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-
f
i
ve
c
hil
dr
e
n
wa
s
a
b
o
v
e
t
h
e
W
o
r
l
d
He
a
l
t
h
Or
ga
ni
z
a
t
i
o
n’
s
e
m
e
r
ge
n
c
y
t
h
r
e
s
h
o
l
d
l
e
v
e
l
[6
,
8]
.
T
h
e
r
e
f
o
r
e
,
un
de
r
n
ut
r
i
t
i
o
n
i
nc
r
e
a
s
e
s
a
c
hil
d
’
s
r
is
k
o
f
m
o
r
bi
d
i
t
y
a
n
d
m
o
r
t
a
l
i
t
y
a
s
s
o
c
i
a
t
e
d
w
i
t
h
inf
e
c
t
i
o
us
d
i
s
e
a
s
e
,
a
n
d
po
or
c
o
gni
t
i
v
e
a
n
d
de
v
e
l
o
p
m
e
n
t
a
l
o
u
t
c
o
m
e
s
[
9]
.
On
t
h
e
o
t
h
e
r
h
a
n
d
po
o
r
n
utr
i
t
i
o
n
s
t
a
t
us
i
s
t
h
e
l
e
a
d
i
ng
c
a
us
e
o
f
i
nf
e
c
t
i
o
us
d
i
s
e
a
s
e
s
[9
,
10]
.
S
o
,
pr
e
v
e
n
t
i
o
n
o
f
d
i
s
e
a
s
e
s
o
r
e
a
r
l
y
de
t
e
c
t
i
o
n
o
f
m
a
l
nut
r
i
t
i
o
n
w
il
l
u
l
t
im
a
t
e
l
y
im
pr
o
v
e
t
h
e
n
ut
r
i
t
i
o
n
a
l
s
t
a
t
us
o
f
un
de
r
-
f
i
ve
c
hil
dr
e
n
[
11]
.
I
n
a
dd
i
t
i
o
n
,
a
s
s
e
s
s
m
e
n
t
o
f
n
ut
r
i
t
i
o
n
a
l
s
t
a
t
us
a
n
d
tr
e
a
t
m
e
n
t
s
o
f
t
h
e
R
o
hi
ng
y
a
’
s
c
hil
dr
e
n
h
a
s
be
c
o
m
e
a
c
o
n
t
r
o
v
e
r
s
i
a
l
i
s
s
ue
s
f
o
r
B
a
n
g
l
a
de
s
h
b
e
c
a
u
s
e
t
h
e
y
a
r
e
c
o
m
pe
t
i
n
g
w
i
t
h
t
h
e
l
o
c
a
l
c
o
m
m
u
ni
t
y
f
o
r
s
c
a
n
t
r
e
s
o
ur
c
e
s
a
s
we
ll
a
s
t
h
e
y
a
r
e
bl
a
m
e
d
f
o
r
gr
o
wi
n
g
t
e
n
s
io
n
s
i
n
B
a
n
g
l
a
de
s
h
[
12
-
14]
.
De
s
p
i
t
e
o
f
t
h
e
c
o
n
t
r
o
v
e
r
s
y
B
a
n
g
l
a
de
s
h
h
a
s
r
e
s
po
n
de
d
by
pr
o
vi
d
i
ng
t
h
e
R
o
hi
n
g
y
a
r
e
f
uge
e
s
a
c
c
e
s
s
t
o
UN
HC
R
s
e
r
vi
c
e
s
w
hil
e
c
o
n
t
i
n
u
i
ng
n
o
t
to
de
ny
t
he
m
[
15]
.
Al
t
h
o
ugh
,
R
o
hi
n
g
y
a
c
r
i
s
i
s
s
c
e
na
r
i
o
i
n
B
a
n
g
l
a
de
s
h
i
s
go
i
n
g
t
o
t
a
ke
a
m
o
ns
t
e
r
s
h
a
pe
b
ut
t
h
e
d
i
f
f
e
r
e
n
t
s
t
udy
o
f
R
o
hi
ng
y
a
i
s
s
ue
s
e
x
t
r
a
c
t
e
d
t
h
e
pr
e
v
a
l
e
n
c
e
o
f
wa
s
t
i
n
g,
s
t
un
t
i
n
g,
un
de
r
we
i
g
h
t
a
n
d
o
v
e
r
we
i
g
h
t
c
o
n
d
i
t
i
o
n
o
f
t
h
e
R
o
hi
ng
y
a
R
e
f
uge
e
u
n
de
r
-
f
i
ve
c
hil
dr
e
n
[
16
-
18
]
.
P
ubli
s
he
d
r
e
po
r
t
s
o
n
R
o
hi
n
g
y
a
r
e
f
ug
e
e
u
n
de
r
-
f
i
ve
c
hi
l
dr
e
n
a
r
e
l
a
c
k
i
ng
i
n
f
i
nd
i
ng
t
h
e
e
f
f
e
c
t
o
f
n
ut
r
i
t
i
o
n
a
l
s
t
a
t
us
a
n
d
a
l
s
o
t
h
e
r
e
a
r
e
n
o
pr
i
o
r
s
t
udi
e
s
e
v
e
r
li
ke
o
ur
s
c
a
r
r
i
e
d
o
ut
i
n
B
a
n
g
l
a
de
s
h
.
T
h
e
r
e
f
o
r
e
,
t
hi
s
s
t
ud
y
wa
s
de
s
i
g
ne
d
t
o
i
nve
s
t
i
ga
t
e
th
e
e
f
f
e
c
t
o
f
n
ut
r
i
t
i
o
n
a
l
s
t
a
t
us
o
n
0
-
5
y
e
a
r
s
R
o
hi
ng
y
a
c
hil
dr
e
n
a
s
w
e
l
l
a
s
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c
o
m
pa
r
i
s
o
n
o
f
t
h
e
n
ut
r
i
t
i
o
na
l
s
t
a
t
us
w
i
t
h
ot
h
e
r
a
r
e
a
s
o
f
B
a
n
g
l
a
de
s
h
(
s
ur
r
o
un
d
i
n
gs
o
f
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o
x’
s
B
a
z
a
r
a
n
d
Du
m
k
i
,
P
a
t
ua
kh
a
li
)
.
2.
RE
S
E
AR
CH
M
E
T
HO
D
2.
1.
S
t
u
d
y
s
e
t
t
in
g
P
a
r
t
i
c
i
pa
n
t
s
f
r
o
m
t
hi
s
s
t
ud
y
we
r
e
s
e
l
e
c
t
e
d
f
r
o
m
R
o
hi
ng
y
a
R
e
f
uge
e
C
a
m
p
o
f
K
ut
upa
l
o
ng
(
C
o
x
’
s
B
a
z
a
r
)
,
t
h
e
s
ur
r
o
un
d
i
n
g
a
r
e
a
o
f
C
o
x
’
s
B
a
z
a
r
wh
e
r
e
t
h
e
B
a
n
g
l
a
de
s
hi
f
a
mi
li
e
s
r
e
s
i
de
a
n
d
Du
m
k
i
,
P
a
t
ua
kh
a
l
i
dur
i
ng
J
u
l
y
-
S
e
pt
e
m
b
e
r
,
2019
w
h
e
r
e
un
de
r
-
f
i
ve
c
hil
dr
e
n
o
f
d
i
f
f
e
r
e
n
t
s
o
c
i
o
e
c
o
n
o
m
ic
c
l
a
s
s
e
s
(
l
o
we
r
a
n
d
uppe
r
)
we
r
e
pr
e
s
e
n
t
.
T
h
e
r
e
f
o
r
e
,
t
h
e
r
e
s
e
a
r
c
h
e
r
c
o
n
s
i
de
r
e
d
t
hi
s
a
r
e
a
f
o
r
da
t
a
c
o
l
l
e
c
t
i
o
n
.
2.
2.
S
t
u
d
y
d
e
s
ign
T
hi
s
wa
s
a
c
r
o
s
s
-
s
e
c
t
i
o
n
a
l
s
t
ud
y
o
f
300
r
e
s
p
o
n
de
n
t
s
w
hi
c
h
wa
s
c
o
n
duc
t
e
d
by
a
s
t
r
uc
t
ur
e
d
que
s
t
i
o
nna
i
r
e
i
n
R
o
hi
ng
y
a
r
e
f
uge
e
c
a
m
p,
s
ur
r
o
un
d
i
n
g
a
r
e
a
o
f
C
o
x
’
s
B
a
z
a
r
a
n
d
Du
m
k
i
,
P
a
t
ua
kh
a
l
i
by
t
h
e
pr
o
c
e
s
s
o
f
s
im
p
l
e
r
a
n
do
m
s
a
m
p
li
ng.
Da
t
a
c
o
l
l
e
c
t
e
d
o
f
a
ge
gr
o
ups
0
-
5
y
e
a
r
s
o
f
pe
r
m
a
n
e
n
t
r
e
s
i
de
n
c
e
in
a
n
d
a
r
o
un
d
r
e
f
uge
e
c
a
m
p
a
l
o
n
g
w
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t
h
b
o
t
h
di
s
e
a
s
e
d
a
n
d
n
o
n
-
d
i
s
e
a
s
e
d
c
hi
l
d
r
e
n
e
x
c
l
ud
i
ng
t
h
e
t
e
m
po
r
a
r
y
r
e
s
i
de
nc
e
.
Da
t
a
i
n
c
l
ude
s
a
l
l
t
h
e
po
s
s
i
b
l
e
o
ut
c
o
m
e
s
o
b
t
a
i
n
e
d
f
r
o
m
t
h
e
qu
e
s
t
i
o
nn
a
i
r
e
by
d
i
r
e
c
t
i
n
t
e
r
vi
e
w
i
n
g
o
f
r
e
s
po
n
de
n
t
s
t
h
a
t
wa
s
t
h
e
f
a
mi
ly
m
e
m
be
r
s
o
f
t
h
e
c
hil
dr
e
n
.
An
t
h
r
o
p
o
m
e
t
r
i
c
m
e
a
s
ur
e
m
e
n
t
s
vi
z
.
h
e
igh
t
a
nd
we
i
g
h
t
we
r
e
m
e
a
s
ur
e
d
a
s
pe
r
t
h
e
gu
i
de
li
ne
s
s
ug
ge
s
t
e
d
by
W
HO
.
He
i
g
h
t
wa
s
m
e
a
s
ur
e
d
by
us
i
ng
a
h
e
i
g
h
t
m
e
a
s
ur
i
n
g
t
a
pe
n
e
a
r
e
s
t
to
0
.
1
c
m
.
A
po
r
t
a
bl
e
pe
r
s
o
n
a
l
we
i
g
hi
ng
s
c
a
l
e
wa
s
us
e
d
to
m
e
a
s
ur
e
t
h
e
we
i
g
h
t
i
n
k
i
l
o
gr
a
m
s
n
e
a
r
e
s
t
to
0.
1
kg,
wi
t
h
o
r
d
i
n
a
r
y
c
a
s
ua
l
c
l
o
t
hi
ng
a
n
d
w
i
t
h
o
u
t
s
h
o
e
s
.
F
o
o
d
gr
o
up
s
c
h
a
r
t
s
(
f
o
o
ds
c
o
n
t
a
i
ni
ng
C
a
r
b
o
hy
dr
a
t
e
s
,
pr
ot
e
i
n
,
f
a
t
s
a
n
d
o
i
l
s
,
f
r
u
i
t
s
a
n
d
v
e
g
e
t
a
bl
e
s
,
da
i
r
y
pr
o
duc
t
s
)
to
s
e
e
t
h
e
d
i
e
t
a
r
y
pa
tt
e
r
n
o
f
t
h
e
c
hi
l
dr
e
n
.
2.
3.
Qu
e
s
t
ion
n
air
e
T
h
e
s
t
r
uc
t
ur
e
d
que
s
t
i
o
nn
a
i
r
e
i
nc
l
ude
s
a
n
t
h
r
o
po
m
e
t
r
i
c
m
e
a
s
ur
e
m
e
n
t
(
h
e
i
g
h
t
a
n
d
w
e
i
g
h
t
)
,
M
U
A
C
t
a
pe
m
e
a
s
ur
e
m
e
n
t
,
wor
m
i
nf
e
s
t
a
t
i
o
n
,
d
i
s
e
a
s
e
c
o
n
d
i
t
i
o
n
(
i
f
t
h
e
c
hil
dr
e
n
we
r
e
s
u
f
f
e
r
i
ng
f
r
o
m
d
i
s
e
a
s
e
s
o
r
n
ot)
,
h
a
n
d
wa
s
hi
ng
pr
a
c
t
i
c
e
,
V
i
t
a
mi
n
A
c
o
n
s
u
m
pt
i
o
n
a
n
d
f
o
o
d
gr
o
ups
t
a
ke
n
4/4+
r
e
s
pe
c
t
i
v
e
ly
.
T
h
e
wo
r
m
i
nf
e
s
t
a
t
i
o
n
wa
s
m
e
a
s
ur
e
d
by
i
n
t
a
ke
o
f
t
a
bl
e
t
s
dur
i
n
g
pa
s
t
14
da
y
s
o
r
n
ot.
T
h
e
que
s
t
i
o
nn
a
i
r
e
i
nc
l
ude
s
pr
o
pe
r
h
a
n
d
wa
s
hi
ng
pr
a
c
t
i
c
e
(
do
n
e
/n
o
t
d
o
n
e
)
wa
s
a
l
s
o
d
o
c
u
m
e
n
t
e
d
i
n
o
ur
que
s
ti
o
nn
a
i
r
e
.
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t
h
e
o
t
h
e
r
h
a
n
d
im
m
u
ni
z
a
t
i
o
n
w
i
t
h
vi
t
a
mi
n
A
c
a
ps
u
l
e
r
e
c
e
n
t
l
y
wa
s
a
l
s
o
do
c
um
e
n
t
e
d
b
e
c
a
u
s
e
vit
a
m
i
n
A
c
o
n
s
u
m
pt
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o
n
s
uppo
r
t
s
r
a
pi
d
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o
n
e
gr
o
wt
h
a
n
d
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(
pr
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)
.
2.
4.
Dat
a
c
ol
l
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t
ion
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.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
S
S
N:
2252
-
8806
I
n
t
.
J
.
P
ubl
i
c
He
a
l
t
h
S
c
i
,
Vo
l
.
9,
No.
4
,
De
c
e
m
b
e
r
20
20
:
3
58
–
3
63
360
2.
5.
E
t
h
ical
ap
p
r
ova
l
All
s
t
ud
y
pr
o
c
e
dur
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s
we
r
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c
a
r
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d
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w
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ng
t
h
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gu
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de
li
ne
s
o
f
t
h
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He
l
s
i
nk
i
De
c
l
a
r
a
t
i
o
n
,
1975.
W
r
i
t
t
e
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t
hi
c
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ppr
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d
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E
t
hi
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a
l
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,
De
pa
r
t
m
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n
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f
E
nvi
r
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nm
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l
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ni
t
a
t
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a
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ni
ve
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s
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t
y
(
R
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f
.
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NS/
R
E
C
/2019/
02)
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h
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l
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c
a
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t
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ke
h
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de
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s
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r
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nf
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pr
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.
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nymi
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.
2.
6.
S
t
at
is
t
ical
an
al
ys
is
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o
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d
da
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c
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2.
2
a
n
d
s
t
a
t
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k
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f
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l
s
c
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s
(
S
P
S
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)
v
e
r
s
i
o
n
20.
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t
h
r
o
p
o
m
e
t
r
i
c
i
n
d
i
c
e
s
(
we
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g
h
t
,
h
e
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g
h
t
,
m
i
d
-
uppe
r
a
r
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mf
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)
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c
hil
dr
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n
a
ge
d
6
-
59
m
o
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s
f
o
l
l
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w
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ng
s
t
a
n
da
r
d
pr
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dur
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s
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n
d
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c
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s
we
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po
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t
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i
n
z
-
s
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HO
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r
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f
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pul
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-
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de
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d
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v
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r
ti
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t
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dr
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.
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n
d
wa
s
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pr
a
c
t
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vi
t
a
m
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n
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c
o
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m
pt
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t
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d
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a
n
d
f
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d
gr
o
ups
we
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t
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ke
n
f
r
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m
t
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e
c
hil
dr
e
n
.
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h
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f
f
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t
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n
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l
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t
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t
us
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s
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n
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ly
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by
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ng
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e
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a
y
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NO
V
A
a
n
d
I
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pe
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de
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t
-
t
e
s
t
.
3.
RE
S
UL
T
S
T
h
e
T
a
b
l
e
1
p
r
ov
i
d
e
s
th
e
s
a
l
i
e
n
t
of
ou
r
s
tu
dy
wh
i
c
h
i
n
di
c
a
te
s
o
f
w
e
i
gh
t
f
or
h
e
i
gh
t
Z
s
c
or
e
(
W
HZ
)
,
h
e
i
gh
t
f
or
a
g
e
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s
c
or
e
(
H
A
Z
)
a
n
d
w
e
i
gh
t
f
or
a
g
e
Z
s
c
or
e
(
W
A
Z
)
of
th
r
e
e
di
f
f
e
r
e
n
t
s
tu
d
y
a
r
e
a
.
A
b
ou
t
4
1
%
R
oh
i
n
gy
a
,
4
3
%
s
u
r
r
ou
n
di
n
g
a
r
e
a
s
,
a
n
d
4
6
%
D
um
ki
w
e
r
e
s
tu
n
t
i
n
g
i
n
H
A
Z
s
c
or
e
r
e
s
p
e
c
ti
v
e
l
y
.
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e
a
r
a
b
ou
t
1
3
%
,
1
1
%
a
n
d
4
%
w
e
r
e
w
a
s
t
i
n
g
i
n
W
H
Z
s
c
or
e
a
n
d
1
8
%
,
1
5
%
a
n
d
1
0
%
w
e
r
e
u
n
d
e
r
w
e
i
gh
t
i
n
W
A
Z
s
c
or
e
r
e
s
p
e
c
t
i
v
e
l
y
.
Vi
tam
i
n
A
i
n
ta
k
e
ov
e
r
th
e
s
tu
dy
a
r
e
a
w
e
r
e
3
6
%
,
4
3
%
a
n
d
6
2
%
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s
p
e
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e
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t
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s
e
a
s
e
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5
%
,
8
%
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n
d
4
%
r
e
s
p
e
c
ti
v
e
l
y
.
M
or
e
ov
e
r
,
h
a
n
d
w
a
s
h
i
n
g
a
n
d
4
/
4
+
f
ood
g
r
ou
p
s
ta
k
e
n
w
e
r
e
4
7
%
,
5
8
%
,
7
5
%
a
n
d
6
5
%
,
4
9
%
,
4
2
%
r
e
s
p
e
c
ti
v
e
l
y
.
T
a
bl
e
1.
C
o
m
pa
r
i
s
o
n
o
f
n
ut
r
i
t
i
o
n
a
l
s
t
a
t
us
a
m
o
n
g
R
o
hi
n
g
y
a
c
hil
dr
e
n
a
n
d
B
a
n
g
l
a
de
s
h
c
hi
l
dr
e
n
R
e
s
po
nd
e
nt
s
i
n
f
o
r
m
a
ti
o
n
R
o
hi
ng
y
a
c
hi
ld
r
e
n %
Ba
ngl
a
de
s
h
c
hi
ld
r
e
n %
s
ur
r
o
undi
ng
of
C
ox’
s
B
a
z
a
r
B
a
ngl
a
de
s
h
c
hi
ld
r
e
n %
D
um
ki
, P
a
tu
a
kha
li
W
H
Z
W
a
s
ti
ng
13
11
4
M
o
de
r
a
te
W
a
s
ti
ng
8
9
4
S
e
ve
r
e
W
a
s
ti
ng
5
2
0
N
o
r
m
a
l
84
85
89
O
ve
r
w
e
ig
ht
(
W
H
Z
>
2)
3
04
7
H
A
Z
S
tu
nt
in
g
41
43
46
M
o
de
r
a
te
S
tu
nt
in
g
29
38
40
S
e
ve
r
e
S
tu
nt
in
g
12
5
6
N
o
r
m
a
l
59
57
54
W
A
Z
U
nde
r
w
e
ig
ht
18
15
10
M
o
de
r
a
te
U
nd
e
r
w
e
ig
ht
11
12
8
S
e
ve
r
e
U
nde
r
w
e
ig
ht
7
3
2
N
o
r
m
a
l
82
85
90
D
is
e
a
s
e
P
r
e
s
e
nt
15
8
4
A
bs
e
nt
85
92
96
V
it
a
m
in
-
A
I
nt
a
ke
T
a
k
e
n
36
43
62
N
o
t
T
a
k
e
n
64
57
38
H
a
ndw
a
s
hi
ng
D
o
n
e
47
58
75
N
o
t
D
o
n
e
53
42
25
F
oo
d
G
r
o
ups
T
a
k
e
n
<
4 f
oo
d gr
o
ups
65
49
42
4/
4+
f
oo
d gr
o
ups
35
51
58
T
h
e
T
a
b
l
e
2
e
x
h
i
bi
ts
f
ood
g
r
ou
p
s
,
di
s
e
a
s
e
a
n
d
w
or
m
i
nf
e
s
ta
ti
on
a
m
o
n
g
th
e
th
r
e
e
s
tu
di
e
s
we
r
e
s
ta
ti
s
ti
c
a
l
ly
s
i
gn
i
f
i
c
a
n
t
(
p
<
.
0
5
)
.
S
i
m
ul
tan
e
ou
s
l
y
,
h
a
n
d
w
a
s
h
i
n
g
,
v
i
tam
i
n
A
i
n
ta
k
e
a
n
d
w
or
m
i
nf
e
s
ta
ti
on
w
a
s
a
s
s
oc
i
a
te
d
w
i
th
di
s
e
a
s
e
c
on
di
t
i
on
(
p
<
.
0
5
)
.
M
o
r
e
ov
e
r
,
h
a
n
d
w
a
s
h
i
n
g
,
v
i
tam
i
n
A
i
n
ta
k
e
a
m
o
n
g
th
e
th
r
e
e
s
tu
dy
a
r
e
a
s
s
h
ow
e
d
s
i
gn
i
f
i
c
a
n
t
r
e
s
ul
t.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t
.
J
.
P
ubl
i
c
He
a
l
t
h
S
c
i
I
S
S
N:
2252
-
8806
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58
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