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Nutritional status of affluent Indian school children: what and how much do we know?
G Srihari1, A Eilander, S Muthayya
1Hindustan Lever Limited (Research Center), Bangalore, India. bsgowri@hotmail.com
Insights
Indian school children from middle and high socio-economic status (MHSES) face significant nutritional challenges, including high anemia rates and increasing overweight/obesity. Micronutrient deficiencies are also indicated, requiring further investigation.
Area of Science:
- Public Health
- Nutrition Science
- Pediatrics
Background:
- Nutritional status is crucial for child development and long-term health.
- Middle and high socio-economic status (MHSES) Indian school children (6-18 years) represent a key demographic for nutritional assessment.
- Existing literature provides a fragmented view of their nutritional landscape.
Purpose of the Study:
- To review and synthesize available literature on the nutritional status of MHSES Indian school children.
- To identify key nutritional concerns, including deficiencies and excesses.
- To highlight gaps in current knowledge and suggest future research directions.
Main Methods:
- Comprehensive literature search using Medline database.
- Inclusion of full-length journal articles and unpublished research reports.
- Systematic review of data pertaining to nutritional status indicators.
Main Results:
- Anemia prevalence varied widely (19-88%) across Indian cities.
- Multiple micronutrient deficiencies (folate, vitamins A, B12, C, etc.) were identified through biochemical and clinical data.
- Overweight (8.5-29.0%) and obesity (1.5-7.4%) were prevalent, with diets rich in cereals/pulses and low in fruits/vegetables.
Conclusions:
- MHSES Indian school children exhibit concerning rates of anemia, overweight, and obesity.
- Evidence suggests widespread micronutrient deficiencies, though robust biochemical data is limited.
- Further well-designed studies are needed to accurately estimate micronutrient deficiencies and understand anemia etiology in this population.
Objective:
This paper reviews available literature on nutritional status of Indian school children 6-18 years from middle and high socio economic status (MHSES).
Methods:
Literature search was conducted using Medline literature database search, followed by review of full length journal papers and unpublished materials such as research reports.
Results:
Studies showed that anemia prevalence (hemoglobin concentration <120 g/L) ranged from 19 to 88% across five different cities in India. Other micronutrient deficiencies including, folate, riboflavin, niacin, vitamin C, vitamin A, and vitamin B12 were also present based on biochemical parameters in one study and clinical signs of deficiency in three other studies. Overweight and obesity were prevalent among 8.5-29.0% and 1.5-7.4% respectively among school children, as indicated by 11 studies. Predominant components in children's diet were cereals and pulses, followed by milk and milk products; the fruits and vegetables component was comparatively lower.
Conclusion:
Nutritional status of MHSES children in India needs attention especially with respect to the high prevalence of anemia, overweight and obesity. There are indications that micronutrient deficiencies exist, but sufficient data are lacking, in particular biochemical data. A current estimate, using well designed methodologies, of prevalence of micronutrient deficiencies and information on the etiology of anemia among children of MHSES groups would be valuable to help understand the nutritional status and extent of micronutrient malnutrition.
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