key: cord-0903272-qxhgk2pk
authors: Das, Arijit; Das, Manob; Ghosh, Sasanka
title: Impact of Nutritional Status and Anemia on COVID-19- Is it a public health concern? Evidence from National Family Health Survey-4 (2015-2016), India
date: 2020-06-09
journal: Public Health
DOI: 10.1016/j.puhe.2020.06.001
sha: 9200fe9f1475fa919ff67880510747380308490a
doc_id: 903272
cord_uid: qxhgk2pk

nan

Evidence from National Family Health Survey-4 (2015-2016), India COVID-19 pandemic has now extended over the entire world and it has been emerged as a prime public health threats. As of date 31 st May total number of COVID-19 cases was approximately 6 million with about 0.36 million deaths over the world 1 . In India also number of confirm cases are increasing day by day. As of date 31 st May, the total number of confirm COVID-19 cases was 190535 with death of more than 5000 people 2 . The number of COVID-19 cases continues that requires an emergency public health response to combat with the severity of COVID-19 pandemic in India. The number of COVID-19 cases in India are not uniformly distributed rather there are some hotspot states from where maximum number of COVID-19 cases were recorded.

Few major hotspot states were identified from where maximum number of COVID-19 cases was recorded till date. The major hotspot states were Maharastra, Tamilnadu, Delhi, Gujrat, and Rajasthan respectively. More than 33% of the total COVID-19 cases were documented in Mahararastra followed by 11% in Tamilnadu, 9% in Delhi, 8% in Gujrat and 4% in Rajasthan respectively. More than 60% of the total COVID-19 cases were recorded from these five states in The result of the study showed that the percentage of adults with below normal Body Mass Index (BMI) (<18.5 kg/m2) recorded higher in hotspot states as compared to others. For example the average % of adults with BMI below normal was more than 30% in Maharastra, Gujrat and Tamilnadu. BMI below normal indicates malnutrition and eating disorder condition. The result recorded that Gujrat had the highest percentage of women (27.2%) and men (24.7%) adults with below normal BMI (<18.5 kg/m2) followed by Rajasthan (27% women and 22.7% men) and

Maharastra (23.5% women and 19.1% men) respectively. On the other hand, highest percentage of adults (both male and female) with overweight or obese was found in Tamilnadu (29.55%) followed by Delhi (29.05%), Maharastra (23.6%) respectively. The percentage of adults with below normal BMI and obese were very low where COVID-19 cases were low such as of The percentage of Anemia among adults was highest in Gujrat (38.3%) followed by Delhi (37.95%), Tamilnadu (37.75%) Maharatra (32.8%), and as compared to those states where COVID-19 cases are relatively low such as Sikim, Arunachal Pradesh and Mizorum. The highest percentage of men and women with Anemia was found in Tamilnadu (55.3%) and Gujrat (21.7%) among hotspot states. It is also really a great public health concern because many studies recorded the relationship between anemia and respiratory disease 20, 21 like COVID-19. It is again a big public health concern because the states under the notion of 'BIMARU' and 'EAG' are the most vulnerable. The percentage of adults with Anemia is high in these states such as 

Funding: None

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