Sex Variation of Chronic Energy Deficiency among Adult Asian Indian Indigenous Population: A Systematic Review and Meta analysis

The nutritional status of an adult individual is significant for the better upbringing of their future generations. Notwithstanding, the nutritional status of the adult tribal population of India is not palatable. Consequently, an endeavour has been made in this review to get an impression of overall chronic energy deficiency (CED) and sex variation of CED among adult tribal population of India as assessed by Body Mass Index (BMI) less than 18.5 kg/m 2 . Study was selected through literature search following standard protocol. The Meta-analyses were performed by MedCalc statistical software version 20. A total 41954 sample from 140 studies published during 2000-2021 on nutritional status among 82 tribal communities, including 30 particularly vulnerable tribal groups (PVTGs) from 21 states and union territories have been considered for the present analysis. Out of the total, 124 and 91 studies have been accounted for male and female nutritional status. Pool analysis indicates overall prevalence of CED among males and females were 44.9% and 49.1%, respectively. It was estimated that around 28 million (13 million male and 15 million female) tribal population to be undernourished as of 2011. According to the WHO classification of severity of malnutrition, the rate of CED in both PVTG and non-PVTGs adult tribal population of India is very high, indicating critical situation. Therefore, urgent nutrition supplemental programme may be implemented especially for PVTG female considering their culture and food habits.