Magnitude of undernutrition in children aged 2 to 4 years using CIAF and conventional indices in the slums of Mumbai city

Journal of Health, Population, and Nutrition
Mitravinda S Savanur, Padmini S Ghugre

Abstract

Conventional indicators - weight-for-age, height-for-age, weight-for-height and mid-upper arm circumference (MUAC) reflect different facets of the nutritional status. Weight-for-age is the most commonly used indicator. When used individually or in combination, conventional indices fail to depict the overall magnitude of undernutrition in the population. Composite Index of Anthropometric Failure (CIAF) is an alternative classification system which attempts to fill this lacuna. Thus, we undertook this study with the objective to compare the prevalence of undernutrition using CIAF and the conventional indices. We included 634 children aged between 2 to 4 years from anganwadis located in three areas of Mumbai. Weight, height and MUAC measurements were taken. Z scores were computed for weight-for-age (WAZ), height-for-age (HAZ) and weight-for-height (WHZ) using WHO Anthro software. Children were classified as per the conventional indices and CIAF. The prevalence of underweight, stunting and wasting was 35.7%, 33.8% and 18.5% respectively. None of the children had MUAC < 11.5 cm. About 1% of the children were moderately wasted according to MUAC. As per CIAF, 47.8% children were undernourished. According to CIAF, one-third of the unde...Continue Reading

References

Aug 4, 2005·JAMA : the Journal of the American Medical Association·James BerkleyKathryn Maitland
Sep 23, 2009·Indian Journal of Medical Sciences·P R DeshmukhB S Garg
Apr 22, 2010·Anthropologischer Anzeiger; Bericht über die biologisch-anthropologische Literatur·Sadaruddin BiswasMithu Bhadra
Apr 12, 2011·Bulletin of the World Health Organization·Gozde Zorlu

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Citations

Oct 24, 2019·Public Health Nutrition·I F BejaranoM D Marrodán
Jan 18, 2020·International Journal of Environmental Research and Public Health·Caroline Katharina StillerVeronika Scherbaum

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Software Mentioned

CIAF
WHO Anthro
MUAC

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