Indian Journal of Community Medicine

SHORT COMMUNICATION
Year
: 2021  |  Volume : 46  |  Issue : 4  |  Page : 692--696

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


Rohit Yadav, Ajay Patial, Bhavneet Bharti, Savita Verma Attri, Prateek Bhatia 
 Department of Pediatrics, Advanced Pediatrics Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Dr. Bhavneet Bharti
Department of Pediatrics, Advanced Pediatrics Center, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012
India

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.


How to cite this article:
Yadav R, Patial A, Bharti B, Attri SV, Bhatia P. 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 J Community Med 2021;46:692-696


How to cite this URL:
Yadav R, Patial A, Bharti B, Attri SV, Bhatia P. 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 J Community Med [serial online] 2021 [cited 2022 May 25 ];46:692-696
Available from: https://www.ijcm.org.in/article.asp?issn=0970-0218;year=2021;volume=46;issue=4;spage=692;epage=696;aulast=Yadav;type=0