1. Seetharaman N, chacko TV, shankar SLR, Mathew AC Indian Journal of community medicine vol.32 (1):Jan 2007;35-39 Moderator: Presenter: Dr.Abhishek Raut Rohan R Patil

2. Introduction:  India -highest % of undernourished children -problem accentuated in slum  Classifications: -Gomez -Waterlow

3. Further Answers:  WHO -NCHS -Z Score  Composite index of anthropometric Failure (CIAF)

4. objective  To learn to understand use of different anthropometric measurement among children  To learn Z-score computation

5. Objective of study:  To estimate the magnitude of undernutrition among under five children in slums by using Z score system and CIAF

6. Material and Methods:  Study type: Cross sectional study  Study area : Urban Health Centre of PSG Institute of Medical Sciences & Research  Study Participant : 0-5 yrs children  Sample size : 405 study subjects

7. Material and Methods:  Data collection: -Age of child -nutritional assessment  Analysis: -Epi info -Chi square test Clinical examination Anthropometry

8. Results: Indicators Frequencies(%) Majority of Study population (Hindus)93.6% Nuclear Families70% Open air defecation65.2% Overcrowding dwellings74.8% Per capita income less than 750 Rs86.4%

9. Results: Sex wise distribution among 0-59 months children Age group months Male %Female %Total % 0-1119.514.616.8 12-2323.216.819.8 36-4721.12020.5 Age wise distribution among children

10. Results Classification of children with anthropometric failure GroupAnthropometric statusNo. of children ANo failure127(31.4%) BWasting only11(2.2%) CWasting + Underweight48(11.9%) DWasting + stunting+ underweight23(5.7%) EStunting + underweight100(24.7%) FStunting only78(19.3%) YUnderweight only18(4.4%) Total405(100%)

11. Results NormalUndernutritionSevere undernutrition Total 19700 199300 1964 00 13 total216 (53.3%) 112 (27.7%) 77 (19%) 405 (100%) Comparison of the IAP and the Z-score system

12. Discussion  IAP system identifies 4.8% more children with undernutrition  Z score system identifies significantly more children with severe undernutrition

13. Conclusion  As this system enables estimation of all three indices  More widespread use of z score system classification especially in community based trial is recommended

14. Comment  Objectives are not clearly defined  Duration of study ???  Discussion is not properly written  If clinical assessment was done then why not morbidity data assessed?  Study is slum based why not study participants selected from rural and urban setting?

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