Author(s): Kumar D, Goel NK, Mittal PC, Misra P
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Abstract OBJECTIVES: To study the nutritional status of under-five children and to assess whether infant feeding practices are associated with the undernutrition in anganwari (AW) areas of urban Allahabad. METHODS: Under-five-years children and their mothers in selected four anganwari areas of urban Allahbad (UP) participated in the study. Nutritional assessment by WHO criterion (SD- classification) using summary indices of nutritional status: weight-for-age, height-for-age and weight-for-height was done. Normal test of proportions, Chi-square test for testing association of nutritional status with different characteristics and risk analysis using odds ratios with 95\% confidence intervals was also done. RESULTS: Among all under five children surveyed, 36.4\% underweight (< 2SD weight- for -age), 51.6\% stunted (< 2SD height- for- age) and 10.6\% wasted (< 2SD weight- for- height). Proportions of underweight (45.5\%) and stunting (81.8\%) were found maximum among children aged 13-24 months. Wasting was most prevalent (18.2\%) among children aged 37-48 months. Initiation of breast-feeding after six hours of birth, deprivation from colostrum and improper complementary feeding were found significant (P< 0.05) risk factors for underweight. Wasting was not significantly associated (P>0.10) with any infant feeding practice studied. ICDS benefits received by children failed to improve the nutritional status of children. CONCLUSION: Delayed initiation of breast-feeding, deprivation from colostrum and improper weaning are significant risk factors for undernutrition among under-fives. There is need for promotion and protection of optimal infant feeding practices for improving nutritional status of children.
This article was published in Indian J Pediatr
and referenced in Journal of Nutrition & Food Sciences