Abstract:
The legacy of malnutrition especially among preschool children is a huge
obstacle to overall national development. India is home to more than one-third of the
world’s under-nourished children. While there is global acceptance that body mass index
(BMI) should be used for assessment of obesity/adiposity in children, there has not been
a similar consensus regarding use of BMI for assessment of under-nutrition in children.
Materials and Methods: The present study was a community-based cross-sectional
study carried out in a primary health center between January and December 2011. Study
population comprised of 697 children aged between 2 and 5 years. Weight (kg) and height
(cm) measurements were taken on each subject, and BMI was computed. Nutritional
status was evaluated using the Cole’s age- and sex-specifi c cut-off points of BMI. One-way
ANOVA (F-test) was performed to test for age diff erences in means of weight, height, and
BMI using SPSS statistical package. Results: A total of 339 boys and 358 females were
studied. Result showed that age-combined prevalence of under-nutrition (Grades I, II,
and III combined) among boys and girls was 63.4% and 58.6% respectively with an overall
prevalence of 61.7%. There were signifi cant mean diff erences between ages among boys
in weight (F = 4.160; P < 0.001) and height (F = 6.502; P < 0.001). However, no signifi cant
mean diff erences between ages for BMI (F = 1.098; P = 0.295). Similar fi ndings were seen
among girls where in signifi cant diff erences were observed in weight (F = 3.125, P < 0.001)
and height (F = 6.895; P < 0.001) but not with BMI (F = 1.091; P = 0.311). Conclusion: Our
study provided evidence that these children were under acute and chronic nutritional
stress in the form of thinness.