5 th gujarat review mission
DESCRIPTION
5 th GujArat review mission. Nutritional assessment. Parameters for assessing nutritional status of children availing MDM. Anthropometic Assessment Diet Pattern Survey Clinical Survey. Anthropometric assessment. Body weight Height Mid upper arm circumference (MUAC). Body weight. - PowerPoint PPT PresentationTRANSCRIPT
Nutritional assessment
Anthropometic Assessment
Diet Pattern Survey
Clinical Survey
Body weight
Height
Mid upper arm circumference (MUAC)
Body weight Height MUAC
Anthropometric Measurement
Age (n)% Height Weight BMI MUAC
5 (10)1.79 110.55±3.72 15.24±2.22 12.48±1.71 15.50±1
6 (37)6.63 110.86±4.69 16.53±3.12 13.37±1.51 15.67±1.56
7 (46)8.24 115.11±4.69 18.30±3.12 13.71±1.51 16.19±1.56
8 (58)10.39 122.01±6.11 20.67±3.61 13.81±1.57 16.81±1.55
9 (60)10.75 127.31±7.08 22.81±3.79 14.00±1.45 17.36±1.67
10 (75)13.44 131.11±7.22 24.64±4.79 14.23±1.67 17.63±1.92
11 (60)10.75 137.29±6.41 28.13±4.42 14.88±1.81 18.64±2.41
12 (76)13.62 140.25±7.36 30.52±6.00 15.45±2.39 19.34±2.61
13 (78)13.97 145.47±7.97 33.22±5.80 15.62±1.98 19.77±2.19
14 (49)8.78 149.70±6.53 37.30±7.20 16.60±2.79 20.93±2.71
15 (6)1.07 154.63±4.29 41.27±1.13 17.30±1.18 20.64±2.41
16 (2)0.35 150.00±2.83 43.40±14.70 19.42±7.27 18.95±1.48
18 (1)0.17 163.00±0.00 44.70±0.00 16.82±0.00 23.00±0.00
Table-1 Anthropometric parameters and BMI of school children as per age
Age n Height (cm) Weight (kg) BMI (kg/m2) MUAC (cm)
Male Female
Male Female Male Female Male Female Male Female
5 4 6 110.88±2.46
110.33±4.59
16.48±0.61
14.42±2.58
13.40±0.10
11.86±2.04
15.38±0.63
15.58±1.24
6 18 19 113.06±5.54
109.00±3.03
17.49±4.32
15.70±1.34
13.53±2.00
13.22±1.02
15.78±2.10
15.55±1.03
7 22 24 115.43±6.07
114.22±4.91
18.41±3.57
17.82±3.02
13.72±1.69
13.60±1.67
15.95±1.60
16.20±1.50
8 24 34 122.42±7.07
121.59±5.47
20.92±4.35
20.42±3.06
13.82±1.54
13.79±1.63
16.67±1.65
16.91±1.51
9 33 27 128.30±7.62
126.48±6.08
23.22±3.91
22.45±3.63
14.04±1.42
13.97±1.55
17.28±1.83
17.52±1.45
10 36 39 131.14±7.57
131.22±7.04
24.73±4.76
24.61±4.93
14.29±1.79
14.17±1.61
17.49±1.90
17.78±1.97
11 24 36 136.17±5.10
137.90±7.17
28.47±3.89
27.64±4.50
15.37±2.12
14.45±1.35
18.46±2.84
18.58±1.88
12 41 35 140.95±7.93
139.59±6.82
31.66±6.49
29.31±5.34
15.86±2.50
14.99±2.25
19.69±2.85
18.92±2.32
13 35 43 139.59±6.82
146.04±8.14
29.31±5.34
33.83±5.43
14.99±2.25
15.83±2.16
18.92±2.32
20.04±2.50
14 25 24 149.62±6.17
149.48±7.01
35.53±5.14
38.87±8.67
15.87±2.13
17.30±3.28
20.36±1.92
21.50±3.35
15 2 4 157.45±7.14
153.38±3.50
41.50±0.71
41.50±1.29
16.80±1.81
17.67±1.12
20.75±0.35
20.25±3.28
16 0 2 - 150±2.83 - 43.4±14.71
- 19.42±7.27
- 18.95±1.48
18 1 0 163 - 44.7 - 16.82 - 23 -
Table-2 Nutritional status of school children as per age and gender
BMI (Z scores) Primary school
Gender Normal n (%)
Moderate undernutrition n (%)
Severe undernutrition n (%)
Overweight n (%)
Total
Male 89 (54.26) 43(26.22) 26(15.85) 6 (3.65) 164
Female 100(57.47) 56(32.18) 15(8.62) 3(1.72) 174
BMI Upper Primary school
Male 49(49.49) 27 (27.27) 21(21.21) 2 (2.02) 99
Female 64(52.89) 37 (30.57) 14 (11.57) 6 (4.95) 121
Table-3 Nutritional status of primary and upper primary school children as per gender Ref: WHO (2007)
Nutritional Status
Nutritional Status
The quantity served per child was generally as per the requirement of primary school or upper primary school children.
In some schools more number of
children were present in comparison to the number of children who consumed MDM.
Age (yrs) Weight Energy (Kcal)
Protein (gm)
7-9 25.1 1690 29.5
Boys 10-12 34.3 2190 39.9
Girls 10-12 35 2010 40.4
Boys 13-15 47.6 2750 54.3
Girls 13-15 46.6 2330 51.9
Boys 16-17 55.4 3020 61.5
Girls 16-17 52.1 2440 55.5
Meal Energy
Protein
Fat
Carotene
Thiamine
Riboflavin
Niacin
Vit B12
Folacin
Vit C
Iron
Calcium
Vit A
Dal rice+ Brinjal potato
566 10 16 64 0.2 0.2 4 0 38 17 1 34 192
Chana sabzi + Roti
208 6 8 37 0.1 0 1 0 38 0 2 46 119
Khichdi
361 6 8 5 0 0 2 0 13 0 1 12 3
Pulao 433 7.3 8 6.6 0.1 0.1 2.3 0 10.3 3.3
1 16 163.7
It was observed that the recipes could not meet the expected amounts of energy and proteins, compared to RDAs
Only Dal rice and brinjal potato(566 kcal) could provide energy close to expected amounts(646 Kcal).
Flourosis was observed in majority of the children.
It is desirable to have cereals and pulses along with vegetables and fruits.
Drumstick leaves should be included in recipes.
One piece of sapota or mango approximately 100-150 g may be distributed along with rice.
20 g of whole Bengal gram for primary and 30 g upper primary be soaked and cooked with pulao to give balance of protein and energy.
Recipes like LAPSI are not liked by children therefore a substitute for this should be thought of.
The last 10 per cent of the children having lowest academic performance should be medically examined regularly for anaemia, IDD, hearing and eyes.