ICMR-National Institute of Malaria Research, New Delhi, India.
ICMR-Vector Control Research Centre, Puducherry, India.
Am J Trop Med Hyg. 2024 Feb 13;110(3):588-595. doi: 10.4269/ajtmh.23-0487. Print 2024 Mar 6.
India has a substantial burden of undernutrition coupled with overweight and obesity at the other end of the spectrum of malnutrition. Nuh district, in the Haryana State in northern India, is an impoverished district in India. With an aim to investigate the problem of malnutrition in the community, a cross-sectional study was conducted in four villages of the Nuh district. Height/length, weight, and age data of children under 5 years were used to calculate three indices: weight-for-age, height-for-age, and weight-for-height. The body mass index was calculated for individuals older than 6 years. Associations between malnutrition and other factors were assessed using simple and multiple logistic regression to get adjusted coefficients. The total surveyed population comprised 11,496 individuals. Over 51% were female, and 13.2% of the surveyed population were children under 5 years. Almost half of the population was illiterate and unemployed. The prevalences of underweight, stunting, and wasting in children under 5 years were 37%, 53%, and 21%, respectively. The prevalences of underweight and stunting in the 6- to 19-year-old age group were 29% and 38%, respectively. The prevalence of overweight was 36% in the 20- to 40-year-old and > 60-year-old age groups, and 44% in the 41- to 60-year-old age group. Our findings reveal a considerable burden of undernutrition among children under 5 years and a dual burden of undernutrition and overnutrition in adults, highlighting the need to map these areas and sharpen our responses to mitigate the overwhelming and long-term consequences of malnutrition in the Nuh district.
印度面临着严重的营养不足问题,同时在营养失衡的另一个极端也存在超重和肥胖问题。印度北部哈里亚纳邦的努哈区是印度的一个贫困地区。为了调查社区的营养不良问题,在努哈区的四个村庄进行了横断面研究。对 5 岁以下儿童的身高/长度、体重和年龄数据进行了分析,计算了三个指数:年龄别体重、年龄别身高和身高别体重。对 6 岁以上的个体计算了身体质量指数。使用简单和多变量逻辑回归评估营养不良与其他因素之间的关联,以获得调整后的系数。总调查人口包括 11496 人。其中 51%以上为女性,调查人口中有 13.2%为 5 岁以下儿童。近一半的人口是文盲和失业者。5 岁以下儿童的消瘦、发育迟缓、消瘦患病率分别为 37%、53%和 21%。6-19 岁年龄组的消瘦和发育迟缓患病率分别为 29%和 38%。20-40 岁和>60 岁年龄组超重患病率分别为 36%和 44%,41-60 岁年龄组超重患病率为 44%。我们的研究结果显示,5 岁以下儿童营养不良问题相当严重,而成年人则面临着营养不良和营养过剩的双重负担,这突出表明需要对这些地区进行规划并调整应对措施,以减轻努哈区营养不良问题带来的压倒性和长期后果。