Nutritional status assessment of 6-59 months age children in rural Yadgir, Karnataka state, India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20240895Keywords:
Nutritional status, Malnutrition, Stunting, Wasting, Underweight, Rural YadgirAbstract
Background: Childhood undernutrition contributes to childhood diseases and is a major cause of child mortality in India. According to National Family Health Survey (NFHS-5), 32% under-five children in India were under-weight, and 36% were stunted. In Karnataka, the prevalence of underweight among under-five children was 33% and stunting 35%. The objective of the study was to assess the nutritional status of under five-years children in rural communities.
Methods: A community based cross sectional study was conducted among 1887 under-five children from rural Yadgir, Karnataka. Weight and height of children were measured using standard protocols. The World Health Organization (WHO) Anthro software version 3.2.2.1 was used for analyzing data. Children whose Z-scores on weight-for-age, height-for-age and weight-for-height indices were below -2SD from the median of the WHO reference population were considered as underweight, stunted, and wasted respectively.
Results: The result revealed that 53.6% of children were stunted, 39.4% were underweight and 15.3% were wasted. Severe forms of underweight, stunting and wasting were observed among 9.4%, 24.2% and 4% children respectively. The frequency of being underweight and stunted has increased with age, which was accelerated after 6 months and about 34% and 52% of children were underweight and stunted by the age 12-23 months. While wasting was higher among children aged 6-11 (24.2%) months than their counterparts.
Conclusions: Special attention is required to reduce nutrition vulnerability among young children (12-24 months). An appropriate strategy needs to be implemented to educate rural mothers on the importance of exclusive breastfeeding and complementary feeding practices.
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References
UNICEF. Early Childhood Nutrition. Available at: https://www.unicef.org/nutrition/early-childhood-nutrition. Accessed on 20 July 2023.
Bagchi A, Sardar JC, Karmakar PR. Feeding practice and nutritional status of under five children: a cross sectional descriptive study in a slum community of West Bengal. Int J Res Rev. 2021;8(2):197-203.
Murray CJ, Lopez AD. Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet. 1997;349(9063):1436-42.
2021 Global Nutrition Report: The state of global nutrition. Bristol, UK: Development Initiatives. Available at: https://globalnutritionreport.org/ documents/851/2021_Global_Nutrition_Report_aUfTRv0.pdf. Accessed on 20 July 2023.
Gragnolati M, Bredenkamp C, Shekar M, Das Gupta M, Lee Y. India's Undernourished Children: l for Reform and Action. Health Nutrition, and Population. Washington, DC: World Bank. 2006. Available at: https://documents1.worldbank.org/ curated/en/834001468255244567/pdf/346380IN0UndernourishedChildren01PUBLIC1.pdf. Accessed on 20 July 2023.
International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-5), India: Volume 1. 2019-21: Mumbai: IIPS. 2021.
Patwari AK, Kumar S, Beard J. Undernutrition among infants less than 6 months of age: an underestimated public health problem in India. Matern Child Nutr. 2015;11:119-26.
International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-5), India, 2019-20: Karnataka. Mumbai: IIPS. 2021.
Establishing SHG/FPO enterprises to address malnutrition and provide rural livelihoods in Yadgir District, Karnataka: BASELINE AND SOCIAL SURVEY. Available at https://www.kscst.org.in/ malnutrition/expression%20of%20interest%20_malnutrition%20and%20rural%20livelihood%20in%20Yadgir%20district.pdf. Accessed on 20 July 2023.
Van den Broeck J, Willie D, Younger N. The World Health Organization child growth standards: Expected implications for clinical and epidemiological research. Eur J Pediatr. 2009;168:247-51.
Krutika C, Kenganal M, Nalwar S. Nutritional Status and Its Awareness among School Students in Yadgir District. Int J Curr Microbiol App Sci. 2019;8(6):2189-94.
Niti Gov. Aspirational Districts Programme. 2022. Available at: https://www.niti.gov.in/sites/default/ files/2022-09/List-of-Aspirational-Districts.pdf. Accessed on 20 July 2023.
Das S, Hossain MZ, Nesa MK, Zakir M. Levels and Trends in Child Malnutrition. Asia-Pacific Population J. 2019;24(2):51-78.
International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-4), India, 2015-16: District Fact Sheet Yadgir, Karnataka. Mumbai: IIPS. 2021.
Jeyakumar A, Nikam S, Nayak S. Prevalence and Risk Factors of Undernutrition among Children Less than 2 Years in Urban Slums of Pune, Maharashtra, India. Ecol Food Nutr. 2019;58(5):456-69.
Puri S. Transition in Infant and Young Child Feeding Practices in India. Curr Diabetes Rev. 2017;13(5):477-81.
Udoh EE, Amodu OK. Complementary feeding practices among mothers and nutritional status of infants in Akpabuyo Area, Cross River State Nigeria. Springerplus. 2016;5(1):2073.
Abi Khalil H, Hawi M, Hoteit M. Feeding Patterns, Mother-Child Dietary Diversity and Prevalence of Malnutrition Among Under-Five Children in Lebanon: A Cross-Sectional Study Based on Retrospective Recall. Front Nutr. 2022;9:815000.
Roba KT, O'Connor TP, Belachew T, O'Brien NM. Variations between post- and pre-harvest seasons in stunting, wasting, and Infant and Young Child Feeding (IYCF) practices among children 6-23 months of age in lowland and midland agro-ecological zones of rural Ethiopia. Pan Afr Med J. 2016;24:163.
Danaei G, Andrews KG, Sudfeld CR, Fink G, McCoy DC, Peet E, et al. Risk Factors for Childhood Stunting in 137 Developing Countries: A Comparative Risk Assessment Analysis at Global, Regional, and Country Levels. PLoS Med. 2016;13(11):e1002164.
Ntenda PAM. Association of low birth weight with undernutrition in preschool-aged children in Malawi. Nutr J. 2019;18(1):51.
Sarma H, Khan JR, Asaduzzaman M, Uddin F, Tarannum S, Hasan MM, et al. Factors Influencing the Prevalence of Stunting Among Children Aged Below Five Years in Bangladesh. Food Nutr Bull. 2017;38(3):291-301.
Martorell R, Young MF. Patterns of stunting and wasting: potential explanatory factors. Adv Nutr. 2012;3(2):227-33.
Akombi BJ, Agho KE, Merom D, Hall JJ, Renzaho AM. Multilevel Analysis of Factors Associated with Wasting and Underweight among Children Under-Five Years in Nigeria. Nutrients. 2017;9(1):44.
Wali N, E Agho K, Renzaho AMN. Wasting and Associated Factors among Children under 5 Years in Five South Asian Countries (2014-2018): Analysis of Demographic Health Surveys. Int J Environ Res Public Health. 2021;18(9):4578.
Yeshaneh A, Mulu T, Gasheneit A, Adane D. Prevalence of wasting and associated factors among children aged 6-59 months in Wolkite town of the Gurage zone, Southern Ethiopia, 2020. A cross-sectional study. PLoS One. 2022;17(1):e0259722.
Aguayo VM, Badgaiyan N, Dzed L. Determinants of child wasting in Bhutan. Insights from nationally representative data. Public Health Nutr. 2017;20(2):315-24.
Nira R. Women and Food Security in South Asia: Current Issues and Emerging Concerns. WIDER Working Paper Series RP2006-131, World Institute for Development Economic Research (UNU-WIDER). 2006.
Wrottesley SV, Lamper C, Pisa PT. Review of the importance of nutrition during the first 1000 days: maternal nutritional status and its associations with fetal growth and birth, neonatal and infant outcomes among African women. J Dev Orig Health Dis. 2016;7(2):144-62.