Division of Community Studies, National Institute of Nutrition, Indian Council of Medical Research, Hyderabad-500007, India.
J Trop Pediatr. 2012 Apr;58(2):125-32. doi: 10.1093/tropej/fmr035. Epub 2011 May 4.
A community-based cross-sectional study carried out in tribal areas of Maharashtra covering 1751 pre-school children to assess nutritional status. Nutritional status was assessed using new WHO Growth Standards. Household wealth index was constructed using principle component analysis. The prevalence of underweight, stunting and wasting was 64, 61 and 29%, respectively. There was a significant (p < 0.05) reduction in the prevalence of underweight and stunting over two time periods (1999 and 2008). Logistic regression showed that the risk of underweight was 1.7 times higher among children of illiterate mothers and those suffering from morbidities, while stunting was 1.4 times higher among children belonging to lowest and middle household's wealth indexes. Undernutrition is a public health problem and is associated with literacy of mother, household wealth index and morbidities. Therefore, improving socio-economic condition along with literacy of mothers and preventing infections through personal hygiene might help in improving the nutritional status of children.
一项在马哈拉施特拉邦部落地区进行的基于社区的横断面研究，共纳入了 1751 名学龄前儿童，以评估营养状况。使用新的世卫组织生长标准评估营养状况。使用主成分分析构建家庭财富指数。体重不足、发育迟缓、消瘦的患病率分别为 64%、61%和 29%。在两个时期（1999 年和 2008 年），体重不足和发育迟缓的患病率均显著下降（p<0.05）。逻辑回归显示，母亲文盲和患有疾病的儿童体重不足的风险高 1.7 倍，而属于最低和中等家庭财富指数的儿童发育迟缓的风险高 1.4 倍。营养不良是一个公共卫生问题，与母亲的文化程度、家庭财富指数和患病情况有关。因此，改善社会经济状况，提高母亲的文化程度，通过个人卫生预防感染，可能有助于改善儿童的营养状况。
