Nutritional status assessment of children aged 0-5 years and its determinants in a tribal community of Coimbatore district

Authors

  • S. K. Senthilkumar Department of Community Medicine, Coimbatore Medical College, Coimbatore, Tamil Nadu, Indi
  • Thomas V. Chacko Department of Community Medicine, PSG Institute of Medical Sciences, Coimbatore, Tamil Nadu, India
  • K. Suvetha Department of Community Medicine, PSG Institute of Medical Sciences, Coimbatore, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20182610

Keywords:

Nutrition, Prevalence, Determinants, Under five aged children

Abstract

Background: Nutritional assessment in children is very important to prevent nutritional disorders and to decrease the morbidity and mortality. The present study was undertaken to assess the prevalence and determinants of malnutrition among children aged 0-5 years in a tribal community of Coimbatore district. Anaikatty and Palamalai tribal areas of Perianaikenpalayam block (population=347062) was selected for our study.

Methods: A total of 206 children aged 0-5 years were included in the study after implementing the exclusion criteria.

Results: Overall prevalence of malnutrition found to be 51%. These 51% (105) malnourished children consisted of 41.3% underweight, of which 11.2% were severely underweight. Prevalence of stunting was 32.5%, of which 6.3% were severely stunted. About 21.8% children were wasted and 6.8% were severely wasted among them. Socio-demographic factors like total number of family members exceeding four, mother’s educational status, father’s educational status, mother’s occupational status, socio-economic status, alcohol usage by any family member, and mother’s nutritional status were found to be significantly associated with malnutrition on univariate analysis.

Conclusions: The problems of low standard of living, hunger, starvation, malnutrition, agricultural illiteracy, poor antenatal care, disease, poor sanitary and housing facilities, etc. has to be improved totally by implementation of policy that already exists. 

References

Jelliffe DB. The assessment of nutritional status of the community, WHO Monograph. 1966: 53.

Yigit EK, Tezcan S. Infant feeding practices and children’s and women’ nutritional status. Ankara; 2004: 141-155.

Food and Agriculture Organization Staff. The State of Food Insecurity in the World, 2002: Food Insecurity: When people Live with Hunger and Fear Starvation. Food and Agriculture Organization of the United Nations 2002; 6.

World health organization, global database on malnutrition. Available at: http://www.who.int/ nutgrowthdb/en/. Accessed on 3 August 2017.

The Silent Emergency. State of World’s Children 1998. Focus on Nutrition. UNICEF.

Sachdev HPS. Assessing child malnutrition-some basic issues. Bull Nutr Foundations India. 1995;16:1-5.

Haq MN. Age at menarche and the related issue: A pilot study on urban school girls. Journal of Youth and Adolescence. 1984;13(6):559–67.

Karim A, Chowdhury AKMA, Kabir M. Nutritional status and age at secondary sterility in rural Bangladesh. J Biosocial Sci. 1985;17(4):497–502.

Onis MD, Frongillo EA, Blossner M. Is malnutrition declining? An analysis of changes in levels of malnutrition since 1980. Bulletin of WHO, 2000;78 (10):1222-33.

National Family Health Survey (NFHS-3), 2005-06, National Report, International Institute of Population Sciences, Mumbai.

Deshmukh PR, Dongre AR, Gupta SS, Garg BS. Newly developed WHO growth standards; Implications for demographic surveys and child health programs. Indian J Pediatr. 2007;74;987-90.

Dietary Guidelines for Indians - A Manual. National Institute of Nutrition, Hyderabad; 2011: 89-90.

Physical status: The use and interpretation of anthropometry – Report of WHO expert committee, Geneva: World Health Organization; 1995: 263-308.

Meshram II, Arlappa N, Balakrishna N, Rao M K, Laxmaiah A, Brahmam GN. Trends in the prevalence of undernutrition, nutrient and food intake and predictors of undernutrition among under five year tribal children in India. Asia Pac J Clin Nutr. 2012;21(4):568-76.

Meshram II, Arlappa N, Balakrishna N, Mallikharjuna Rao K, Laxmaiah A, Brahmam GN. Prevalence and Determinants of Undernutrition and its Trends among Pre-School Tribal Children of Maharashtra State, India. J Trop Pediatr. 2012;58(2):125-32.

Rao VG, Yadav R, Dolla CK, Kumar S, Bhondeley MK, Mahendra U. Under nutrition and childhood morbidities among tribal pre-school children. Indian J Med Res. 2005;122(7):43-7.

Bisai S, Bose K, Ghosh A. Prevalence of Undernutrition of Lodha Children Aged 1-14 Years of Paschim Medinipur District, West Bengal, India. Iranian J Pediatr. 2008;18:323-9.

Mekonnen HT, Tadesse and Kisi T. Malnutrition and its Correlates among Nutr Disorders Ther S. 2013;12:2161-509.

Islam MM, Alam M, Tariquzaman M, Kabir MA, Pervin R, Begum M, et al. Predictors of the number of under-five malnourished children in Bangladesh: application of the generalized poisson regression model. BMC Public Health. 2013;13:1.

Harishankar. Nutritional Status of Children under 6 years of Age. Indian J Prev Soc Med. 2004;35:3-4.

Reddy DCS, Singh K, Tiwari IC. Epidemiology of Nutritional deficiency disorders among tribal pre-school children around Manikpur, Banda district, Uttar Pradesh. Indian J Prevent Social Med. 1984;15(1-2):57-62.

Rayhan MI, Khan MSH. Factors Causing Malnutrition among under Five Children in Bangladesh. Pakistan J Nutr. 2006;5(6):558-62.

Yadav RJ, Singh P. Nutritional status and dietary intake in tribal children of Bihar. Indian Pediatr. 1999;36:37-42.

Sonowal CJ. Factors Affecting the Nutritional Health of Tribal Children in Maharashtra Ethno Med. 2010;4(1):21-36.

Biswas S, Bose K. Association between place of delivery and under nutrition. Nutritional Segment: 2011.

Moster D, Lie RT, Markestad T. Long-Term Medical and Social Consequences of Preterm Birth. N Engl J Med. 2008;359:262-73.

Hien, Ngoc N, Hoa NN. Nutritional status and determinants of malnutrition in children under three years of age in Nghean, Vietnam. Pakistan J Nutr. 2009;8(7):958-64

Majlesi F, Nikpoor B, Golestan B. Growth chart study in children under 5 years old in rural area of Khoramabad province. Iranian J Public Health. 2001;30;(3):107-10.

Yasoda DP, Geervani P. Determinants of nutrition status of rural preschool children in Andhra Pradesh, India. Birth. 1994;36:24-6.

Alim F, Jahan F. Assessment of Nutritional Status of Rural Anganwadi Children of Aligarh under the ICDS (Integrated Child Development Services) and Rural Health. Stud Home Com Sci. 2012;6(2):95-8.

Downloads

Published

2018-06-22

How to Cite

Senthilkumar, S. K., Chacko, T. V., & Suvetha, K. (2018). 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, 5(7), 2835–2845. https://doi.org/10.18203/2394-6040.ijcmph20182610

Issue

Section

Original Research Articles