Childhood undernutrition and its determinants: a cross-sectional study among under-five children in a slum of Kolkata, West Bengal, India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20241494Keywords:
CIAF, Low-birth-weight, UndernutritionAbstract
Background: Undernutrition is an important risk for premature deaths and almost 45% of deaths in the under-five population are linked to undernutrition globally, where low- and middle-income countries (LMIC) bear a major share of it. This study aimed to measure the burden of such undernutrition and its determinants among the under-five children in a slum of Kolkata.
Methods: A community-based cross-sectional study was conducted between Oct 2022-February 2023 among 164 children aged between 6-59 months. Participants were selected by probabilistic sampling method; Mothers were interviewed and anthropometry of the children were measured. Prevalence of undernutrition was assessed by the composite index of anthropometric failure (CIAF). Logistic regression analysis was done to find out the associates of undernutrition.
Results: Median age of the study participants was 26.5 months, 54.3% of the participants being boy children. Regarding feeding of the child, 26.2% given prelecteal feeding, 17.7% didn’t receive colostrum, 33.5% had delayed initiation of breast feeding, only 57.9% child received exclusive breastfeeding. Of the participants, 11% child delivered by home delivery and 32.9% had low-birth-weights. According to CIAF 68.9% had undernutrition, while underweight, stunting, and wasting were reported as per conventional index 44.5%, 56.7%, and 16.5% respectively. In multivariable logistic analysis undernutrition have significant association with low birth weight and repeated episode of cough and running nose [aOR= 0.99(0.98-0.99). aOR=2.32(1.06-5.09)] respectively.
Conclusions: Considerable proportion of children (two out of three) had undernutrition with CIAF. Preventive measures should include improvement in antenatal care, child feeding counselling and social determinants of health.
References
World Health Organization. Malnutrition, 2022 Available at: https://www.who.int/news-room/fact-sheets/detail/malnutrition. Accessed 12 March 2024.
World Health Organization. Physical status: The use of and interpretation of anthropometry, Report of a WHO Expert Committee: World Health Organization; 1995.
Nandy S, Irving M, Gordon D, Subramanian SV, Smith GD. Poverty, child undernutrition and morbidity: new evidence from India. Bullet World Heal Organiz. 2005;83(3):210-6.
Svedberg, Peter, Poverty and Undernutrition: Theory, Measurement, and Policy. Oxford, 2000; online ed. Oxford Academic; 200.
Al-Sadeeq AH, Bukair AZ, Al-Saqladi AM. Assessment of undernutrition using composite index of anthropometric failure among children aged <5 years in rural Yemen. Eastern Mediterr Heal J. 2019;24(12):1119-26.
Endris N, Asefa H, Dube L. Prevalence of malnutrition and associated factors among children in rural Ethiopia. BioMed Res Int. 2017;2017:6587853.
Islam MS, Biswas T. Prevalence and correlates of the composite index of anthropometric failure among children under 5 years old in Bangladesh. Mater Child Nutrit. 2020;16(2):e12930.
Mandal G, Bose K. Assessment of overall prevalence of undernutrition using composite index of anthropometric failure (CIAF) among preschool children of West Bengal, India. Iran J Pediatr. 2009;19(3):237-43.
Kherde A, Patil CR, Deshmukh J, Petkar PB. Composite index of anthropometric failure among under 5 children attending the immunoprophylaxis clinic in a tertiary care hospital in Nagpur, Maharashtra, India. Int J Contemp Pediatr. 2018;5(3):888-92.
Roy K, Dasgupta A, Roychoudhury N, Bandyopadhyay L, Mandal S, Paul B. Assessment of under nutrition with composite index of anthropometric failure (CIAF) among under-five children in a rural area of West Bengal, India. Int J Contemp Pediatr. 2018;5(4):1651-6.
Singh S, Srivastava S, Upadhyay AK. Socio-economic inequality in malnutrition among children in India: an analysis of 640 districts from National Family Health Survey (2015-16). Int J Equity He. 2019;18(1):203.
Khan J, Das SK. The burden of anthropometric failure and child mortality in India. Sci Repor. 2020;10(1):20991.
Saha M, Das A, Chattapadhyay B, Paul B, Bhattacharyya M. Revised socioeconomic status scales for the year 2021: Updation based on latest base year series 2016. 2021;9(1):22-6.
International Institute for Population Sciences. National Family Health Survey - 5, State Fact Sheet, West Bengal, Ministry of Health and Family Welfare: Govt. of India. New Delhi, 2021. Available at: https://main.mohfw.gov.in/sites/default/files /NFHS-5_Phase-II_0.pdf. Accessed 12 March 2024.
Mandal G, Bose K. Assessment of overall prevalence of undernutrition using composite index of anthropometric failure (CIAF) among preschool children of West Bengal, India. Iran J Ped. 2009;19(3): 237-43.
Mukhopadhyay DK, Biswas AB. Food security and anthropometric failure among tribal children in Bankura, West Bengal. Ind Pediatr. 2011;48(4):311-4.
Shit S, Taraphdar P, Mukhopadhyay DK, Sinhababu A, Biswas AB. Assessment of nutritional status by composite index for anthropometric failure: a study among slum children in Bankura, West Bengal. Ind J Publ Heal. 2012;56(4):305-7.
Das S, Bose K. Report on “anthropometric failure” among rural 2-6 years old India Bauri caste children of West Bengal. Anthrop Rev. 2009;72:81-8.
Sen J, Mondal N. Socio-economic and demographic factors affecting the Composite Index of Anthropometric (CIAF). Ann Hum Biol. 2012;39(2):129-36.
Islam Md S, Biswas T. Prevalence and correlates of the composite index of anthropometric failure among under 5 years old in Bangladesh. Matern Child Nutr. 2019;16():e12930.
Khan S, Zaheer S, Safdar N F. Determinants of stunting, underweight and wasting among children <5years of age: evidence from 2012-2013 Pakistan demographic and health survey. BMC Publ Heal. 2019;19:358.
McDonald CM, Olofin I, Flaxman S, Fawzi WW, Spiegelman D, Caulfield LE, et al. The effect of multiple anthropometric deficits on child mortality: meta-analysis of individual data in 10 prospective studies from developing countries. Am J Clin Ntr. 2013;97(4):896-901.
Dasgupta A, Parthasarathi R, Prakash RV, Biswas R, Geethanjali A. Assessment of under nutrition with Composite Index of Anthropometric Failure (CIAF) among under-five children in a rural area of West Bengal. Ind J Commu Heal. 2014;26(2):132-8.
