ASSESSING STUNTING AND PREDISPOSING FACTORS AMONG CHILDREN

  • Anil Gupta Department of Physiology and Biochemistry, Eklavya Dental College & Hospital, Kotputli, Rajasthan, India.

Abstract

Objective: The present study was aimed at “assessing stunting and predisposing factors among children.â€

Methods: Prospective, descriptive, observational and cross-sectional study was conducted comprising children between 2 years and below 5 years age group in the city Fazilka in Punjab, India. Random, two-stage cluster sampling method was adopted. Direct observation and interview methods were used to assess physical appearance, demographic characteristics, habit of soil eating, and episodes of diarrhea (diarrheal episodes 2 weeks before investigation). Inspection method was used to assess nail beds of children to ascertain pallor.

Results: Prospective, descriptive, observational and cross-sectional study was conducted comprising children between 2 years and below 5 years age group in the city Fazilka in Punjab, India. Study population was made up of total 440 children which were differentiated into 240/440, 127/440, and 73/440 children representing about 54.5%, 28.9%, and 16.6% of proportions from schools, child care, and slums, respectively. Children 55/240, 36/127, and 35/73 from schools, childcare centers, and slums suffered from stunting which amounted to about 23%, 28%, and 48% prevalence of stunting in school, childcare center, and slum children. Gender-wise characterization of study population depicted boys (260/440) and girls (180/440) with a proportion of 59% boys and 41% girls. Among the participants, about 20.5% (90/440) and 79.5% (350/440) of children belonged to illiterate and literate parents. The odds for stunting were nearly 1.6 times higher among anemic children in comparison to children in non-anemic group represented by odds 0.575 and 0.348 in former and latter groups of children with odds ratio (OR=1.65). Children (n=41) out of total children (n=80) those belonged to income (<2000 INR) per month in family, were stunted and contributed to 51% prevalence of stunting. Another group of children (n=85/360) who belonged to income (>2000 INR) per month in family, suffered from 23.6% prevalence of stunting.

Conclusion: National policies should be reformed to generate employment, Maintain minimum support price for Agricultural products, Sustain food security and contribute and promote community sanitation and hygiene.

Keywords: Stunting, Malnutrition, Anemia, Undernutrition, Diarrhea.

References

1. Black RE, Victora CG, Walker SP, Bhutta ZQ, Christian P, Onis M, et al. Maternal and child under nutrition and overweight in low-income and middle-income countries. Lancet 2013;382(9890):427-51.
2. The World Bank. Poverty Overview; 2012. Available from: http://www.worldbank.org/en/topic/poverty.
3. Kosek M, Bern C, Guerrant RL. The global burden of Diarrhoeal disease, as estimated from studies published between 1992 and 2000. Bull World Health Organ 2003;81:197-204.
4. Scrimshaw NS, Taylor CE, Gordon JE. Interactions of nutrition and infection. Monogr Ser World Health Organ 1968;57:3-329.
5. Mata LJ, Kronmal RA, Urrutia JJ, Garcia B. Antenatal events and postnatal growth and survival of children in a rural Guatemalan village. Ann Hum Biol 1976;3(4):303-15.
6. Schlaudecker EP, Steinhoff MC, Moore SR. Interactions of diarrhea, pneumonia, and malnutrition in childhood: Recent evidence from developing countries. Curr Opin Infect Dis 2011;24(5):496-502.
7. UNICEF. Stunting and Diarrhoea. Available from: http://unicef.in/Whatwedo/10/Stunting. [Last retrieved on 2016].
8. WHO, Multicentre Growth Reference Study Group. WHO Child Growth Standards based on length/height, weight and age. Acta Paediatr Suppl 2006;450:76-85.
9. World Health Organization. Definitions of Indicators for Child Anthropometry. WHO; 2010. Available from: http://www.who.int/nutrition/nlis_interpretation_guide.pdf.
10. De Onis M, Blossner M, Borghi E. Prevalence and trends of stunting among pre-school children 1990–2020. Public Health Nutr 2011;1 7. Available from: http://www.who.int/nutgrowthdb/publications/Stunting1990_2011.pdf.
11. Thamilini J, Silva KD, Jayasinghe JM. Prevalence of stunting among pre-school children in food insecure rural households in Sri Lanka. Trop Agric Res 2015;26(2):390-4.
12. Payandeh A, Saki A, Safarian M, Tabesh H, Siadat Z. Prevalence of malnutrition among preschool children in northeast of Iran, a result of a population based study. Glob J Health Sci 2013;5(5):208-12.
13. Shinsugi C, Matsumura M, Karama M, Tanaka J, Changoma M, Kaneko S, et al. Factors associated with stunting among children according to the level of food insecurity in the household: A cross-sectional study in a rural community of Southeastern Kenya. BMC Public Health 2015;15:441.
14. Census Commissioner of India Census. Census of India; 2011. Available from: http://www.censusindia.gov.in/2011census/PCA/PCA_Highlights/pca_highlights_file/India/Chapter-1.pdf.
15. Punjab Population Census Data. Punjab Population; 2011. Available from: http://www.census2011.co.in/census/state/punjab.html.
16. Olwedo MA, Mworozi E, Bachou H, Orach CG. Factors associated with malnutrition among children in internally displaced person’s camps, northern Uganda. Afr Health Sci 2008;8(4):244-52.
17. Khuwaja S, Selwyn BJ, Shah SM. Prevalence and correlates of stunting among primary school children in rural areas of southern Pakistan. J Trop Pediatr 2005;51(4):72-7.
18. Sengupta P, Philip N, Benjamin AI. Epidemiological correlates of under-nutrition in under five children in an urban slum of Ludhiana. Health Popul Perspect Issues 2010;33(1):1-9.
19. Asfaw M, Wondaferash M, Taha M, Dube L. Prevalence of under nutrition and associated factors among children aged between six to fifty nine months in Bule Hora district, South Ethiopia. BMC Public Health 2015;15:41.
20. Zelellw DA, Gebreigziabher BG, Alene KA, Negatie BA, Kasahune TA. Prevalence and associated factors of stunting among schoolchildren, in Debre Markos town and Gozamen woreda, East Gojjam Zone, Amhara Regional State, Ethiopia. J Nutr Food Sci 2014;S8:7.
21. Paudel R, Pradhan B, Wagle RR, Pahari DP, Onta SR. Risk factors for stunting among children: A community based case control study in Nepal. Kathmandu Univ Med J (KUMJ) 2012;10(39):18-24.
22. Alasfoor D, Elsayed MK, Al-Qasmi AM, Malankar P, Sheth M, Prakash N. Protein-energy malnutrition among preschool children in Oman: Results of a national survey. East Mediterr Health J 2007;13(5):1022-30.
23. Hadley C, Lindstrom D, Tessema F, Belachew T. Gender bias in the food insecurity experience of Ethiopian adolescents. Soc Sci Med 2008;66(2):427-38.
24. Smith LC. The Importance of Women Status for Child Nutrition in Developing Countries. Washington, DC: International Food Policy Research Institute; 2003.
25. Spieldoch A. The Right to Food, Gender Equality and Economic Policy. New Brunswick: Center for Women’s Global Leadership, CWGL; 2011.
26. Ndukwu CI, Egbuonu I, Ulasi TO, Ebenebe JC. Determinants of under nutrition among primary school children residing in slum areas of a Nigerian city. Niger J Clin Pract 2013;16(2):178-83.
27. Dutta A, Pant K, Puthia R, Sah A. Prevalence of undernutrition among children in the Garhwal Himalayas. Food Nutr Bull 2009;30(1):77-81.
28. BÃ¥genholm G, Kristiansson B, Nasher AA. Growth and malnutrition among preschool children in Democratic Yemen. Bull World Health Organ 1988;66(4):491-8.
29. Awasthi S, Das R, Verma T, Vir S. Anemia and under nutrition among preschool children in Uttar Pradesh, India. Indian Pediatr 2013;40(10):985-90.
30. Al-Qaoud NM, Al-Shamil E, Prakash P. Anemia and associated factors among Kuwaiti preschool children and their mothers. Alex J Med 2015;51(2):161-6.
31. George CM, Oldja L, Biswas S, Perin J, Lee GO, Kosek M, et al. Geophagy is associated with environmental enteropathy and stunting in children in rural Bangladesh. Am J Trop Med Hyg 2015;92(6):1117-24.
32. Diouf S, Camara B, Sall MG, Diagne I, Ndiaye O, Diallo A, et al. Protein-energy malnutrition in children less than five years old in a rural zone in Senegal (Khombole). Dakar Med 2000;45(1):48-50.
33. Ricci KA, Girosi F, Tarr PI, Lim YW, Mason C, Miller M, et al. Reducing stunting among children: The potential contribution of diagnostics. Nature 2006;444 Suppl 1:29-38.
34. Chesire EJ, Orago AS, Oteba LP, Echoka E. Determinants of under nutrition among school age children in a Nairobi Peri-Urban slum. East Afr Med J 2008;85(10):471-9.
35. Kongawad P, Boodeppa GK. National family planning programme-during the five year plans of India. J Evol Med Dent Sci 2014;3:5172-8.
36. Crichton J. Changing fortunes: Analysis of fluctuating policy space for family planning in Kenya. Health Policy Plan 2008;23(5):339-50.
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Gupta, A. “ASSESSING STUNTING AND PREDISPOSING FACTORS AMONG CHILDREN”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 10, no. 10, Sept. 2017, pp. 364-71, doi:10.22159/ajpcr.2017.v10i10.21116.
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