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Micronutrient malnutrition profile of infants in South India
K Amrutha Veena1, S Kowsalya, S Kothandapani
1Department of Food Science and Nutrition, Avinashilingam University for Home Science and Higher Education for Women, Coimbatore, India.
Insights
Infant nutritional status in Ramanathapuram reveals high rates of low birth weight, underweight, stunting, and wasting. Micronutrient deficiencies, including vitamin A, iodine, and iron, are prevalent, necessitating targeted interventions.
Area of Science:
- Pediatric Nutrition
- Public Health
- Nutritional Epidemiology
Background:
- Infant nutritional status is a critical determinant of child health and development.
- Ramanathapuram district in Tamilnadu faces challenges in ensuring adequate infant nutrition.
Purpose of the Study:
- To assess the nutritional status of infants under one year of age in Ramanathapuram.
- To identify the prevalence of malnutrition and micronutrient deficiencies in this population.
Main Methods:
- A community-based cross-sectional study involving 2800 infants (1400 male, 1400 female) across seven taluks.
- Collection of anthropometric data (weight, length, head, arm, chest circumference) and clinical examination for deficiency signs.
- Biochemical analysis of serum hemoglobin, vitamin A, and urinary iodine in a subset of infants.
Main Results:
- 33.5% of infants had low birth weight; 35.4% were underweight, 29.6% stunted, and 18.9% wasted.
- Clinical signs of micronutrient deficiencies were observed in 21.3% of males and 27.4% of females.
- Subclinical deficiencies: 67.1% for hemoglobin, 52.1% for vitamin A, and 32.9% for iodine.
Conclusions:
- Micronutrient deficiencies, specifically vitamin A, iodine, and iron, remain highly prevalent among infants in Ramanathapuram.
- The findings underscore the urgent need for effective public health interventions to address these deficiencies.
Background:
The present study aimed to evaluate the nutritional status of infants in Ramanathapuram district of Tamilnadu.
Methods:
The present study comprised a community-based cross-sectional study conducted in seven taluks of the Ramanathapuram district. A total of 2800 infants (<1 year of age) comprising of 1400 male and 1400 female infants were selected from all the seven taluks of the Ramanathapuram district at random. Anthropometric parameters such as weight, crown heel length, head circumference, arm circumference and chest circumference were measured using standardised procedures. Clinical examinations for the manifestation of micronutrient deficiency signs were performed. Biochemical estimations of serum haemoglobin, vitamin A and urinary iodine were estimated for 5% of the infants.
Results:
Low birth weight was obeserved among 33.5% of the infants, with 1.6% weighing <1500 g. Being underweight (35.4%), stunting (29.6%) and wasting (18.9%) were also obeserved among the infants. Different forms of clinical signs and symptoms of micronutrient deficiencies were obeserved among 21.3% and 27.4% of the male and female infants. Subclinical deficiency of haemoglobin, vitamin A and iodine were obeserved among 67.1%, 52.1% and 32.9% of the infants, respectively.
Conclusions:
Micronutrient deficiencies pertaining to the 'Big 3', namely vitamin A deficiency, iodine deficiency disorders and iron deficiency anaemia are still common among the infants of Ramanathapuram district, leading to the need for effective intervention measures.
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