Magnitude Of Undernutrition in Urban and Rural School-Going Children of District Dehradun Using Who Reference Standards
Keywords:
Undernutrition, School-going Children, Anthropometry, AnthroPlus SoftwareAbstract
Background: Anthropometry is an inexpensive and non-invasive method of growth and nutritional assessment. The objective of the study was to estimate the prevalence of undernutrition among school-going children belonging to urban and rural area of District Dehradun using WHO standards.
Methods: Nutritional assessment of school-going children was done in urban and rural areas using standard anthropometric measure- ments of height and weight. A total of 1808 school children were enrolled from 5-19 years of age. Weight-for-age, height-for-age and BMI-for-age z-scores were calculated using WHO AnthroPlus Soft- ware.
Results: The prevalence of underweight (<-2SD) was 8% in urban as compared to 23% in rural children. The prevalence of stunting and thinness was 14.8% and 6.1% in urban children and 16.6% and 25.9% in rural children. There were 14% urban children and 10% rural children who were overweight.
Conclusion: Undernutrition remains an ongoing health problem in school going children. WHO AnthroPlus Software can be a very use- ful for analysis of state and national level.
References
Khor GL. Food-based approaches to combat the double burden among the poor: challenges in the Asian context. Asia Pacific journal of clinical nutrition. 2008;17.
Bryce J, Boschi-Pinto C, Shibuya K, Black RE. WHO estimates of the causes of death in children. The Lancet. 2005;365(9465):1147-52.
National Nutrition Monitoring Bureau. Diet and Nutritional status of rural population. Technical Report No. 21. Hyderabad: National Institute of Nutrition, 2002.
Direction In Development: Repositioning Nutrition as Central to Development: A Strategy for Large-Scale Action. The World Bank. Washington DC, USA.2006.
Bose K, Biswas S, Bisai S, Ganguli S, Khatun A, Mukhopadhyay A, et al. Stunting, underweight and wasting among Integrated Child Development Services (ICDS) scheme children aged 3–5 years of Chapra, Nadia District, West Bengal, India. Maternal & child nutrition. 2007;3(3):216-21.
MoHFW. Strategy Handbook, Rashtriya Kishore Swasthya Karyakram, National Health Mission. New Delhi: 2014.
Subramanyam MA, Kawachi I, Berkman LF, Subramanian S. Is economic growth associated with reduction in child undernutrition in India? PLoS medicine. 2011;8(3):e1000424.
WHO. Physical Status: the Use and Interpretation of Anthropometry. Technical Report Series No. 854 Geneva: World Health Organization. 1995.
Mercedes de Onis ea. Development of a WHO growth reference for school-aged children and adolescents. WHO, 2007.
WHO AnthroPlus for personal computers Manual: Software for assessing growth of the world's children and adolescents. Geneva: WHO, 2009 (http://www.who.int/growthref/tools/en/)
WHO. WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards: Growth velocity based on weight, length and head circumference: Methods and development. Geneva: World Health Organization, 2009 (242 pages). 2009.
Onis Md, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization. 2007;85(9):660-7.
Bhoite R, Iyer U. Magnitude of malnutrition and iron deficiency anemia among rural school children: An appraisal. Asian J Exp Biol Sci. 2011;201(2):354-61.
Mitra M, Kumar P, Chakrabarty S, Bharati P. Nutritional status of Kamar tribal children in Chhattisgarh. The Indian Journal of Pediatrics. 2007;74(4):381-4.
Som S, Pal M, Bhattacharya B, Bharati S, Bharati P. Socioeconomic differentials in nutritional status of children in the states of West Bengal and Assam, India. Journal of biosocial science. 2006;38(5):625.
Sarma K, Udaykumar P, Balakrishna N, Vijayaraghavan K, Sivakumar B. Effect of micronutrient supplementation on health and nutritional status of schoolchildren: growth and morbidity. Nutrition. 2006;22(1):S8-S14.
Osei A, Houser R, Bulusu S, Joshi T, Hamer D. Nutritional status of primary schoolchildren in Garhwali Himalayan villages of India. Food & Nutrition Bulletin. 2010;31(2).
World Development Report 2003: Sustainable Development in a Dynamic World: Transforming Institutions, Growth, and Quality of Life. World Bank: Oxford University Press 2003.
Aggarwal P, Kandpal S, Negi K. Comparative Study on Practical Application, Acceptability and Feasibility of Different Types of Growth Monitoring Charts. Indian J Prev Soc Med. 2012;43(3):333.
Popkin BM, Horton S, Kim S, Mahal A, Shuigao J. Trends in diet, nutritional status, and diet-related noncommunicable diseases in China and India: the economic costs of the nutrition transition. Nutrition reviews. 2001;59(12):379-90.
NRHM. School Health Programme (SHP). Government of Uttarakhand Department of Medical Health and family Welfare; 2012.
NIHFW. Assessment of School Health Programme in Uttarakhand. New Delhi: National Insititute of Health and Family Welfare, 2013.
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