5 th GujArat review mission

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.