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EN
This study was undertaken to determine the overall prevalence of undernutrition using the composite index of anthropometric failure (CIAF) among the Bauri caste rural preschool children of the Purulia District, West Bengal, India. A total of 347 children (185 boys and 162 girls) aged 2-6 years were measured. Stunting, underweight and wasting were used to evaluate the nutritional status of the subjects (compared with children of the United States NCHS reference sample) and CIAF for the total children. Among the studied Bauri children, 39.2% were stunted, 51.2% - underweight and 26.6% - wasted. The CIAF showed a higher prevalence of undernutrition, with a total of 66.3% of Bauri caste preschool children suffering from at least one type of "anthropometric failure". Among the studied children only 33.7% showed no failure. Valuable health and nutrition promotional programs can be formulated based on the CIAF findings with the ultimate objective of reducing childhood undernutrition in a population of India.
PL
Badania wykonano w celu określenia poziomu niedożywienia wiejskich indyjskich dzieci w wieku przedszkolnym, należących do kasty Bauri (kasta o niskim statusie, której przedstawiciele są głównie najemnymi pracownikami fizycznymi), w dystrykcie Parulia w Bengalu Zachodnim. Niedożywienie określano kompleksowym wskaźnikiem "fiaska antropometrycznego" (CIAF). Zbadano 347 dzieci (185 chłopców i 162 dziewczynki) w wieku 2-6 lat. Przypadki skrajnego niedożywienia rejestrowano w trzech kategoriach: "niedorastania", "wychudzenia" i "wyniszczenia" (układem odniesienia były normy rozwojowe dzieci ze Stanów Zjednoczonych z lat 60.-70.), z których powstają grupy składające się na wskaźnik CIAF. Wśród zbadanych dzieci kasty Bauri, 39,2% kwalifikowało się do kategorii "niedorośniętych", 51,2% - "wychudzonych" i 26,6% - "wyniszczonych". Wskaźnik CIAF, uwzględniający wystąpienie u dziecka co najmniej jednej ze wspomnianych wyżej kategorii, osiągnął wartość 66,3% - zaledwie 33,7% dzieci pod względem żadnej z badanych cech nie znalazło się poniżej progu, jaki stanowi wartość 5. centyla uwzględnionych norm.
EN
For nutritional assessment work for older population, it is important to be able to estimate body height based on knee height. The present report describes three equations for height estimation among older Bengalees based on knee height and compares the results with knee height based formulae developed for several other populations. Anthropometric measurements were analyzed from 114 (62 men and 52 women) older subjects aged >= 55 years. The subjects were randomly selected from two blocks (Contai I and Ramnagar I), at coastal area of Purba Medinipur District in West Bengal, India. A population specific formula for height was created based on knee height of the subjects. These estimated formulae from the present study and fourteen other previously reported formulae were also applied to these older population and the mean estimation errors were statistically compared. Analysis indicated that our derived formulae gave accurate estimation of height among the subjects.
EN
The nutritional status and socio-demographic profile of tribal people is an important issue in India due to their marginalization from main stream population with respect to varied facilities. However, data on their nutritional status and socio-demographic profile are limited. This review aims to give an overview of the prevalence of chronic energy deficiency (CED) using Body mass index (BMI) and various demographic profile of Indian tribes based on studies published hitherto. In total 76 studies were reviewed for mean BMI based on the World Health Organization (WHO) classification of the public health problem of low BMI, based on adult populations worldwide. The overall sex specific prevalence of CED showed that both the tribal females (52.0%) and males (49.3%) were passing through the critical situation with respect to nutritional status with females being more underprivileged. In conclusion, although there is a gradual increase in knowledge about the nutritional and socio-demographic status of tribes since last decades; there is still paucity of data and information on more than approximately 600 tribes regarding their bio-social profile. However previous studies clearly indicate the need to enhance the health and nutrition status of the tribes by providing job opportunity and food security. Since the prevalence of CED was higher (critical to serious situation) in tribal populations, concerted efforts should also be made to improve the health status and nutrition uptake among them.
EN
Malnutrition is a leading cause of child mortality in India. To counteract this problem, a nutrition supplementation programme has been operating under the Integrated Child Development Service (ICDS) scheme in India since 1975. Recently, the Composite Index of Anthropometric Failure (CIAF) has been implemented to measure the seriousness and severity of overall under-nutrition in a population. Since this index presents a more complete picture than the previous three conventional measures. CIAF is utililized in this study which focuses on the overall burden of under-nutrition determination in pre-school children in Purba Medinipur, West Bengal, India. Our study was conducted in 10 Integrated Child Development Service (ICDS) centres, commonly known as “Anganwadi”, in the villages of the Argoal Gram Panchayat at Patashpur - II block. The total sample of 225 Bengalee ethnic children aged between 3 and 6 years was composed of 115 girls and 110 boys. The overall age and gender-combined prevalence of stunting, underweight and wasting recorded was 30.7%, 42.7% and 12.0%, respectively, and these rates were considered high (30-39%), very high (≥ 40%) and high (10-14%), respectively. CIAF results revealed the same trend, with 50.2% of these children affected by anthropometric failure, with the prevalence of underweight, wasting and CIAF higher in boys than in girls. This 50.2% CIAF result highlighted that approximately half the study children were undernourished. Since this figure is much higher than that estimated by any of the three conventional indicators,, CIAF has thus proven a far better indicator in assessing the overall burden of under-nutrition in a population. The nutritional status of the children in this study requires serious remedial action.
EN
Neck circumference (NC) is an anthropometric measurement of differentiating body fat distributions and a marker of upper subcutaneous adiposity. The present study highlights the association and importance of NC as a suitable proxy screening measure of overweight/obesity as compared to the conventional anthropometric variables used among Indian adults. The present community based cross-sectional study was undertaken among 1169 Karbi adults (males: 625; females: 544) residing in Karbi Anglong district of Assam, Northeast India, who were selected through a multistage stratified random sampling method. Height, weight, waist circumference (WC), hip circumference (HC) and NC were recorded using standard procedures. The body mass index (BMI) was calculated and prevalence of overweight/obesity was assessed using standard cut-offs. The prevalence of obesity using BMI (≥25.00 kg m-2) was 15.52% and 15.26% among males and females, respectively (p≥0.05).The prevalence of obesity using NC was observed to be significantly higher among males (48.80%) than females (19.12%) (p<0.01). The binary logistic regression analysis showed that NC predicted obesity over the conventional anthropometric variables with reasonable accuracy (p<0.01). The ROC-AUC analysis showed a relatively greater significant association between BMI, WC and HC and NC for obesity (p<0.01). Thus, NC appears to be a potentially simple, easyto- use screening measure for predicting obesity among adults. Further studies are required to validate its use for screening of obesity among other ethnic populations in India.
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