Trends in underweight, stunting, and wasting prevalence and inequality among children under three in Indian states, 1993–2016

Abstract Child undernutrition remains high in India with far-reaching consequences for child health and development. Anthropometry reflects undernutrition. We examined the state-level trends in underweight, stunting, and wasting prevalence and inequality by living standards using four rounds of the...

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Autores principales:	Omar Karlsson, Rockli Kim, Rakesh Sarwal, K. S. James, S. V. Subramanian
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/07aed09869264c4bb63ca9d10f907015
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spelling	oai:doaj.org-article:07aed09869264c4bb63ca9d10f9070152021-12-02T16:24:50ZTrends in underweight, stunting, and wasting prevalence and inequality among children under three in Indian states, 1993–201610.1038/s41598-021-93493-12045-2322https://doaj.org/article/07aed09869264c4bb63ca9d10f9070152021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93493-1https://doaj.org/toc/2045-2322Abstract Child undernutrition remains high in India with far-reaching consequences for child health and development. Anthropometry reflects undernutrition. We examined the state-level trends in underweight, stunting, and wasting prevalence and inequality by living standards using four rounds of the National Family Health Surveys in 26 states in India, conducted in 1992–1993, 1998–1999, 2005–2006, and 2015–2016. The average annual reduction (AAR) for underweight ranged from 0.04 percentage points (pp) (95% CI − 0.12, 0.20) in Haryana to 1.05 pp (95% CI 0.88, 1.22) in West Bengal for underweight; 0.35 pp (95% CI 0.11, 0.59) in Manipur to 1.47 (95% CI 1.19, 1.75) in Himachal Pradesh for stunting; and − 0.65 pp (95% CI − 0.77, − 0.52) in Haryana to 0.36 pp (95% CI 0.22, 0.51) in Bihar & Jharkhand for wasting. We find that change in the pp difference between children with the poorest and richest household living standards varied by states: statistically significant decline (increase) was observed in 5 (3) states for underweight, 5 (4) states for stunting, and 2 (1) states for wasting. Prevalence of poor anthropometric outcomes as well as disparities by states and living standards remain a problem in India.Omar KarlssonRockli KimRakesh SarwalK. S. JamesS. V. SubramanianNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Omar Karlsson Rockli Kim Rakesh Sarwal K. S. James S. V. Subramanian Trends in underweight, stunting, and wasting prevalence and inequality among children under three in Indian states, 1993–2016
description	Abstract Child undernutrition remains high in India with far-reaching consequences for child health and development. Anthropometry reflects undernutrition. We examined the state-level trends in underweight, stunting, and wasting prevalence and inequality by living standards using four rounds of the National Family Health Surveys in 26 states in India, conducted in 1992–1993, 1998–1999, 2005–2006, and 2015–2016. The average annual reduction (AAR) for underweight ranged from 0.04 percentage points (pp) (95% CI − 0.12, 0.20) in Haryana to 1.05 pp (95% CI 0.88, 1.22) in West Bengal for underweight; 0.35 pp (95% CI 0.11, 0.59) in Manipur to 1.47 (95% CI 1.19, 1.75) in Himachal Pradesh for stunting; and − 0.65 pp (95% CI − 0.77, − 0.52) in Haryana to 0.36 pp (95% CI 0.22, 0.51) in Bihar & Jharkhand for wasting. We find that change in the pp difference between children with the poorest and richest household living standards varied by states: statistically significant decline (increase) was observed in 5 (3) states for underweight, 5 (4) states for stunting, and 2 (1) states for wasting. Prevalence of poor anthropometric outcomes as well as disparities by states and living standards remain a problem in India.
format	article
author	Omar Karlsson Rockli Kim Rakesh Sarwal K. S. James S. V. Subramanian
author_facet	Omar Karlsson Rockli Kim Rakesh Sarwal K. S. James S. V. Subramanian
author_sort	Omar Karlsson
title	Trends in underweight, stunting, and wasting prevalence and inequality among children under three in Indian states, 1993–2016
title_short	Trends in underweight, stunting, and wasting prevalence and inequality among children under three in Indian states, 1993–2016
title_full	Trends in underweight, stunting, and wasting prevalence and inequality among children under three in Indian states, 1993–2016
title_fullStr	Trends in underweight, stunting, and wasting prevalence and inequality among children under three in Indian states, 1993–2016
title_full_unstemmed	Trends in underweight, stunting, and wasting prevalence and inequality among children under three in Indian states, 1993–2016
title_sort	trends in underweight, stunting, and wasting prevalence and inequality among children under three in indian states, 1993–2016
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/07aed09869264c4bb63ca9d10f907015
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Trends in underweight, stunting, and wasting prevalence and inequality among children under three in Indian states, 1993–2016

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