National nutrition supplementation programmes.
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Biomedical subjects
Publications and source records attributed to U Kapil.
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Knowledge about nutritive value of common foods, dietary beliefs during antenatal period, lactation, and during a few common diseases was assessed amongst 92 Anganwadi workers (AWW). All the workers were aware of the fact that during pregnancy, mothers require extra calories in order to meet the demand of fetus and 79.3% believed that simple multimix of cereals, pulses and oil prepared at home is much more nutritive than commercial weaning foods besides being cheaper. Nearly one fourth of the workers believed that both non-vegetarian foods as well as pulses should be avoided during the later half of pregnancy. Only 14.2% of AWW were not in favour of giving any food during episode of diarrhea while 27.2% believed that less food should be given to children suffering from pneumonia. It is suggested that there is need for updating the knowledge of AWW by continued in service health training.
Knowledge and skills about growth monitoring (GM) amongst Child Development Project Officers (CDPOs) were assessed by interview technique. Majority (94%) of subjects had correct knowledge that GM helps in early detection of growth retardation while about 83% felt that a flattened growth curve indicates no weight gain. The percentages of CDPOs who were able to interpret and read correctly about what ascending descending and flattened growth curves indicate were 83, 71 and 50% respectively. There is thus a need of in-service training of CDPOs in GM activities.
Knowledge about nutritive value of food, diet during diseases and antenatal and postnatal period was assessed amongst 152 adolescent school girls. A total of 23.69 and 55.93% students had incorrect knowledge that pulses and non-vegetarian foods should be avoided during later half of the pregnancy. A total of 63.82, 66.45 and 71.72% of subjects had incorrect knowledge that almonds have more nutritive value than groundnuts, fruits are rich sources of calories and desi ghee has more nutritive value than vanaspathi, respectively. Majority (90.78%) had correct knowledge that obesity is caused due to excess intake of calories than required by an individual and low iron content and poor availability of iron from food is a major cause of anemia in mothers and children.
Knowledge and skills amongst 34 multipurpose workers working in an ICDS project about growth monitoring was assessed using interview technique. All workers had correct knowledge about rationale of growth monitoring. A total of 73.5% and 94.1% had knowledge that flattened growth curve indicates no weight gain and descending growth indicates decrease in weight, respectively.
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The commonly used mathematical formulas expressing relationship of weight to height--the weight height ratio, quetlet index and the ponderal index, were compared on the data from 622 school children. The quetlet index was observed to be the index of choice for community studies for evaluating the nutritional status of children.
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A study was conducted in five public schools of Haryana. Height and weight of 4405 well-to-do school children (both sexes) between the ages of 5 to 15 years were measured using standard accepted technique. Height and weight of children were compared with the Indian Council of Medical Research (ICMR) standards; the values of mean height and weight of the Haryana children were significantly higher for both sexes at all ages.
A study was conducted to determine the knowledge and attitude about breastfeeding amongst adolescent school girls (n = 74) studying in an urban public school in Delhi. A pretested semi-structured questionnaire was administered. The majority of respondents had correct knowledge about the age of initiation of breast feeding (76%), introduction of semi-solid foods (61%), feeding of colostrum (58%) and superiority of breast milk over commercial preparations of milk (81%). Most believed wrongly that consumption of dry fruits (89%) and high intake of milk and pure ghee (78%) would increase breast milk secretion. The percentages of girls wrongly believing that breast feeding should be discontinued if mother was suffering from tuberculosis, malaria and diarrhea were 96, 85 and 81 respectively. There is need for including adolescent girls in continuing education activities about maternal and child health.
Knowledge about nutritive value of foods and diet during diseases was assessed amongst forty nine nursing students at the beginning of their training course in Human Nutrition. Majority of the students had correct knowledge about dietary advice during antenatal and postnatal period. The knowledge of nutritive values of foods and diet during disease conditions was inadequate.
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Maternal beliefs regarding diet during common childhood illnesses--diarrhea, fever, measles, cough and marasmus were determined in 143 rural mothers by using the interview technique. Some foods were preferred while others were restricted during episode of each illness, depending upon their 'hot' and 'cold', 'light' and 'heavy' and other characteristics, as determined by locally prevalent traditional dietary beliefs. 'Cold' foods like curd, butter milk were restricted during an episode of cough while 'hot' foods like tea, ginger with honey, were preferred. During diarrhea, 'light' foods like khichri, diluted milk and 'easy to digest' were preferred while 'heavy' foods like undiluted milk, roti and 'difficult to digest' were restricted. The study revealed that for a successful health education, it is important to identify local cultural practices and beliefs. The useful practices should be encouraged and reinforced while the harmful ones should be discouraged.
Skin fold thickness of 4405 (2212 male and 2193 female) well-nourished school children between 5 to 15 years of age in five public schools of Haryana was measured by standard accepted technique. The findings of the present study were comparable with earlier studies conducted in well-nourished Indian school children at Hyderabad and with the British children. Children belonging to low income groups had smaller fat folds at all ages as compared to the present study.