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Kadandale, Jayarama
- Risk factors in childhood stunting in Karnataka, India, vary by geography
Abstract Views :195 |
PDF Views:76
Authors
Srilakshmi M. Raj
1,
Ruwanthi Ekanayake
2,
Kiera Crowley
3,
Meenakshi Bhat
4,
Jayarama Kadandale
5,
Prabhu L. Pingali
6
Affiliations
1 Tata Cornell Institute, Cornell University, Ithaca, NY 14853, USA; Centre for Human Genetics, Electronic City, Bengaluru 560 100, IN
2 Department of Biology and Society, Cornell University, Ithaca, NY 14853, US
3 Tata Cornell Institute, Cornell University, Ithaca, NY 14853, US
4 Centre for Human Genetics, Electronic City, Bengaluru 560 100, IN
5 Centre for Human Genetics, Electronic City, Bengaluru 560 100, IN
6 Tata Cornell Institute, Cornell University, Ithaca, NY 14853, IN
1 Tata Cornell Institute, Cornell University, Ithaca, NY 14853, USA; Centre for Human Genetics, Electronic City, Bengaluru 560 100, IN
2 Department of Biology and Society, Cornell University, Ithaca, NY 14853, US
3 Tata Cornell Institute, Cornell University, Ithaca, NY 14853, US
4 Centre for Human Genetics, Electronic City, Bengaluru 560 100, IN
5 Centre for Human Genetics, Electronic City, Bengaluru 560 100, IN
6 Tata Cornell Institute, Cornell University, Ithaca, NY 14853, IN
Source
Current Science, Vol 121, No 4 (2021), Pagination: 502-510Abstract
Childhood stunting remains a public health concern in India. In Karnataka, the districts vary substantially in stunting prevalence. Using the NFHS-4 and AidData GEO datasets, we tested the hypothesis that ‘wet’ and ‘dry’ districts in Karnataka show different contributions to stunting. We found that for 30 environmental and health factors, Bengaluru appears to be distinct from the other districts. Using a mixed linear model approach, we found that for the entire state, and in both wet and dry districts, preceding birth interval, altitude-adjusted haemoglobin level and child age showed significant correlations with height for age (HFA). The wet districts showed an additional association between maternal age and child HFA. However, interaction effects also differed among the three conditions. Our results suggest that subtle variations should not be ignored when considering factors impacting child health outcomes.Keywords
Childhood stunting in Karnataka, environment, genetics, nutrition, public health.Full Text
References
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- Multiple Risk Factors Contribute to Childhood Stunting in Karnataka, India
Abstract Views :219 |
PDF Views:78
Authors
Srilakshmi M. Raj
1,
Ruwanthi Ekanayake
2,
Meenakshi Bhat
3,
Jayarama Kadandale
3,
Prabhu L. Pingali
4
Affiliations
1 Tata Cornell Institute, Cornell University, Ithaca, NY 14853, US
2 Department of Biology and Society, Cornell University, Ithaca, NY 14853, US
3 Centre for Human Genetics, Electronics City Phase 1, Electronic City, Bengaluru 560 100, IN
4 Tata Cornell Institute, Cornell University, Ithaca, NY 14853, USA, IN
1 Tata Cornell Institute, Cornell University, Ithaca, NY 14853, US
2 Department of Biology and Society, Cornell University, Ithaca, NY 14853, US
3 Centre for Human Genetics, Electronics City Phase 1, Electronic City, Bengaluru 560 100, IN
4 Tata Cornell Institute, Cornell University, Ithaca, NY 14853, USA, IN
Source
Current Science, Vol 121, No 3 (2021), Pagination: 360-364Abstract
Childhood stunting remains a prominent metric in the health and development of modern India. In Karnataka, India, districts vary substantially in stunting prevalence. Here we take a close look at the nature of childhood stunting in the state: its epidemiology, gene¬tics, biology, nutritional basis, environmental contribution, policy and field-based understanding. We explore how these factors interact with one another, and suggest ways to target modifiable risk factors for stunting (e.g. nutrition, exposure to infectious diseases, sanitation), which may influence the impact of non-modifiable risk factors (e.g. congenital factors, climate). We suggest that programmes designed to reduce stunting prevalence should accommodate these complex interactions, which could translate to more substantial impact on child health outcomesKeywords
Childhood Stunting, Environment, Genetics, Public Health, Risk Factors.Full Text
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