Abstract

BackgroundOne of the greatest problems for India is undernutrition among children. The country is still struggling with this problem. Malnutrition, the condition resulting from faulty nutrition, weakens the immune system and causes significant growth and cognitive delay. Growth assessment is the measurement that best defines the health and nutritional status of children, while also providing an indirect measurement of well-being for the entire population.MethodsA cross-sectional study, in which we explored nutritional status in school-age slum children and analyze factors associated with malnutrition with the help of a pre-designed and pre-tested questionnaire, anthropometric measurements and clinical examination from December 2010 to April 2011 in urban slums of Bareilly, Uttar-Pradesh (UP), India.ResultThe mean height and weight of boys and girls in the study group was lower than the CDC 2000 (Centers for Disease Control and Prevention) standards in all age groups. Regarding nutritional status, prevalence of stunting and underweight was highest in age group 11 yrs to 13 yrs whereas prevalence of wasting was highest in age group 5 yrs to 7 yrs. Except refractive errors all illnesses are more common among girls, but this gender difference is statistically significant only for anemia and rickets. The risk of malnutrition was significantly higher among children living in joint families, children whose mother's education was [less than or equal to] 6th standard and children with working mothers.ConclusionsMost of the school-age slum children in our study had a poor nutritional status. Interventions such as skills-based nutrition education, fortification of food items, effective infection control, training of public healthcare workers and delivery of integrated programs are recommended.

Highlights

  • One of the greatest problems for India is undernutrition among children

  • The mean weight increased from 16.46 kg and 16.28 kg for boys and girls respectively in the 5 yr age group to 49.40 kg and 46.38 kg respectively in the 15 yr age group

  • This study shows that maternal educational status, mother’s working status and family type are important determinants of the nutritional status of the child

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Summary

Introduction

One of the greatest problems for India is undernutrition among children. The country is still struggling with this problem. Primary school age is a dynamic period of physical growth as well as of mental development of the child. Research indicates that health problems due to miserable nutritional status in primary school-age children are among the most common causes of low school enrolment, high absenteeism, early dropout and unsatisfactory classroom performance. The present scenario of health and nutritional status of the school-age children in India is very unsatisfactory. Undernutrition in childhood was and is one of the reasons behind the high child mortality rates observed in developing countries. Chronic undernutrition in childhood is linked to slower cognitive development and serious health impairments later in life that reduce the quality of life of individuals. Nutritional status is an important index of this quality In this respect, understanding the nutritional status of children has far-reaching implications for the better development of future generations

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