Assessment of nutritional status of children aged 34-92 months using various nutritional status indices and validity of age independent indices


  • Nayantara R. Gandra Department of Pediatrics, Ayaan Institute of Medical Sciences and Teaching Hospital, Moinabad, Hyderabad, Telangana, India
  • Kalavathy Jasmine Masillamoni Department of Pediatrics, Shadan Institute of Medical Sciences, Peerancheru, Hyderabad, Telangana, India



Age independent Comparison, Gold standard, Nutritional status indices, Validity, Weight for age


Background: Even though there are many programs run by Government to tackle the problem of malnutrition in India, problem of malnutrition is still there. Malnutrition leads to infections and even can lead to death of child in severe cases. The mortality rate is very high compared to other countries. The objective of the study to study validity of age independent various nutritional status indices in comparison to gold standard of weight for age

Methods: Present study was institution based cross sectional study carried out at SDA high school, from January 2019 to July 2019 among 58 school children aged 34-92 months of age. Anthropometric measurements like weight, height, head circumference, chest circumference, mid arm circumference were recorded as per the standard guidelines. Weight for height, weight of age, Kanawati Index, Jeliffe’s ratio, Rao index, and Dugdales index was calculated. Gold standard used was weight for age. Sensitivity, specificity, positive predictive value and negative predictive value were calculated for these indices.

Results: Majority of the children belonged to 48-60 months and 61-72 months i.e. 29.3% each. Males were more than females. Prevalence of malnutrition was 60.3%, 48.3%, 51.7%, 91.4%, and 56.8% based on weight for age, Kanawati index, Rao index, Jeliffe’s ratio and Dugdale’s index respectively. Dugdale’s index was found to have high sensitivity (85.7%) and specificity (86.9%) compared to all other indices.

Conclusions: Among age independent indices of nutritional status available, Dugdales index can be used as it has been found that it has remarkably higher sensitivity and specificity compared to other age independent indices of nutritional status.


Pelletier DL, Frongillo EA. Changes in child survival are strongly associated with changes in malnutrition in developing countries. J Nutr. 2003; 133(1):107-19.

Rasania SK, Sachdev TR. Nutritional status and feeding practices of children attending MCH Centre. Indian J Community Med. 2001; 26(3):145-50.

Pelletier DL, Frongillo EA, Scroeder DG, Habicht JP. A methodology for estimating the contribution of malnutrition to child mortality in developing countries. J Nutr. 1994; 124(10):2106-22.

Khan ME. Cultural determinants of infant mortality in India. J Fam Welfare. 1993;39(2):3-13.

Karla S. An Investment in Children’s Health, Nutrition & Education Is the Foundation Stone for All National Development. Indian J Mat Child Health: 1991;2(3):98.

Katyal R, Singh SP, Joshi HS, Joshi G, Singh A. An assessment of the validity of the nutritional indices among under-fives in the catchment area of rural health and training center of a teaching institute in Bareilly. J Family Med Prim Care 2016 Apr-Jun; 5(2): 383-6.

Raje V, Raje V, Punamia A, Patil SS. Detection of under nutrition among preschool children. Journal of Evolution of Medical and Dental Sciences 2013;2(48):9305-9.

Mishra BK, Mishra S. Nutritional Anthropometry and Preschool Child Feeding Practices in Working Mothers of Central Orissa. Stud. Home Comm Sci. 2007;1(2):139-44.

Saito K, Korzenik JR, Jekel JF, Bhattacharji S. A case-control study of maternal knowledge of malnutrition and health-care-seeking attitudes in rural South India. Yale J Biol Med. 1997 Mar-Apr;70(2):149-60.

Gupta PK. Health status of rural school children. Indian Pediatr. 1989 Jun;26(6):581-4.

Anuradha R, Sivanandham R, Salome SD, Francis R, Roopa D, Sampavi S, et al. Nutritional Status of Children Aged 3-6 Years in a Rural Area of Tamil Nadu. J Clin Diagn Res. 2014 Oct;8(10):JC01-4.






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