Loading...
Please wait, while we are loading the content...
Similar Documents
Prevalence of ocular signs and subclinical vitamin A deficiency and its determinants among rural pre-school children in India
| Content Provider | Scilit |
|---|---|
| Author | Laxmaiah, Avula Nair, Madhavan K. Arlappa, Nimmathota Raghu, Pullakhandam Balakrishna, Nagalla Rao, Kodavanti Mallikharjuna Galreddy, Chitty Kumar, Sharad Ravindranath, Manachala Rao, Varaganti Vikas Brahmam, Ginnela Nv |
| Copyright Year | 2011 |
| Description | Objective: To assess the magnitude and determinants of vitamin A deficiency (VAD) and coverage of vitamin A supplementation (VAS) among pre-school children.Design: A community-based cross-sectional study was carried out by adopting a multistage, stratified, random sampling procedure.Setting: Rural areas of eight states in India.Subjects: Pre-school children and their mothers were covered.Results: A total of 71 591 pre-school children were clinically examined for ocular signs of VAD. Serum retinol concentrations in dried blood spots were assessed in a sub-sample of 3954 children using HPLC. The prevalence of Bitot spots was 0·8 %. The total ocular signs were significantly higher (P < 0·001) among boys (2·6 %) compared with girls (1·9 %) and in older children (3–4 years) compared (P < 0·001) with younger (1–2 years), and were also high in children of labourers, scheduled castes and illiterate mothers. The odds of having Bitot spots was highest in children of scheduled caste (OR = 3·8; 95 % CI 2·9, 5·0), labourers (OR = 2·9; 95 % CI 2·1, 3·9), illiterate mothers (OR = 2·7; 95 % CI 2·2, 2·3) and households without a sanitary latrine (OR = 5·9; 95 % CI 4·0, 8·7). Subclinical VAD (serum retinol level <20 μg/dl) was observed in 62 % of children. This was also relatively high among scheduled caste and scheduled tribe children. The rate of coverage of VAS was 58 %.Conclusions: The study revealed that VAD is a major nutritional problem and coverage of VAS was poor. The important determinants of VAD were illiteracy, low socio-economic status, occupation and poor sanitation. Strengthening the existing VAS programme and focused attention on dietary diversification are essential for prevention of VAD. |
| Related Links | https://www.cambridge.org/core/services/aop-cambridge-core/content/view/6CC81D6A59C1A7A6E52C1EF79362CEEF/S136898001100214Xa.pdf/div-class-title-prevalence-of-ocular-signs-and-subclinical-vitamin-a-deficiency-and-its-determinants-among-rural-pre-school-children-in-india-div.pdf |
| Ending Page | 577 |
| Page Count | 10 |
| Starting Page | 568 |
| ISSN | 13689800 |
| e-ISSN | 14752727 |
| DOI | 10.1017/s136898001100214x |
| Journal | Public Health Nutrition |
| Issue Number | 4 |
| Volume Number | 15 |
| Language | English |
| Publisher | Cambridge University Press (CUP) |
| Publisher Date | 2011-09-02 |
| Access Restriction | Open |
| Subject Keyword | Public Health Nutrition Nutrition and Dietetics school Children Vitamin A Deficiency Vitamin A Supplementation |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nutrition and Dietetics Public Health, Environmental and Occupational Health |
