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Nutritional Status of Pre-School Children from Urban Low Income Families
India is currently the home of the largest number of under-nourished and over-nourished children in the world. Data from longitudinal studies in India indicate that both under nutrition and over-nutrition in childhood is associated with higher risk of over-nutrition and noncommunicable diseases in adult life. A community based mixed longitudinal study of underfive children from urban low income families was taken up to assess their nutritional status. Weight was taken every month in all; length was measured every month in infants and height was measured once in three months in 1-5 year children. BMI was computed in all. Nutritional status was assessed using the WHO anthro software package. Between 2012 and 2015, 3888 pre-school children were enrolled (49.4% boys and 50.6% girls); mean age of these children at enrolment was 22.5±16.17 months. The mean Z scores for height for age was - 1.79; weight for age was - 1.41 and -0.47 for BMI for age. Prevalence of stunting was 43.4%; underweight was 31.9%, wasting was 12% and over-nutrition was between 3-5%. The reduction in wasting rate between 0-3 years was mainly due to the increase in prevalence of stunting. With universal screening for early detection of wasting and over-nutrition and effective management of these, it will be possible to achieve the WHA targets of reducing and maintaining wasting below 5% and preventing increase in over-nutrition in this population. This may reduce the risk of over-nutrition and non-communicable diseases in these children during their adult life.
Under-Five Children, Nutritional Status, Stunting, Underweight, Wasting, Over-Nutrition.
- Ramachandran, P. and Gopalan, H.S. Undernutrition and risk of infections in preschool children. Ind. J. Med. Res., 2009, 130, 579-583.
- Ramachandran, P. and Kalaivani, K. Nutrition transition in India: Challenges in achieving global targets. Proc. Ind. Natn. Sci. Acad., 2018, 84.
- Fall, C.H.D. Nutrition in fetal life and childhood and its linkage with adult non-communicable diseases. Proc. Ind. Natn. Sci. Acad., 2018, 84, 821-833.
- CDC (2019) BMI Calculator Child and Teen https://www.cdc.gov/healthyweight/bmi/ calculator.html
- World Health Organization (2006). WHO child growth standards: length/height-for-age, weightfor-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development.
- Ramachandran, P. Adoption of WHO growth standards (2006). Issues and implications. Bull. Nutr. Found India, 2007, 28, 1-6.
- Ramachandran, P. and Gopalan, H.S. Assessment of nutritional status in Indian preschool children using WHO 2006 growth standards. The Ind. J. Med. Res., 2011, 134, 47.
- International Institute of Population Sciences (IIPS) National Family Health Survey NFHS 3.http//rchiips.org/nfhs/pub_nfhs-3.shtml,
- IIPS National Family Health Survey- 4. http:/r chiips.org/NFHS/factsheet_NFHS-4. accessed on 10.7.2018
- Registrar General of India RGI (2015): Annual Health Survey CAB component State Fact Sheets www.http://www.censusindia gov.in/2011census/hh-series.cab.html accessed on 10..7.2018
- Lakshmi, R.V., Subhapriya, S.M., Kalaivani, K. and Ramachandran, P. Morbidity due to infections in preschool children from urban low income households. The Ind. J. Nutr. Diet., 2018, 55, 488-499.
- FAO, The State of Food Insecurity in the World www.fao.org/publications/sofi/2013/en/ accessed on August 22, 2018.
- SK Bharghava Birth Weight, Gestation, Body Growth and Outcome nutrition foundation of india.org/PPT-2011/PPT-21/
- Bhargava, S.K., Sachdev, H.P.S., Fall, C.H.D., Osmond, C., Lakshmy, R., Barker, D.J.P., Biswas, S.K.D., Ramji, S., Prabhakaran, D. and Reddy, K.S. Relationship of serial changes in childhood body Mass Index to impaired glucose tolerance in young adulthood. New Engl. J. Med., 2004, 350, 865-875.
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