title: Prevalence of skeletal deformity due to nutritional rickets in children between 1 and 18 years in tea garden community.
abstract: BACKGROUND
  The present study was undertaken to find out the prevalence of skeletal deformity due to nutritional rickets in children aged 1-18 years in tea garden community in Dibrugarh District of Assam.
  
  
  METHODS
  It was a cross-sectional study and two-stage cluster sampling was used. In the selected tea gardens, all the children aged 1-18 years were screened for skeletal deformity by house-to-house visit.
  
  
  RESULTS
  The overall prevalence of skeletal deformity was 2.7 per thousand. Majority of children with deformities (57.27%) were between 7 and 12 years of age. Widening of wrists and ankle was the most frequent symptom (53.8%). Most of the children with deformity had moderate malnutrition (77.27%). Most of the children with skeletal deformity belong to lower (v) (45.45%) grade of Kuppuswamy's grading scale. Bilateral genu valgus deformity (54.54%) and bilateral genu varum (25.92%) deformity were the most common deformities. Widening of wrists and ankle was the most frequent symptom (61.66%).
  
  
  CONCLUSIONS
  Of the 16,274 tea garden children included in our study (male and female) in the age group 1-18 years, 44 had skeletal deformity due to nutritional rickets. The prevalence of skeletal deformity due to nutritional rickets was found to be 2.7 per thousand children, which are significantly higher when compared with the only other such study, which was on general population in Bangladesh.
authors.affiliation: Assam Medical College and Hospital, Guwahati, India.
authors.forename: Tarun
authors.initials: T
authors.lastname: Chabra
authors.affiliation: Assam Medical College and Hospital, Guwahati, India.
authors.forename: Pranjal
authors.initials: P
authors.lastname: Tahbildar
authors.affiliation: Central Railways Hospital, Mumbai, India.
authors.forename: Ayush
authors.initials: A
authors.lastname: Sharma
authors.affiliation: Assam Medical College and Hospital, Guwahati, India.
authors.forename: Sushanta
authors.initials: S
authors.lastname: Boruah
authors.affiliation: ISIC, New Delhi, India.
authors.forename: Rajat
authors.initials: R
authors.lastname: Mahajan
authors.affiliation: AIIMS, New Delhi, India.
authors.forename: Amrut
authors.initials: A
authors.lastname: Raje
keywords: Nutritional rickets; Skeletal deformities; Tea gardens