Evidence map›Paper›PMID 33066763›Full record

Trial reportBMC public health2020

Prevalence and determinants of undernutrition among under-five children residing in urban slums and rural area, Maharashtra, India: a community-based cross-sectional study.

Sujata Murarkar, Jayashree Gothankar, Prakash Doke, Prasad Pore, Sanjay Lalwani, Girish Dhumale, Sanjay Quraishi, Reshma Patil, Vivek Waghachavare, Randhir Dhobale and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Sujata MurarkarDepartment of Community Medicine, Bharati Vidyapeeth Deemed to be University Medical College, Off Pune Satara Road, Pune, 411043, India.
Jayashree GothankarDepartment of Community Medicine, Bharati Vidyapeeth Deemed to be University Medical College, Off Pune Satara Road, Pune, 411043, India. Jayashreesg@rediffmail.com.ORCID http://orcid.org/0000-0003-2088-677X
Prakash DokeDepartment of Community Medicine, Bharati Vidyapeeth Deemed to be University Medical College, Off Pune Satara Road, Pune, 411043, India.
Prasad PoreDepartment of Community Medicine, Bharati Vidyapeeth Deemed to be University Medical College, Off Pune Satara Road, Pune, 411043, India.
Sanjay LalwaniDepartment of Pediatrics, Bharati Vidyapeeth Deemed to be University Medical College, Pune, India.
Girish DhumaleDepartment of Community Medicine, Bharati Vidyapeeth Deemed to be University Medical College, Sangli, India.
Sanjay QuraishiDepartment of Community Medicine, Bharati Vidyapeeth Deemed to be University Medical College, Sangli, India.
Reshma PatilDepartment of Community Medicine, Symbiosis Medical College for women, Pune, Maharashtra, India.
Vivek WaghachavareDepartment of Community Medicine, Bharati Vidyapeeth Deemed to be University Medical College, Sangli, India.
Randhir DhobaleDepartment of Community Medicine, Bharati Vidyapeeth Deemed to be University Medical College, Sangli, India.
Kirti RasoteDepartment of Community Medicine, Bharati Vidyapeeth Deemed to be University Medical College, Sangli, India.
Sonali PalkarDepartment of Community Medicine, Bharati Vidyapeeth Deemed to be University Medical College, Off Pune Satara Road, Pune, 411043, India.
Nandini MalsheDepartment of Pediatrics, Bharati Vidyapeeth Deemed to be University Medical College, Pune, India.

Funding

Bill & Melinda Gates Foundation OPP1084307
6 · The paper itself

Abstract

backgroundUndernutrition among under five children in India is a major public health problem. Despite India's growth in the economy, the child mortality rate due to undernutrition is still high in both urban and rural areas. Studies that focus on urban slums are scarce. Hence the present study was carried out to assess the prevalence and determinants of undernutrition in children under five in Maharashtra, India.

methodsA community-based cross-sectional study was conducted in 16 randomly selected clusters in two districts of Maharashtra state, India. Data were collected through house to house survey by interviewing mothers of under five children. Total 2929 mothers and their 3671 under five children were covered. Multivariate logistic regression analysis was carried out to identify the determinants of child nutritional status seperately in urban and rural areas.

resultsThe mean age of the children was 2.38 years (±SD 1.36) and mean age of mothers was 24.25 years (± SD 6.37). Overall prevalence of stunting among children under five was 45.9%, wasting was 17.1 and 35.4% children were underweight. Prevalence of wasting, stunting and underweight were more seen in an urban slum than a rural area. In the rural areas exclusive breast feeding (p < 0.001) and acute diarrhea (p = 0.001) were associated with wasting, children with birth order 2 or less than 2 were associated with stunting and exclusive breast feeding (p < 0.05) and low maternal education were associated with underweight. Whereas in the urban slums exclusive breast feeding (p < 0.05) was associated with wasting, sex of the child (p < 0.05) and type of family (p < 0.05) were associated with stunting,and low income of the family (p < 0.05) was associated with underweight.

conclusionsFactors like sex of the child, birth order,exclusive breast feeding,economic status of the family, type of family,acute diarrhea and maternal education have influence on nutritional status of the child. Improvement of maternal education will improve the nutritional status of the child. Strategies are needed to improve the economic status of the community.

trial registrationTrial registration number: CTRI/2017/12/010881 ; Registration date:14/12/2017. Retrospectively registered.

Indexed as

Poverty AreasAdultChild Nutrition DisordersChild, PreschoolCross-Sectional StudiesFemaleHumansIndiaInfantMaleMothersPrevalenceRisk FactorsRural PopulationSocioeconomic FactorsUrban PopulationRural areaUnder-five childrenUndernutritionUrban slum

Identifiers

PMID33066763
PMCPMC7565769

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.