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Updated: May 8, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Clinico-anthropometric profile of children from Darjeeling tea garden
Rakesh Mondal1, Sumantra Sarkar, Avijit Hazra
1Department of Pediatric Medicine, North Bengal Medical College and Hospital, Darjeeling, West Bengal, India, ivanrakesh2001@gmail.com.
Insights
Hospitalized children and their siblings in Darjeeling tea gardens show significant malnutrition. Public health interventions are crucial to address these health disparities in tea garden communities.
Area of Science:
- Pediatric Health
- Nutritional Epidemiology
- Public Health
Background:
- Tea garden communities often face unique health challenges.
- Assessing the health status of children in these settings is vital for targeted interventions.
Purpose of the Study:
- To evaluate the clinico-anthropometric profile of hospitalized children and their healthy siblings in Darjeeling tea gardens.
- To identify patterns of illness and malnutrition in this specific population.
Main Methods:
- A descriptive, cross-sectional study was conducted at North Bengal Medical College.
- Included 157 hospitalized children and 301 of their apparently healthy siblings.
- Recorded clinical diagnoses, height, weight, and Body Mass Index (BMI).
Main Results:
- Common admissions for hospitalized children included gastroenteritis, respiratory infections, and meningo-encephalitis.
- Siblings presented with nutritional anemia, worm infestation, and giardiasis.
- Significant rates of stunting and wasting were observed in both groups, with hospitalized children showing higher prevalence.
- Moderate malnutrition (defined by Z-scores) was linked to low BMI in a substantial percentage of both sick and healthy children.
Conclusions:
- This study highlights a distinct pattern of illness and significant co-morbid malnutrition in both sick and healthy children from Darjeeling tea gardens.
- The findings underscore the need for tailored public health policies to address the health needs of this vulnerable population.
Objective:
To assess clinico-anthropometric profile of hospitalized children and their apparently healthy siblings from the Darjeeling tea garden.
Methods:
This was a descriptive, cross-sectional study, done at North Bengal Medical College, West Bengal, India over a period of 6 mo. Consecutively admitted 157 children and their 301 apparently healthy siblings were included. Clinical diagnosis, height/length, weight, BMI were recorded.
Results:
Children (n = 157) were mostly admitted for gastroenteritis (36.3 %), respiratory infections (26.75 %), meningo-encephalitis (14.0 %). Among 301 siblings, 30.56 % had nutritional anemia, worm infestation, giardiasis etc. Severe (< -3 Z-score) stunting and wasting were noted in 10 (6.37 %) and 19 (12.1 %) hospitalized children respectively. A quarter of all siblings suffered from moderate malnutrition (stunting 24.92 %, wasting 29.57 %). Distribution of malnutrition in each anthropometric parameter was statistically significant (p < 0.05) in sick children compared to non-admitted siblings. Intergroup comparisons for both sexes were statistically significant for all parameters except in length/height for age for females. Moderate malnutrition (< -2 Z-score) was related to low BMI in 45 % (n = 71) of sick and 27 % (n = 83) of apparently well children.
Conclusions:
The present study, first of its kind, delineated specific pattern of illness in sick and apparently healthy tea garden children. Malnutrition is statistically significant co-morbid associate in both the groups. Public health policy targeting these children is needed.
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