Background: Under nutrition is a global public health problem. There are numerous methods of assessment of malnutrition among which CIAF is the most recent, relatively robust since it envisages all the parameters for estimation of nutritional status of the children. So, this study was conducted to find the rates of composite index of anthropometric failure in the children attending the Immunoprophylaxis clinic in a tertiary care hospital of Nagpur and to find associations with the socio demographic variables.Methods: This descriptive cross-sectional study was conducted at the Immunoprophylaxis clinic of a tertiary care institute in Nagpur from September 2016 to January 2017. The study subjects were the children attending the OPD of Immunoprophylaxis clinic of a tertiary care hospital. Necessary permissions were taken before the start of the study. Data was collected using pretested and pre-designed questionnaire. Height and weight were measured using standard guidelines and categorized into groups of CIAF as described by Nandy et al.Results: A total of 460 study subjects were enrolled in the study. The mean age group of the study subjects was 2.47±1.56 years. According to the grades of CIAF, 48.51% were having no failure. Age and gender were factors which were associated with failure status by CIAF.Conclusions: We found high rates of anthropometric failure in our study. The age groups less than 3 years had higher odds of being in failure when compared to more than 3 years age. Further, males had higher odds of being into failure when compared to females. Community based studies are recommended.

Background: In spite of the interventions being taken, low birth weight still persists as a public health problem in low and middle-income countries. World Health Organization defines low birth weight as birth weight less than 2500 gm. There is a constant search to find newer methods to detect low birth weight babies so that early methods can be instituted. This study was conducted to evaluate calf circumference as procedure to screen low birth weight babies in tertiary care hospital in Nagpur. Methods: A cross sectional study was conducted in tertiary care hospital of Nagpur, Maharashtra for a period of 4 months. The study subjects were babies delivered at the hospital. Birth weight was recorded using a digital weighing scale within 24 hours of the delivery. Length, calf circumference, head and chest circumference were measured according to standard guidelines. Results: Majority of mothers were in the age group of 20 to 24 years of age group, were educated up to primary school and belonged to Hindu religion. The mean calf circumference of low birth weight babies was 9.64±1.13 cm and was 10.96±1.01 cm in normal weight babies. The mean values of calf circumference were significantly lower in low birth weight babies (p <0.001). The sensitivity and specificity for the best cut off of calf circumference was found to be 89.97% and 42.86% respectively.Conclusions: Measuring calf circumference was found to be a good test with higher sensitivity but lower specificity. Hence, calf circumference can be used as an alternative method to screen babies born in remote areas, where the facility of weighing the baby at birth is not available.

Background: Childhood obesity is a serious public health concern in both developed and developing countries. The children share food habits, physical activity habits etc. with their parents either in term of genetic or environmental influences, which affects the body mass index of the children. The objective of this study was to study the association of parental overweight/obesity with overweight/obesity in the children.Methods: A cross-sectional study was conducted in a government aided school in Nagpur during January 2016 to April 2016. Data was collected by a self-administered questionnaire which had information regarding the socio demographic characteristics like age, sex, socio economic status etc. Anthropometric measurements like height and weight of the children and their parents were measured. Necessary permissions were sought before the start of the study.Results: We found a significant association (p<0.01) between the obesity and overweight status of father and mother with the body mass index of their children with an odds ratio of 2.49 (1.69 to 3.66) and 2.90 (1.98 to 4.25) respectively. If both the parents are overweight/obese then the odds of their being overweight/obese is 3.00 (1.93-4.68). If either of parents is overweight/ obese, then the odds ratio is 3.10 (2.12-4.54).Conclusions: Stronger and significant associations were found between the overweight and obesity of the parents and their children. A significantly positive correlation was found between the body mass index of parents and body mass index of their children.

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