India is undergoing rapid nutritional transition, resulting in excess consumption of calories, saturated fats, trans fatty acids, simple sugars, salt and low intake of fiber. Such dietary transition and a sedentary lifestyle have led to an increase in obesity and diet-related non-communicable diseases (type 2 diabetes mellitus [T2DM], cardiovascular disease [CVD], etc.) predominantly in urban, but also in rural areas. In comparison with the previous guidelines, these consensus dietary guidelines include reduction in the intake of carbohydrates, preferential intake of complex carbohydrates and low glycemic index foods, higher intake of fiber, lower intake of saturated fats, optimal ratio of essential fatty acids, reduction in trans fatty acids, slightly higher protein intake, lower intake of salt, and restricted intake of sugar. While these guidelines are applicable to Asian Indians in any geographical setting, they are particularly applicable to those residing in urban and in semi-urban areas. Proper application of these guidelines will help curb the rising "epidemics" of obesity, the metabolic syndrome, hypertension, T2DM, and CVD in Asian Indians.
To determine the type, prevalence, intensity and the potential risk factors for helminths infection harboured by primary school aged children from selected schools of Delhi, India. Stool samples collected from 347 boys and girls studying in grades I-IV (aged 5-15 years) were examined by the semi-quantitative Kato-Katz method for presence of eggs of soil-transmitted helminths. Questionnaire data on the potential risk factors, associated variables and consequences of infection were categorized as individual, household, hygiene/sanitation related and behavioural factors. Associations between infection and these factors were assessed by multiple logistic regressions. The overall prevalence of infection with any of the helminths was 29.7 %. The prevalence of single infection with Ascaris lumbricoides was 8.1 % while that of hookworm and Trichuris trichiura was 3.7 % each. Strongest predictors for the helminths presence were never deworming (OR = 1.76; 95 % CI: 1.05, 2.95), no facility for defection (OR = 4.31; 95 % CI: 1.22, 15.22), using left hand for cleaning anal region (OR = 2.01; 95 % CI: 1.18, 3.43) and not reporting pain in stomach (OR = 1.93; 95 % CI: 1.14, 3.26). Though the infection intensities were low, we highlighted some of the potential risk factors that increase the susceptibility to these infections. Periodic deworming along with improvement in hygiene and sanitation practices through concerted efforts, not only from the school infrastructure but also the community at large, will help prevent helminths transmission and reinfection.
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