Agarwal Disha, Misra Sunil Kumar, Chaudhary Shailendra Singh, Prakash Gyan
Department of Community Medicine, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.
Indian J Community Med. 2015 Oct-Dec;40(4):268-72. doi: 10.4103/0970-0218.164401.
Since the inception of childhood nutritional programs in India, underweight has been taken to judge the nutritional status of children; but is it a true indicator of overall prevalence of malnutrition in a community?
To estimate the overall prevalence of malnutrition by using Composite Index of Anthropometric Failure (CIAF) and to assess its usefulness over various conventional anthropometric indicators among under 5 children residing in Agra city.
A cross-sectional, community-based study was conducted among under 5 years age children, from June 2012 to July 2013 in an urban slum of Agra. Nutritional status was assessed using anthropometry and clinical examination, and classified as per World Health Organization (WHO) 2006 Growth Standards and CIAF.
Of the 458 children studied, 42.8% were underweight, 41.9% had stunting, while 22.7% had wasting. However, 60.04% of children were found to be malnourished as per the CIAF. Unlike three conventional anthropometric indicators of malnutrition, CIAF was observed to have a much consistent association with morbidity like diarrhea episodes in past 3 months (odds ratio (OR) = 2.09), acute respiratory tract infection (ARI) episode in past 3 months (OR = 1.58), and any illness requiring hospitalization (OR = 1.29).
The CIAF should supplement the conventional indices of malnourishment, to provide a single, aggregated figure of actual number of undernourished children in a given population.
自印度儿童营养项目启动以来，体重不足一直被用来判断儿童的营养状况；但它是一个社区营养不良总体患病率的真实指标吗？
通过使用人体测量失败综合指数（CIAF）来估计营养不良的总体患病率，并评估其在阿格拉市5岁以下儿童中相对于各种传统人体测量指标的有用性。
2012年6月至2013年7月，在阿格拉的一个城市贫民窟对5岁以下儿童进行了一项基于社区的横断面研究。通过人体测量和临床检查评估营养状况，并根据世界卫生组织（WHO）2006年生长标准和CIAF进行分类。
在研究的458名儿童中，42.8%体重不足，41.9%发育迟缓，22.7%消瘦。然而，根据CIAF，60.04%的儿童被发现营养不良。与三种传统的营养不良人体测量指标不同，CIAF与发病率有更一致的关联，如过去3个月的腹泻发作（优势比（OR）=2.09）、过去3个月的急性呼吸道感染（ARI）发作（OR = 1.58）以及任何需要住院治疗的疾病（OR = 1.29）。
CIAF应补充传统的营养不良指标，以提供给定人群中实际营养不良儿童数量的单一汇总数字。
