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research letters

Indian Pediatr 2009;46: 437-438

Nutritional Status of Tribal (Garasia) School Children of Sirohi District, Rajasthan

Sanjay Mandot, Deepika Mandot and Jityendra Kumar Sonesh

Department of Pediatrics, J Watumull Global Hospital and Research Centre, Mount Abu, Rajasthan 307 501.
E-mail: [email protected]

Abstract

We conducted this cross-sectional study in the schools of Sirohi district having predominately tribal (Garasia) children. Prevalence of stunting was 44% and 46.9% among boys 1255 and 762 girls aged 5-16, respectively using NCHS reference. Prevalence of thinness was higher among boys (69.7%) than girls (59.3%).

Key Words: Garasia, India, Malnutrition, Prevalence, Tribe.

Garasia is a tribal community inhabitating the Sirohi district of South Rajasthan. We conducted a study to find out the nutritional status of school children belonging to this tribe. The study was conducted in 2007-2008 on 2017 children aged 5-16 years from government schools in randomly selected 13 villages with predominantly Garasia population – namely Ker, Isara, Kacholi, Phula Bai Kheda, Umarani, Chandela, Girwar, Ganka, Manpur, Danvaav, Torna, Nagpura and Golia Vas. A detailed medical examination including anthropometry was done using standard procedures(1). Children suffering from chronic disease were excluded. Height-for-age below 3rd percentile of NCHS/WHO reference values(2) was classified as stunting. Prevalence of stunting was also estimated using Indian reference(3) BMI for age below 5th percentile of WHO reference values was classified as thinness or chronic energy deficiency. Results are shown in Table I.

TABLE I



Prevalence of Stunting and Thinness among Adolescents Boys and Girls
Boys Girls
Age No.  Height(cm) < 3rd percentile < 3rd percentile BMI < 5th percentile No. Height(cm) < 3rd percentile < 3rd percentile BMI < 5th
(y)    Mean± SD WHO /
NCHS
Indian affluent Mean ± SD of BMI(%)   Mean ± SD WHO/NCHS Indian affluent Mean ± SD percentile
      (%) (%)         (%) (%)   of BMI
5 50 104.6 ± 8.5 16 (32.0) 14 (28.0) 13.0 ± 1.3 39 (78.0) 31 101.7 ± 7.9 14 (45.1) 11 (35.4) 12.6 ± 1.3 20 (64.5)
6 76 109.7 ± 7.9 21 (27.6) 14 (18.4) 12.9 ± 1.1 55 (72.3) 55 107.7 ± 7.4 21 (38.1) 18 (32.7) 13.5 ± 1.8 28 (50.9)
7 97 115.0 ± 6.8 32 (32.9) 15 (15.4) 13.1 ± 1.1 71 (73.1) 73 113.7 ± 6.8 26 (35.6) 12 (16.4) 12.9 ± 1.0 46 (63.0)
8 139 118.7 ± 7.4 65 (46.7) 32 (23.0) 13.2 ± 1.4 99 (71.2) 90 116.5 ± 7.7 55 (61.1) 25 (27.7) 13.1 ± 1.2 59 (65.5)
9 165 123.4 ± 8.1 71 (43.0) 38 (23.0) 13.2 ± 1.2 112 (67.8) 110 123.0 ± 7.8 48 (43.6) 21 (19.0) 13.1 ± 1.5 74 (67.2)
10 183 128.6 ± 8.1 73 (39.8) 40 (21.8) 13.5 ± 1.4 126 (68.8) 123 127.9 ± 8.4 50 (40.6) 31 (25.2) 13.5 ± 1.3 82 (66.6)
11 167 133.7 ± 8.2 71 (42.5) 33 (19.7) 14.0 ± 1.4 115 (68.8) 93 133.9 ± 9.0 34 (36.5) 24 (25.8) 13.9 ± 1.6 48 (51.6)
12 142 135.2 ± 7.9 76 (53.5) 60 (42.2) 14.4 ± 1.4 93 (65.4) 72 135.7 ± 9.5 38 (52.7) 32 (44.4) 14.6 ± 1.7 43 (59.7)
13 119 139.3 ± 7.7 71 (59.6) 49 (41.1) 15.0 ± 2.0 79 (66.3) 54 141.4 ± 6.4 32 (59.2) 21 (38.8) 14.9 ± 1.6 30 (55.5)
14 60 147.1 ± 8.4 30 (50.0) 16 (26.6) 15.0 ± 1.4 45 (75.0) 27 143.0 ± 6.0 20 (74.0) 11 (40.7) 15.1 ± 1.3 17 (62.9)
15 50 154.3 ± 10.0 22 (44.0) 12 (24.0) 15.8 ± 1.7 34 (68.0) 27 146.7 ± 3.1 15 (55.5) 02 (28.5) 17.0 ± 1.3 02 (28.5)
16 07 148.1 ± 9.5 05 (71.4) 03 (42.8) 14.6 ± 1.7 07 (100.0) 07 146.5 ± 8.5 05 (71.4) 02 (28.5) 16.4 ± 2.1 03 (42.8)
Total 1255   553(44.0) 326 (25.9)   875 (69.7) 762   358(46.9) 210(27.5)   452 (59.3)

We conclude that the prevalence of malnutrition is high among school children of Garasia tribe. Similar prevalence rate of thinness and stunting was reported by Deshmukh, et al.(4) and Venkaiah, et al.(5).The present state of malnutrition in Garasia children may be attributed to their low socio-economic status, poor dietary intake and lack of knowledge about nutrition.

Acknowledgment

Dr Partap Midha, Medical Superintendent and trustee of J. Watumull Global Hospital and Research Centre, Mount Abu for providing material support, guidance and encouragement.

References

1. World Health Organization Physical status. The Use and Interpretation of Anthropometry. WHO technical report No. 854.Geneva: WHO; 1995.

2. Center for Disease Control and Prevention. National Center for Health Statistics [Internet]. Clinical growth charts. Available from: http://www.cdc.gov/nchs/about/major/nhanes/growthcharts/clinical_charts.htm. Accessed 10 October, 2008.

3. Agarwal DK, Agarwal KN, Upadhya SK, Mittal R, Prakash R, Sai RS. Physical and sexual growth pattern of affluent Indian children from 5 to 18 years of age. Indian Pediatr 1992; 29: 1203-1268.

4. Deshmukh PR, Gupta SS, Bharambe MS, Dongre AR, Maliye C, Kaur S, et al. Nutritional status of adolescents in rural Wardha. Indian J Pediatr 2006; 73: 139-141.

5. Venkaiah K, Damayanti K, Nayak MU, Vijayaraghavan K. Diet and nutritional status of rural adolescents in India. Eur J Clin Nutr 2002; 56: 1119-1125.

 

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