Thinness among the Rural Primary School Children of Bali Gram Panchayat, Arambag, Hooghly District, West Bengal, India
DOI:
https://doi.org/10.6000/1929-5634.2017.06.01.4Keywords:
Rural, Primary school children, BMI, thinness, undernutrition, IndiaAbstract
Background: Primary school age is a dynamic period of physical growth and mental development of the child. Research indicates that nutritional deficiencies and poor health in primary school age children are among the causes of low school enrolment, high absenteeism, early dropout and poor classroom performance. Chronic undernutrition is linked to slower cognitive development and serious health impairments later in life that reduce the quality of life. The thinness (low BMI for age) may be one of the tool to measure the level of undernutrition.
Objective: The objective of the present study was to assess the different grades of thinness by using age and sex specific cut off values based on body mass index (BMI).
Materials and Methods: The present cross-sectional study was conducted at Bali-Gram Panchayat, Arambagh, West Bengal, India. The data were collected from 618 rural Bengalee primary school children comprising of both boys (304) and girls (314) within the age group 5-11 years. The measurements (height in cm. and weight in kg) were taken following standard methods Thinness was evaluated using the age and sex specific cut-off points of BMI.
Results: The overall (age combined) prevalence of thinness among the boys was slightly higher (83.2%) in comparison to the prevalence of thinness among the girls (81.5%). The prevalence of thinness was higher in case of lower age group children among both boys and girls and it gradually decreases with the increase of age. The rate of grade III thinness (30.5%) was greater among the girls than others while among the boys it was higher in grade I (32.9%) category. It indicates the severity of thinness was much more among the girls than the boys. Although there was no significant sex difference between the two sexes.
Conclusion: The prevalence of undernutrition as measured by thinness was significantly higher than the national level scenario. In spite of the Mid Day Meal scheme which is running for more than 20 years, the result is dissatisfactory. The competent authority should look into the matter seriously for better nutritional and health condition of the children.
References
Pelletier DL. The relationship between child anthropometry and mortality in developing countries: implications for policy, programs and future research. J Nutr 1994; 124: 2047S-2081S.
Scrimshaw NS. The New Paradigm of Public Health Nutrition. Am J Pub Health 1995; 85: 622-624. DOI: https://doi.org/10.2105/AJPH.85.5.622
Economic Survey, Govt. of India, 2002‐2003; pp. 229‐33.
Shah PU, Patel HJ. A study about prevalence of undernutrition among slum children of 0-60 months of age of Mehsana city. International Research Journal 2009; Vol. II, Issue-7: 84-85.
WHO Expert Committee on Comprehensive School Health Education and Promotion. Promoting Health through Schools. 1997; Report of a Geneva, WHO Technical Series, No. 870.
WHO. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Technical Report Series No. 854. World Health Organization, 1995; Geneva, Switzerland.
WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards: Length / height‐for‐age, weight‐for‐age, weight‐for‐length, weight‐for‐height and body mass index‐for‐age: Methods and development. Geneva: World Health Organization, 2006; Available at: www.who.int/childgrowth/standards/technical_report/en/. Acess date: May 22, 2008.
Cole TJ, Flegal KM, Nicholls D, Jackson AA. Body mass index cut offs to define thinness in children and adolescents: international survey. BMJ 2007; 335: 194. DOI: https://doi.org/10.1136/bmj.39238.399444.55
Lohman TG, Roche AF, Martorell R. Anthropometric Standardization Reference Manual. Chicago: Human Kinetics Books 1988.
Ulijaszek SJ, Kerr DA. Anthropometric measurement error and the assessment of nutritional status. Brit J Nutr 1988; 82: 165-177. DOI: https://doi.org/10.1017/S0007114599001348
Mandal GC, Bose K and Bisai S. Thinness among rural children in Bengal. Indian J Pediatr 2009; 76: 817-819. DOI: https://doi.org/10.1007/s12098-009-0178-y
Mondal N, Sen J. Thinness is a major underlying problem among Indian children. Journal of Tropical Pediatrics 2010; (http://tropij.oxfordjournals.org/content/early/2010/03/07/tropij.fmqo14.abstract, accessed on 27.03.2011)
Bisai S, Ghosh, De GK, Bose K. Very high prevalence of thinness among Kora – Mudi tribal children of paschim Midnapur Dist. Of West Bengal, India. EJBS 2010; (1): 43-45.
Medhi GK, Barua A, Mahanta. Growth and nutritional status of school age children (6-14 years) of Tea Garden workers of Assam. J Hum Ecol 2007; 19: 83-85.
Biswas S, Bose K, Bisai S, Chakraborty R. Prevalence of thinne among rural Bengalee pre-school children in Chapra, Nadia District, West Bengal, India. Malay J Nutr 2009; 15: 155-164.
Gopalan C, Ramsastri BV, Balasubramanian SC. Recommended Dietary Allowances for Indians, ICMR, Hyderabad 1989.
Wickramasinghe VP, Lamabadusuriya SP, Atapattu N, Sathyadas G, Uruparanantha S, Karunarathne P. ‘Nutritional status of school children in an urban area of Sri Lanka’, Ceylon Med J 2004; 49(4): 114-118. DOI: https://doi.org/10.4038/cmj.v49i4.1920
Gupta SP. India Vision 2020, Report of the Committee on India Vision 2020, Planning Commission, Government of India, New Delhi, 2004; pp. 30-35.
Chakraborty R, Bose K. Very high prevalence of thinness using new international body mass index cut off points among the 5-10 year old school children of Nandigram, West Bengal, India. J Res Med Sci 2009; 14: 129-133.
Medhi GK, Barua A, Mahanta J. ‘Growth and nutritional status of school age children (6–14 years) of tea garden worker of Assam’. J Hum Ecol 2006; 19(2): 83-85. DOI: https://doi.org/10.1080/09709274.2006.11905860
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