Abstract：
BACKGROUND: The burden of wasting among under five children in India, has not reduced in the last decade.
OBJECTIVE: We used child-level data from the latest nationally representative Comprehensive National Nutritional Survey (CNNS) to estimate the prevalence of wasting at the national and state level in India.
METHODS: We explored the association of wasting with maternal, child and household factors using multivariable logistic regression for the age group of 0-5, 6-23 and 24-59 months.
RESULTS: The overall prevalence of wasting was 17.3%, ranging from 5.8% to 29.1% across states, 23.3% in children 0-5 months, 19.6 % in children 6-23 months and 15.4 % in children 24-59 months of age. Higher birthweight i.e., every 100g increase (0-5 months aOR = 0.96, 6-23 months aOR = 0.94, 24-59 months aOR = 0.96), higher maternal BMI (0-5 months aOR = 0.51, 6-23 months aOR = 0.62, 24-59 months aOR = 0.67), increasing child age in months (0-5 months aOR = 0.84) and female sex of the child (24-59 months aOR = 0.82) was found to have significantly lower odds of wasting. The odds of wasting were significantly higher for poorest wealth quintile (0-5 months aOR = 1.99, 6-23 months aOR = 2.13), maternal unemployment (0-5 months aOR = 2.25), and lower levels of maternal education (6-23 months aOR = 1.74).
CONCLUSIONS: Our analyses showed that burden of wasting continues to remain high in India. Preventive interventions must target reduction of low birthweight. Early identification and management of wasting should be done, especially during the first six months of life who are not part of current therapeutic feeding programme.
OBJECTIVE: We used child-level data from the latest nationally representative Comprehensive National Nutritional Survey (CNNS) to estimate the prevalence of wasting at the national and state level in India.
METHODS: We explored the association of wasting with maternal, child and household factors using multivariable logistic regression for the age group of 0-5, 6-23 and 24-59 months.
RESULTS: The overall prevalence of wasting was 17.3%, ranging from 5.8% to 29.1% across states, 23.3% in children 0-5 months, 19.6 % in children 6-23 months and 15.4 % in children 24-59 months of age. Higher birthweight i.e., every 100g increase (0-5 months aOR = 0.96, 6-23 months aOR = 0.94, 24-59 months aOR = 0.96), higher maternal BMI (0-5 months aOR = 0.51, 6-23 months aOR = 0.62, 24-59 months aOR = 0.67), increasing child age in months (0-5 months aOR = 0.84) and female sex of the child (24-59 months aOR = 0.82) was found to have significantly lower odds of wasting. The odds of wasting were significantly higher for poorest wealth quintile (0-5 months aOR = 1.99, 6-23 months aOR = 2.13), maternal unemployment (0-5 months aOR = 2.25), and lower levels of maternal education (6-23 months aOR = 1.74).
CONCLUSIONS: Our analyses showed that burden of wasting continues to remain high in India. Preventive interventions must target reduction of low birthweight. Early identification and management of wasting should be done, especially during the first six months of life who are not part of current therapeutic feeding programme.
摘要：
背景：印度五岁以下儿童的消瘦负担，在过去的十年里没有减少。
目的：我们使用了最新的具有全国代表性的国家综合营养调查（CNNS）的儿童水平数据来估算印度国家和州层面的消瘦患病率。
方法：我们探讨了浪费与产妇的关系，对0-5、6-23和24-59个月年龄组的儿童和家庭因素使用多变量逻辑回归。
结果：消瘦的总患病率为17.3%，各州从5.8%到29.1%不等，0-5个月儿童占23.3%，6-23个月儿童占19.6%，24-59个月儿童占15.4%。较高的出生体重，即，每增加100g（0-5个月aOR=0.96，6-23个月aOR=0.94，24-59个月aOR=0.96），产妇BMI较高(0-5个月aOR=0.51,6-23个月aOR=0.62,24-59个月aOR=0.67),发现儿童月龄(0-5个月aOR=0.84)和女性年龄(24-59个月aOR=0.82)的消瘦几率显著降低.最贫穷的财富五分位数的消瘦几率明显较高（0-5个月aOR=1.99，6-23个月aOR=2.13），孕产妇失业(0-5个月AOR=2.25)，母亲教育水平较低(6-23个月aOR=1.74)。
结论：我们的分析表明，印度的消瘦负担仍然很高。预防性干预措施必须以减少低出生体重为目标。应及早发现和管理浪费,特别是在生命的前六个月，他们不属于目前的治疗性喂养计划。
目的：我们使用了最新的具有全国代表性的国家综合营养调查（CNNS）的儿童水平数据来估算印度国家和州层面的消瘦患病率。
方法：我们探讨了浪费与产妇的关系，对0-5、6-23和24-59个月年龄组的儿童和家庭因素使用多变量逻辑回归。
结果：消瘦的总患病率为17.3%，各州从5.8%到29.1%不等，0-5个月儿童占23.3%，6-23个月儿童占19.6%，24-59个月儿童占15.4%。较高的出生体重，即，每增加100g（0-5个月aOR=0.96，6-23个月aOR=0.94，24-59个月aOR=0.96），产妇BMI较高(0-5个月aOR=0.51,6-23个月aOR=0.62,24-59个月aOR=0.67),发现儿童月龄(0-5个月aOR=0.84)和女性年龄(24-59个月aOR=0.82)的消瘦几率显著降低.最贫穷的财富五分位数的消瘦几率明显较高（0-5个月aOR=1.99，6-23个月aOR=2.13），孕产妇失业(0-5个月AOR=2.25)，母亲教育水平较低(6-23个月aOR=1.74)。
结论：我们的分析表明，印度的消瘦负担仍然很高。预防性干预措施必须以减少低出生体重为目标。应及早发现和管理浪费,特别是在生命的前六个月，他们不属于目前的治疗性喂养计划。
