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Journal of Tropical Pediatrics. 1997 Dec; 43(6):376.In collaboration with the Children Fund's Leh nutrition project, a nutritional survey of 12 villages of the Wanla area in Ladakh, India, was undertaken. Height, mid-arm circumference (MAC), and triceps skinfold thickness (TSF) were measured and the presence of edema was noted. Measurements were obtained for 152/198 children aged less than 8 years. Information on length of breastfeeding, timing of introduction of other foods, and children's consumption of fruits and vegetables was obtained from their mothers. The percentage of children classified as stunted (height-for- age z-score < 2 SD NCHS) was 53 per cent at less than 1 year but greater than 80 per cent after this age. The mean height-for-age z-score was --3.2. Mid-arm muscle area was below the 15th percentile for 30 per cent of those under 2 years, but approximately 80 per cent of the older children fell below this cut-off. A very similar pattern was seen with skin-fold thickness. Both height and muscle area were below the 5th percentile for 25 per cent of male children and 14 per cent of female children, indicating that these children were likely to be chronically malnourished. (excerpt)
Asia Pacific Journal of Clinical Nutrition. 1999; 8(2):167-174.India is an agricultural country and the majority of India’s population live in rural areas. This is so in Karnataka, a state in southern India. The present report consists of a detailed nutrition situation analysis. Karnataka has a population of 45 million, which is approximately 3–5% of India’s population. One in every two women are agricultural labourers, reflecting women’s predominance in the field of agriculture. The state has a literacy rate of 56%. The food consumption patterns reveal that cereals and millets are the main food items. However, protective foods (i.e. foods that are rich in proteins, vitamins and minerals) are consumed in lesser amounts. When compared with the average Indian recommended dietary intake (RDI), the intake of energy in adults was found to be higher, as was protein. The average intake of vitamins, however, was 50% less than the RDI. Unlike adults, energy deficiency is a problem in the diets of preschool children. Growth retardation has been observed in a vast majority of children in Karnataka. An improvement in the nutritional status of rural adults has been observed in recent years. Protein energy malnutrition, vitamin A deficiency and B-complex deficiencies are the major nutritional deficiencies among preschool children, while anaemia remains a major health problem in women. Improvement in the healthcare system has brought a decline in the infant mortality rate in Karnataka and the state attained universal immunization coverage in 1990. The National Nutrition Programme – Integrated Child Development Scheme provides an integrated package of services to residents of Karnataka. (author's)
Journal of the Medical Association of Thailand. 2006; 89(5):706-713.A cross-sectional study was conducted in a rural area of the Northeastern region in Thailand. The study aimed to investigate factors influencing nutritional status and to explore the pattern of snack consumption. Subjects were 85 normal and 85 undernourished pre-school children with ages ranging from 2-6 years old. The authors collected demographic data including socio-economic status and family background by using an interview administered questionnaire. A 5-day food record was used to evaluate nutritional intake. The results indicated that children in both groups preferred crispy snacks between breakfast and lunch. Energy, protein, fat, carbohydrate, calcium and sodium intake derived from snacks and overall intake were significantly lower in undernourished children than those in normal children (p-value < 0.01). The results indicated that energy intake in pre-school malnourished children (2-3 years) as percentage of recommended daily allowance was lower than the recommended level. High sodium intake was observed in the presented study children and the results supported the observation that snack foods contribute to excessive sodium intake. The present results have highlighted the impact of snack consumption. Programmes aimed at increasing nutritional knowledge and information for parents and guardians are important. Furthermore, promotion of nutritious snack consumption among children is important. (author's)
Providence, Rhode Island, Brown University, Alan Shawn Feinstein World Hunger Program, 1990 Jun. x, 87 p. (HR-90-1)The Hunger Profile differentiates among food shortages, poverty, and deprivation. Food shortage is further reflected in the amounts needed to fulfill nutritional requirements of an entire country's population, to maintain current levels of food consumption, and to prevent starvation or famine. Views are also expressed in terms of a global food shortage food-short countries, food-poor households, and food-deprived individuals. 2% of the world are affected by food shortage and 9-20% are affected by food poverty. 16% of the world's infants are food deprived. 31% of children are underweight/age. 4% are iodine deficient, 13% are deficient in iron, and 15% suffer from vitamin A deficiency. The authors present their views on the state of hunger in 1990, hunger as a weapon of war, food aid and hunger, refugees and hunger, breast-feeding trends, and reducing hunger by 50%. The text of the Bellagio Declaration on Overcoming Hunger in the 1990s is included. Hunger was being used in 1990 as a weapon in Afghanistan, Cambodia, Sri Lanka, and the Philippines in Asia; in Angola, Mozambique, Ethiopia, Sudan, Somalia, and Mauritania in Africa; in Nicaragua, El Salvador, and Guatemala in Latin America; and in Armenia and Romania in Eastern Europe. 15% of imports to low-income, food-deficit countries and 44% of imports in developing in developing countries come in the form of food aid. Food aid has decreased 16% since 1985-86. Most food aid comes from the US (57%), the European Economic Community and member countries (20%), and Canada (10%). There is a longterm need to shift from direct food aid to programs that increase access to food for the most vulnerable populations. There has been an increase in cereal food aid since 1973-74; aid is dependent on cereal prices. There must be a balance between longterm and shortterm aid. Food aid is distributed as emergencies (20%), project food aid for maternal and child health programs (25%), and program aid. 5% is directed to target groups. Refugees are a growing population vulnerable to hunger. The most basic rations are given to refugees on an inconsistent basis due to inadequate and hoarded supplies and logistics. Refugee populations are reported by host country for 1989. Breast feeding is declining in general. Commitment, organization, and evaluation are necessary to halve hunger in the 1990s.
BANGLADESH DEVELOPMENT STUDIES. 1991 Sep; 19(3):83-95.A linear programming model of nutritional planning, applied to 3 nutrition problems of nutrition planning in 2 villages, Shitalpur and Kulia-Durgapur in southwest Bangladesh is described and results are discussed. The model takes into consideration features identified as affecting nutritional requirements: age and sex, recommended requirements by age and sex, activity level, proportion of lactating women, excess requirement for lactating and pregnant women, and proportion of women pregnant. Other important factors are production of nutrients in the region as affected by assimilable number of nutrients and net yield per acre and number of acres, net usage of nutrients in the region as affected by transfer of crops between regions, and net food import into the region as affected by aid import of food type and exports of food type. Total area of arable land is restriction on production. Consumption = production - net interregional transfers - net foreign trade exports and constraints. It is assumed that any shortfall in domestic production can be met in this supply side analysis. 2 types of policy objectives (self-sufficiency and surplus maximization) are also modeled. The applied model is simplified for the village analysis and the following assumptions are made: there is no trade between villages, transportation cost is not added, and crop yield depends only on land input used in production. The 3 types of nutritional planning problems are that 1) only calorie and protein are considered and arable lands are available year long; 2) calcium and vitamins A, B2, and C (multinutrients) must be met; and 3) inadequate irrigation and flood control technologies limit the amount of land available during the winter and summer months. The Mathematical Programming System and Extension Package (MPSX) was used to solve the simplified model. 8 crops are considered in 10 cropping patterns. The results are that both villages can be net food exporters if all land can be utilized and calorie/protein targets only are the goal. Kulia-Durgapur can achieve nutritional self-sufficiency based on full nutrient intake. With land being used in summer and winter seasons only, only Kulia-Durgapur can achieve nutritional sufficiency and multinutrient food targets. The net value of exports from Kulia-Durgapur is almost equal in value to the net aid requirements of Shitalpur. Multinutrient, objectives affect cropping patterns and shift patterns from cereals to vegetables, and particularly summer vegetables. A policy objective might be set aside a specified amount of arable land for cultivating vegetables.