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. 2018 Feb 26;18(1):283.
doi: 10.1186/s12889-018-5124-3.

Risk factors for malnutrition among preschool children in rural Karnataka: a case-control study

Ansuya  1 , Baby S Nayak  2 , B Unnikrishnan  3 , Anice George  2 , Shashidhara Y N  4 , Suneel C Mundkur  5 , Vasudev Guddattu  6
Affiliations

Risk factors for malnutrition among preschool children in rural Karnataka: a case-control study

Ansuya et al. BMC Public Health. .

Abstract

Background: The prevalence of malnutrition among children in developing countries is very high. As a step towards reducing the prevalence of malnutrition, there is a need to identify the important determinants of malnutrition in the specific population so that preventive and control measures can be implemented. The objective of the study is to determine the risk factors for malnutrition among preschool children in Rural Karnataka, South India.

Methods: A case-control study was carried out among preschool children, aged between three to six years, attending the Anganwadi centers and their mothers' in Udupi district of Karnataka, India. A total of 570 children (190 cases and 380 controls) were selected by multistage cluster sampling technique. A semi-structured risk factors questionnaire was used to identify the risk factors for malnutrition among children.

Results: The majority (45.8 and 45.5%) of the children in the study were in the age group of 3.0 to 4.0 years in case and control groups respectively. There was a slight preponderance of illiterate parents among cases in comparison to the controls. Largely, 87.4% of the children belonged to poor socio-economic status in the case groups compared to 82.4% in the control group. After adjusting for the confounders, underweight was significantly associated with socio-economic status of the parents (aOR: 2.05, 95% CI: 1.06, 3.96), birth weight < 2000 g (aOR: 25, 95% CI: 0.10, 0.59), recurrent diarrhoea (aOR: 2.74, 95% CI: 1.56, 4.83), recurrent cold and cough (aOR: 3.88, 95% CI: 1.96, 7.67), worm infestation (aOR: 2.0, 95% CI: 1.19, 3.38) and prelacteal feed given (aOR: 3.64, 95% CI: 2.27, 5.86).

Conclusion: Parental education, childhood illness, short birth interval, open defecation, type of weaning and complimentary food given to children were some of the significant determinants of underweight that were found in the study. Information, Education and Communication (IEC) campaigns alleviating food habits and taboos and promoting birth spacing is the need of the hour for preventing the occurrence of undernutrition among preschool children.

Keywords: Karnataka; Malnutrition; Preschool children; Risk factors; Rural; Under nutrition.

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Conflict of interest statement

Ethics approval and consent to participate

Ethical approval was taken from Institutional Ethics Committee (IEC 432/2013) to conduct the study. Written informed consent was obtained from the mothers for participation their children as well as their own participation.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

    1. Martorell R, Habicht JP, Yarbrough C, Lechtig A, Klein RE, Western KA. Acute morbidity and physical growth in rural Guatemalan children. Am J Dis Child 1975; 129(11):1296–1301. [PubMed]. - PubMed
    1. Malnutrition: Under nutrition.http://en.wikipedia.org/Malnutrition. National Family Health Survey (NHFS-2), India (1998-1999), International Institute for Population Sciences, Mumbai, India (2).
    1. Progress for children, A Report Card on Nutrition, Number 4, Unicef (Online); 2006 May. Available from: https://www.unicef.org/progressforchildren/2006n4/.
    1. National Family Health Survey (NHFS-2), India (1998-1999), International institute for population sciences, Mumbai, India.
    1. Unicef India - The Children – Nutrtion (Online). http://www.unicef.org/india/children_2356.html (Accessed on 01.05.2016).