Dietary vitamin a intake, coverage of vitamin a megadose supplementation, and prevalence of vitamin a deficiency among marginalized children 6–59 months in anganwadis of Chandigarh: A multistage cluster sampling survey
Background: Lack of recent local data regarding Vitamin A deficiency, dietary intake, and coverage of biannual high-dose Vitamin A prophylaxis among marginalized children poses challenges for policy change. Objective: Our study aimed to evaluate the burden of serum Vitamin A deficiency, dietary Vita...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Indian Journal of Community Medicine |
| Subjects: | |
| Online Access: | http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2021;volume=46;issue=4;spage=692;epage=696;aulast=Yadav |
| _version_ | 1798034244398743552 |
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| author | Rohit Yadav Ajay Patial Bhavneet Bharti Savita Verma Attri Prateek Bhatia |
| author_facet | Rohit Yadav Ajay Patial Bhavneet Bharti Savita Verma Attri Prateek Bhatia |
| author_sort | Rohit Yadav |
| collection | DOAJ |
| description | Background: Lack of recent local data regarding Vitamin A deficiency, dietary intake, and coverage of biannual high-dose Vitamin A prophylaxis among marginalized children poses challenges for policy change. Objective: Our study aimed to evaluate the burden of serum Vitamin A deficiency, dietary Vitamin A intake, and current Vitamin A supplementation coverage. Methodology: We enrolled 216 children aged 6–60 months from 30 Anganwadis of Chandigarh using two-stage cluster sampling. Results: Dietary intake of Vitamin A-rich foods and vegetables in the last 24 h was observed only in 20% of enrolled children. Although 79.21% (160/202) of children aged ≥9 months reported receiving Vitamin A supplementation, only 38.52% had documented record of age-appropriate complete supplementation. None of the children showed ocular manifestations of Vitamin A deficiency. For the subjects in which C-reactive protein levels were ≤5 mg/l (n = 148), 35.14% (52/148) had serum retinol ≤0.7 μmol/L and 2.03% (3/148) had serum retinol ≤0.3 μmol/L. The multivariate odds ratios (ORs) of Vitamin A deficiency (serum retinol <0.7) were 2.23 times higher in subjects with inappropriate complementary feeding (OR: 2.23; 95% confidence interval [CI]: 1.07–4.80; P = 0.035) whereas odds were significantly lower for middle (OR: 0.27; 95% CI: 0.09–0.76; P = 0.015) and higher income (OR: 0.14; 95% CI: 0.03–0.53; P = 0.005) families in reference to low-income group. Conclusions: Subclinical Vitamin A deficiency is still a public health crisis with suboptimal dietary intake of Vitamin A-rich foods and compromised food diversity necessitating targeted approach for marginalized children. |
| first_indexed | 2024-04-11T20:41:41Z |
| format | Article |
| id | doaj.art-6da8e0c724d94612976794a2284e6bba |
| institution | Directory Open Access Journal |
| issn | 0970-0218 1998-3581 |
| language | English |
| last_indexed | 2024-04-11T20:41:41Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Community Medicine |
| spelling | doaj.art-6da8e0c724d94612976794a2284e6bba2022-12-22T04:04:12ZengWolters Kluwer Medknow PublicationsIndian Journal of Community Medicine0970-02181998-35812021-01-0146469269610.4103/ijcm.IJCM_650_20Dietary vitamin a intake, coverage of vitamin a megadose supplementation, and prevalence of vitamin a deficiency among marginalized children 6–59 months in anganwadis of Chandigarh: A multistage cluster sampling surveyRohit YadavAjay PatialBhavneet BhartiSavita Verma AttriPrateek BhatiaBackground: Lack of recent local data regarding Vitamin A deficiency, dietary intake, and coverage of biannual high-dose Vitamin A prophylaxis among marginalized children poses challenges for policy change. Objective: Our study aimed to evaluate the burden of serum Vitamin A deficiency, dietary Vitamin A intake, and current Vitamin A supplementation coverage. Methodology: We enrolled 216 children aged 6–60 months from 30 Anganwadis of Chandigarh using two-stage cluster sampling. Results: Dietary intake of Vitamin A-rich foods and vegetables in the last 24 h was observed only in 20% of enrolled children. Although 79.21% (160/202) of children aged ≥9 months reported receiving Vitamin A supplementation, only 38.52% had documented record of age-appropriate complete supplementation. None of the children showed ocular manifestations of Vitamin A deficiency. For the subjects in which C-reactive protein levels were ≤5 mg/l (n = 148), 35.14% (52/148) had serum retinol ≤0.7 μmol/L and 2.03% (3/148) had serum retinol ≤0.3 μmol/L. The multivariate odds ratios (ORs) of Vitamin A deficiency (serum retinol <0.7) were 2.23 times higher in subjects with inappropriate complementary feeding (OR: 2.23; 95% confidence interval [CI]: 1.07–4.80; P = 0.035) whereas odds were significantly lower for middle (OR: 0.27; 95% CI: 0.09–0.76; P = 0.015) and higher income (OR: 0.14; 95% CI: 0.03–0.53; P = 0.005) families in reference to low-income group. Conclusions: Subclinical Vitamin A deficiency is still a public health crisis with suboptimal dietary intake of Vitamin A-rich foods and compromised food diversity necessitating targeted approach for marginalized children.http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2021;volume=46;issue=4;spage=692;epage=696;aulast=Yadavchildrendeficiencydietary intakeprevalenceretinolvitamin a |
| spellingShingle | Rohit Yadav Ajay Patial Bhavneet Bharti Savita Verma Attri Prateek Bhatia Dietary vitamin a intake, coverage of vitamin a megadose supplementation, and prevalence of vitamin a deficiency among marginalized children 6–59 months in anganwadis of Chandigarh: A multistage cluster sampling survey Indian Journal of Community Medicine children deficiency dietary intake prevalence retinol vitamin a |
| title | Dietary vitamin a intake, coverage of vitamin a megadose supplementation, and prevalence of vitamin a deficiency among marginalized children 6–59 months in anganwadis of Chandigarh: A multistage cluster sampling survey |
| title_full | Dietary vitamin a intake, coverage of vitamin a megadose supplementation, and prevalence of vitamin a deficiency among marginalized children 6–59 months in anganwadis of Chandigarh: A multistage cluster sampling survey |
| title_fullStr | Dietary vitamin a intake, coverage of vitamin a megadose supplementation, and prevalence of vitamin a deficiency among marginalized children 6–59 months in anganwadis of Chandigarh: A multistage cluster sampling survey |
| title_full_unstemmed | Dietary vitamin a intake, coverage of vitamin a megadose supplementation, and prevalence of vitamin a deficiency among marginalized children 6–59 months in anganwadis of Chandigarh: A multistage cluster sampling survey |
| title_short | Dietary vitamin a intake, coverage of vitamin a megadose supplementation, and prevalence of vitamin a deficiency among marginalized children 6–59 months in anganwadis of Chandigarh: A multistage cluster sampling survey |
| title_sort | dietary vitamin a intake coverage of vitamin a megadose supplementation and prevalence of vitamin a deficiency among marginalized children 6 59 months in anganwadis of chandigarh a multistage cluster sampling survey |
| topic | children deficiency dietary intake prevalence retinol vitamin a |
| url | http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2021;volume=46;issue=4;spage=692;epage=696;aulast=Yadav |
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