Authors :
Dr. Smital Dipak Jaiswal; Dr. Uday S. Mohite; Dr. Vivek S. Gosavi; Dr. Mayur Kulkarni
Volume/Issue :
Volume 9 - 2024, Issue 6 - June
Google Scholar :
https://tinyurl.com/4k8m6jh4
Scribd :
https://tinyurl.com/ypkurmjb
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24JUN1355
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Purpose
To ascertain the prevalence of Vitamin A deficiency
(VAD) among rural children in Latur, Maharashtra.
Methods
The study was conducted in a community setting and
used a cross-sectional design, meaning data was collected
at a single point in time. A total of 1,604 children aged 0-
15 years from rural areas in Latur, Maharashtra,
participated in the study. Participants were chosen using
a simple random sampling method, ensuring each child in
the population had an equal chance of being selected.
Data collection involved a pretested structured
questionnaire, which helps ensure consistency and
reliability in the responses, and ophthalmic examinations
to check for Vitamin A deficiency.
Results
The study found an overall Xerophthalmia
prevalence of 5.6%. In children under six years old, the
prevalence of Bitot's spots was 2.1%, compared to 4.2%
in children over six. Older children were more frequently
affected by Xerophthalmia. Factors contributing to
Xerophthalmia included low income, poor consumption
of fruits and vegetables, febrile illnesses, and lack of
immunization. Additionally, the study noted that dietary
patterns and economic status significantly influenced the
prevalence of VAD. Children from lower-income families
and those with limited access to nutritious foods were at a
higher risk.
Conclusion
The findings suggest a declining trend in Vitamin A
deficiency, with a milder form of Xerophthalmia and a
2.1% prevalence of Bitot's spots among children under
six years old. The higher prevalence of Xerophthalmia in
older children highlights the need to strengthen Vitamin
A prophylaxis programs and promote health education to
improve dietary diversity. It is essential to ensure the
inclusion of vegetables and fruits in children's diets to
maintain better Vitamin A status across all age groups.
Keywords :
Prevalence, Vitamin A, Xerophthalmia.
References :
- WHO/NMH/NHD/EPG. Xerophthalmia and night blindness for the assessment of clinical vitamin A deficiency in individuals and populations. J Clin Diagn Res. 2014;5(8):1627-1630.
- WHO/NMH/NHD/EPG. Xerophthalmia and night, blindness for the assessment of clinical vitamin A deficiency in individuals and populations. Vitamin and Mineral Nutrition Information System (VMNIS). 2014.
- Tarik Kassaye OR, Johns T, Becklake MR. Prevalence of vitamin A deficiency in children aged 6–9 years in Wukro, northern Ethiopia. Bull World Health Organ. 2001;79(5).
- Pepping F, Kavishe F, Hackenitz E, West C. Prevalence of xerophthalmia in relation to nutrition and general health in preschool-age children in three regions of Tanzania. Acta Paediatr. 1988;77(6):895-906.
- World Health Organization. Global Prevalence of Vitamin A Deficiency in Populations at Risk 1995–2005: WHO Global Database on Vitamin A Deficiency. Geneva, Switzerland: World Health Organization; 2009.
- Whitcher J, Srinivasan JM, Upadhyay MP. Corneal blindness: a global perspective. Bull World Health Organ. 2001;79:214-221.
- Moore DB, Shirefaw W, Tomkins-Netzer O, Eshete Z, Netzer-Tomkins H, Ben-Zion I. Prevalence of xerophthalmia among malnourished children in rural Ethiopia. Int Ophthalmol. 2013 Oct;33(5):455-9.
- Agrawal VK, Agrawal P, Dharmendra. Prevalence and determinants of xerophthalmia in rural children of Uttar Pradesh, India. Nepal J Ophthalmol. 2013 Jul-Dec;5(2):226-9.
- Sommer A, Tarwotjo I, Djunaedi E, West KP Jr, Loeden AA, Tilden R, Mele L. Impact of vitamin A supplementation on childhood mortality. A randomised controlled community trial. Lancet. 1986 May 24;1(8491):1169-73.
- Glasziou PP, Mackerras DE. Vitamin A supplementation in infectious diseases: a meta-analysis. BMJ. 1993 Feb 6;306(6874):366-70. doi: 10.1136/bmj.306.6874.366. PMID: 8461682; PMCID: PMC1676417.
- Sommer A. Vitamin A deficiency and clinical disease: an historical overview. J Nutr. 2008 Oct;138(10):1835-9.
- Wolde-Gebriel Z, Demeke T, West CE. Xerophthalmia in Ethiopia: a nationwide ophthalmological, biochemical and anthropometric survey. Eur J Clin Nutr. 1991 Oct;45(10):469-78.
- Kassaye T, Receveur O, Johns T et al. Prevalence of vitamin A deficiency in children aged 6–9 years in Wukro, northern Ethiopia. Bull World Health Organ. 2001;79:415–422.
- West KP Jr. Extent of vitamin A deficiency among preschool children and women of reproductive age. J Nutr. 2002;132(9 Suppl):2857S–66S.
Purpose
To ascertain the prevalence of Vitamin A deficiency
(VAD) among rural children in Latur, Maharashtra.
Methods
The study was conducted in a community setting and
used a cross-sectional design, meaning data was collected
at a single point in time. A total of 1,604 children aged 0-
15 years from rural areas in Latur, Maharashtra,
participated in the study. Participants were chosen using
a simple random sampling method, ensuring each child in
the population had an equal chance of being selected.
Data collection involved a pretested structured
questionnaire, which helps ensure consistency and
reliability in the responses, and ophthalmic examinations
to check for Vitamin A deficiency.
Results
The study found an overall Xerophthalmia
prevalence of 5.6%. In children under six years old, the
prevalence of Bitot's spots was 2.1%, compared to 4.2%
in children over six. Older children were more frequently
affected by Xerophthalmia. Factors contributing to
Xerophthalmia included low income, poor consumption
of fruits and vegetables, febrile illnesses, and lack of
immunization. Additionally, the study noted that dietary
patterns and economic status significantly influenced the
prevalence of VAD. Children from lower-income families
and those with limited access to nutritious foods were at a
higher risk.
Conclusion
The findings suggest a declining trend in Vitamin A
deficiency, with a milder form of Xerophthalmia and a
2.1% prevalence of Bitot's spots among children under
six years old. The higher prevalence of Xerophthalmia in
older children highlights the need to strengthen Vitamin
A prophylaxis programs and promote health education to
improve dietary diversity. It is essential to ensure the
inclusion of vegetables and fruits in children's diets to
maintain better Vitamin A status across all age groups.
Keywords :
Prevalence, Vitamin A, Xerophthalmia.