Purpose The purpose of the study was to assess the impact of nutrition and health counselling on quality of life (QoL) among celiac children (CC) aged 7-12 years, which was reported by the parent. So far, no study has emphasized on impact of nutritional counselling on QoL in CC. The QoL in the present study was reported by parents of celiac and non-celiac (NC) subjects. Design/methodology/approach This is an interventional study. Follow-up celiac cases aged 7-12 years (n = 50) were compared with NC cases (n = 25). A 24-item instrument was standardized for reliability and validity and was used to assess the QoL of children on a 100-score scale. The scale used four dimensions and explored physical, emotional, social and family outlook. The impact of health counselling using posters, leaflets and a booklet prepared on simplification of disease, gluten-free diet and its treatment was determined. Findings Total QoL scores were better in NC children (7-9 years), whereas celiac pre-adolescents (CP; 10-12 years) showed higher QoL scores than NC pre-adolescents. NC QoL scores were significantly higher than CC in emotional and mental domain (p < 0.02) and family outlook (p < 0.01). In CP, physical well-being (p < 0.01) and social well-being (p < 0.04) were significantly higher, whereas family outlook was significantly lower (p < 0.01). After repetitive counselling sessions, the CC had higher scores than their NC siblings. Postintervention QoL scores in CC (7-9 years) and pre-adolescents improved from 77.5 to 80.95 and from 80.16 to 83.75, respectively, and a significant positive shift was seen in family outlook (p < 0.05). Originality/value This study presents a comparative analysis on impact of nutrition counselling on QoL in Indian CC and their comparison with NC siblings matched for age.
Purpose The aim of the study was to compare the nutritional status of children having celiac disease (CD) with those not having the disease in the age group of 7-12 years. Children not having CD were from first- and second-degree siblings of the children affected to match for family and environment. In Indian celiac pediatric population, studies on nutritional status of celiac children and comparisons with their siblings as reference have not been reported. Design/methodology/approach Children with CD (n = 50) and without CD (n = 25) were matched for age and were purposively selected. Nutritional assessment included anthropometry, biochemical, clinical and nutrient intake. Weight and height measurements were recorded as per the standardized techniques. Biochemical investigations were done by skilled technicians. A two-day 24-h dietary recall method was used for calculation of nutrient intake. The observations were categorized as celiac and non-celiac children and pre-adolescents in age group of 7-9 years and 10-12 years. Findings The issues of being underweight and of low height according to age among celiac children were rampant. The non-celiac children were comparatively taller than children with CD. The hemoglobin and serum iron were significantly lower in celiac than non-celiac group (p < 0.01). Energy intake was significantly higher (p < 0.05) in celiac pre-adolescents as compared to non-celiac children (7-9 years). The protein intake was higher in non-celiac children, and the difference was highly significant (p < 0.01). The fat consumption was higher in celiac pre-adolescents. The nutritional status of celiac children was poor as compared to non-celiac children. Originality/value The present study is an attempt to compare the nutritional status of celiac children with their siblings.
Purpose The purpose of the study was to assess the nutritional and health status of Saharia and non-Saharia women. Design/methodology/approach The present study was undertaken to compare the nutritional status of Saharia versus non-Saharia women in Baran district, Rajasthan. The sample comprised married non-pregnant and non-lactating (NPNL) women (aged 18-35 years) from three groups, that is, Saharia (n = 100), non-Saharia (Meena tribe, n = 100) and general category (n = 30). The general category women, or reference group, were selected as the control group belonging to the same region. The data included general profile, physical measurement, biochemical hemoglobin estimation, dietary and nutrient intake assessment. Findings The mean hemoglobin value in Saharia (8.3 ± 1.4 g/dl) and Meena (8.1 ± 1.4 g/dl) women was found to be significantly lower (p < 0.01 at 99 per cent confidence level) than that of the reference group (9.5 ± 1.4 g/dl) and much below the standard value of 12 g/dl. Chronic energy deficiency (BMI < 18.5) was more prevalent in Saharia women (68 per cent) followed by Meena (∼24 per cent) than reference women (7 per cent). Only 29 per cent Saharia women were under normal BMI and majority of the reference group women (77 per cent) and Meena women (72 per cent) had normal BMI (18.5-24). Nutrient and dietary intake of both the tribal women groups were low when compared with suggested levels. In Saharia and Meena women, magnesium and thiamine were significantly higher (p < 0.01) and other nutrients were significantly lower (p < 0.01) than recommended dietary allowances. Originality/value Anemia is prevalent in all categories of women. Women’s health is poor especially among Saharia women who are still striving hard to meet the national health standards. A multidimensional approach is required to uplift the health status. Hemoglobin levels of all the women were found to be very low.
A study was conducted to assess nutritional status and consumption pattern of fast food among female students living in a post graduate hostel involving 104 girls aged 20-26 years. The subjects were administered a pre-tested, pre-coded proforma for general demographic information. Anthropometric information was measured for BMI, height, weight, waist and hip circumferences. Two-day 24 hr recall intake and FFQ was used to collect information on dietary intake and fast food consumption. Dietary intake of subjects was low compared to suggested values. Calculated dietary fat was 33 g, above recommended dietary allowances (RDA -20g) and pulses intake was 110% of the RDA. According to BMI, subject categorized were normal (64.4%), over-weight (9.62%) and obesity grade I (10.5 %) category. Fast foods consumption frequency was two to three times in a week. Interestingly Golgappa (38%), Chowmin (34%), Chole Bhatura (36%), Pav Bhaji(42%), Pizza(27%) and Patties (27%) were enjoyed by maximum number of respondents. The habit of fast food consumption is dangerous leading to many diseases. More awareness should be created for increasing physical activities and reducing fast food consumption.
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