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Nutritional Status of One to Five-Year-Old Children in Rural Haryana A Community Based Study

机译:哈里亚纳农村乡村乡村营养状况为社区基于社区研究

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Under-nutrition remains one of the major causes of morbidity and premature mortality among one to five-year-old children in India. WHO recommended indicators used in the past for assessment of under-nutrition are overlapping and do not provide a comprehensive estimate of the under-nourished in the community.Aim: To assess prevalence of under-nutrition among one to five-year-old children of rural Haryana, using conventional indices and Composite Index of Anthropometric Failure (CIAF) and compare the estimated results.Materials and Methods: A community based cross sectional study was conducted on 1032 children, one to five-year-old (477 boys; 555 girls), in rural field practice area of department of Community Medicine, AMCH, Shahabad (M), Haryana from January to December 2019. House to house visits were conducted to collect information from the child’s mother/primary caregiver using a semi-structured questionnaire followed by anthropometric assessment of the children. The WHO recommended conventional indicators of under-nutrition (stunting, wasting and underweight) as well as the CIAF were used to evaluate the nutritional status of the children following standard procedures. Z-scores were computed separately for boys and girls. Categorical data was presented as percentages (%) and Pearson’s Chi-square test was used to evaluate differences between groups for categorised variables. The p-value <0.05 was considered significant.Results: Our study results revealed 21.5% children as underweight, 30.2% children as stunted and 8.9% children as wasted according to WHO recommended indices. The prevalence of under-nutrition in studied children according to CIAF was found to be 43.7%. Of the studied children, 56.3% of children reported no failure (Group A), 4.1% reported wasting only (Group B), 2.3% reported wasting and underweight (Group C), (4.2%) reported wasting, stunting and underweight (Group D), 7.6% reported stunting and underweight (Group E), 18.4% reported stunting only (Group F) while 7.1% reported underweight only (Group Y).Conclusion: CIAF may be a better indicator of nutritional status in one to five-year-old children. The apparent advantage lies in the fact that it reveals a comprehensive picture of the severity of the actual burden of under-nutrition in a population.
机译:营养不良仍然是印度一到五岁儿童中发病率和过早死亡的主要原因之一。过去用于评估营养的推荐指标是重叠的,并且没有提供对社区内部营养不足的综合估计。目的:评估一到五年的营养不足的普遍存在 - 农村哈里亚纳州的老孩子,使用常规指数和人体计量失效(CIAF)的综合指数并比较估计的结果。材料和方法:在1032名儿童,一到五岁的儿童进行了一项基于社区的横断面研究(477名男孩; 555名女孩),在2019年1月至12月的社区医学,Amch,Shahabad(M),哈里亚纳州的农村实践区。众议院进行了访问,以收集儿童母亲/主要照顾者的信息一个半结构化问卷,然后对儿童进行人为评估。推荐的常规指标的营养不良(衰退,浪费和体重)以及CIAF用于评估儿童的营养状况。为男孩和女孩分开计算Z分数。分类数据显示为百分比(%),Pearson的Chi-Square测试用于评估分类变量的组之间的差异。 p值<0.05被认为是显着的。结果:我们的研究结果显示21.5%的儿童减去30.2%的儿童,如谁推荐的指数浪费了30.2%的儿童。发现根据CIAF的学习儿童营养的患病率为43.7%。在学习的儿童中,56.3%的儿童报告没有失败(A组),4.1%报告仅浪费(B组),报告的2.3%报告浪费和体重减轻(C组),(4.2%)报告浪费,发育迟缓和体重减轻(集团d),7.6%报告令人惊讶和体重不足(e),18.4%报告仅令人惊叹(F组),而7.1%仅报告的体重(组Y)。结论:CIAF可能是一个更好的营养状况指标到五岁的孩子。表观优势在于它揭示了群体营养不足的实际负担严重程度的全面形态。

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