Department of Community Medicine, Shaheed Hasan Khan Mewati Government Medical College, Nalhar, Haryana, 122107, India.
Department of Pediatrics, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Indian J Pediatr. 2021 Mar;88(Suppl 1):138-143. doi: 10.1007/s12098-020-03611-6. Epub 2021 Jan 7.
To estimate the burden of undernutrition and its association with rotavirus positivity among under-five children admitted with diarrhea.
This prospective observational study was carried out in hospital-setting from February 2016 to January 2020. For all cases who met the eligibility criteria, an informed written consent was obtained from parents/caregivers. A case report form was used to collect sociodemographic, anthropometric and clinical data. The anthropometric measurements of children were performed according to World Health Organization (WHO) guidelines.
Nutritional assessment revealed that 74.1% study subjects were underweight [Weight-for-Age (WAZ) < -2], 59% were stunted [Height-for-Age (HAZ), < -2] and 52.3% were wasted Body Mass Index (BMIZ) < -2]. Stunting was found to be significantly higher among boys as compared to girls and rotavirus positive diarrhea was significantly less prevalent among stunted children.
There exists a very high prevalence of underweight, stunting, and wasting among hospitalized children with diarrhea. As the better nutrition has not been shown to guard against rotavirus diarrhea, coverage scale-up of rotavirus vaccination, improved hygiene and sanitation, and focussed nutrition programmes are the need of the hour in India.
评估五岁以下因腹泻住院儿童的营养不良负担及其与轮状病毒阳性的相关性。
本前瞻性观察研究于 2016 年 2 月至 2020 年 1 月在医院环境中进行。对于符合入选标准的所有病例，均获得了家长/看护人的知情书面同意。使用病例报告表收集社会人口统计学、人体测量学和临床数据。根据世界卫生组织（WHO）指南对儿童进行人体测量学测量。
营养评估显示，74.1%的研究对象体重不足[体重与年龄（WAZ）< -2]，59%的研究对象身材矮小[身高与年龄（HAZ）< -2]，52.3%的研究对象消瘦[体重指数与年龄（BMIZ）< -2]。与女孩相比，男孩的身材矮小更为明显，而轮状病毒阳性腹泻在身材矮小的儿童中明显较少见。
在因腹泻住院的儿童中，体重不足、身材矮小和消瘦的发生率非常高。由于更好的营养并不能预防轮状病毒腹泻，因此印度急需扩大轮状病毒疫苗接种范围、改善卫生和环境卫生，并实施有针对性的营养计划。
