Ms. Dhara Vikarmbhai patva ... Dr. Amiya Ranjan Mehant/ Ms. Sukhalatha Paikray ..... Distribution (%) of HHs by major oc
NNMB Technical Report No. 26
NATIONAL NUTRITION MONITORING BUREAU
Diet and Nutritional Status of Rural Population, Prevalence of Hypertension & Diabetes among Adults and Infant & Young Child Feeding Practices -Report of Third Repeat Survey
NATIONAL INSTITUTE OF NUTRITION Indian Council of Medical Research Hyderabad - 500 007. INDIA 2012
NATIONAL NUTRITION MONITORING BUREAU Director: Dr. B. Sesikeran (Up to, Aug 2012) Officer in-charge: Dr. Kalpagam Polasa
CENTRAL REFERENCE LABORATORY Name of Scientific Staff
Designation
Dr. G. N. V. Brahmam (Up to, Aug 2011)
Scientist ‘F’ & HoD, Division of Community Studies
Dr. A. Laxmaiah (From, Sept 2011)
Scientist ‘E’ & HoD, Division of Community Studies
Dr. R. Hari Kumar
Scientist ‘D’
Dr. N. Arlappa
Scientist ‘D’
Dr. N. Balakrishna
Scientist ‘D’
Dr. I. I. Meshram
Scientist ‘C’
Dr. K. Mallikharjuna Rao
Scientist ‘C’
Mr. Ch. Gal Reddy
Scientist ‘B’
Mr. V. Bhaskar
Scientist ‘B’ (From March 2007 - March 2009)
Mr. G. Manohar
Scientist ‘B’ (From May 2010 to till today)
Mr. Sharad Kumar
Sr. Technical Officer
Mr. M. Ravindranath
Sr. Technical Officer
Name of Technical Staff & Designation Mr. P. V. Rao, T.O (Retd...)
Mr. N. Srinivasachary, T.O
Ms. G. Madhavi, Technician
Mr. V. Radhakrishna Rao, T.O
Mr. Ch. Krishna, T.A
Mr. G.L. Stephen, Technician
Mr. U. D.Awasthi, T.O
Ms. N. Madhuri, SHV (Retd...)
Ms. G. Neeraja, R.A
Mr. S. Prabhakar, T.O
Mr. R. Raghunadh Babu, DEO
Ms. R. Rajeswari, R.A
Mr. D. P. R. Vittal, T.O
Mr. C. Saibabu, Technician
Ms. G. Vijaya Pushpalatha, R.A
Mr. K. Nageswara Rao, T.O
Mr. G. Govindarajulu, Technician
Secretarial Staff
Mr. Ch. Nagambika Prasad, T.O Mr. S.P.V. Prasad, Technician Mr. B. Pothuraju, T.O
NNMB
Mr. G. H. Rao, P.A
Mr. K. Sreeramkrishna,Technician Mrs. G. Prashanthi, P.A
Rural-Third Repeat Survey 2011-12
STATE NNMB UNITS State
Officer-in-charge
Medical Officer/ Social Worker
Nutritionist
Andhra Pradesh
Dr.G.N.V. Brahmam/ Dr. A. Laxmaiah
Dr. G. Praksah / Mr. N. Srinivasa Rao
Ms. Vijaya Durga / Mr. Ravi Teja
Gujarat
Dr. Gautam Nayak
Dr. Manohar P.Barot/ Ms. Kinnari D Shah
Ms. Dhara Vikarmbhai patva
Karnataka
Dr. S. I. Bendigere/ Dr. R.Narayan
Dr. M.K. Ashwini/ Ms. K.V. Jai Shankar
Ms.G. Shashi
Kerala
Dr. K.T.Sreelatha Kumari
Mr. T.Santosh Kumar/ Ms.P.H. Sumitha
Ms. Neetha Thomas
Madhya Pradesh Dr.Tapas Chakma
Dr. Rakesh Babu/ Mr. Gajanand S Dhore
Ms.Supriya Agarwal
Orissa
Dr. S.K.Kar
Dr. Amiya Ranjan Mehant/ Ms. Haraprava Sahu
Ms. Sukhalatha Paikray
Tamil Nadu
Dr. Vidya Ramachandran
Dr. T. Sundar/ Ms. Mary Jeraldin Jeya
Mr. S. Manohar
West Bengal
Dr. Kamalesh Sarkar Dr. Nadira Mallick & Mr. Kaustav Das
Ms. Alolika Mukherjee
Maharashtra
Dr. M.C. Sahare / Dr V.V.Doifode
Dr. Dinesh V.Bhale/ Ms. Mamta S Patil
Ms.Ojaswini D Rajguru
Uttar Pradesh
Dr.V.K.Srivastava/ Dr. Uday Mohan
Dr. Shravan Kumar Jaiswal/ Ms Aamera Faruqui Ms Sumita Verma
South Asia Network for Chronic Diseases (SANCD) Project Staff & Designation Andhra Pradesh
Mr. K. Pramod, Lab Technician
Gujarat
Mr. Himanshu Ashokbhai Patel, Lab Technician
Karnataka
Mr. K.C. Mithun Kumar, Lab Technician
Kerala
Mr. S. Dileep Kumar, Lab Technician
Madhya Pradesh
Mr. Arif Iqbal, Lab Technician
Orissa
Mr. Gurucharan Mantri, Lab Technician
Tamil Nadu
Ms. S. Bhanupriya, Lab Technician
West Bengal
Mr. Sarbeshwar Sanpui, Lab Technician
Maharashtra
Mr. Pritesh P. Sahare, Lab Technician
Uttar Pradesh
Mr. Sivasingh Rajpoot, Lab Technician
NNMB
Rural-Third Repeat Survey 2011-12
CONTENTS Particulars
Page No.
ACKNOWLEDGEMENTS ................................................................................................................
EXECUTIVE SUMMARY .................................................................................................................. 1.
INTRODUCTION ................................................................................................................... 1
2.
OBJECTIVES ....................................................................................................................... 1 2.1 General Objective ..................................................................................................... 1 2.2 Specific Objectives .................................................................................................... 1
3.
METHODOLOGY ............................................................................................................. 2 - 8 3.1 Study Design ............................................................................................................. 2 3.2 Selection of Villages .................................................................................................. 2 3.3 Selection of Households ........................................................................................... 2 3.4 Sample Size Estimation ............................................................................................ 2 3.5 Investigations ............................................................................................................ 3 3.6 Training & Standardization of Investigators .............................................................. 5 3.7 Quality Control ........................................................................................................... 5 3.8 Data Analysis ............................................................................................................. 5 3.9 Time Trends ............................................................................................................... 8
4.
ETHIACL ISSUES ................................................................................................................ 8
5.
RESULTS .................................................................................................................. 8 - 64 5.1 Coverage ................................................................................................................... 8 5.2 Socio-economic Profile ............................................................................................. 8 5.3 Food and Nutrient Intakes of Households .............................................................. 11 5.4 Food and Nutrient Intakes of Individuals ................................................................ 14 5.5 Nutritional Status ..................................................................................................... 26 5.6 Morbidity .................................................................................................................. 33 5.7 Association between Nutritional Status and Socio-economic and Demographic Variables .................................................................................... 33 5.8 Obesity and Diet Related Chronic Non Communicable Diseases among Adults ........................................................................................................... 34 5.9 Knowledge and Practices about Hypertension & Diabetes Mellitus and Risk Behaviours ............................................................................................... 37 5.10 Association between Hypertension, Diabetes and BMI, WC & WHR .................... 38 5.11 Association between Hypertension (HTN), Diabetes, Overweight/ Obesity and Abdominal Obesity and Socio-economic & Demographic Variables, Risk Behaviours and Food & Nutrients ........................... 39 5.12 Time Trends ............................................................................................................. 40 5.13 Infant & Young Child Feeding (IYCF) Practices ...................................................... 60
6.
DISCUSSION ................................................................................................................. 65-68 REFERENCES ............................................................................................................ 69 - 70 TABLES
.............................................................................................................. 71 - 260
ANNEXURES .......................................................................................................... 261 - 298 NNMB
Rural-Third Repeat Survey 2011-12
LIST OF FIGURES Title
Page No.
Fig 1
Distribution (%) of HHs by type of house and period of survey: time trends ..................................................... 40
Fig 2
Distribution (%) of HHs by major occupation of head of household and period of survey: time trends .............................................................................................................................. 41
Fig 3
Distribution (%) of HHs by land ownership and period of survey: time trends .................................................. 41
Fig 4
Average household intake of foodstuffs as % RDI: time trends ......................................................................... 42
Fig 5
Average household intake of nutrients as % RDA: time trends ........................................................................ 43
Fig 6
Average intake of foodstuffs among 1-3 year children as % RDI: time trends ................................................. 43
Fig 7
Average intake of foodstuffs among 4-6 year children as % RDI: time trends ................................................. 44
Fig 8
Average intake of foodstuffs among adult men (≥18 years) as % RDI: change over a period ......................................................................................................................... 45
Fig 9
Average intake of foodstuffs among adult women (≥18 years) as % RDI: change over a period .................... 46
Fig 10
Mean intake of nutrients among 1-3 year children as % RDA: time trends ....................................................... 47
Fig 11
Mean intake of nutrients among 4-6 year children as % RDA: time trends ....................................................... 47
Fig 12
Mean intake of nutrients among ≥18 years sedentary adult men as % RDA: change over a period ...................................................................................................................... 49
Fig 13
Mean intake of nutrients among ≥18 years sedentary adult women as % RDA: change over a period ..................................................................................................................... 49
Fig 14
Prevalence (%) of nutritional deficiency signs among preschool children: time trends .................................... 50
Fig 15
Distance charts for heights and weights of males and females – Kerala .......................................................... 51
Fig 16
Distance charts for heights and weights of males and females – Tamil Nadu .................................................. 52
Fig 17
Distance charts for heights and weights of males and females – Karnataka .................................................... 53
Fig 18
Distance charts for heights and weights of males and females – Andhra Pradesh .......................................... 54
Fig 19
Distance charts for heights and weights of males and females – Maharashtra ................................................ 55
Fig 20
Distance charts for heights and weights of males and females – Gujarat ......................................................... 56
Fig 21
Distance charts for heights and weights of males and females – Orissa .......................................................... 57
Fig 22
Prevalence (%) of undernutrition among 1-5 year boys according to WHO classification: time trends (7 states pooled) ............................................................................................ 58
Fig 23
Prevalence (%) of undernutrition among 1-5 year girls according to WHO classification: time trends (7 states pooled) ............................................................................................. 58
Fig 24
Prevalence (%) of undernutrition among 1-5 year boys & girls according to WHO classification: time trends .......................................................................................................................... 58
Fig 25
Distribution (%) of adult men by nutritional status according to WHO standards: change over a period .............................................................................................................. 59
Fig 26
Distribution (%) of adult women by nutritional status according to WHO standards: change over a period .............................................................................................................. 59
Fig 27
Distribution (%) of
