Saha Somen, Pandya Apurvakumar, Raval Devang, Patil Manoj S
Public Health, Indian Institute of Public Health, Gandhinagar, IND.
School of Epidemiology and Public Health, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Cureus. 2022 Jul 29;14(7):e27445. doi: 10.7759/cureus.27445. eCollection 2022 Jul.
Improvements in the analysis of child nutrition status can be helpful in increasing the understanding of the magnitude and critical causes of undernutrition. The present study aimed to assess the nutritional status and related factors in children under two years of age in the Devbhumi Dwarka District of Gujarat, India. A descriptive cross-sectional study was conducted for which the sample size was calculated using Open Epi and considering a 20% non-response rate. The sample size for the study was 1200, but the achieved sample size was 1301. Statistical analysis was performed to identify significant determinants of under-nutrition separately for stunting, wasting, and underweight. The prevalence of wasting, underweight, and stunting was 14%, 17%, and 32%, respectively. Prevalence of low birth weight was recorded as 14% in the district. The overall prevalence of overweight was 20% and 6% as per weight for height and weight for age criteria, respectively. The proportion of children with exclusive breastfeeding was observed to be decreasing with increasing age from birth to six months. About 70% of children were exclusively breastfed at the age of six months. Chi-square analyses revealed that parity and spacing are significant determinants of under-nutrition in children under two years in the Devbhumi Dwarka District. A multipronged and convergence approach is needed to combat the menace of child malnutrition.
改善儿童营养状况分析有助于加深对营养不良严重程度及关键成因的理解。本研究旨在评估印度古吉拉特邦德夫布米·德瓦卡区两岁以下儿童的营养状况及相关因素。开展了一项描述性横断面研究,使用Open Epi软件并考虑20%的无应答率来计算样本量。该研究的样本量为1200,但实际获得的样本量为1301。进行统计分析以分别确定发育迟缓、消瘦和体重不足等营养不良状况的显著决定因素。消瘦、体重不足和发育迟缓的患病率分别为14%、17%和32%。该地区低出生体重的患病率记录为14%。根据身高别体重和年龄别体重标准,超重的总体患病率分别为20%和6%。从出生到六个月,纯母乳喂养儿童的比例随年龄增长而下降。六个月大时,约70%的儿童进行纯母乳喂养。卡方分析显示,胎次和生育间隔是德夫布米·德瓦卡区两岁以下儿童营养不良的显著决定因素。需要采取多管齐下的综合方法来应对儿童营养不良的威胁。