Living Environs and Nutritional Status of Children from an Urban Indian Slum: An Analysis of Associative Factors
DOI:
https://doi.org/10.6000/1929-4247.2013.02.02.9Keywords:
Anthropometry, body mass index, gender, literacy level, economic level, family sizeAbstract
Growing urbanization gives rise to slums, which are densely populated peri-urban areas housing underprivileged populations. The nutritional status of children in slum areas can be compromised due to poor living environs despite availability of many urban health care facilities. The present cross- sectional study was undertaken to determine the nutritional status of children residing in slum and analyze the various associative factors. The study area was Ghousianagar, a slum in city of Mysore from South India. A sample of 676 children (2-11 years of age, males, 310 and females, 366) from two schools was chosen for detailed anthropometry. Data were also collected on living conditions, economic and literacy levels of parents and nutritional status of mothers (n=200) through standard techniques. The results revealed that the living conditions of children were highly unhygienic. Only in 36% of families both parents were literate. Children from all age groups exhibited different degrees of malnutrition which worsened with increasing age. Only 8% of children were normal and the rest suffered with different degrees of undernutrition. Stunting and wasting were significantly influenced by age and gender of children. Under associative factors studied, weight for age of children was significantly associated with economic status of family and maternal BMI. Weight for height was associated with economic status, family size and maternal BMI. Height for age exhibited marginal association with family size. It can be said that adverse living environment and limited resources influenced the nutritional status of children adversely.
References
Planning Commission. Ninth five year plan. New Delhi, Government of India 2002; Vol 2.
Ansari NB, Rahbar MH, Bhutta ZA, Badruddin, SH. Child’s gender and household food insecurity are associated with stunting among young Pakistani children residing in urban squatter settlements. Food Nutr Bull 2006; 27: 114-27.
Best C, Neufingerl N, Geel LV, Briel TD, Osendarp S. The nutritional status of school aged children: Why should we care. Food Nutr Bull 2010; 31: 400-17.
NNMB. Diet and nutritional status of rural population. Technical reports No. 21. National Nutrition Monitoring Bureau, National Institute of Nutrition. Hyderabad, India 2002.
Ghosh S, Shah D. Nutritional problems in urban slum children. Ind Paed 2004; 41: 682-96.
Kaul KK. Nutritional status of children. In, Profile of undernutrition and underdevelopment. Nutritional Foundation of India, Scientific report No. 8 New Delhi 1988; 55-58.
Rao VK, Balakrishna N, Adinarayan K. Critical limits of some anthropometric measurements and indices for the assessment of nutritional status. Ind J Nutr Dietet 1986; 23: 88-86.
Lakshmi JA, Begum K, Saraswathi G, Prakash J. Dietary adequacy of Indian rural pre-school children – influencing factors. J Trop Pedia 2005; 51: 39-44. http://dx.doi.org/10.1093/tropej/fmh072
Rao DH, Vijayaraghavan K, Rao KM. Anthropometry in the assessment of nutritional status. In: Text book of Human nutrition. Bamji, MS, Krishnaswami K, Brahmam GNV, Eds., Oxford and IBH Publishing Co. New Delhi, 2009; 142-153.
WHO, Measuring change in nutritional status. Anne. 3, Research data for weight and height of children. World Health Organization, Geneva. 1983.
IOTF/WHO. The Asia pacific perspective : redefining obesity and its treatment. International Diabetic Institute. Caulfield, Victoria 2000.
Gopaldas T, Seshadri S. Nutrition monitoring and assessment, Oxford University Press, New Delhi 1987.
USAID. Urban child health – Urban theme paper. (cited 25th August 2010), Available from URL: http://www.makingcities-work.org/urbanthemes/ urbanhealth/urban_child_health# water. 2004.
Nandy S, Irving M, Gordon D, Subramanian SV, Smith GD. Poverty, undernutrition and morbidity: new evidence from India. Bull WHO 2005; 83: 210-16.
Rice A, Sacco L, Hyder A, Black RE. Malnutrition as an underlying cause of childhood deaths associated with infectious diseases in developing countries. Bull WHO 2000; 78: 1207-21.
Myatt M, Khara F, Collins S. A review of methods to detect cases of severely malnourished children in the community for their admission into community-based therapeutic care programs. Technical background paper for an informal consultation held at Geneva, World Health Organization, UNICEF and the Standing Committee on Nutrition of the United Nations, 21-23 Nov. 2005.
Alam N, Wojtyniak B, Rahaman MM. Anthropometric indicators and risk of death. Am J Clin Nutr 1989; 49: 884-88.
Dutta A, Pant K, Puthia R, Sah A. Prevalence of undernutrition among children in the Garhwal Himalayas. Food Nutr Bull 2009; 30: 77-81.
Laxmaiah A, Rao MK, Brahmam GNV, Kumar SM, Ravindranath K, Kashinath G, et al. Diet and nutritional status of preschool children in Punjab. Ind Pedia 2002; 39: 331-38.
Lakshmi JA, Begum K, Saraswathi G, Prakash J. Nutritional status of rural pre-school children - mediating factors. J Fam Welfare 2003; 49: 45-56.
Khuwaja S, Selwyn BJ, Shah SM. Prevalence and correlates of stunting among primary school children in rural areas of south. Pak J Trop Pedia 2005; 51: 72-77. http://dx.doi.org/10.1093/tropej/fmh067
Osei A, Houser R, Bulusu S, Joshi T, Hamer D. Nutritional status of primary school children in Garhwali Himalayan villages of India. Food Nutr Bull 2010; 31: 221-33.
Dutta A, Kumar J. Impact of sex and family size on the nutritional status of Hill children of Uttar Pradesh. Ind J Nutr Dietet 1997; 34: 121-26.
Mian RMA, Ali M, Ferroni PA, Underwood P. The nutritional status of school aged children in an urban squatter settlement in Pakistan. Pak J Nutr 2002; 1: 121-23. http://dx.doi.org/10.3923/pjn.2002.121.123
Dasgupta M. Death clustering, mother’s education and determinants of child mortality in rural Punjab, India. Population studies 1990; 44: 489-505. http://dx.doi.org/10.1080/0032472031000144866
Frost MB, Forste R, Haas DW. Maternal education and child nutritional status in Bolivia: finding the links. Soc Sci Med 2005; 60: 395-407. http://dx.doi.org/10.1016/j.socscimed.2004.05.010
Shettar SC. Health status of women in Karnataka: problems and future needs. J Family Welfare 2004; 50: 48-54.
Tran BH. Relationship between paternal involvement and child malnutrition in a rural area of Vietnam. Food Nutr Bull 2008; 29: 59-66.
Garret LJ, Ruel MT. Stunted child overweight mother pairs: Prevalence and association with economic development and urbanization. Food Nutr Bull 2005; 26: 209-16.
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