Prevalence of Vitamin A Deficiency (VAD) with Some Associated Risk Factors among Children Aged 1 to 5 Years in Rural Maharashtra - A Community Based Cross-Sectional Study.
IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
R N Raghavendra Swamy, Priyanka N Akahade, P Abhinaya, Arvindkumar Waghmare, Satish V Gujalwar
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引用次数: 0
Abstract
Background: Nutrition is an indispensable part of human life. Vitamin A deficiency(VAD) is the most important cause of preventable blindness in young children. It has long been a nutritional problem of public health significance in India and continues to be so. It is estimated that 50,000 preschool children become blind every year owing to VAD, and many of them will eventually die because of increased susceptibility to infections. To estimate the prevalence of clinical forms of vitamin A deficiency among the preschool children aged 1 to 5 years in the community and to determine the risk factors associated with vitamin A deficiency among the children aged 1-5 years.
Material and methods: This community based cross-sectional study was conducted among the pre-school children of RHTC area of a medical college between March 2019 to June 2019, IEC 24/2019. The data obtained was entered in MS-EXCEL 2010 and statistical software Epi info version 7.
Results: The prevalence of vitamin A deficiency in our study was found to be 5.59%. On bi-variate analysis, the prevalence of vitamin A deficiency was more among the children belonging to class 4 and class 5 BG Prasad scale and was significant (p<0.05). According to our study grade 2 and grade 3 PEM, Diarrhoeal diseases, measles infection and lack of vitamin A prophylaxis has emerged as independent risk factors.
Conclusion: Strengthening of immunization is very important to avoid VAD. Tailor made dietary modifications is very much essential among children, to combat PEM and in turn infections. Sources of vitamin A rich foods and its importance in a daily diet must be emphasized.
背景:营养是人类生活中不可缺少的一部分。维生素A缺乏症(VAD)是幼儿可预防性失明的最重要原因。长期以来,它一直是印度一个具有公共卫生意义的营养问题,并将继续如此。据估计,每年有50,000名学龄前儿童因VAD失明,其中许多人最终将因对感染的易感性增加而死亡。评估社区1-5岁学龄前儿童临床形式维生素A缺乏症的患病率,并确定与1-5岁儿童维生素A缺乏症相关的危险因素。材料与方法:本研究于2019年3月至2019年6月在某医学院RHTC地区的学龄前儿童中进行了基于社区的横断面研究,iec24 /2019。所得数据在MS-EXCEL 2010和统计软件Epi info version 7中录入。结果:本研究人群维生素A缺乏症患病率为5.59%。双变量分析显示,维生素A缺乏症发生率在BG Prasad量表4级和5级儿童中较高,且具有显著性意义(p)。结论:加强免疫接种对预防VAD至关重要。量身定制的饮食调整对儿童来说非常重要,以对抗PEM和感染。必须强调富含维生素A的食物的来源及其在日常饮食中的重要性。
期刊介绍:
The Indian Journal of Community Medicine (IJCM, ISSN 0970-0218), is the official organ & the only official journal of the Indian Association of Preventive and Social Medicine (IAPSM). It is a peer-reviewed journal which is published Quarterly. The journal publishes original research articles, focusing on family health care, epidemiology, biostatistics, public health administration, health care delivery, national health problems, medical anthropology and social medicine, invited annotations and comments, invited papers on recent advances, clinical and epidemiological diagnosis and management; editorial correspondence and book reviews.