Diet and Nutrition Status of Children in Four Tribal Blocks of Thane District of Maharashtra, India (Nutrition Status of Children)

Study on Dietary Pattern, Nutritional Status and Socio-Demographic Determinants of the Preschool Children Aged 3-6 Years

This study was undertaken to analyze the dietary pattern and nutritional status of preschool children and to check the association between diet and socio-demographic factors. Dietary Pattern of 390 preschool children from Udham Singh Nagar district of Uttarakhand state of India was assessed. 24-Hour dietary recall and food frequency questionnaire (FFQ) was used for collecting information regarding dietary intake for three consecutive days. Nutritional indices (weight for age, height for age, weight for height, and BMI for age Z score) were studied using WHO Anthro software. Results indicated that the nutrient intake was inadequate, with major children consuming less than 60% of the recommended intake. Family income, community, type of family, birth order (ordinal position), and the number of siblings were associated with dietary insufficiency (p < 0.05). Stunting and wasting were commonly prevalent in more number of girls as compared to boys, on the contrary; more boys were underweight as compared to girls. A higher proportion of girls 18% (95% C.I. 10.8, 25.3) were thin as compared to boys 15% (95% C.I. 8.4, 21.6).

Non-metric traits, physiological stress indicators and paleopathological lesion on human skeletal remains from an early modern cemetery in Wyszyński Street, Wrocław, Poland (15th–18th centuries AD)

The anthropological analysis and assessment of the living conditions of historical populations should be comprehensive. Due to the scarcity of the well-preserved skeletal remains of a population buried at the cemetery in Wyszyński Street, Wrocław, each piece of information is particularly important in providing the complementary information about living and health conditions of late medieval and early modern inhabitants of Wrocław. This study aims to assess the living conditions of the late medieval and early modern Wrocław inhabitants. This aim was reached by analyzing the frequency of non-metrical cranial and postcranial traits, physiological stress indicators, and pathological lesions. The importance of these traits for population studies is also discussed. For 98 skeletons (22.4% male and 37.8% female) from a cemetery located in Wyszyński Street, (15th –18th centuries AD), the frequencies (p) of the following traits were analyzed: 38 non-metric cranial and 9 post-cranial traits, the morphological indicators of physiological stress (i.e. cribra orbitalia and enamel hypoplasia), caries and pathological lesions on bones. Among the non-metric cranial traits, only nine (23.7%) were not observed. The most frequent (from p= 0.30 to p=0.65) were foramen parietale, incisura frontalis accesoria seu foramen frontale accesorius, foramen supraorbitale, M3 mandibulare, ossicula suturae lambdoideae, and foramen mastoideum extrasuturale. Only three non-metric post-cranial traits were observed, but with low frequency (p=0.01 and 0.02). Cribra orbitalia was present in 37.0% of the skeletons while enamel hypoplasia was present in only 2.6%. Susceptibility to caries occurred in 68% of the cases while carries lesions occurred in 31.2%. Among pathological changes, the most frequent were degenerative changes (21.6%) and injuries (19.6%). Owing to the poorly preserved remains, the complete assessment of the living conditions of the population was difficult. The number of the observed traits would have probably increased, had the number of complete and well-preserved skeletons been higher. The results of the study suggest that the living conditions of the studied population were poor. It is hypothesized that the cemetery was a burial place for prisoners and victims of various epidemics that affected the city. But since the historical sources of this cemetery are scarce, it is hard to unequivocally state its purpose with certainty.

Can integrated watershed management contribute to improvement of public health? A cross-sectional study from hilly tribal villages in India

Tribal people living in hilly areas suffer from water scarcity in many parts of the world, including India. Water scarcity adversely impacts all aspects of life, including public health. Implementation of an Integrated Watershed Management Programme (IWMP) can help solve the problems arising out of water scarcity in such areas. However, the knowledge about and views of the water scarcity sufferers on the public health implications of IWMP have not been well documented. This cross-sectional study was performed in six purposively selected tribal villages located in Maharashtra, India. In three of the villages IWMP had been implemented (IWMV), but not in the other three (NWMV). The head of each household in all villages was interviewed using a questionnaire covering various public health aspects relevant to the villages. A total of 286/313 (92%) households participated in the study. Compared to NWMV, respondents in IWMV experienced significantly lesser prolonged water scarcity (OR = 0.39), had greater number of toilets (OR = 6.95), cultivated more variety of crops (OR = 2.61), had lower migration (OR = 0.59), higher number of girls continuing education (OR = 3.04) and better utilized modern healthcare facilities in the antenatal, natal and postnatal period (OR = 3.75, 2.57, 4.88 respectively). Thus, tribal people in IWMP-implemented villages reported advantages in many aspects of public health.

Prevalence of undernutrition among Kora-Mudi children aged 2-13 years in Paschim Medinipur District, West Bengal, India

BACKGROUND

nutritional status of tribal children in West Bengal has not been investigated adequately. The present study was undertaken to determine the prevalence of underweight, stunting and wasting in Kora-Mudi children of Paschim Medinipur, West Bengal, India.

METHODS

a cross sectional study was undertaken in two villages of the Paschim Medinipur District. Of 119 children aged 2-13 years, 59 boys and 60 girls were studied. Height and weight measurements were made by standard techniques. Children were considered as underweight, stunting and wasting if their weight-for-age, height-for-age and weight-for-height Z-scores <-2.0 SD of the National Center for Health Statistics reference standards.

RESULTS

the overall prevalence of underweight, stunting and wasting was 52.9%, 49.6% and 22.7%, respectively. About 16.0%, 24.4% and 1.7% of children were found to be severely underweight, stunted and wasted. The prevalence of underweight, stunting and wasting was higher in preschool children than in school going children. The chance of underweight, stunting and wasting was 1.80, 1.10 and 1.58 times greater in preschool children than in school going children. Moreover, the prevalence of underweight, stunting and wasting was higher in boys than in girls. The boys had 1.45, 1.66 and 2.02 times greater risk to be underweight, stunted and wasted. According to the WHO classification of severity in malnutrition, the overall prevalence of underweight, stunting and wasting was as high as ≥ 30%, ≥ 40 and ≥ 15%.

CONCLUSIONS

the nutritional status of Kora-Mudi children in West Bengal is critical. Appropriate measures should be taken by the respective authorities to improve childhood health and nutritional status.