Published: 2021-12-24

A cross sectional study on assessment of nutritional status and factors affecting anemia in children in tertiary care teaching hospital

Uma M. Posam, Thanmai C. Chereddy, Revanth S. Pirati, N. V. Rama Rao, Elizabeth Bandrapalli, Sravani Yangalasetty, Ramarao Nadendla


Background: Earlier many studies were conducted to assess the prevalence of anemia in adults, pregnant women, and children under 5 years of age. Despite all the reasons, there is an immense need to assess the nutrition status and prevalence of anemia in a pediatric population. Therefore, the purpose of the present study was to assess the nutritional status and prevalence of anemia in the pediatric population of age group 1-12 years.

Methods: The present study was a cross-sectional study with a sample size of 100 with age group 1-12 year, was conducted in Government general hospital, Guntur. The study was carried for a period of 6 months (October to March). Data were collected by using the NACS assessment guide tool for nutritional status and tallquist hemoglobin scale was used to measure hemoglobin.

Results: Age group of 1-6 years had 26% severe stunting whereas in the age group lo 7-12 years, 5% of the people had severe stunting. Age group of 1-6 yr and 7-12 years had 16% of severe wasting and 13% of severe wasting respectively. The prevalence of anemia in children had a significant impact with maternal education (p<0.05), socioeconomic status of the family (p<0.05), birth order of the child (p<0.05) and doesn’t have any significant impact with father education (p>0.05), past medical history (p>0.05).

Conclusions: From our study, we conclude that moderate anemia was more noticeable than mild and severe anemia in people of rural areas in and around Guntur. Severe stunting and moderate wasting was observed more in the age group of 1-6 years of children in both sexes.


Anemia, Nutrition, Hemoglobin, Stunting, Wasting

Full Text:



William CS, Medical definition of nutrition. Available at: definition.html. Accessed on 28 February 2021.

Nutritional status. Available at: https://www. -pictures-andpress-releases/nutritional-status. Accessed on 28 February 2021.

Elia M. Guidelines for detection and management of malnutrition. BAPEN. 2001;26(1):81-3.

Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Available at: Accessed on 28 February 2021.

Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Available at: haemoglobin. Accessed on 28 February 2021.

Global nutrition report 2020. Available at: Accessed on 28 February 2021.

Means RT. Hepcidin and anaemia. Blood Rev. 2004;18 (4):219-25.

Frede S, Fandrey J, Pagel H. Erythropoietin gene expression is suppressed after lipopolysaccharides or interleukin-1 beta injections in rats. Am J Physiology. 1997;273:1067-71.

Medicine. Anemia symptoms, causes, diet, diagnosis, treatment and prevention. Available at: Accessed on 28 February 2021.

Sudhagandhi B, Sundaresan S, William WE. Prevalence of anaemia in the school children of Kattankulathur, Tamil Nadu, India. Int J Nutr Pharmacology Neurol Dis. 2011;1(2):184-8.

Dharmalingam A, Mena R, Raghupathy NS. Cross sectional study on nutritional status and prevalence of anaemia in rural adolescents. Int J Contemp Pediatr. 2017;4(3):951-5.

Mamulwar MS, Rathod HK, Jethani S. Nutritional status of under-five children in urban slums of Pune. Int J Med. Public Health. 2014;4(3):247-52.

Vaishali G, Kumar R. Nutritional status of under five children of Mumbai suburban region. Int J Res Med Sci. 2017;3190-6.