Nutritional Status and its Determinants in Toddlers: A case study of Hilly region of Uttarakhand





Malnutrition, Under Five Children, Factors, Nutritional Status

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Original Article



Background: Nutrition in early childhood is of utmost importance specifically for first 1000 days. (1) If in this phase nutrition is neglected, it drags the child into the trap of malnutrition. Aims & Objectives: The objectives were:  assess the nutritional status of children and identify the risk factors related to malnutrition in children (1-3) years. Methods & Material: Descriptive exploratory design- conducted in rural villages of Haldwani block, Uttarakhand. Multi stage random sampling technique was used to select 703 children of (1-3) years and their mothers. The children were screened for malnutrition and mothers were interviewed via semi – structured interview schedule. Results: It was found that, 74(11%) children were undernourished, 28 (3.9%) were wasted in mild category and 11 (1.5%) in moderate category. About 87 (12%) were found to be stunted in mild to moderate category. Children below 2.5kg at birth [(1.106, 3.817), p= 0.023], non-initiation of breast feed in one hour [(0.979, 3.344), p=0.055], delayed initiation of weaning [(1.162,4.026), p=0.013] and recurrent illness [(1.187,3.447), p=0.009] were factors associated with malnutrition in children at 95% CI. Conclusion: It is very important to follow up the identified malnourished children so that in the preschool age the nutritional status can be improved.

How to Cite

Haldar P, Viswanath L, Srivastava AK, Sati HC. Nutritional Status and its Determinants in Toddlers: A case study of Hilly region of Uttarakhand. Indian J Community Health [Internet]. 2022 Jun. 30 [cited 2022 Aug. 16];34(2):220-6. Available from:


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Cusick S, Georgieff MK. The first 1,000 days of life: The brain’s window of opportunity [Internet]. UNICEF; 2013 April 12th [cited 25.06.2022]. Available from:

Mother, Infant and Young Child Nutrition and Malnutrition. Malnutrition: Impact of Malnutrition [Internet]; 2019 September 19th [25.06.2022]. Available from: /malnutrition/about-malnutrition/impact-of-malnutrition.html

Kandala NB, Madungu TP, Emina JB, Nzita KPD, Cappuccio FP. Malnutrition among children under the age of five in the Democratic Republic of Congo (DRC): does geographic location matter. BMC Public Health. 2011; 11: 261.

Malnutrition [Internet]. WHO; 2021 June 9th [25.06.2022]. Available from:

Gragnolati M, Shekar M, Gupta MD, Bredenkamp C, Lee YK. India's Undernourished Children: A Call for Reform and Action. Washington, DC: World Bank; 2005.

UNICEF. Strategy for improved nutrition of children and women in developing countries [Internet]. United Nations Children’s Fund. Indian Journal of Pediatrics. 1991;58(1):13-24.

Sachdev HP. Assessing child malnutrition: Some basic issues. Bull Nutrition Foundations India. 1995; 16(4):1 5

Pongou R, Ezzati M, Salomon JA. Household and community socioeconomic and environmental determinants of child nutritional status in Cameroon. BMC Public Health. 2006;6:98.

Mishra VK, Lahiri S, Luther NY. Child Nutrition in India. National Family Health Survey (NFHS) Subject Reports. 1999; 14:1026-4736.

Paul VK, Singh A, Palit S. POSHAN Abhiyaan: Making nutrition a jan andolan. Proceedings of Indian National Science Academy. 2018; 84:835 41.

Chaudhary P. Agrawal M. Malnutrition and Associated Factors among Children below Five Years of Age Residing in Slum Area of Jaipur City, Rajasthan, India. Asian Journal of Clinical Nutrition.2019; 11 (1): 1-8.

Mengistu K, Alemu K, Destaw B. Prevalence of malnutrition and associated factors among children aged 6 59 Months at Hidabu Abote district, North Shewa, Oromia regional state. Journal of Nutritional Disorders and Therapy. 2013; T1:1 15.

Park K. Park’s Textbook of Preventive and Social Medicine. 24th ed. Jabalpur: Banarsidas Bhanot; 2017.

Government of Uttarakhand. District Map- Nainital. National Informatics Centre, Ministry of Electronics & Information Technology, Government of India.14th July 2021[25.06.2022]. Available from:

Gopinath TT, Logaraj M, John KR. Assessment of nutritional status of children aged under five years in tribal population of Jawadhu hills in Tamil Nadu. International Journal of Community Medicine and Public Health. 2018; 5:1041-6

Murarkar S, Gothankar, J., Doke, P, Pore P, Lalwani S, Dhumale G. et al. Prevalence and determinants of undernutrition among under-five children residing in urban slums and rural area, Maharashtra, India: a community-based cross-sectional study. BMC Public Health.2020; 20(1559):1-9

Chaudhary P. Agrawal M. Malnutrition and Associated Factors among Children below Five Years of Age Residing in Slum Area of Jaipur City, Rajasthan, India. Asian Journal of Clinical Nutrition. 2019; 11 (1): 1-8

Ruhman MS, Dhanwadkar S,Sukumarapilla G. Prevalence of malnutrition and proportion of anemia among the malnourished children aged 1-5 years in a rural tertiary care centre, South India. International Journal of Contemporary Pediatrics.2016; 3(2): 362-366.

Singh H, Gupta A, Sachdeva A. Nutritional Status of 1-5 years children on a Hilly Tribal District of North India. International Journal of Contemporary Medical Research. 2016;3(1):77-83

Jeyakumar, Angeline & Nikam, Supriya & Nayak, Shwetha. Prevalence and Risk Factors of Undernutrition among Children Less than 2 Years in Urban Slums of Pune, Maharashtra, India. Ecology of Food and Nutrition. 2019; 58: 1-14