Effect of supplementation on haemoglobin and serum retinol levels and nutritional status of school children of northern India.

Abstract

Supplementation study was carried out in 66 children of 10-12 years of age for a period of about 4 months. On the basis of blood analysis, 33 children were taken as deficient having low level of both Hb (<10 g/dl) and serum retinol (< 20 microg/dl). Similar number of children (33) were selected as control purposively who had Hb > 10 g/dl and serum retinol > 20 microg/dl. Average daily consumption of cereals, pulses, vegetables, fruits, milk and milk products, fats and oils, and sugar and jaggery was below the recommended dietary intake in control as well as deficient subjects, however, control children consumed more when compared to deficient children. Among nutrients the daily mean intake of energy, protein, iron, n-carotene and vitamin C were found lower than RDA in deficient subjects as compared to control subjects. Feeding of 100 g/day of cauliflower leaves powder supplements i.e. biscuits and shakarpara improved the Hb, serum retinol, height, weight and nutritional status in deficient subjects. The increase in Hb, serum retinol, weight and height in supplemented group was 14.61, 33.27, 4.48 and 7.06%, respectively. Initially, 27.27% children had normal nutritional status in deficient group, but after supplementation this value was increased to 42.42%. Higher percentage of children having deficiency signs of vitamin A (6.06%), iron (66.67%), B-complex vitamin (9.09%), and symptoms of protein-energy-malnutrition (72.73%) was observed in deficient subjects as compared to control subjects.