Chandra Archi, Chakrabarti Soma, Mallik Sarmila, Bhattacharyya Nabanita
Department of Community Medicine, Calcutta National Medical College, Kolkata, West Bengal, India.
J Family Med Prim Care. 2021 Oct;10(10):3935-3938. doi: 10.4103/jfmpc.jfmpc_332_21. Epub 2021 Nov 5.
Tribal population is socio economically disadvantaged group. Knowledge about nutritional status of various tribal populations is important because it impels to identify under nutrition which is a leading cause of morbidity and mortality. This study is conducted to assess under nutrition among under 5 tribal children. In this cross sectional study with a sample of 68 under 5 tribal children selected through complete enumeration fulfilling the inclusion criteria after obtaining ethical clearance from Institutional Ethics Committee. Anthropometric measurements were recorded to determine types of under nutrition prevailing among them using World Health Organization Anthro software. 24 h recall of dietary history of children was taken for 7 days to assess mean energy, protein, and fat intake per day and compared with recommended daily allowances. A total of 30.8% children were stunted, 30.8% were wasted, and 14.7% were both stunted and wasted. The consumption of energy, protein, and fat was much low. Chi square test showed a significant association of under nutrition with gender, education of father, type of family, socio economic status, and birth order but binary logistic regression showed significant association only with socioeconomic status. Under nutrition in form of stunting and wasting and low dietary intake of energy, protein, fat was found among these children. Multi sectoral approach is suggested.
部落人口是社会经济弱势群体。了解不同部落人口的营养状况很重要，因为这有助于识别营养不良，而营养不良是发病和死亡的主要原因。本研究旨在评估5岁以下部落儿童的营养不良情况。在这项横断面研究中，通过完全枚举选取了68名符合纳入标准的5岁以下部落儿童作为样本，研究获得了机构伦理委员会的伦理批准。使用世界卫生组织Anthro软件记录人体测量数据，以确定他们中普遍存在的营养不良类型。记录儿童7天的24小时饮食史，以评估每日平均能量、蛋白质和脂肪摄入量，并与推荐的每日摄入量进行比较。共有30.8%的儿童发育迟缓，30.8%的儿童消瘦，14.7%的儿童既发育迟缓又消瘦。能量、蛋白质和脂肪的摄入量很低。卡方检验显示营养不良与性别、父亲的教育程度、家庭类型、社会经济地位和出生顺序之间存在显著关联，但二元逻辑回归显示仅与社会经济地位存在显著关联。在这些儿童中发现了发育迟缓和消瘦形式的营养不良以及能量、蛋白质、脂肪的低饮食摄入量。建议采取多部门方法。
