and Kruskal Wallis (P<0.05). RESULT: A dmft of 1.65 (2.87) and a SiC index (Significant Caries Index) of 4.88 (3.20) have been found, indicating polarization of dental caries. It was observed that 66.81% of children presented with nutritional status within the normal range and children with malnutrition had a mean dmft of 4.0 (3.66), which is two times higher than the other categories of nutritional status. No statistically significant correlation has been found by correlating dmft and components with Body Mass Index. CONCLUSION: This research did not identify a significant correlation between the occurrence of dental caries and nutritional status of preschool children, researches should be conducted to elucidate this relationship.


2010 ◽  
Vol 50 (3) ◽  
pp. 159
Author(s):  
Sudip Datta Banik ◽  
Soumita Chatterjee

Background Malnutrition in children and adolescents is a global problem. In developing nations of Africa and Southeast Asia, the prevalence of undernutrition in children is very high. There is scanty data 'With respect to the nutritional status of school going children and adolescents, especially from sub􀁉urban and rural areas in India.Objective A study was undertaken among boys (n = 174) and girls (n = 128) aged 9􀁉 13 years in a sub􀁉urban area of Purba Medinipur district of West Bengal in India to understand age and sex variation of nutritional status of the subjects.Methods A cross􀁉sectional study among the school􀁉going children and adolescent aged 9􀁉 13 years was done during June􀁉September 2009 in Haldia.Results Age and sex variation of anthropometric characteristics (body mass index or BMI and conicity index or CI) revealed that remarkable sections of both the sexes were suffering from underweight (8.30%), stunting (14.60%) and wasting (2.80%). Significant sex differences were observed in cases of mean CI (P=O.OO1), weight􀁉for􀁉age z􀁉score (P = 0.0001) and weight-for-height ,-score (P 􀀂 0.0001).Discussion Besides notable prevalence of under nutrition in both sexes, situation of the girls is worse (underweight - 11.70% and stunting - 21.10%) compared to the boys. This is most evident among the subjects of both sexes aged 11 and 12 years.   


Author(s):  
Tirta Anggraini Tirta Anggraini

ABSTRACT According to the World Health Organization (WHO), maternal nutritional status at the time of growth and during pregnancy can affect fetal growth and development. Based on (IDHS) survey of 2007 AKI Indonesia at 228 per 100,000 live births, although this figure is still the highest in Asia. Social health center in Palembang in 2011 the number of pregnant women with good nutritional status of 67 men (97.1%). factors that influence the nutritional status of pregnant women is the temperature of the environment, economic status, habits and views of women to food, age, education, and health status. The purpose of this study is a known relationship education and economic status with nutritional status of pregnant women in the third trimester of Social Health Center Palembang in 2012. This study uses analytic survey with cross sectional approach. The population in this study were all third trimester pregnant women who visit the health center Social Palembang in May 2012, with a sample of 30 respondents. Sampling in this study with non-random methods with techniques Accidental Sampling. Data analysis carried out univariate and bivariate statistics with Chi-Square test with significance level α = 0.05. The results showed than 30 respondents there (73.3%) of respondents that good nutritional status, higher education (76.7%), and high economic status (70.0%). The results of this study showed no significant association education and economic status with nutritional status of pregnant women in the third trimester of Social Health Center Palembang in 2012. From the results of this study, researchers hope to improve the health care workers, especially health services in Antenatal Care services pay more attention to maternal risk of poor nutritional status.   ABSTRAK Menurut World Health Organization (WHO), status gizi ibu hamil pada waktu pertumbuhan dan selama hamil dapat mempengaruhi pertumbuhan dan perkembangan janin. Berdasarkan (SDKI) survei terakhir tahun 2007 AKI Indonesia sebesar 228 per 100.000 Kelahiran Hidup, meskipun demikian angka tersebut masih tertinggi di Asia.  Di Puskesmas Sosial Palembang tahun 2011 jumlah ibu hamil yang berstatus gizi baik sebesar 67 orang (97,1%). faktor-faktor yang mempengaruhi status gizi ibu hamil adalah suhu lingkungan, status ekonomi, kebiasaan dan pandangan wanita terhadap makanan, usia, pendidikan, dan status kesehatan. Tujuan penelitian ini adalah diketahuinya hubungan pendidikan dan status ekonomi dengan status gizi ibu hamil trimester III di Puskesmas Sosial Palembang tahun 2012. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi pada penelitian ini adalah semua ibu hamil trimester III yang berkunjung di Puskesmas Sosial Palembang pada bulan Mei tahun 2012, dengan jumlah sampel 30 responden. Pengambilan sampel pada penelitian ini dengan metode non random dengan teknik Accidental Sampling. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan dari 30 responden terdapat (73,3%) responden yang berstatus gizi baik, pendidikan tinggi (76,7%), dan status ekonomi tinggi (70,0%). Hasil penelitian ini menunjukkan ada hubungan yang bermakna pendidikan dan status ekonomi dengan status gizi ibu hamil trimester III di Puskesmas Sosial Palembang tahun 2012. Dari hasil penelitian ini, peneliti berharap petugas pelayanan kesehatan dapat meningkatkan pelayanan kesehatan terutama dalam pelayanan Antenatal Care lebih memperhatikan kehamilan ibu yang berisiko status gizi buruk.


Author(s):  
Dini Kesumah Dini Kesumah

ABSTRACT According to World Health Organization Health Organization (WHO) in 2005 showed 49% of deaths occur in children under five in developing countries. Nutritional problems can not be done with the medical and health care approach alone. Causes related to malnutrition that maternal education, socioeconomic families, poor environmental sanitation, and lack of food supplies. This study aims to determine the relationship between education and socioeconomic status of families with nutrition survey using a cross sectional analytic approach, with a population of all mothers of children under five who visited the health center in Palembang Keramasan Accidental sampling Sampling the number of samples obtained 35 respondents. Variables include the study independent and dependent variables and univariate analysis using Chi-Square test statistic with a significance level α = 0.05. The results from 35 respondents indicate that highly educated mothers earned as many as 16 people (45.7%), and middle and upper income families as many as 12 people (34.3%) and bivariate test results show that highly educated respondents toddler nutritional status good for 81.3% (13 people) is larger than the less educated respondents balitanya good nutritional status 26.3% (5 persons) as well as respondents who have middle and upper socioeconomic families with good nutritional status of children at 91.7% ( 11 people) is larger when compared to respondents who have family socioeconomic medium with good nutritional status of children at 30.4% (7 people). Statistical tests show that education has a significant relationship with nutritional status of children P value = 0.004 and socioeconomic families have a meaningful relationship with nutritional status of children P value = 0.002. Based on the results of the study suggested the health professionals in the health center should further improve the education, information about the importance of nutrition to the development of the child in the mothers through the selection and processing of good food and a good diet through health centers and integrated health.   ABSTRAK  Menurut badan kesehatan World Health Organization (WHO) tahun 2005 menunjukkan 49% kematian yang terjadi pada anak dibawah umur lima tahun di negara berkembang. Masalah gizi ini tidak dapat dilakukan dengan pendekatan medis dan pelayanan kesehatan saja. Penyebab yang berhubungan dengan kurang gizi yaitu pendidikan ibu, sosial ekonomi keluarga, sanitasi lingkungan yang kurang baik,dan kurangnya persediaan pangan. Penelitian ini bertujuan untuk mengetahui hubungan antara pendidikan dan sosial ekonomi keluarga dengan status gizi balita dengan menggunakan metode survei analitik pendekatan secara Cross Sectional, dengan populasi semua ibu yang memiliki anak balita yang berkunjung ke Puskesmas Keramasan Palembang dengan pengambilan sampel secara Accidental Sampling diperoleh jumlah sampel 35 responden. Variabel penelitian meliputi variabel independen dan dependen serta analisis univariat menggunakan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian ini menunjukkan dari 35 responden didapatkan ibu yang berpendidikan tinggi sebanyak 16 orang  (45,7%), dan keluarga yang berpenghasilan menengah keatas sebanyak 12 orang (34,3%) dan hasil uji bivariat menunjukkan bahwa responden yang berpendidikan tinggi status gizi balitanya baik sebesar 81,3% (13 orang) lebih besar bila dibanding responden yang berpendidikan rendah status gizi balitanya baik 26,3% (5 orang) serta responden yang mempunyai sosial ekonomi keluarga menengah keatas dengan status gizi balita baik sebesar 91,7% (11 orang) lebih besar bila dibanding responden yang mempunyai sosial ekonomi keluarga menengah kebawah dengan status gizi balita baik sebesar 30,4% (7 orang). Uji statistik menunjukkan bahwa pendidikan mempunyai hubungan yang bermakna dengan status gizi balita P value = 0,004 dan sosial ekonomi keluarga mempunyai hubungan yang bermakna dengan status gizi balita P value = 0,002. Berdasarkan hasil penelitian disarankan pada petugas kesehatan di Puskesmas hendaknya lebih meningkatkan penyuluhan-penyuluhan tentang pentingnya gizi terhadap tumbuh kembang anak pada ibu-ibu melalui cara pemilihan dan pengolahan bahan makanan yang baik serta pola makanan yang baik melalui kegiatan Puskesmas dan Posyandu.


2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Subal Das ◽  
Kaushik Bose

A community-based cross-sectional study was undertaken to determine the prevalence of undernutrition using body mass index (BMI) among 2–6-year Santal preschool children of Purulia District, West Bengal, India. A total of 251 (116 boys and 135 girls) children from 12 villages were measured. Commonly used indicators, that is, weight, height, and BMI, were used to evaluate the nutritional status. More boys (59.5%) than girls (53.3%), based on BMI, were undernourished. Significant age differences in weight (F=44.29∗∗∗; df=3), height (F=58.48∗∗∗; df=3), and BMI (F=3.52∗∗∗; df=3) among boys were observed. Similarly, significant differences between ages in mean weight (F=56.27∗∗∗; df=3), height (F=64.76∗∗∗; df=3), and BMI (F=2.62∗∗∗; df=3) were observed among the girls. The present study revealed that the nutritional status of the preschool children of Santal tribal community of these villages was poor with very high rate of thinness in boys and girls (59.5% and 53.3%, resp.).


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