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Trends in the prevalence of undernutrition, nutrient and food intake and predictors of undernutrition among under five year tribal children in India.
Asia Pac J Clin Nutr. 2012; 21(4):568-76.AP

Abstract

Undernutrition among children under five year is a significant public health problem in India. The present study was carried out to assess trends in nutritional status, nutrient and food intake among children under five year over two time periods. It was a community-based cross-sectional study, carried out in tribal areas of India. A total of 14,587 children, 0-5 years old were covered for nutritional assessment in terms of underweight, stunting and wasting. A 24 hour diet survey was carried out in a sub-sample of households surveyed. Wealth index was constructed using principle component analysis. The prevalence of underweight and stunting had declined significantly over the periods (49% vs 57%, 51% vs 58%, respectively), while the prevalence of wasting remained similar (22% vs 23%). There was marginal decrease in the intake of foods and nutrients over the periods, and was below recommended levels. Stepwise regression showed that the risk of underweight and stunting was significantly (p<0.01) higher among children of illiterate mothers and children from lowest and middle households wealth index. Morbidities during preceding fortnight had 1.3 times higher risk of underweight and wasting. In conclusion, undernutrition is a significant health problem among tribal children and is associated with literacy status of mothers, household wealth index and morbidities. Therefore implementation of appropriate nutritional intervention strategies and improvement in households food security through public distribution systems, food intakes, socioeconomic condition, literacy of parents and personal hygiene may help in improving the nutritional status of tribal children.

Authors+Show Affiliations

Division of Community Studies, National Institute of Nutrition, Indian Council of Medical Research, Jamai-Osmania (PO), Tarnaka, Hyderabad-500007, India. indrapal.m@rediffmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23017315

Citation

Meshram, Indrapal Ishwarji, et al. "Trends in the Prevalence of Undernutrition, Nutrient and Food Intake and Predictors of Undernutrition Among Under Five Year Tribal Children in India." Asia Pacific Journal of Clinical Nutrition, vol. 21, no. 4, 2012, pp. 568-76.
Meshram II, Arlappa N, Balakrishna N, et al. Trends in the prevalence of undernutrition, nutrient and food intake and predictors of undernutrition among under five year tribal children in India. Asia Pac J Clin Nutr. 2012;21(4):568-76.
Meshram, I. I., Arlappa, N., Balakrishna, N., Mallikharjuna Rao, K., Laxmaiah, A., & Brahmam, G. N. (2012). Trends in the prevalence of undernutrition, nutrient and food intake and predictors of undernutrition among under five year tribal children in India. Asia Pacific Journal of Clinical Nutrition, 21(4), 568-76.
Meshram II, et al. Trends in the Prevalence of Undernutrition, Nutrient and Food Intake and Predictors of Undernutrition Among Under Five Year Tribal Children in India. Asia Pac J Clin Nutr. 2012;21(4):568-76. PubMed PMID: 23017315.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Trends in the prevalence of undernutrition, nutrient and food intake and predictors of undernutrition among under five year tribal children in India. AU - Meshram,Indrapal Ishwarji, AU - Arlappa,Nimmathota, AU - Balakrishna,Nagalla, AU - Mallikharjuna Rao,Kodavanti, AU - Laxmaiah,Avula, AU - Brahmam,Ginnela Nag Veera, PY - 2012/9/29/entrez PY - 2012/9/29/pubmed PY - 2012/12/10/medline SP - 568 EP - 76 JF - Asia Pacific journal of clinical nutrition JO - Asia Pac J Clin Nutr VL - 21 IS - 4 N2 - Undernutrition among children under five year is a significant public health problem in India. The present study was carried out to assess trends in nutritional status, nutrient and food intake among children under five year over two time periods. It was a community-based cross-sectional study, carried out in tribal areas of India. A total of 14,587 children, 0-5 years old were covered for nutritional assessment in terms of underweight, stunting and wasting. A 24 hour diet survey was carried out in a sub-sample of households surveyed. Wealth index was constructed using principle component analysis. The prevalence of underweight and stunting had declined significantly over the periods (49% vs 57%, 51% vs 58%, respectively), while the prevalence of wasting remained similar (22% vs 23%). There was marginal decrease in the intake of foods and nutrients over the periods, and was below recommended levels. Stepwise regression showed that the risk of underweight and stunting was significantly (p<0.01) higher among children of illiterate mothers and children from lowest and middle households wealth index. Morbidities during preceding fortnight had 1.3 times higher risk of underweight and wasting. In conclusion, undernutrition is a significant health problem among tribal children and is associated with literacy status of mothers, household wealth index and morbidities. Therefore implementation of appropriate nutritional intervention strategies and improvement in households food security through public distribution systems, food intakes, socioeconomic condition, literacy of parents and personal hygiene may help in improving the nutritional status of tribal children. SN - 0964-7058 UR - https://www.unboundmedicine.com/medline/citation/23017315/Trends_in_the_prevalence_of_undernutrition_nutrient_and_food_intake_and_predictors_of_undernutrition_among_under_five_year_tribal_children_in_India_ L2 - http://apjcn.nhri.org.tw/server/APJCN/21/4/568.pdf DB - PRIME DP - Unbound Medicine ER -