scholarly journals Nutritional status of children in rural India: a case study from Tamil Nadu, first in the world to initiate the Mid-Day Meal scheme

Health ◽  
2011 ◽  
Vol 03 (10) ◽  
pp. 647-655 ◽  
Author(s):  
Palanisamy Navaneethan ◽  
Thiagarajan Kalaivani ◽  
Chandrasekaran Rajasekaran ◽  
Nautiyal Sunil
Author(s):  
Gopinath T. T. ◽  
M. Logaraj ◽  
K. R. John

Background: Malnutrition is more common in India than in Sub-Saharan Africa. One in every three malnourished children in the world lives in India. Tribal population constitutes about 8% of the total population in India. They are particularly vulnerable to under nutrition, because of their geographical isolation, socio-economic disadvantage and inadequate health facilities. The objectives of this study were to assess the Nutritional status of children under five years in a Tribal area of Jawadhu hills under Puthurnadu PHC Sub-center and to find the associated risk factors accompanying the under five children.Methods: A community based cross sectional study was conducted in a tribal area of Jawadhu hills Puthurnadu PHC sub-center. A total of 316 children participated in the study. A predesigned, pre tested questionnaire was used to collect data on socio demographic profile (age, sex, religion, education, income) from the Mother/Guardian and measured all possible anthropometric measurements.Results: The overall prevalence of under nutrition was 26.9% in which Severely under nourished were 9.2%, the overall prevalence of stunting was 55.4% in which severely stunted were 23.4% and the overall prevalence of wasting was 10.4% in which severely wasted were 1.9% respectively. Male children were found to be more malnourished than Female children in our study. Children from joint family are more prone to get malnourished than Nuclear families.Conclusions: The overall prevalence of stunting was higher (55.4%) which is greater than the cut-off point stated by the World Health Organization to indicate that the severity of malnutrition. Adequate measures to be made to overcome malnutrition.


2020 ◽  
Vol 11 (SPL2) ◽  
pp. 124-131
Author(s):  
Anuhya B ◽  
Nisha B ◽  
Ruma Dutta ◽  
Timsi Jain

Malnutrition among under-five children is a major public health problem all around the world. About more than 30% of the malnutrition world-wide is prevalent in southern Asia, a significant proportion of which is contributed by India. It is well known that malnutrition is frequently a part of a vicious cycle that includes poverty and infections, which can last a life-time and may also affect the next generations. This study aims to assess the nutritional status of children less than 5 years in a semi-urban area of Tamil Nadu using a composite index of anthropometric failure. A cross-sectional community-based study was undertaken among 168 children and anthropometric measurements were taken. Using conventional Z score indicators, 22.62% of the children were found to be stunted, 43.45% of the children were underweight and wasting was found in 45.83% of the children. Whereas using CIAF, the results were found to be 38.69% (no failure), 11.90% (Only wasting), 23.21% (Wasting and underweight), 11.31% (Wasting, underweight and Stunting), 6.55% (Stunting and underweight) 5.36% (Only stunting) and 2.98% (Only underweight). There was an unacceptably high prevalence of malnutrition among under-five children. Therefore, using CIAF showed better classification of undernutrition than conventional indicators. Also, health institutions at all levels should integrate nutrition as a health component and there is a need to educate the parents to provide age-appropriate energy-rich, locally available and nutritionally balanced food items. Accelerating the reduction in under-5 mortality is possible by expanding effective preventive and curative interventions that target the main causes of undernutrition. This will, in the long run, help in making this nation healthier, stronger, and more prosperous.


Author(s):  
Qianling Tian ◽  
Xiao Gao ◽  
Tingting Sha ◽  
Qiong He ◽  
Gang Cheng ◽  
...  

Background: At present, whether to use the World Health Organization’s (WHO) growth standards or native growth standards to assess the nutritional status in a given population is unclear. This study aimed to compare the differences between the WHO’s growth standards and China’s growth standards in assessing the nutritional status of children aged 0~36 months. Methods: We used z-scores to evaluate the nutritional status of children. The weight-for-age z-scores (WAZs), length/height-for-age z-scores (LAZ/HAZs), and weight-for-length/height z-scores (WLZ/WHZs) were calculated using the WHO’s growth standards and China’s growth standards. MeNemar’s test was used to compare the nutritional status of children. Results: The results in this study showed that there were differences between the WHO’s standards and China’s standards in assessing children’s nutritional status except for stunting and obesity. The prevalence of underweight assessed using China’s standards was higher than when using the WHO’s standards (except when 3 and 36 months old). The prevalence of wasting was significantly higher when assessed using China’s standards than when using the WHO’s standards from 12 to 36 months. The prevalence of overweight was higher when assessed using the WHO’s standards from 3 to 8 months. Conclusions: Both the WHO’s and China’s growth standards are useful measures in assessing children’s nutritional status but with key significant differences. Therefore, caution should be taken in selecting appropriate measures in a given population.


Author(s):  
B. S. Isaac Ebenezer ◽  
Marupuri Sushma ◽  
M. A. Mushtaq Pasha ◽  
Afsar Fatima ◽  
D. K. Veereshappa

Background: Malnutrition is one of the major problems in the world which suffers middle income countries in the world, malnutrition is mainly of two types over weight and underweight, the present topic is concerned to the underweight of the children among the age group between 3 yrs to 6 yrs. The aims and objectives of the study were to assess the nutritional status of children among 3-6 yrs in UHTC area of SRMC Nandyal and to identify the influence of education, occupation, and socio economic status on the nutritional status of preschool children.Methods: Community based on cross sectional study. Sampling method used is 4pq/l2. Sample size was 210.Results: Total numbers of participants in the study are 210 members. 58% are males and 42.4% are females. Among the participants 42.4% fathers and 53.8% mothers are illiterates who occupy the majority. In occupation majority of the fathers and mothers are working as unskilled labour i.e. 61.4% and 53.3%. Among the participants majority of them belong to class IV i.e. 48.6%. When we see the grading of malnutrition 51% of them are moderately malnourished. Significance difference has been observed among the educational status of the mother and the nutritional status of the baby.Conclusions: In the present study most the children malnourished are boys. Education of mother played major role in degree of malnutrition higher the educational status lower the malnutrition.


Author(s):  
Balamma Sujatha ◽  
Kishore Narayan ◽  
Lal Devaiyanai Vasudevan Nair ◽  
Harshitha Shanmuganathan

Introduction: Febrile seizure is one of the most common paediatric emergencies encountered in a paediatric practice. There have been studies done with regards to iron deficiency anaemia and family history and chances of a child developing febrile seizure. Many studies state that vitamin D has a role in development of brain and seizure activity. Aim: To find the association between Vitamin D levels and febrile seizures in children and assessing the nutritional status of children with febrile seizures. Materials and Methods: Fifty consecutive children (developmentally normal), between ages of 9-60 months, presenting with febrile seizures to the Paediatric Department, from February 2019 to January 2020, were enrolled. Antenatal history regarding birth order, maternal weight gain, antenatal check-ups, antenatal supplements and medical problems in mother if any, were noted. Birth history, birth weight, breast feeding, complimentary feeding and present diet history were noted. The height and weight were documented. Skin colour was noted based on Fitzpatrick scale. Vitamin D levels were classified as deficient if blood levels were <10 IU; insufficient if between 10-30 IU and sufficient, if the levels were >30 IU. Collected data were analysed and compared using Sigma Plot 13 and Chi-square test was done and a p-value <0.05 was considered as statistically significant. Results: Vitamin D insufficiency was prevalent in 68% of children. The dark skin, reduced time spent outdoors, clothing habits and diet and antenatal factors contribute to this vitamin D insufficiency. A 58% of children had Height for Age Z (HAZ) score less than -1SD and 62% of children had Weight for Age Z (WAZ) score less than -1SD. On correlating the Complete Blood Count (CBC) values with iron deficiency, it was found that 56% of children with febrile seizure had anaemia based on Red-cell Distribution Width (RDW) value >14.5. Febrile seizure was less common in summer (16%). Conclusion: A 68% of children had vitamin D insufficiency. A 56% of children had low iron based on RDW. The nutritional status of children was poor as assessed by HAZ and WAZ scores.


2018 ◽  
Vol 8 (3) ◽  
pp. 8-13
Author(s):  
Carla Gonçalo Domiciano ◽  
Felipe Santana Machado ◽  
Mariani Gouveia de Castro ◽  
Michel Cardoso de Angelis-Pereira

Introduction: The nutritional status in cases of overweight and obesity in children and adolescents is considered a global health reference for future trends and for enabling strategic planning. The main reason for this is the increase in the consumption of low-nutrient and high-calorie food. Aims: The present study aimed at verifying the nutritional status of children and adolescents, as well as demonstrating nutritional trends. Methods: Some schools in the city of São Gonçalo do Sapucaí, southeastern Brazil, were visited. The student’s weight, height and age were assessed in a total of 646 students, from which 198 were preschoolers, 369 schoolchildren and 79 adolescents. Results: Nutritional assessment uses diagnostic methods to assess factors of nutritional disorders. Tested by a chi-square, the evaluation shows that overweight, which is considered one of the most alarming public health problems in Brazil, is the current problem. Conclusion: It was concluded that there was a low rate of child malnutrition and an actual overweight rate. The relation among health, sports and leisure and education departments is very relevant to create nutritional intervention programs which are associated with the practice of physical activity linked to nutritional education aiming at reducing overweight rates and childhood obesity.Keywords: Overweight; Obesity; Anthropometry; Nutritional transitionRESUMOIntrodução: O estado nutricional em casos de sobrepeso e obesidade em crianças e adolescentes é considerado uma referência global de saúde para tendências futuras e para possibilitar o planejamento estratégico. A principal razão para isso é o aumento no consumo de alimentos com baixo teor de nutrientes e alto teor calórico. Objetivos: O presente estudo teve como objetivo verificar o estado nutricional de crianças e adolescentes, bem como demonstrar tendências nutricionais. Métodos: Algumas escolas foram visitadas na cidade de São Gonçalo do Sapucaí, Sudeste, Brasil. O peso, altura e idade foram avaliados em um total de 646 alunos, sendo 198 pré-escolares, 369 escolares e 79 adolescentes. Resultados: A avaliação nutricional usa métodos diagnósticos para avaliar fatores de distúrbios nutricionais. Testada pelo teste qui-quadrado, a avaliação mostra que o excesso de peso, considerado um dos problemas de saúde pública mais alarmantes no Brasil, é o problema atual. Conclusão: Concluiu-se que havia uma baixa taxa de desnutrição infantil e uma taxa real de excesso de peso. A relação entre os departamentos de saúde, esporte e lazer e educação é muito relevante para criar programas de intervenção nutricional que estão associados à prática de atividade física vinculada à educação nutricional visando reduzir as taxas de sobrepeso e a obesidade infantil.Palavras-Chave: Sobrepeso; Obesidade; Antropometria; Transição nutricional


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