Assessment of Nutritional Status and Its Determinants among Fewer than 5 Children in a Rural Area of Southern India

Authors

  • Shini Preetha Nirmalson Vinayaka Mission’s Kirupananda Variyar Medical College and Hospitals, Salem
  • Vijayakarthikeyan M Vinayaka Mission’s Kirupananda Variyar Medical College and Hospitals, Salem

DOI:

https://doi.org/10.55489/njcm.130520221616

Keywords:

Undernutrition, Malnutrition, Growth

Abstract

Background: Globally malnutrition possesses a double burden in the forms of undernutrition and obesity. The most adverse form of human deprivation is undernutrition among under five children. A child who is underweight may be stunted, wasted or both.

Objectives: To assess the nutritional status of under-five children and to identify the determinants of nutritional status among under-five children.

Materials and Methods: This is a community based cross-sectional, analytical study conducted on 330 under-five children from a rural area of Salem district of Tamilnadu. Simple random sampling was used to select the study participants. Data was collected using a pre tested semi-structured questionnaire containing socio-demographic particulars, details pertaining to the mother, details pertaining to the child and anthropometric measurements. Data was entered in MS Excel and analysed using SPSS version 20.

Results: In this study, majority 60% of them were males. Around 16.4%, 26.4% and 32% of Under 5 children were underweight, wasted and stunted respectively. During the last 1 year about 33.6% and 73.6% had history of acute diarrhoeal infection and acute respiratory tract infection. Variables significantly associated with underweight, stunting and wasting were female gender, nourishment of mother, exclusive breastfeeding (p value < 0.05). Underweight was significantly associated (p value < 0.05) with wasting and stunting.

Conclusion: Stunting and wasting rates were higher compared to the National and regional rates given inNFHS-5 data. Proper care of the girl child, frequent sensitization of the mothers regarding the nutrition of their children by community health workers and early diagnosis and treatment of infection are some measures that can be adopted to combat the problem of undernutrition in the locality.

References

John J, John J. Prevalence and risk factors associated with underweight among under-five children in a rural area of Puducherry. Muller Journal of Medical Sciences and Research. 2018 Jan 1;9(1):7-11. DOI: https://doi.org/10.4103/mjmsr.mjmsr_16_17 DOI: https://doi.org/10.4103/mjmsr.mjmsr_16_17

Priyanka R, Vincent V, Jini MP, Saju CR. An assessment of the nutritional status of underfive children in a rural area of Thrissur district, Kerala, India. Int J Community Med Public Health. 2016 Dec;3(12):3479-86. DOI: https://doi.org/10.18203/2394-6040.ijcmph20164278 DOI: https://doi.org/10.18203/2394-6040.ijcmph20164278

Senthilkumar SK, Chacko TV, Suvetha K. Nutritional status assessment of children aged 0-5 years and its determinants in a tribal community of Coimbatore district. International Journal of Community Medicine and Public Health. 2018 Jul;5(7):2835-45. DOI: https://doi.org/10.18203/2394-6040.ijcmph20182610 DOI: https://doi.org/10.18203/2394-6040.ijcmph20182610

World Health Organisation. Levels and Trends in child malnutrition. UNICEF - WHO - World Bank Group Joint child malnutrition estimates. Key findings of the 2015 edition. Geneva: WHO. Available at: http://www.who.int/nutgrowthdb /jme_brochure2015.pdf?ua=1.

Bellamy C. The state of the World's Children -Focus on Nutrition. UNICEF, New York. Oxford University Press; 1998: p.9.

Nshimyiryo A, Hedt-Gauthier B, Mutaganzwa C, Kirk CM, Beck K, Ndayisaba A, Mubiligi J, Kateera F, El-Khatib Z. Risk factors for stunting among children under five years: a cross-sectional population-based study in Rwanda using the 2015 Demographic and Health Survey. BMC public health. 2019 Dec;19(1):1-10. DOI: https://doi.org/10.1186/s12889-019-6504-z PMid:30744614 PMCid:PMC6371425 DOI: https://doi.org/10.1186/s12889-019-6504-z

Li Z, Kim R, Vollmer S, Subramanian SV. Factors associated with child stunting, wasting, and underweight in 35 low-and middle-income countries. JAMA network open. 2020 Apr 1;3(4):1-18.DOI: https://doi.org/10.1001/jamanetworkopen.2020.3386 PMid:32320037 PMCid:PMC7177203 DOI: https://doi.org/10.1001/jamanetworkopen.2020.3386

Bryce J, Coitinho D, Darnton H, Pinsturp I, Anderson P. Maternal and child undernutrition, effective action at national level. Lancet. 2008; 371:510-26. DOI: https://doi.org/10.1016/S0140-6736(07)61694-8 DOI: https://doi.org/10.1016/S0140-6736(07)61694-8

Yadav SS, Yadav ST, Mishra P, Mittal A, Kumar R, Singh J. An epidemiological study of malnutrition among under five children of rural and urban Haryana. Journal of clinical and diagnostic research: JCDR. 2016 Feb;10(2):LC07-10. DOI: https://dx.doi.org/10.7860%2FJCDR%2F2016%2F16755.7193

NFHS 5 India Factsheet. Available at http://rchiips.org/nfhs/NFHS-5_FCTS/India.pdf. Accessed on 1 Mar 2022.

NFHS 5 Tamilnadu Factsheet. Available at http://rchiips.org/nfhs/factsheet_NFHS-5.shtml. Accessed on 1Mar 2022.l

Malnutrition in children.World Health Organization. Nutrition Landscape Information System (NLIS) .Country profile indicators: interpretation guide. Available at http://apps.who.int/iris/bitstream/handle/10665/44397/9789241599955_eng.pdf;jsessionid=0E21ADF4D78F34C007DC6CFB18AA9337?sequence=1. Accessed on 1 Mar 2022.

Reddy VB, Kusuma YS, Pandav CS, Goswami AK, Krishnan A. Prevalence of malnutrition, diarrhea, and acute respiratory infections among under-five children of Sugali tribe of Chittoor district, Andhra Pradesh, India. Journal of natural science, biology, and medicine. 2016 Jul;7(2):155-160. DOI: https://doi.org/10.4103/0976-9668.184702 PMid:27433066 PMCid:PMC4934105 DOI: https://doi.org/10.4103/0976-9668.184702

Padmanabhan PS, Mukherjee K. Nutrition in tribal children of Yercaud region, Tamil Nadu. Indian J Nutr. 2016;3:148. Available at https://www.opensciencepublications.com/fulltextarticles/IJN-2395-2326-3-148.html.

Galgamuwa LS, Iddawela D, Dharmaratne SD, Galgamuwa GL. Nutritional status and correlated socio-economic factors among preschool and school children in plantation communities, Sri Lanka. BMC public health. 2017 Dec;17(1):1-11.DOI: https://doi.org/10.1186/s12889-017-4311-y PMid:28464868 PMCid:PMC5414369 DOI: https://doi.org/10.1186/s12889-017-4311-y

Upadhyay RP, Chinnakali P, Bhilwar M, Krishnan B, Kulkarni V, Gupta A, Rizwan SA. Prevalence of malnutrition, acute respiratory infections and diarrhoea in children aged 1-5 years in urban slums of Puducherry, South India. Int J ContempPediatr. 2015 Jan;2(1):37-41.DOI: https://doi.org/10.5455/2349-3291.ijcp20150209 DOI: https://doi.org/10.5455/2349-3291.ijcp20150209

SS A, Jayasree AK, DevakiAntherjanam S. Prevalence of underweight among preschool children attending anganwadi in Kannur district, Kerala, India. International Journal of Community Medicine and Public Health. 2017 Jul;4(7):2361-65.DOI: https://doi.org/10.18203/2394-6040.ijcmph20172824 DOI: https://doi.org/10.18203/2394-6040.ijcmph20172824

Sharma A, Yadav A, Baig V, Swarnkar M, Singh R, Kumar S. Malnutrition & Associated Risk Factors among Under Five Children. Indian Journal of Community Health. 2015 Sep 30;27(3):311-19. Available at https://www.iapsmupuk.org/journal/index.php/IJCH/article/view/577/577.

Bisai S, Mahalanabis D, Sen A, Bose K. Maternal education, reported morbidity and number of siblings are associated with malnutrition among Lodha preschool children of PaschimMedinipur, West Bengal, India. International Journal of Pediatrics. 2014;2(4.2):13-21. Available at https://www.sid.ir/en/Journal/ViewPaper.aspx?ID=429615.

Rahman MS, Howlader T, Masud MS, Rahman ML. Association of low-birth weight with malnutrition in children under five years in Bangladesh: do mother's education, socio-economic status, and birth interval matter?.PloS one. 2016 Jun 29;11(6):1-16.DOI: https://doi.org/10.1371/journal.pone.0157814 PMid:27355682 PMCid:PMC4927179 DOI: https://doi.org/10.1371/journal.pone.0157814

Suganya E, Vrushabhendra HN, Srikanth S, Sudha V. Assessment of nutritional status and preference of nutritional supplements among anganwadi children. International Journal Of Community Medicine And Public Health. 2017 Apr 24;4(5):1526-9. DOI: https://doi.org/10.18203/2394-6040.ijcmph20171546 DOI: https://doi.org/10.18203/2394-6040.ijcmph20171546

Dinesh PV, Bhargav SV, Kulkarni AG. A cross sectional study on nutritional status and dental caries among rural preschool children of Sulliataluk, Karnataka. Int J Community Med Public Health 2017;4:3685-90. DOI: https://doi.org/10.18203/2394-6040.ijcmph20174234 DOI: https://doi.org/10.18203/2394-6040.ijcmph20174234

Rodriguez Lianes JM, Ranjan Dash S, Degomme O, Mukhopadhyay A, Guha Sapir D. Child malnutrition and recurrent flooding in rural Eastern India: A community based survey. BMJ Open 2011;1:1-8. DOI: https://doi.org/10.1136/bmjopen-2011-000109 PMid:22080535 PMCid:PMC3208901 DOI: https://doi.org/10.1136/bmjopen-2011-000109

Suman C, Rohini G, Premananda B. Breastfeeding Practices and Nutritional Status of Preschool Children among the Shabar Tribal Community in Orissa, India Proceeding of National Symposium on Tribal Health 2006. p. 227 34. Available at https://www.nirth.res.in/publications/nsth/29.S.Chakraborty.pdf.

Mathad V, Metgud C, Mallapur MD. Nutritional status of under fives in rural area of South India. Indian J Med Sci 2011;65:151 56. DOI: https://doi.org/10.4103/0019-5359.104778 PMid:23250345 DOI: https://doi.org/10.4103/0019-5359.104778

Bhanderi D, Choudhary SK. An epidemiological study of health and nutritional status of under five children in semi urban community of Gujarat. Indian J Public Health 2006;50:213 9. Available at https://pubmed.ncbi.nlm.nih.gov/17444049/

Sengupta P, Philip N, Benjamin AI. Epidemiological correlates of under nutrition in under 5 years children in an urban slum of Ludhiana. Health PopulPerspect Issues 2010;33:1 9. Available at https://www.researchgate.net/publication/228481847_Epidemiological_correlates_of_under-nutrition_in_under-5_years_children_in_an_urban_slum_of_Ludhiana.

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Published

2022-05-31

How to Cite

1.
Nirmalson SP, Vijayakarthikeyan M. Assessment of Nutritional Status and Its Determinants among Fewer than 5 Children in a Rural Area of Southern India. Natl J Community Med [Internet]. 2022 May 31 [cited 2022 Jul. 5];13(05):287-93. Available from: https://njcmindia.com/index.php/file/article/view/1616

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Original Research Articles