Variación étnica en el retraso del crecimiento y sus factores concomitantes entre los niños indígenas en edad preescolar del distrito de Purulia, Bengala Occidental, India
DOI:
https://doi.org/10.24215/18536387e114Palabras clave:
etnicidad, India, estado nutricional, preescolaresResumen
Este estudio tuvo como objetivo investigar las variaciones en la prevalencia del retraso del crecimiento por edad, sexo y origen étnico, así como sus factores asociados. El presente estudio transversal se llevó a cabo en tres bloques del distrito de Purulia, centrándose en niños de dos grupos étnicos distintos (Kurmi y Sabar). Se investigó un total de 701 participantes (niños: 372; niñas: 329) de las comunidades Kurmi (377) y Sabar (324), dentro del grupo de edad de 1 a 5 años. El estado de retraso del crecimiento de los niños se evaluó en función de la estatura utilizando los valores de puntuación Z recomendados por la OMS. La tasa general de retraso del crecimiento fue del 58,2%, y los niños Sabar (75%) tuvieron una tasa de retraso del crecimiento significativamente mayor que los Kurmi (43,77%) (χ2 = 69,87, p < ,001). También se observó una asociación significativa entre la prevalencia del retraso del crecimiento y las variables socioconductuales. El análisis de regresión logística binaria (BLR, por sus siglas en inglés) reveló que el peso al nacer es un predictor significativo del retraso del crecimiento entre los niños Kurmi (Wald = 16,08, p < ,001). El estado de alimentación con calostro también fue un predictor significativamente fuerte del mismo, con independencia del sexo, entre los niños Kurmi (Wald = 18,56, p < ,001). El número de hermanos (Wald = 9,75, p < ,001) fue un predictor entre los niños estudiados; más específicamente, entre las niñas Kurmi (Wald = 7,71, p < ,05). De manera similar, entre los niños Sabar se encontró que el orden de nacimiento era un predictor significativo de retraso en el crecimiento (Wald = 8,71, p < ,01). Además, se encontró que el origen étnico (Wald = 37,96, p < ,001) era el predictor más fuerte del retraso del crecimiento después de controlar los efectos de todas las demás variables socioconductuales. El estudio reveló una variación étnica en el impacto de los determinantes socioconductuales en el retraso del crecimiento entre los niños analizados, con diferentes características sociodemográficas y conductuales que sirven como predictores importantes del retraso del crecimiento.
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Aggarwal, T., & Srivastava, S. (2017). Nutritional status and its correlates in under five children of labour population in urban slums of Lucknow, Uttar Pradesh, India. International Journal of Contemporary Pediatrics, 4(4),1253-1258. http://dx.doi.org/10.18203/2349-3291.ijcp20172518
Ahmad, S., & Mishra, S. (2022). Impact of feeding practices on nutritional status of children of Lucknow district: A community based cross-sectional study. Clinical Epidemiology and Global Health, 15, 101011. https://doi.org/10.1016/j.cegh.2022.101011
Aryastami, N. K., Shankar, A., Kusumawardani, N., Besral, B., Jahari, A. B., & Achadi, E. (2017). Low birth weight was the most dominant predictor associated with stunting among children aged 12–23 months in Indonesia. BMC Nutrition, 3(16), 1–6. https://doi.org/10.1186/s40795-017-0130-x
Awasthi, S., & Pande, V. K. (1997). Prevalence of malnutrition and intestinal parasites in slum children in Lucknow. Indian Paediatrics, 34, 599-605. https://pubmed.ncbi.nlm.nih.gov/9401252/
Bagchi, K. (1986). Public health nutrition in developing countries. Academic Publishers.
Basu, S., Kapoor, A. K., & Basu, S. K. (2004). Knowledge, attitude and practice of family planning among tribals. Journal of Family Welfare, 50, 24-30.
Bharati, S., Pal, M., & Bharati, P. (2008). Determinants of nutritional status of pre-school children in India. Journal of Biosocial Science, 40(6), 801-814. https://doi.org/10.1017/s0021932008002812
Bisai, S. (2014). Prevalence of undernutrition among Santal tribal children of Paschim Medinipur district, West Bengal, India. International Journal of Pediatrics, 2(4-3), 347–354. https://doi.org/10.22038/ijp.2014.3538
Biswas, S., & Bose, K. (2010). Sex differences in the effect of birth order and parents’ educational status on stunting: A study on Bengalee children from eastern India. Homo, 61(4), 271–276. https://doi.org/10.1016/j.jchb.2010.03.001
Biswas, S., & Bose, K. (2011). Effect of number of rooms and sibs on nutritional status among rural Bengalee children from Eastern India. Collegium Antropologicum, 35(4), 1017-1022.
Biswas, S., Bose, K., & Koziel, S. (2011). Effect of some social factors on nutritional status among rural Bengalee children from Eastern India. Journal of Human Sciences, 8(1), 289-300.
Bork, K., & Diallo, A. (2017). Boys are more stunted than girls from early infancy to 3 years of age in rural Senegal. The Journal of Nutrition, 147(5), 940–947. https://doi.org/10.3945/jn.116.243246
Census of India. (2011). Office of the Registrar General & Census Commissioner, India. Ministry of Home Affairs, Government of India. https://www.mha.gov.in/en/registrar-general-and-census-commissioner-india
Cochran, W. G. (1963). Sampling techniques (2nd ed.). John Wiley & Sons. https://doi.org/10.1002/bimj.19650070312
Dhatrak, P. P., Pitale, S., Kasturwar, N. B., Nayse, J., & Relwani, N. (2013). Prevalence and epidemiological determinants of malnutrition among under-fives in an urban slum, Nagpur. National Journal of Community Medicine, 4(1), 91–95.
Divakar, S. V., Balaji, P. A., Poornima, S., Varne, S. R., Ali, S. S., & Puttaswamy, M. (2013). A comparative assessment of nutritional and health status between tribal and nontribal under five children of Mysore, India. Muller Journal of Medical Sciences and Research, 4(2), 82–85. https://doi.org/10.4103/0975-9727.118232
Food and Agriculture Organization of the United Nations. (2024). Data: Suite of food security indicators. FAO. http://www.fao.org/faostat/en/#data/FS
Global Monitoring Report. (2012). Food Prices, Nutrition, and the Millennium Development Goals. World Bank. http://hdl.handle.net/10986/6017
Global Nutrition Report. (2020). Global nutrition report: Action on equity to end malnutrition. Development Initiatives. UNICEF. https://data.unicef.org/resources/global-nutrition-report-2020
Gope, S., Mahato, K. P., Bisai, S., & Biswas, S. (2022). Nutritional status of ICDS children of Purulia district, West Bengal, India. Antrocom: Online Journal of Anthropology, 18(2), 455-462.
Gupta, V. M., & Shukla, K. K. (1992). Epidemiological correlates of protein energy malnutrition in children. Indian Journal of Preventive and Social Medicine, 23, 26-32.
Halli, S. S., Biradar, R. A., & Prasad, J. B. (2022). Low birth weight, the differentiating risk factor for stunting among children in India. International Journal of Environmental Research and Public Health, 19(7), 3751. https://doi.org/10.3390/ijerph19073751
Iftikhar, A., Bari, A., Bano, I., & Masood, Q. (2017). Impact of maternal education, employment, and family size on nutritional status of children. Pakistan Journal of Medical Sciences, 33(6), 1401–1405. https://doi.org/10.12669/pjms.336.13689
Jana, A., Dey, D., & Ghosh, R. (2023). Contribution of low birth weight to childhood undernutrition in India: Evidence from the National Family Health Survey 2019–2021. BMC Public Health, 23(1), 1336. https://doi.org/10.1186/s12889-023-16160-2
Kshatriya, G. K., & Ghosh, A. (2008). Undernutrition among the tribal children in India: Tribes of coastal, Himalayan and desert ecology. Anthropologischer Anzeiger, 66(4), 355–363. https://pubmed.ncbi.nlm.nih.gov/18924573/
Liou, L., Kim, R., & Subramanian, S. V. (2020). Identifying geospatial patterns in wealth disparity in child malnutrition across 640 districts in India. SSM - Population Health, 10, 100524. https://doi.org/10.1016/j.ssmph.2019.100524
Lohman, T. G., Roche, A. F., & Martorell, R. (1988). Anthropometric standardization reference manual. Human Kinetics.
Lucovnik, M., Starc, G., Golja, P., Verdenik, I., & Gantar, I. S. (2018). Effects of perinatal factors on body mass index and physical fitness of school-age children. Slovenian Journal of Public Health, 57(2), 81-87. https://doi.org/10.2478/sjph-2018-0011.
Mahapatra, B., Dey, J., Pal, S., & Bose, K. (2019). Prevalence of under nutrition among santal children of two Districts of West Bengal, India. Human Biology Review, 8(2), 179-196.
Maia, M. M., Fausto, M. A., Vieira, E. L., Benetton, M. L., & Carneiro, M. (2008). The prevalence of malnutrition and its risk factors in children attending outpatient clinics in the city of Manaus, Amazonas, Brazil. Archivos Latinoamericanos de Nutrición, 58(3), 234–240. https://pubmed.ncbi.nlm.nih.gov/19137985/
Mitra, M., Kumar, P. V., Chakrabarty, S., & Bharati, P. (2007). Nutritional status of Kamar tribal children in Chhattisgarh. The Indian Journal of Pediatrics, 74, 381-384. https://doi.org/10.1007/s12098-007-0064-4
Mondal, P. R., Biswas, S., & Bose, K. (2012). Gender discrimination in undernutrition with mediating factors among Bengalee school children from Eastern India. Homo, 63(2), 126-135. https://doi.org/10.1016/j.jchb.2012.01.001
Mukhopadhyay, D. K., & Biswas, A. B. (2011). Food security and anthropometric failure among tribal children in Bankura, West Bengal. Indian Pediatrics, 48, 311-314. https://doi.org/10.1007/s13312-011-0057-2
Muluye, S. D., Lemma, T. B., & Diddana, T. Z. (2020). Effects of nutrition education on improving knowledge and practice of complementary feeding of mothers with 6- to 23-month-old children in daycare centers in Hawassa town, southern Ethiopia: An institution-based randomized control trial. Journal of Nutrition and Metabolism, 2020, 1–10. https://doi.org/10.1155/2020/6571583
Nie, P., Rammohan, A., Gwozdz, W., & Sousa-Poza, A. (2019). Changes in child nutrition in India: A decomposition approach. International Journal of Environmental Research and Public Health, 16(10), 1815. https://doi.org/10.3390/ijerph16101815
O’Malley, L. S. S. (1910). Bengal District Gazetteers: Sinhbhum, Saraikela and Kharsawan. Concept Publishing Company.
Owais, A., Suchdev, P. S., Schwartz, B., Kleinbaum, D. G., Faruque, A. S. G., Das, S. K., & Stein, A. D. (2019). Maternal knowledge and attitudes towards complementary feeding in relation to timing of its initiation in rural Bangladesh. BMC Nutrition, 5(1), 7. https://doi.org/10.1186/s40795-019-0272-0
Pal, A., Pari, A. K., Sinha, A., & Dhara, P. C. (2017). Prevalence of undernutrition and associated factors: A cross-sectional study among rural adolescents in West Bengal, India. International Journal of Pediatrics and Adolescent Medicine, 4(1), 9-18. https://doi.org/10.1016/j.ijpam.2016.08.009
Pande, R. P. (2003). Selective gender differences in childhood nutrition and immunization in rural India: the role of siblings. Demography, 40(3), 395-418. https://doi.org/10.1353/dem.2003.0029
Pava Yépez, L. J., Yepes López, V. A., & Gómez Mejía, J. (2024). Nutritional transition and malnutrition in children under five years old in the Gito Dokabú indigenous reservation, Santa Cecilia, Risaralda, Colombia. Revista Argentina de Antropología Biológica, 26(2), 087. https://doi.org/10.24215/18536387e087
Rahman, M. S., Howlader, T., Masud, M. S., & Rahman, M. L. (2016). Association of low-birth weight with malnutrition in children under five years in Bangladesh: Do mother’s education, socio-economic status, and birth interval matter? PLOS ONE, 11(6), e0157814. https://doi.org/10.1371/journal.pone.0157814
Rajaram, S., Zottarelli, L. K., & Sunil, T. S. (2007). Individual, household, programme and community effects on childhood malnutrition in rural India. Maternal & Child Nutrition, 3(2), 129–140. https://doi.org/10.1111/j.1740-8709.2007.00086.x
Sania, A., Spiegelman, D., Rich‐Edwards, J., Hertzmark, E., Mwiru, R. S., Kisenge, R., & Fawzi, W. W. (2015). The contribution of preterm birth and intrauterine growth restriction to childhood undernutrition in Tanzania. Maternal & Child Nutrition, 11(4), 618–630. https://doi.org/10.1111/mcn.1212
Santos, I. S., Matijasevich, A., Domingues, M. R., Barros, A. J., Victora, C. G., & Barros, F. C. (2009). Late preterm birth is a risk factor for growth faltering in early childhood: A cohort study. BMC Pediatrics, 9, 1–8. https://doi.org/10.1186/1471-2431-9-71
Scheffé, H. (1953). A method for judging all contrasts in the analysis of variance. Biometrika, 40(1–2), 87–110.
Singh, Z. (2016). Sustainable development goals: Challenges and opportunities. Indian Journal of Public Health, 60(4), 247-250. https://doi.org/10.4103/0019-557X.195862
Sk, R., Banerjee, A., & Rana, M. J. (2021). Nutritional status and concomitant factors of stunting among pre-school children in Malda, India: A micro-level study using a multilevel approach. BMC Public Health, 21, 1-13. https://doi.org/10.1186/s12889-021-11704-w
Stamenkovic, Z., Djikanovic, B., Laaser, U., & Bjegovic-Mikanovic, V. (2016). The role of mother’s education in the nutritional status of children in Serbia. Public Health Nutrition, 19(15), 2734–2742. https://doi.org/10.1017/S1368980016000768
Stiller, C. K., Golembiewski, S. K. E., Golembiewski, M., Mondal, S., Biesalski, H. K., & Scherbaum, V. (2020). Prevalence of undernutrition and anemia among Santal Adivasi children, Birbhum District, West Bengal, India. International Journal of Environmental Research and Public Health, 17(1), 342. https://doi.org/10.3390/ijerph17010342
Thurstans, S., Opondo, C., Seal, A., Wells, J., Khara, T., Dolan, C., Briend, A., Myatt, M., Garenne, M., Sear, R., & Kerac, M. (2020). Boys are more likely to be undernourished than girls: A systematic review and meta-analysis of sex differences in undernutrition. BMJ Global Health, 5(12), e004030. https://doi.org/10.1136/bmjgh-2020-004030
Tigga, P. L., Mondal, N., & Sen, J. (2015). Effects of some socio-economic, demographic and life style factors on the prevalence of thinness among pre-school children. Epidemiology, Biostatistics, and Public Health, 12(1). https://doi.org/10.2427/10282
United Nations Children’s Fund. (2017). Reducing stunting in children under five years of age: A comprehensive evaluation of UNICEF’s strategies and programme performance Cambodia country case study. UNICEF.
United Nations Inter-Agency Group for Child Mortality Estimation. (2023). Levels and trends in child mortality: Report 2022. UNICEF, United Nations Children's Fund.
Vidyarthi, L. P., & Upadhyay, V. S. (1980). The Kharia, then and now: A comparative study of Hill, Dhelki, and Dudh Kharia of the central-eastern region of India. Concept Publishing.
Verma, R., & Prinja, S. (2008). Assessment of nutritional status and dietary intake of children in an urban pocket. International Journal of Epidemiology, 6(1), 1-5.
Wamani, H., Astrøm, A. N., Peterson, S., Tumwine, J. K., & Tylleskär, T. (2007). Boys are more stunted than girls in sub-Saharan Africa: A meta-analysis of 16 demographic and health surveys. BMC Pediatrics, 7(1), 17. https://doi.org/10.1186/1471-2431-7-17
WHO Expert Committee on Physical Status, & World Health Organization. (1995). Physical status: The use and interpretation of anthropometry. World Health Organization. https://apps.who.int/iris/handle/10665/37003
World Bank. (s.f.). Nutrition: Overview. World Bank Group. Recuperado el 14 de julio de 2023 de https://www.worldbank.org/en/topic/nutrition/overview
World Health Organization. (2006). Child growth standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. World Health Organization. https://apps.who.int/iris/handle/10665/43413
World Health Organization. (2014). Global nutrition targets 2025: Low birth weight policy brief series. World Health Organization. https://apps.who.int/iris/handle/10665/149020
World Health Organization. (2025). Levels and trends in child malnutrition: UNICEF / WHO / World Bank Group Joint Child Malnutrition Estimates. Key findings of the 2025 edition. United Nations Children’s Fund, World Health Organization, The World Bank.
Yadav, R. J., & Singh, P. (1999). Nutritional status and dietary intake in tribal children of Bihar. Indian Pediatrics, 36(1), 37–42.
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