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Indian J Pediatr ; 83(11): 1232-1236, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27165476


OBJECTIVE: To screen symptoms of sleep disorders among primary school children. METHODS: Four schools from urban area and four rural schools were included in this study. Symptoms of sleep disorders were assessed using the validated Hindi version of Childhood Sleep Habit Questionnaire in 8-13 y old children. Comparison was made between urban and rural group and between boys and girls. Descriptive statistics was calculated. RESULTS: Mean age of the subjects included in this study was 8.9 ± 1.5 y. Boys and girls were equally distributed, however, rural sample was smaller. More than one awakening each night was found in 12.2 % children. In the whole group, prevalence of bed-wetting was 8.7 %, sleep-talking 20.9 %, sleep-walking 3.2 %, teeth grinding 15.4 % and night terrors 8.4 %. Daytime sleepiness was reported by 25.5 % and napping by 56.4 %. 17.3 % used to fall asleep in unusual circumstances and the teacher or the friend in 6.9 % students noticed it. Snoring was reported by 11.4 % children, and 6.3 % reportedly struggled to breathe during sleep. Domicile and gender did not affect prevalence of parasomnia, however, symptoms of sleep apnea were more frequent among rural children. Daytime sleepiness was more common among rural children as compared to urban. CONCLUSIONS: Symptoms of sleep disorders are prevalent among primary school children. Common disorders are parasomnia, sleep apnea and daytime sleepiness.

Síndromes da Apneia do Sono/epidemiologia , Transtornos do Sono-Vigília/epidemiologia , Criança , Feminino , Humanos , Masculino , Prevalência , Sono , Ronco , Inquéritos e Questionários
PLoS One ; 11(5): e0156283, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27227780


INTRODUCTION: Overweight and obesity are a public health problem in India not only in adults but also in children. The authors sought to estimate the prevalence of overweight and obesity in school-going children of 6-17 years of age and examine its demographic and dietary correlates in context of their urban-rural status and socio-economic status. METHODS: In this cross-sectional survey height and weight were measured in 1266 school children in government and private schools of urban and rural areas. Dietary assessment was done using single day 24-hour dietary recall method. The data were analyzed using SPSS (IBM SPSS Statistics Version 19) and WHO AnthroPlus Software. Factorial ANOVA was used for testing interaction within and between subgroups for continuous variables and Chi-square test was used for categorical variables. RESULTS: It was found that the overall prevalence of overweight was 15.6% of which 5.4% were obese, with maximum prevalence in boys attending urban private schools. The mean caloric intake in the study population with 24-hour dietary recall method was 1558.2 kilocalories (SD: 428 kilocalories). CONCLUSION: Overweight and obesity is a significant problem in school-going children. Higher socio-economic status continues to remain an important driver of this epidemic in the younger generation and affects demographic and dietary determinants of this problem.

Sobrepeso/epidemiologia , Obesidade Pediátrica/epidemiologia , População Rural/estatística & dados numéricos , População Urbana/estatística & dados numéricos , Adolescente , Índice de Massa Corporal , Peso Corporal , Criança , Estudos Transversais , Dieta , Ingestão de Energia , Feminino , Humanos , Índia/epidemiologia , Masculino , Projetos Piloto , Prevalência , Fatores Sexuais , Classe Social , Fatores Socioeconômicos , Inquéritos e Questionários
J Family Med Prim Care ; 5(3): 564-568, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-28217584


BACKGROUND: Physical activity is important for prevention of overweight and obesity in growing children. OBJECTIVE: The present study aims to explore the association of overweight and obesity in school children of the district of Dehradun with physical activity, sports, and recreation at home and school. MATERIALS AND METHODS: A cross-sectional survey of 1266 schoolchildren of select private and government schools in urban and rural areas was done. RESULTS: Overall 15.6% of children were overweight, of which 5.4% were obese. Overweight and obesity were significantly associated with physical inactivity related to passive transport to school, missed opportunities for play during lunch breaks, lack of participation in household work, and excessive viewing of television. CONCLUSION: We found a significant association between the lack of physical activity and overweight and obesity. There is a need to enhance physical activity, sports, and recreational opportunities at school as well as home to prevent overweight and obesity in children. Family physicians should include counseling for this important and cheap modifiable risk factor in their family care practice.

Int J Prev Med ; 5(6): 741-8, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25013694


BACKGROUND: Weaning plays a major role in determining the nutritional status of a child. Poor weaning practices during infancy and early childhood, resulting in malnutrition, contribute to impairment of cognitive and social development, poor school performance and reduced productivity in later life. The objective of this study is to know weaning practices of mothers of difficult terrain. METHODS: Cross-sectional study was conducted in all villages under Rural Health Training Center, the field practice area of Department of Community Medicine. A total of 500 mothers with children within 3 years of age were included in the study. Pre-tested pre-designed semi-structured questionnaire was used to collect information on weaning practices. RESULTS: Majority of children (51.57%) were weaned at >6 months and were observed to be more under nourished (79.34%) as compared with those between 4 months and 6 months (61.50%). Majority of boys were weaned earlier than girls irrespective of the age of the weaning. Malnutrition was found in majority of those children who were weaned inadequately in terms of both frequency and amount. CONCLUSIONS: The present study revealed suboptimal weaning practices among the mothers of hilly region. Thus, appropriate educational strategies should be directed particularly on counteracting various myths related to infant feeding Moreover, promotion of appropriate feeding should target not only on maternal caregivers, but also on other family members, particularly husbands and grandmothers, taking into account the social and cultural situation of the area.

J Commun Dis ; 38(1): 97-101, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-17370695


This study was undertaken to find out the reasons for not using the contraception among Ever Married Women aged 15-49 years in rural population of Dehradun District and to study the factors for discontinuation of contraceptive methods among women who had everusedany method. A Cross-sectional descriptive study was conducted among 2278 Ever Married Women aged 15-49 years in 20 villages from Doiwala block of Dehradun District, Uttaranchal. A multistage sampling technique was used for the selection of villages. Personal interview method with house-to-house visit was adopted as the study method. In this study, Knowledge of any method of contraception was almost universal (96.9%) among ever-married women but 61.81% of the couples had ever used while only 49.9% were currently using any method of contraception. Most common reasons for not using contraception were the desire for more children (21.5%) or particularly a male child (5.4%) followed by religious reasons (9.1%) and opposition by husband or family members (3.3%). Present study revealed that awareness about contraceptive methods is almost universal but counseling of eligible couples on importance of small families and assisting them in making informed choice is needed to remove the obstacles in practicing contraception.

Comportamento Contraceptivo , Conhecimentos, Atitudes e Prática em Saúde , População Rural , Adolescente , Adulto , Anticoncepção/métodos , Anticoncepção/estatística & dados numéricos , Comportamento Contraceptivo/estatística & dados numéricos , Feminino , Humanos , Índia , Entrevistas como Assunto , Estado Civil , Pessoa de Meia-Idade