Nutritional Assessment Based on Mid-upper Arm Circumference Among Tribal Preschool Children of Three Distinct Ecological Zones of India (original) (raw)
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The study of nutritional status based on mid upper arm circumference (MUAC) among pre-school children in India is very limited. Therefore, a study was carried out from February to June 2006 in three municipal wards of the North 24 Parganas district, West Bengal, India, to determine the nutritional status based on MUAC among urban, poor pre-school children. Undernutrition was defined based on age-and sex-specific MUAC cut-off values as recommended by the World Health Organization (WHO) in 1995 and 2007. A total of 899 children, 57.5% boys and 42.5% girls, aged 1-5 years were measured randomly and included in the present analysis. Th e overall proportion of undernutrition was 77.8%, of which 52.9 and 24.9% children were moderately and severely undernourished, respectively, using WHO 1995 MUAC cut-off values. Similarly, the rate of undernutrition was 69.8%, of which 43.9 and 25.9% children were moderately and severely undernourished, respectively, when the WHO 2007 MUAC cut-off points were used. Th e prevalence of undernutrition was signifi cantly higher among boys than girls when using either of the cut-off values. Overall, about 9% and 7% of boys and girls, respectively, were overestimated as undernourished by the WHO 1995 cut-off s, as compared to the WHO 2007 cut-off s.
Assessing the prevalence of malnutrition in tribal children using MUAC as a screening tool
F1000Research, 2014
Children malnutrition is a major public health problem in India. Malnutrition has the maximum impact on children living in rural and tribal areas. Various anthropometric indices such as weight–for-age, height-for-age, weight-for- height and Body Mass Index (BMI) are used to assess the nutritional status of the children. Mid-upper-arm circumference (MUAC) is being used as an alternative to traditional measurements like height and weight, particularly in emergency settings. The World Health Organization (WHO) has recommended MUAC to be used as an independent diagnostic criterion for assessing severe acute malnutrition among children. A total of 4502 children between 6-59 months of age were screened over a period of 12 months, in seven Medicins Sans Frontiers (MSF) Project mobile clinic sites located in states of Andhra Pradesh and Chhattisgarh border areas in India. MUAC was measured with MSF-designed fiber optic measuring tapes. In general, the overall prevalence of malnutrition amon...
International Journal of Research in Medical Sciences
Background: Wasting, a form of malnutrition is a major public health burden in developing countries including India. Since, food and diet diversity have direct impact on nutritional status of children. The aim of the study was to assess the dietary consumption pattern and malnutrition based on mid upper arm circumference (MUAC) of Lodha tribal children of Paschim Medinipur and Jhargram districts of West Bengal, India.Methods: A total of 1043 Lodha preschool children (1-5 years) was selected for the present study. MUAC of the children was made and recorded by standard method. A questionnaire for 24-hour dietary recall method was applied to collect dietary information. Dietary diversity was calculated by standard techniques. All statistical analyses were performed by using Statistical package for social sciences (SPSS) software.Results: The mean±SD of MUAC was 129.7±11.3 mm. The results showed that the mean MUAC increased steadily with the advancement of age in both genders. Prevalenc...
Background: Mid-upper arm circumference (MUAC) is one of the simplest and easiest measures for large-scale screening programme for assessing undernutrition, especially among children. MUAC-based nutritional survey is easy to implement at the community level by the health workers or volunteers after minimum training. Methods: The present cross sectional study was done among Bauri and Santal children of Purulia, West Bengal, India. A total of 1013 children (Bauri = 499 and Santal = 514) aged 2-6 years were measured for MUAC. The normalized MUAC for age by z-scores were calculated using LMS method. Results: The age, sex and community specific sample distributions were prepared. Mean MUAC increased with age (except among Santal boys at the age of 6 years). The girls had higher median MUAC than boys at all ages except at 2 years. Prevalence of MUAC-based undernutrition (following WHO) was highest at the age of 3 years for boys (61.7 %) and girls (36.5 %). Similarly, prevalence of undernutrition was highest (48.6 % and 47.4 %) among Santal boys and girls at the age of 6 and 3 years, respectively. Significant sex difference (age combined) in prevalence of undernutrition was observed among Bauris (χ 2 = 20.54, df= 8, p< 0.001) and Santals (χ 2 = 6.71, p< 0.05). Conclusion: High rate of undernutrition was observed among these children.. Our study clearly revealed that the median MUAC of children were lower than two standard references at all ages.
Keywords icds, india, mid-upper arm circumference, nutritional status, pre-school children Citation G Mandal, K Bose. Assessment of undernutrition by mid-upper arm circumference among Pre-school children of Arambag, Hooghly District, West Bengal, India: An observational study.. Abstract A cross sectional observational study of 894 children (441 boys and 453 girls) was undertaken at 20 Integrated Child Development Services (ICDS) Scheme Centres to determine their nutritional status using mid-upper arm circumference (MUAC) in Bali Gram Panchayet, Arambag,
Journal of Life Sciences, 2019
The present cross-sectional study was conducted to evaluate mid-upper arm circumference (MUAC) based undernutrition among Bengalee preschool children. This study was undertaken among 656 (326 boys; 330 girls) 3-5 years old rural Bengalee preschool children of Sagar Block, South 24 Parganas District, West Bengal, India. The MUAC was recorded according to standard procedure and nutritional status was evaluated using the World Health Organization (1995) guidelines. Age combined sex-specific mean values of MUAC among boys and girls were 14.58 (±0.90) cm and 14.48 (±0.85) cm respectively. Significant sex difference was observed at the age of 4 years (t=3.88, P=<0.001). Significant age variations were also found in mean MUAC. The overall prevalence of undernutrition was 25.61 percent. Boys (28.83%) were more undernourished than girls (22.42%). Prevalence of moderate undernutrition was more prevalent than severe undernutrition. Appropriate effective measures should be undertaken to reduce this undernutrition.
2022
Nutritional status during preschool period is a paramount importance because of their rapid growth and this period is the foundation for lifetime health, strength and intellectual vitality. Given the above fact, present review has been undertaken to get an impression of the overall MUAC based undernutrition and sex variation of undernutrition among the preschool children of India as recommended by WHO guideline. International and national databases were searched using Google search engine, and PubMed etc. This review showed that the prevalence of MUAC based undernutrition was very high among the preschool children of India. It is recommended that the policy maker may implement measurement of MUAC at primary health care level to identify severe and moderate acute malnutrition as measurement of MUAC is a very simple and very much inexpensive and non-invasive method to assess nutritional status among the young children.
Indian Journal of Child Health, 2024
Background: Undernutrition is a major problem in developing countries, especially among tribal preschool children. Many studies have been undertaken on preschool tribal children in different parts of India, but by considering different ecological zones, no previous studies have been taken into account for determining nutritional status using head circumference. Head circumference for age Z-score (HCAZ) is also a useful index for determining the nutritional status of preschool children. Objectives: The aim of the study is to assess the nutritional status based on head circumference of preschool children of the Bhil, Dhodia and Kinnaura tribes. Methods: The present study was undertaken among 509 boys and 476 girls. Among which, 168 boys and 185 girls belonged to the Bhil tribe from Barmer district, 164 boys and 142 girls belonged to the Dhodia tribe from Valsad district, and 177 boys and 149 girls belonged to the Kinnaura tribe from Kinnaur district. WHO Child Growth Standards (2007) were utilized to determine Z-scores for head circumference for age (HCAZ). The standard formula was used to compute HCAZ: Z-score= (X-Median value of WHO 2007)/ standard deviation, WHO (2007). Moderately undernourished: <-2SD and severely undernourished: <-3SD were considered following the WHO standard (2007). Results: From this study, it was found that among Bhil preschool children, 28.3% of boys and girls are undernourished, 33.6% of boys and 31.3% of girls are suffering from malnutrition among Dhodia boys, and 13.5% of boys and 17.2% of girls are undernourished among Kinnaura tribe. Conclusion: Regular intervention programmes need to be done by the authority to spread awareness among the people of these tribal communities so that the health condition of preschool children improves.
International Journal of Current Research and Review, 2021
Introduction: Nutritional status of tribal population of India is not agreeable. Therefore, present study was embraced to survey the nutritional status among tribal children aged 3-11years of Paschimanchal area in West Bengal, India. Methods: Present cross-sectional study was undertaken in two tribal concentrated blocks of Bankura and Purulia district during May, 2018-October, 2019. An aggregate of 637 (301 girls and 336 boys) children aged 3-11 years were contemplated. Weight, height, MUAC measurements were measured and recorded by standard techniques. Body mass index (BMI) was computed by standard equation. Children were considered as underweight, thin, and stunting of their weight-forage , BMI-forage , and heightfor-age Z-scores <-2.0 SD of the WHO reference standards. Standard statistical tests were performed by MedCalc software version 19.6. A p-value <0.05 was considered as statistical significant. Result: Overall prevalence of underweight, thinness, and stunting was 56.2%, 56.0%, and 21.3%, respectively. About 22.4%, 24.6%, and 5.3% of children were found to be severely underweight, thin, and stunted. The rates of stunting was significantly higher among boys (28.3%) compared with girls (14.9%). The boys had 2.25 (OR=2.25, 95% CI: 1.52-3.32) times greater risk to be developed stunting. Conclusion: According to the WHO classification of severity in malnutrition, the overall prevalence of underweight, thinness, and stunting is higher. So, further study in larger augmentation is needed to approve the present findings.