Rao Kodavanti Mallikharjuna, Balakrishna Nagalla, Laxmaiah Avula, Venkaiah Kodali, Brahmam G N V
National Institute of Nutrition, Indian Council of Medical Research, Jamai-Osmania, Hyderabad, India.
Asia Pac J Clin Nutr. 2006;15(1):64-71.
Tribal population constitutes about 8% of the total population in India. They are particularly vulnerable to undernutrition, because of their geographical isolation, socio-economic disadvantage and inadequate health facilities. Recognizing the problem, Government of India launched different programmes for their welfare. Adolescence is a significant period of growth and maturation. The nutritional status of adolescent girls, the future mothers, contributes significantly to the nutritional status of the community. Therefore an attempt was made to assess the diet and nutritional status of adolescent population from the different tribal areas of India. The available database collected by National Nutrition Monitoring Bureau (1998-99) was utilized for this purpose. Data on a total of 12,789 adolescents (10-17 yrs) was included for the analysis. Four percent of the adolescent girls were married and less than 1% were either pregnant (0.4%) or lactating (0.7%) at the time of the survey. The mean intake of all the foodstuffs, especially the income elastic foods such as Pulses, Milk & Milk products, Oils & fats and Sugar & Jaggery were lower than the recommended levels of ICMR. The intake of all the foodstuffs except green leafy vegetables was lower than that of their rural counterparts. The intake of all the nutrients were below the recommended level, while that of micronutrients such as iron, vitamin A and riboflavin were grossly inadequate in all the age and sex groups. About 63% of adolescent boys and 42% of girls were undernourished (< 5th BMI age percentiles of NHANES). A significant association between undernutrition and socio-economic parameters like type of family, size of land holding and occupation of head of household was observed. Therefore, there is a need to evolve comprehensive programmes for the overall development of tribal population with special focus on adolescents.
部落人口约占印度总人口的8%。由于地处偏远、社会经济地位不利以及卫生设施不足,他们特别容易营养不良。认识到这一问题后,印度政府启动了各种福利项目。青春期是生长和成熟的重要时期。少女作为未来的母亲,其营养状况对社区的营养状况有重大影响。因此,有人试图评估印度不同部落地区青少年的饮食和营养状况。为此利用了国家营养监测局(1998 - 1999年)收集的现有数据库。分析纳入了总共12789名青少年(10 - 17岁)的数据。在调查时,4%的少女已婚,不到1%的人怀孕(0.4%)或正在哺乳(0.7%)。所有食品的平均摄入量,尤其是豆类、牛奶及奶制品、油脂和糖及粗糖等收入弹性食品的摄入量低于印度医学研究理事会的推荐水平。除绿叶蔬菜外,所有食品的摄入量均低于农村同龄人。所有营养素的摄入量均低于推荐水平,而铁、维生素A和核黄素等微量营养素在所有年龄和性别组中严重不足。约63%的青少年男孩和42%的女孩营养不良(<美国国家健康与营养检查调查的BMI年龄百分位数第5位)。观察到营养不良与家庭类型、土地持有规模和户主职业等社会经济参数之间存在显著关联。因此,有必要制定全面的项目,以促进部落人口的全面发展,特别关注青少年。