Sachin Dhole, Mahesh Banik, Varsha Tambse and Shaikh Tauqeer Ahmed Shaikh jilani
Page: 331-335 | Received 01 Oct 2024, Published online: 29 Nov 2024
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Malnutrition is the most widespread condition affecting the pediatric age group in India. Malnutrition refers to deficiencies or excesses or imbalances in a person’s intake of energy and/or nutrients. Malnutrition is broadly categorized into two groups as under nutrition and over nutrition. Under nutrition mainly includes Protein Energy Malnutrition and Micro nutrient deficiencies. Over nutrition includes overweight (BMI >25) and obesity (BMI >30). We have studied the distribution of malnourished children into different categories of malnutrition in urban and rural regions of Dhule district. We have also studied anthropometric parameters, BMI and age and gender wise distribution of these children. Study subjects included in this study were malnourished children attending the OPD and IPD of pediatric department of Shri Bhausaheb Hire Government Medical College Dhule, Child Health Centers (CHC) at Urban Health Centers, Nutritional Rehabilitation Centre(NRC) and leading private hospitals in Dhule district. Detailed case history was taken and diagnosis was confirmed based on their anthropometry parameters and Body Mass Index (BMI) calculations including radiology and laboratory investigations. The parents of each study subject were well informed and their written consent was obtained. This study was ethically approved by the Institutional Ethical Committee (IEC) and was done over a period of ten months from December 2023 to September 2024. Total 171 children were included. Most common age group of malnutrition was 1‐3yrs followed by infant. We found a female preponderance 102/171 (59.6%) over males 69/171 (40.4%). 102 cases belonged to rural area near Sakri, Shirpur and Nandurbar. All of the rural cases fell under the category of under nutrition. All under nutrition cases were enrolled from govt centers like Child Health Centre, Sakri, GMC Dhule, Nutrition rehabilitation centre, Shirpur. 69 cases hailed from urban area. Out of those 69 cases, 51 fell under the category of under nutrition. All the 18 children with over nutrition hailed from urban area. All the over nutrition cases were from private hospitals in Dhule district. In our study 18 children fell in to over nutrition category, 15 having BMI >2 SD(overweight) and 3 having BMI >3SD (Obesity) . 153 children fell in the criteria of under nutrition based on their anthropometry parameters. Out of 153 under nutrition cases 72 cases were without any associated medical illnesses. Rest 81 cases (52.64%) were having associated medical illnesses. From this study we conclude that malnutrition in children is the indicator of poor health in rural area. Over nutrition is seen in urban areas. Most common age group of malnutrition was 1‐3yrs and was predominant in female (59.6%) than males (40.4%). Under nutrition was seen in low socioeconomic strata as compared to obesity which is seen in well to do families. Also under nutrition was more commonly seen in tribal population than non tribal. Various Government schemes are launched to overcome the problem of malnutrition as Integrated Child Development Scheme (ICDS), Mid Day Meal program etc. So people should utilize these Government Schemes. Government should spread awareness about these schemes and should take the measurement to improve the living conditions and socioeconomic conditions in rural area.
Sachin Dhole, Mahesh Banik, Varsha Tambse and Shaikh Tauqeer Ahmed Shaikh jilani. A Cross‐Sectional Study on Anthropometrical Parameters and their Correlation with Sociodemographic Factors Amongst Malnourished Children belonging to Urban and Rural Areas of North Maharashtra Region.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.331.335
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.331.335