Health and Nutritional Status of Orphan Children’s Living in Orphanages with Special Reference to District Anantnag of Jammu and Kashmir

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Mashkoor Ahmad Lone ◽  
Dr. P. Ganesan

The practice of placing deprived children having least or no emotional and material resources, in orphanages has since long been prevailing in socio -economically poor Asian countries. A sample of 30 children residing in orphanage in district Anantnag in the age group of 13-18 years was selected for the present study. Most of the children were found socially and psychologically disturbed. As per Indian Academy Paediatrics (IAP) classification with respect to weight for age the condition was not bad that as approximately 67% percent of the children were found to be normal. In the same way height for age as per Waterloo’s classification shown that more than half of the children were normal. On clinical examination approximately 47% of children were normal, while as rest were suffering from dispigmentation of hair, moon face, xerosis of skin cheilosis, magenta tongue, spongy bleeding gums, oedema, conjuctival xerosis, and mottled dental enamel. The findings indicated that nutritional intake was deficient for all nutrients when compared to, Recommended Daily Allowances Chart (RDA) for all age groups which may be linked to poor planning of menus in orphanages.

Author(s):  
Rishabh Gupta ◽  
Shavi Mahajan ◽  
Deepika Dewan ◽  
Rajat Gupta

Background: Osteoporosis is a major public health problem, associated with substantial morbidity and socio-economic burden. The objective of the present study was to screen the general population for osteoporosis in a rural area of Jammu region. Methods: 3 screening camps were conducted at 6 monthly intervals between the time period 2015-2016, at the Accidental Hospital, Chowki Choura, which is a rural area of district Jammu, J&K. A total of 270 subjects in the age group 20 to 80 years were subjected to screening through BMD measurements using calcaneal QUS and they were analyzed on the basis of T-scores. Results: Out of 270 subjects, 120 were males and 150 were females. Among 120 males, 68 were in the age group of 20 - 49 years, and 52 were above 50 years. In the age group 20-49 years, 26 males (38.2%) had osteopenia, and 4 (5.9%) had osteoporosis. In males above 50 years of age, 35 (67.3%) had osteopenia and 6 (11.5%) had osteoporosis. Out of 150 females, 94 were in the age groups 20-49 years, and 56 were above 50 years of age. In the age group 20-49 years, 51 females (54.3%) had osteopenia and 12 (12.8%) had osteoporosis. In females above 50 years of age, 32 (57.1%) had osteopenia and 15 (26.8%) had osteoporosis. Conclusions: The overall prevalence of osteoporosis among screened population was 13.7%. It increased with age in both males and females; however the prevalence of osteoporosis was more among females as compared to males (18% vs. 8.3% respectively). 


2019 ◽  
Vol 2 (1) ◽  
pp. 10
Author(s):  
Maria Fransiska Pudjohartono ◽  
Hanggoro Tri Rinonce ◽  
Josephine Debora ◽  
Pritania Astari ◽  
Monica Gisela Winata ◽  
...  

A recent extraordinary event of malnutrition in childrenin Asmat, Papua, Indonesia has drawn enormous attention. To help in post-emergency rehabilitation, Gadjah Mada University sent a Kuliah Kerja Nyata – Peduli Bencana (KKN-PB) team to Agats, Asmat in March 17 – April 20, 2018. As part of situation analysis, the team surveyed the nutritional status of under five-years-old children in Agats, Asmat. The subjects were under five-year-old children coming to posyandus in fiveareasin Agats in March-April 2018. The data of sex, age, weight, and height were obtained, then the nutritional status in the form of Z-scores for weight-for-age (WAZ), height-for-age (HAZ), and weight-for-height (WHZ) was calculated using WHO Anthro version 3.2.2 software. Nutritional status was determined based on criteria from World Health Organization (WHO). Among the 372 children, 35 (9.4%) children were underweight and 7 (1.9%) were severely underweight. Twenty one (5.7%) children were stunted and 12 (3.2%) were severely stunted. As many as 23 (6.2%) children were found to be wasted and 6 (1.6%) were severely wasted. The percentages of children with malnutrition found in this survey were lower than the percentages for Indonesia and Papua overall, but percentages in two posyandus were higher than the national and Papua percentages. The relatively low total percentages may be accounted for by concentration of malnutrition cases in districts other than Agats and lack of coverage of children absent from posyandu. Prevalence of malnutrition varied in different age groups possibly due to inadequacy of complementary foods, changes in incidence of infections, and addition of siblings. Further surveys are needed using home visitsthat will also enable to analyze of socioeconomic factors at the same time as nutritional status determinants in Agats and other districts in Asmat.


PEDIATRICS ◽  
1989 ◽  
Vol 84 (3) ◽  
pp. 475-481
Author(s):  
Joan M. O'Connell ◽  
Michael J. Dibley ◽  
Janet Sierra ◽  
Barbara Wallace ◽  
James S. Marks ◽  
...  

To examine the effects of a vegetarian diet on child growth, height and weight data of 404 vegetarian children aged 4 months to 10 years who lived in a collective community in Tennessee were studied. Height for age, weight for age, and weight for height were compared with the US growth reference. Birth weights, infant feeding patterns, and parental heights were also evaluated in relation to growth. Most of the height for age, weight for age, and weight for height (n = 833) were within the 25th and 75th percentiles of the US growth reference. The mean height for age and weight for age, however, were slightly less than the median of the reference population. For different age groups, the mean height ranged from 0.2 to 2.1 cm and the mean weight ranged from 0.1 to 1.1 kg less than the reference median. The largest height difference was observed at 1 to 3 years of age and may be partly the result of intrinsic irregularities in the US growth reference at those ages. By 10 years of age, children from The Farm averaged 0.7 cm and 1.1 kg less than the reference median, representing only 0.1 and 0.3 SD from the reference. Thus, these children have adequate attained growth, even though it was modestly less than that of the reference population.


2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 6554-6554 ◽  
Author(s):  
Vamshi Krishna Reddy Goteke ◽  
Rahul Narayan Maddi ◽  
Narender Kumar Thota ◽  
Pragnya Coca ◽  
Balakrishna Nagalla ◽  
...  

6554 Background: The long-term adverse effects, especially in children with chronic myeloid leukemia (CML) on imatinib are unknown. There is very little literature addressing the adverse effects on growth in children on imatinib. We analysed the effect of imatinib on anthropometry in children with CML. Methods: The records of children ≤ 18 years with CML diagnosed at our institute between 2003 and 2011 were retrospectively analysed. Children who received imatinib for at least one year and on regular follow up were eligible for growth assessment. The data was analysed using WHO AnthroPlus v1.0.4 and SPSS.v19 software and the Height for age and BMI for age/sex “z” scores were computed. Results: A total of 61 children were started on imatinib. But, only 37 children were eligible for assessment of growth. Of them 3 were further excluded as the WHO AnthroPlus software supported data only till 19 completed years. Median age was 12 years (range: 5 – 17). 17 children were in the prepubertal age (5-11years) at commencement of imatinib. The mean duration of imatinib therapy was 41.24 months (range: 12–91). The overall z- scores for height for age (HAZ) on follow up were significantly (p =0.029) lower, compared to baseline. However when analysed according to age groups, the HAZ was found significantly (p=0.005) lower among 5-11 year age group compared to age group of ≥12 years. No significant differences were observed in BMI for age/sex z scores by age groups, over the period. Conclusions: Imatinib appears to cause growth retardation in prepubertal children. Further follow up may shed more light on the degree of stunting and the deficit in the final adult height.


Author(s):  
Neetu S. Pathania ◽  
Rajib Biswas

Background: Given the paucity of data on the nutritional standard of the Himachali children, the present study was conducted to assess the physical growth and malnutrition of adolescent school-going boys of Himachal Pradesh within the age group of 15-17 years.Methods: Boys were selected from both government and private schools of the non- hilly regions of Mandi district of Himachal Pradesh. Height, weight, and BMI were determined. Stunting was evaluated from height-for-age Z-score, and thinness, overweight, and obesity were estimated from BMI-for-age Z-score using the WHO recommended cut-off values.Results: Mean height varied between 167.2 to 168.7 cm. Weight varied between 52.4 to 56.1 kg with a corresponding BMI between 18.7 to 19.7 kg/m2.The overall prevalence of stunting and wasting were 5.7% and 15.8% respectively. The coexistence of stunting and wasting was not found in any of the age groups. The overall prevalence of overweight and obesity was 5.4% and 1.7% respectively.Conclusions: Himachali boys appeared to be taller than most of the Indian population of boys of similar age groups. Prevalence of the different categories of over nutrition and undernutrition were also lower as compared to that obtained for other Indian studies on adolescent boys. The existence of overweight and obese individuals points towards the double burden of malnutrition. 


2021 ◽  
Vol 15 (12) ◽  
pp. 3222-3224
Author(s):  
Wasila Shamim ◽  
Saadia Anwar ◽  
Mahwish Faizan

Aim: To analyze the nutritional status of children with pediatric Acute Lymphoblastic Leukemia (ALL) at presentation. Study design: Descriptive prospective study Place and duration of study: Department of Paediatric Haematology Oncology, Children Hospital, Lahore from March 2018 to April 2019. Methodology: A total of 195 children diagnosed as acute lymphoblastic leukemia on bone marrow biopsy were included. Anthropometric measurements were taken for each patient. Results: Out of 195 diagnosed patients with ALL, majority were having B-cell ALL 165(84.6%) and 30(15.4%) T-cell ALL. There was almost equal number of both standard and high risk patients (49% vs 51%) respectively. Mean age of children was 6.79±3.78 years and there was male predominance 120(61.5%). The percentage of children having weight for age <5th centile was 91(47), only 8(4%) were overweight or obese. Children under the age of five years had a slightly higher propensity of weight <5th centile i.e. 47(51.6%) as compared to older age group 5-10 years 26(28.7%) and >10 years 18(19.7%) (p=0.295).Similarly height for age was <5th centile in 50(26%) children in total, and in under 5 year age group 26(13.3%) but there was no statistically significant difference related to age above 5 years (p=0.547). Conclusion: Pediatric ALL has overall high prevalence of under nutrition and both weight for age and height for age is lower in under-five children as compared to older age group. Keywords: Children, cancer, nutrition, malnutrition, Acute Lymphoblastic leukemia


2020 ◽  
Vol 8 (1) ◽  
pp. 74-81
Author(s):  
Muddana Narasimha Rao ◽  
Ashish Ragireddy

Background: The nutritional status of people living with HIV/AIDS is related to morbidity and mortality and may predict the course of HIV infection and the management of these helps in recovery and maintenance of health status.Aims & objectives: The main aim of the current study toassess the nutritional status and nutritional supplementation in children with HIV at ART center.Subjects and Methods:A prospective observational study was conducted between May 2017 and May 2018 in a total of 100 children aged 1 to 18 years with proven HIV status attending ART centre. Each child included in the study was examined clinically and their anthropometric data was recorded. They were provided with a fixed nutrition supplementation of 2 scoops of protein powder and one serving of peanut chikki per day and they were followed up regularly. At the end of one year, they were examined clinically and their anthropometric data was recorded again. Result:In the present study, about 44% of subjects were males and 56% were females. Majority of the children (55%) fell in the age group of 11-15 years. 36% were on pre-ART and 64% were on ART.At the beginning of the study, 59% of children were stunted and 64% of the children had < 2 SD of BMI for age. According to WHO, Z scores could be calculated only for children less than 10 years of age. In this study, 34 children fell in this age group and 24 among them were underweight at the beginning of the study. Conclusion:After giving the nutritional supplementation for a period of one year, there was a statistically significant improvement in height-for-age, weight-for-age and the Z scores of height-for-age, weight-for-age and BMI-for-age. Though there was an improvement in the mean values of BMI for age, this was not considered to be statistically significant. Finally, nutritional interventions should be tailored and assessed to improve growth, especially at time of ART initiation that could lead to an optimisation of their clinical response and survival of ART-treated children.


1984 ◽  
Vol 51 (01) ◽  
pp. 037-041 ◽  
Author(s):  
K M Weerasinghe ◽  
M F Scully ◽  
V V Kakkar

SummaryCollagen mediated platelet aggregation caused -5.6 ± 6.7% inhibition and +39.1 ± 15.2% potentiation of prekallikrein activation in plasma from normal healthy volunteers between 20–40 and 50–65 years of age, respectively (n = 15, p <0.01). The amouns of platelet factor-four (PF4) released in the two groups were not significantly different. Collagen treatment in the presence of indomethacin caused +11.5 ± 3.6% and +59.6 ± 19.5% potentiation in the 20–40 and 50–65 age groups respectively (p <0.02). Adrenaline mediated platelet aggregation caused -55.2 ± 7.1% and -35.2 ± 8.3% inhibition in the 20–40 and 50–65 age groups, respectively. Collagen treatment of platelet-deficient-plasma and platelet-rich-plasma in EDTA also caused potentiation of prekallikrein activation.The results indicate that the observed degree of prekallikrein activation after platelet aggregation is a net result of the inhibitory effect of PF4 and the potentiatory effect of activated platelets. The potentiatory effect was greater after collagen treatment as compared to adrenaline treatment, and in the 50–65 age group as compared to the 20–40 age group.


Coronaviruses ◽  
2020 ◽  
Vol 01 ◽  
Author(s):  
Verda Tunalıgil ◽  
Gülsen Meral ◽  
Ahmet Katı ◽  
Dhrubajyoti Chattopadhyay ◽  
Amit Kumar Mandal

Abstract:: Epigenetic changes in COVID-19 host, a pandemic-causing infectious agent that globally incapacitated communities in varying complexities and capacities are discussed, proposing an analogy that epigenetic processes contribute to disease severity and elevate the risk for death from infection. Percentages of hospitalization, with and without intensive care, in the presence of diseases with increased ACE2 expression, were compared, based on the best available data. Further analysis compared two different age groups, 19-64 and ≥65 years of age. The COVID-19 disease is observed to be the most severe in the 65-and-higher-age group with preexisting chronic conditions. This observational study is a non-experimental empirical investigation of the outcomes of COVID-19 in different patient groups. Results are promising for conducting clinical trials with intervention groups. To ultimately succeed in disease prevention, researchers and clinicians must integrate epigenetic mechanisms to generate valid prescriptions for global well-being.


Author(s):  
Daniel Stark ◽  
Stefania Di Gangi ◽  
Caio Victor Sousa ◽  
Pantelis Nikolaidis ◽  
Beat Knechtle

Though there are exhaustive data about participation, performance trends, and sex differences in performance in different running disciplines and races, no study has analyzed these trends in stair climbing and tower running. The aim of the present study was therefore to investigate these trends in tower running. The data, consisting of 28,203 observations from 24,007 climbers between 2014 and 2019, were analyzed. The effects of sex and age, together with the tower characteristics (i.e., stairs and floors), were examined through a multivariable statistical model with random effects on intercept, at climber’s level, accounting for repeated measurements. Men were faster than women in each age group (p < 0.001 for ages ≤69 years, p = 0.003 for ages > 69 years), and the difference in performance stayed around 0.20 km/h, with a minimum of 0.17 at the oldest age. However, women were able to outperform men in specific situations: (i) in smaller buildings (<600 stairs), for ages between 30 and 59 years and >69 years; (ii) in higher buildings (>2200 stairs), for age groups <20 years and 60–69 years; and (iii) in buildings with 1600–2200 stairs, for ages >69 years. In summary, men were faster than women in this specific running discipline; however, women were able to outperform men in very specific situations (i.e., specific age groups and specific numbers of stairs).


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