Prevalence of Under Nutrition and Its Risk Factors among Children below Two Years of Age in a Tertiary Health Centre in West Bengal

Authors

  • Sukes Das College of Medicine & Sagore Dutta Hospital, Kolkata, West Bengal
  • Tanmoy Mukherjee Coochbehar Govt Medical College, Coochbehar, West Bengal
  • Sajib Chakraborty College of Medicine & Sagore Dutta Hospital, Kolkata, West Bengal
  • Nivedita Das College of Medicine & Sagore Dutta Hospital, Kolkata, West Bengal

DOI:

https://doi.org/10.55489/njcm.1342022440

Keywords:

Children aged 0-23 months, under nutrition, Risk factors

Abstract

Background: Malnutrition in under five children is prevalent widely. It affects growth as well as development; also causes higher morbidity and mortality among children significantly. This public health problem is multi-factorial.

Aim and Objectives: This study was conducted to estimate the prevalence of under nutrition and its risk factors among children up to 2 years of age attending a tertiary health care institution of Kolkata.

Material and methods: This cross-sectional study was conducted among children aged 0 – 23 months, attending the Immunization clinic of CMSDH, Kolkata, during December, 2019 –January, 2020. Data were collected by interviewing the accompanying caregivers, anthropometric measurements of the study subjects and review of records.

Results: Among 135 children studied, the prevalence of stunting was 14.1% (5.8% severely stunted), underweight was 9.7% (3.8% severely underweight), wasting was 18.5% (8.1% were SAM).Younger age group (0-6 months),boys and children having inappropriate feeding for age were at increased risk of under nutrition. Children having working mothers, birth spacing of <3 years, LBW and delayed initiation of breastfeeding (>1hour) were at higher risk of stunting and underweight. Incorrect age of introduction of complementary feeding had higher risk of wasting.

Conclusion: Several risk factors for malnutrition were found which are amenable to prevention.

References

WHO. Fact sheets: Malnutrition.2020[internet][cited 2020 Nov 24]. Available from https://www.who.int/news-room/fact-sheets/detail/malnutrition.

Park K. Park's Text book of Preventive and Social Medicine. 25th edition. Jabalpur. Bhanot Publishers.2019; 696.

UNICEF-WHO-The World Bank: Joint child malnutrition es-timates - levels and trends.2020[internet][cited 2020 Dec 16].Available from: https:// data.unicef. org /resources/jme-report-2020/

International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-4), 2015-16: India Fact Sheet. Mumbai: IIPS.2015-2016.Available from: http://rchiips.org/nfhs/pdf/NFHS4/India.pdf

India State-Level Disease Burden Initiative Child Mortality Collaborators. Subnational mapping of under-5 and neonatal mortality trends in India: the Global Burden of Disease Study 2000-17. Lancet 2020; 395: 1640-58. Available from: https://pubmed.ncbi.nlm.nih.gov/32413293/

International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-4), 2015-2016: State Fact Sheet: WestBengal. Mumbai. IIPS. 2015-2016.Available from: http://rchiips.org/nfhs/pdf/NFHS4/WB_FactSheet.pdf

Huey S L, Finkelstein J L, Venkatramanan S et al. Prevalence and Correlates of Undernutrition in Young Children Living in Urban Slums of Mumbai, India: A Cross Sectional Study. Front Public Health.2019;7:191. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6639755/ https://doi.org/10.3389/fpubh.2019.00191 PMid:31355176 PMCid:PMC6639755

Yisak H., Gobena T. & Mesfin F. Prevalence and risk factors for under nutrition among children under five at Haramaya dis-trict, Eastern Ethiopia. BMC Pediatr,2015;212. Available from: https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-015-0535-0

https://doi.org/10.1186/s12887-015-0535-0 PMid:26675579 PMCid:PMC4682239

Kang Y, Aguayo VM, Campbell RK, et al. Nutritional status and risk factors for stunting in preschool children in Bhutan. Ma-tern Child Nutr. 2018;14(S4):e12653. Available from: https://pubmed.ncbi.nlm.nih.gov/30412341/ https://doi.org/10.1111/mcn.12653

Meshram II, Mallikharjun Rao K, Ch Gal Reddy et al. Preva-lence of Under Nutrition and its Predictors among Under 5 Year Children in Surat Region, Gujarat, India. J Clin Nutr Diet. 2016 2:1. Available from: https://pubmed.ncbi.nlm.nih.gov/21543411/ https://doi.org/10.4172/2472-1921.100009

Sinha T, Singh G, Nag U. Nutritional Status of Children Under 5 Years in Tribal Villages of Bastar Chhattisgarh India. J intern Med Prim Healthcare, 2019; 3: 007. Available from: https://www.heraldopenaccess.us/article_pdf/41/nutritional-status-of-children-under-5-years-in-tribal-villages-of-bastar-chhattisgarh-india.pdf https://doi.org/10.24966/IMPH-2493/100007

Bhandari TR, Chhetri M. Nutritional Status of Under Five Year Children and Factors Associated in Kapilvastu District, Nepal. J Nutrition Health Food Sci,2013; 1(1): 6. Available from: https://symbiosisonlinepublishing.com/nutritionalhealth-foodscience/nutritionalhealth-foodscience06.php https://doi.org/10.15226/jnhfs.2013.00106

Suri S, Kumar D. Nutritional Status and the Factors Associat-ed with it among Children Aged 1-5 Years in a Rural Area of Jammu. Int J Sci Stud 2015;3(3): 60-64. Available from: https://www.ijss-sn.com/uploads/2/0/1/5/20153321/ijss_jun_oa13.pdf

Kumar D ,Goel NK,KaliaM,Mahajan V. Socio-demographic Fac-tors Affecting the Nutritional Status of the Under ThreeChildren in Chandigarh, UT. Healthline Journal, 2015;6(1) Available from: http://www.healthlinejournal.org/index_pdf/173.pdf

Shreyaswi SM, Rashmi, Udaya Kiran N.Prevalence And Risk Factors Of Under Nutrition Among Under Five Children In A Rural Community. NUJHS, December 2013;3(4) Available from: https://www.nitte.edu.in/journal/dec%202013/82-86%20Shreyashwi.pdf

Madhusudhan K, Rajeev PK, Shireesha A, Ushashree GV. Study of risk factors of severe acute malnutrition (SAM) in children 6 months to 5 years of age and evaluation of effect of micronu-trient supplementation (WHO protocol) on serum zinc and magnesium levels: a case control study. Int J Contemp Pediatr 2017;4:1198-1205. Available from: https://www.ijpediatrics.com/index.php/ijcp/article/view/874 https://doi.org/10.18203/2349-3291.ijcp20172112

Oljira H., Jain V. K. Risk factors for severe acute malnutrition in under five children in Jimma zone, Ethiopia, Med. Res. Chron. 2016; 3(6):520-529 Available from: https://medrech.com/index.php/medrech/article/view/207

Rachana RD, Prashanth MR, Savitha MR. Maternal risk factors in malnourished children: a neglected study.Sri Lanka Journal of Child Health, 2020; 49(2): 150-155 Available from:https://sljch.sljol.info/articles/abstract/10.4038/sljch.v49i2.8963/ https://doi.org/10.4038/sljch.v49i2.8963

Downloads

Published

2022-04-30

How to Cite

1.
Das S, Mukherjee T, Chakraborty S, Das N. Prevalence of Under Nutrition and Its Risk Factors among Children below Two Years of Age in a Tertiary Health Centre in West Bengal. Natl J Community Med [Internet]. 2022 Apr. 30 [cited 2024 Nov. 21];13(04):253-8. Available from: https://njcmindia.com/index.php/file/article/view/440

Issue

Section

Original Research Articles