Irshad Romana, Khan Ayesha, Mustafa Adeela, Farooq Umer
Department of Pathology, Khyber Medical College, Peshawar, Pakistan.
Department of Surgery, Khyber Medical College, Peshawar, Pakistan.
J Ayub Med Coll Abbottabad. 2018 Apr-Jun;30(2):258-263.
Proper nutrition and health are fundamental rights and nutrition is a cornerstone that affects and defines the health of all people, rich and poor. The study was done with the objectives to assess the people of Palas valley with regard to their nutritional status and dietary habits to devise ways and means to overcome primary and associated reasons for these problems.
In this descriptive cross-sectional study residents of Palas valley of district Kohistan were included in the study through multistage cluster sampling method. The Palas valley was divided in to two: Kuz Palas (Lower Palas) and Bar Palas (Upper Palas). Two union council each from Kuz and Bar Palas were randomly selected Among the households, one adult male, one woman of childbearing age, one male child and one female child was selected randomly..
A total of 160 adult and children were interviewed and assessed for the nutritional status. Out of total of 80 children 61 (76.25%) had visible BCG scars. Among children 77.5% were either thinly built or had poor built. Among male adults 95% were of normal built. In adult females, 60% were either of thin built or poor built. Twenty-two percent of male children and 30% of female children were found underweight. Fourteen (35%) males and females have a BMI between 17.1-18.5 while only 6 (15%) of the females have BMI more than 18.5.
Poverty and illiteracy in the absence of effective social and health services is playing havoc with the population of Palas valley. Poor sanitation and poor personal hygiene expose them to infections and parasitic diseases. Poor availability of food, lack of awareness and tough customs and traditions expose lead to malnutrition.
适当的营养和健康是基本权利，营养是影响和决定所有人（无论贫富）健康的基石。开展这项研究的目的是评估帕拉斯山谷居民的营养状况和饮食习惯，以制定方法来克服这些问题的主要及相关原因。
在这项描述性横断面研究中，通过多阶段整群抽样方法纳入了科希斯坦地区帕拉斯山谷的居民。帕拉斯山谷分为两部分：库兹帕拉斯（下帕拉斯）和巴尔帕拉斯（上帕拉斯）。从库兹和巴尔帕拉斯各随机选取两个联合委员会。在家庭中，随机选取一名成年男性、一名育龄妇女、一名男童和一名女童。
共对160名成人和儿童进行了访谈并评估其营养状况。在总共80名儿童中，61名（76.25%）有可见的卡介苗疤痕。儿童中77.5%体型消瘦或发育不良。成年男性中95%体型正常。成年女性中，60%体型消瘦或发育不良。发现22%的男童和30%的女童体重不足。14名（35%）男性和女性的体重指数在17.1 - 18.5之间，而只有6名（占女性的15%）体重指数超过18.5。
在缺乏有效的社会和卫生服务的情况下，贫困和文盲正在给帕拉斯山谷的居民带来严重破坏。恶劣的卫生条件和不良的个人卫生习惯使他们易受感染和寄生虫疾病侵袭。食物供应不足、缺乏意识以及严格的习俗和传统导致营养不良。
