PMID- 29302551 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220311 IS - 2249-4863 (Print) IS - 2278-7135 (Electronic) IS - 2249-4863 (Linking) VI - 6 IP - 2 DP - 2017 Apr-Jun TI - Prevalence of severe acute malnutrition and associated sociodemographic factors among children aged 6 months-5 years in rural population of Northern India: A population-based survey. PG - 380-385 LID - 10.4103/jfmpc.jfmpc_421_16 [doi] AB - INTRODUCTION: National Family Health Survey (NFHS)-3 documented that nearly 57 million children are undernourished in India, which is one-third of the world's share. We planned a study to identify the prevalence of severe acute malnutrition (SAM) among children aged <5 years in a rural population of Northern India. MATERIALS AND METHODS: A cross-sectional study was conducted at 2 blocks of District Meerut during 2012-2014. A total of 70 villages were identified and all children in the age group 6-60 months were approached through house-to-house visits. Data on sociodemographic profile and anthropometry were collected utilizing standards methods and equipment. The Z-scores for weight-for-age, height-for-age, and weight-for-height (WHZ) were calculated using the World Health Organization (WHO) reference data as standard. SAM (severe wasting) was defined as per the WHO criteria (WHZ score <-3 standard deviation or severe visible wasting or bipedal edema). RESULTS: A total of 19,449 children were screened and 18,463 children (age, 32.6 +/- 15.4 years, and 53.4% males) were enrolled, and 466 were excluded due to erroneous age estimation and physical deformities. The prevalence of SAM was 2.2%, 95% confidence interval (CI) 2.02-2.44%, (409/18,463). Multivariate logistic regression documented age (odds ratio [OR]: 0.97, 95% CI 0.96-0.98), nuclear family (OR: 1.25, 95% CI 1.01-1.54), lower occupation of head of family (OR: 1.29, 95% CI 1.05-1.59), and lower paternal education (OR: 1.49, 95% CI 1.16-1.91) as independent predictor of SAM. CONCLUSION: The prevalence of SAM was lower (2.2%) in this Northern district of India as compared to national prevalence (7.9%). Younger age, nuclear family, lower parental education, and poor occupation of the head of the family predispose a child to SAM. FAU - Bhadoria, Ajeet Singh AU - Bhadoria AS AD - Department of Clinical Research, Institute of Liver and Biliary Sciences, New Delhi, India. FAU - Kapil, Umesh AU - Kapil U AD - Department of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, India. FAU - Bansal, Rahul AU - Bansal R AD - Department of Community Medicine, Subharti Medical College, Meerut, Uttar Pradesh, India. FAU - Pandey, R M AU - Pandey RM AD - Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India. FAU - Pant, Bhawana AU - Pant B AD - Department of Community Medicine, Subharti Medical College, Meerut, Uttar Pradesh, India. FAU - Mohan, Amit AU - Mohan A AD - Department of Community Medicine, Subharti Medical College, Meerut, Uttar Pradesh, India. LA - eng PT - Journal Article PL - India TA - J Family Med Prim Care JT - Journal of family medicine and primary care JID - 101610082 PMC - PMC5749090 OTO - NOTNLM OT - Nutritional indicators OT - severe acute malnutrition OT - under 5 children COIS- There are no conflicts of interest. EDAT- 2018/01/06 06:00 MHDA- 2018/01/06 06:01 PMCR- 2017/04/01 CRDT- 2018/01/06 06:00 PHST- 2018/01/06 06:00 [entrez] PHST- 2018/01/06 06:00 [pubmed] PHST- 2018/01/06 06:01 [medline] PHST- 2017/04/01 00:00 [pmc-release] AID - JFMPC-6-380 [pii] AID - 10.4103/jfmpc.jfmpc_421_16 [doi] PST - ppublish SO - J Family Med Prim Care. 2017 Apr-Jun;6(2):380-385. doi: 10.4103/jfmpc.jfmpc_421_16.