NUTRITIONAL ASSESSMENT

BY ANTHROPOMETRY AND
CLINICAL EXAMINATION OF
THE ALLOTTED FAMILY
NAME:
ROLL:
4th SEMESTER
KPC MEDICAL COLLEGE AND HOSPITAL

INTRODUCTION
The nutritional status of an individual is
often the result of many inter-related factors. It
is influenced by the adequacy of food intake
both in terms of quantity and quality and also
by the physical health of the individual. The
nutritional status of a community is the sum of
the nutritional status of the individuals who
form that community.

OBJECTIVES OF
NUTRITIONAL ASSESSMENT
1) To obtain precise information on the prevalence and
distribution of nutritional problems of a given family.
2) To identify the individuals or population groups who are at
risk or in greatest needs of assistance.
3) To develop health care programmes that meet the needs of
the family defined by the assessment, including evaluation of
the effectiveness of that particular programme.

METHODS OF NUTRITIONAL
ASSESSMENT
DIRECT
1.

2.

Anthropometry
Biochemical
investigation

3.

Clinical examination

4.

Dietary survey

INDIRECT
1. Vital
statistics
2. Ecological
factors
3. Functional
assessment

OBJECTIVES OF OUR FIELD TRIP

To find out nutritional problems, if any.

To take anthropometric measurements of the allotted family

members and find out any deviation from the normal.

To assess nutritional status of the allotted family and to find

out the health status.

To perform clinical examinations on the members.

To make recommendations for improvement.

MATERIALS AND METHODOLOGY

Type of study

: Observational, Descriptive, Cross-sectional

Study period

Study area

Study population

Study tools

: 27th APRIL 24th MAY , 2016

: Shimultala, Sonarpur, South 24 Parganas

: 6 members of the allotted family

: Stethoscope, Measuring Tape, Weighing Machine,

Sphygmomanometer, Practical Field Guide Book

Study technique

: The data were collected by interviewing family

members
and taking measurements wherever necessary

Type of Family : NUCLEAR FAMILY

Head of the family :SAHANIAZ SARKAR

Total Family Members 6

Religion Islam

Per capita income 1583.33/-

Total Family Income -9500/-

Mother Tongue - Bengali

FAMILY CHART
S/N

NAME

RELATION
TO HOF

AGE

SEX

MARIT
AL
EDUCATI
STATU
ON
S

1.

SAHANIAZ
SARKAR

HOF

65 years

Male

Married

B.A.

2.

SAIMA
BEGUM

WIFE OF
HOF(1)

60 years

Femal
e

Married

Class 4
Pass

3.

RIZANOUR
SARKAR

Son of
HOF(1)

36 years

Male

Married

Class 8
Pass

4.

ANJUMIRA
SARKAR

DAUGHTER
IN LAW OF
HOF(1)

32 years

Femal
e

Married

Class 7
Pass

5.

RIHAN
SARKAR

ELDER
GRANDSON
OF HOF(1)

11 years

Male

Unmarri
ed

Class 7
Studying

6.

ARYAN
SARKAR

YOUNGER
GRANDSON
OF HOF(1)

9 years

Male

Unmarri
ed

Class 4
Studying

FAMILY CHART
NATURE
OF
WORK

NAME

1.

SAHANIAZ
SARKAR

Sonarpur
Pourasabha
Office
Guard

3000/

2.

SAIMA BEGUM

Tea-stall
Owner

500/

3.

RIZANOUR
SARKAR

Tailor

5000/

4.

ANJUMIRA
SARKAR

Tailor

1000/

5.

RIHAN
SARKAR

6.

ARYAN
SARKAR

S/N

TYPE OF
WORK

MONTHL
Y
INCOME

OCCUPATI
ON

FAMILY CHART
HISTORY
OF
HISTORY
FAMILY
PRESEN OF PAST
HISTORY
T
ILLNESS
ILLNESS

S/N

NAME

ADDICTI
ON

1.

SAHANIAZ
SARKAR

2.

SAIMA
BEGUM

3.

RIZANOUR
SARKAR

4.

ANJUMIRA
SARKAR

5.

RIHAN
SARKAR

6.

ARYAN
SARKAR

PRIORITY MEMBERS
Priority members include child below 5 yrs old, adolescent
girl/boy, pregnant/lactating mother, eligible couple, woman under
reproductive age group(15-45 yrs) , elderly people (above 60 yrs) &
any severely ill person.
Here in the family, priority members are

Anjumira Sarkar who is a woman of reproductive age group (32

yrs).

Sahaniaz Sarkar (65 years) and Saima Begum (60 years) who are
elder members .

Rihan Sarkar (11 years) and Aryan Sarkar (9years) who are
adolescent boys .

SOCIO-ECONOMIC STATUS

Socioeconomic status has been defined as the

position that an individual or family occupies
with reference to the prevailing average
standards of cultural and material positions,
income and participation in group activities of
the community.

Kuppuswamy in India prepared a scale based

on education, occupation of the head of the
family and total income which are the three
major variables contributing to the
socioeconomic status in urban areas

MODIFIED KUPPUSWAMY
SOCIO-ECONOMIC STATUS
SCALE(2007)
(A)
(B)
EDUCATION

SCORE

1. Profession or
Honours

2. Graduate or
Postgraduate

OCCUPATION
1. Profession

SCORE
10

2. Semiprofession

3. Intermediate
or
Post high
school diploma

3. Clerical,
shop-owner,
farmer

4. High school
certificate

4. Skilled
worker

5. Middle
school certificate

5. Semi-skilled
worker

6. Unskilled
worker

6. Primary
school certificate
7. Illiterate

7. Unemployed

(C) FAMILY
INCOME PER
MONTH (in
Rs.)-modified
for 2007

SCORE

1. = 19,575

12

2. 9,788 19,574

10

3. 7,323 - 9,787

TOTAL
SCORE

SOCIOECONOMIC
CLASS

26 - 29

Upper(I)

16 - 25

Uppermiddle(II)

11 - 15

Lowermiddle(III)

5 - 10

Upperlower(IV)

4. 4,894 - 7,322

5. 2,936 - 4,893

6. 980 - 2,935

7. < 979

<5

Lower(V)

Socio-Economic Status of the allotted

family according to the Modified
Kuppuswamys Socio-Economic Status
Scale

Education of HOF

Occupation of HOF

Total family income

per month
:

Total Score :

Illiterate
:

[Score - 1]

Unskilled (masonry worker)

Rs.- 18,000/-

[Score - 2]

[Score - 10]

13

Socio-economic class Lowermiddle(III)

:

ANTHROPOMETRY
Thescienceofmeasuringthehumanbodyastoheig

ht,weight,andsizeofcomponentparts,includingski
nfoldthickness,tostudyandcomparetherelativepr
oportionsundernormaland abnormalconditions.
The

various anthropometric measurements are taken :

FOR

UNDER FIVE:
Weight
Height/Length
Mid upper arm circumference
Head circumference
Chest circumference
FOR

ADULTS:
Weight
Height
Body Mass Index (BMI)

HEIGHT
Steps to follow for calculating
height

The shoes should be taken off.

The person should stand erect against

a wall with hands close to the side.

The persons head should not be bent

and eyes should look
forward(FRANKFURTS PLANE).

The persons ankle, buttocks, scapula

and occipital eminence should touch
the wall.

FOR INFANTS LENGTH IS

TAKEN

WEIGHT
Criteria for weight measurement

Check for ZERO ERROR.

Calibration

Standardisation

Minimum clothing, food of the person

No shoes or extra support.

Person should stand straight

The reading should be taken vertically(no parallax error)

FOR ADULTS-BATHROOM WEIGHING SCALE

FOR INFANTS-SALTER WEIGHING SCALE

BODY MASS INDEX

It is a simple index of weight for height,
which is commonly used to classify
underweight, overweight and obesity in adults.
BMI= Weight(Kg)/(Height in m)
CLASSIFICATIO
N

BMI (WHO)

BMI (ASIAN)

Underweight

< 18.50

< 18.50

Normal Range

18.50 24.99

18.50 22.99

Overweight

25.00-29.99

23-24.99

Obese

30

25

MY FINDINGS
BMI

CONCLUSI
ON (Asian
Scale)

RIZANOUR
SARKAR

1.6

70

27.34

OBESE

4.

ANJUMIRA
SARKAR

1.45

51.5

24.49

OVERWEIGHT

5.

RIHAN
SARKAR

1.35

37

20.30

NORMAL

6.

ARYAN
SARKAR

1.2

32

22.22

NORMAL

HEIGH WEIGH
T (m) T (kg)

S/N

NAME

1.

SAHANIAZ
SARKAR

2.

SAIMA
BEGUM

3.

CLINICAL EXAMINATION
GENER
AL
SURVE
Y

SAHANI
AZ
SARKAR

SAIMA
BEGUM

RIZANO
UR
SARKAR

ANJUMIR
A
SARKAR

RIHAN
SARKAR

ARYAN
SARKAR

Conscious
ness &
Cooperati
on

NOT
PRESENT AT
HOME

NOT
PRESENT AT
HOME

Conscious
and
cooperative

Conscious
and
cooperative

Conscious
and
cooperative

Conscious
and
cooperative

Build

NOT
PRESENT AT
HOME

NOT
PRESENT AT
HOME

Average

Average

Average

Average

Pallor

NOT
PRESENT AT
HOME

NOT
PRESENT AT
HOME

Absent

Absent

Absent

Absent

Jaundice

NOT
PRESENT AT
HOME

NOT
PRESENT AT
HOME

Absent

Absent

Absent

Absent

Cyanosis

NOT
PRESENT AT
HOME

NOT
PRESENT AT
HOME

Absent

Absent

Absent

Absent

Oedema

NOT
PRESENT AT
HOME

NOT
PRESENT AT
HOME

Absent

Absent

Absent

Absent

Neck
veins

NOT
PRESENT AT
HOME

NOT
PRESENT AT
HOME

Not
engorged

Not
engorged

Not
engorged

Not
engorged

Neck

NOT
PRESENT AT

NOT
PRESENT AT

Not palpable

Not palpable

Not palpable

Not palpable

GENERA
L
SURVEY

SAHANI
AZ
SARKA
R

SAIMA
BEGUM

RIZANOU
R
SARKAR

ANJUMIR
A
SARKAR

RIHAN
SARKAR

ARYAN
SARKAR

Pulse

NOT
PRESENT
AT HOME

NOT PRESENT
AT HOME

76

74

82

85

Blood
pressure

NOT
PRESENT
AT HOME

NOT PRESENT
AT HOME

120/80

110/90

120/80

125/85

Temperatu
re

NOT
PRESENT
AT HOME

NOT PRESENT
AT HOME

NORMAL

NORMAL

NORMAL

NORMAL

Systolic BP

Diastolic BP

Normotensive

<120

<80

Pre-hypertensive

120 - 139

80 - 89

Hypertensive
(Stage 1)

140 - 159

90 - 99

Hypertensive
(Stage 2)

>=160

>=100

SUMMARY
We interviewed the allotted family of
Mr.Sahaniaz Sarkar on 5th MAY , 2016.The
family was a joint family ,consisting of the
HOF, his wife , son, daughter in law and 2
grandsons. According to the calculated BMI,
Rizanour Sarkar was found to be OBESE and
Anjumira Sarkar was found OVERWEIGHT .
No other significant findings came up in the
clinical examination.

ACKNOWLEDGEMENT

I would like to thank to our allotted family

members for their cooperation.

I am grateful to all the teachers of the

Department of Community Medicine for
giving us this opportunity and their support
and guidance.

I am also thankful to my friends and

specially my partner Samriddhi for the help.

BIBLIOGRAPHY

Parks Textbook of Preventive and Social

Medicine .K.PARK. 23rd Edition. (Pg 648,649,663,690,399)
Practical Guide Book.

THANK YOU