Center for Nutrition Studies

Established October 2017, the Center for Nutrition Studies at Yenepoya (Deemed to be University) aims to foster nutrition related activities relevant to India. 
Problems of nutrition are the largest single contributor to the burden of disease both at the global level and at the national level. In India, the problem of under-nutrition is an underlying contributor to the high burden of infectious diseases in children and adults. Every third malnourished child in the world lives in India, and almost half of the 4.5 million deaths in children under-five are related to under-nutrition. On the other hand the prevalence of overweight and obesity are also increasing and generating epidemics of diabetes, hypertension and cardiovascular disease. Micronutrient deficiency is widespread especially in women and children. There is need for any academic institution to engage with nutrition as a core and cross-cutting issue with a focus on research, capacity building and evidence-based inputs for policy. The Center for Nutrition Studies is being launched to address this need.
The faculty at the Center has generated a body of research over a decade, which has proved that undernutrition in adults in India is the most important contributor to over half of new cases of tuberculosis and is a significant contributor to the high number of deaths occurring in patients with TB. This work has informed policy at a national level, leading also to the government’s initiative in launching a direct benefit transfer scheme for all TB patients to enable access to a better diet.
The Center is engaging with Ministry of Health and Family Welfare, UNICEF, National Center for Excellence and Advanced Research on Diets (NCEARD) in field of Maternal Nutrition advocacy, implementation, policy and planning.

Vision of the Center: A healthy and developed India free of malnutrition, where individuals and communities can attain their true potential
  
Mission of the Center: To develop a center for excellence in clinical and public health nutrition; focusing on research and innovation, capacity building of healthcare personnel and engage in health advocacy
 
Objectives:
1.    To conduct quality research on clinical and public health nutrition of relevance to India and similar low-middle income countries.
2.    To build capacity for the components of nutritional care and nutrition research in the University.
3.    To establish linkages with and national and international level institutions in the field of nutrition.
4.    To disseminate and advocate for nutritional issues for policy changes.

Projects:
1.    The RATIONS (Reducing Activation of Tuberculosis by Improvement Of Nutritional Status) study: A cluster randomized trial of nutritional support (food rations) to reduce TB incidence in household contacts of patients with smear positive pulmonary tuberculosis in communities with a high prevalence of under nutrition. Funding: Indian Council of Medical Research (ongoing).
2.    Feasibility study to implement select components of the guidance document on nutritional care and support of the Revised National Tuberculosis Control Programme (RNTCP) for patients with Tuberculosis at Dakshina Kannada district, India. Funding agency: Karnataka State RNTCP Task Force (ongoing).
3.    Pretesting Maternal Nutrition Package under Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA). In partnership with UNICEF (Hyderabad) (completed).
4.    A cross-sectional study to assess the dietary protein-energy intake in the elderly population of Mangalore and its association with sarcopenia. Funding: Student ICMR-STS (completed).
5.    Development of N-TB app for nutritional assessment and care of patients with tuberculosis. Funding: In partnership with McGill University (completed).
6.    Salt reduction and low sodium salt substitutes: Awareness among health providers in Mangalore. Funding: Student ICMR-STS (completed).
7.    Re-visiting the Malnutrition figures of Adolescents (15-19 Years) in NFHS-3 and NFHS-4. Funding: UNICEF (Hyderabad) (ongoing).
8.    Short Course on Nutritional Assessment Techniques: NATCOURSE – 1. Funding: UNICEF (Hyderabad).
9.    Neck circumference in adults: Its utility and acceptability compared to standard nutritional assessment techniques in screening for overweight-obesity. Funding: Student ICMR-STS (ongoing). 

Research, Policy, and Innovations
1.    Bhargava A, Ralph R, Chatterjee B, Bottieau E. Assessment and initial management of acute undifferentiated fever in tropical and subtropical regions. BMJ. 2018 Nov 29;363:k4766.Pdf Link
2.    Bhargava A, Kulkarni B, Kurpad A, Bhargava M, Rao R, Parmar M, et al. Guidance Document: Nutritional care and support for patients with tuberculosis in India. Central TB Division. Directorate General of Health Services, Ministry of Health and Family Welfare. Government of India, and Who Country Office India. March 2017.  Guidance document final.
3.    N-TB: a mobile based app for nutritional assessment, counselling and support for patients with tuberculosis in India. This was developed in collaboration with McGill University, RNTCP, WHO (India), and was released as a part of new initiatives of the TB programme at the END TB Summit in New Delhi in March 2018, by the Prime Minister.
4.    Development of easy to use BMI-based field charts for nutrition assessment and screening. (Field charts)These were incorporated in the Guidance Document: Nutrition care and support for patients with tuberculosis in India. These have also been adapted for nutrition assessment of pregnant women in first trimester in Pradhan Mantri Surakshit Matrutva Abhiyan (link to the pdf)
5.    BOOK CHAPTER: Bhargava A, Bhargava M. Nutritional care and support for patients with tuberculosis in India: A primer for general physicians. Lets Talk TB. 3rd ed. Mumbai: GP Clinics; 2017. p. 16-23Pdf Link
6.    Bhargava M, Bhargava A. Pyridoxine for patients suffering from drug-susceptible tuberculosis in India. Public Health Action. 2017; 8 (2):97. Pdf Link
7.    Bhargava M, Bhargava A, Akshaya KM, Shastri S, Bairi R, Parmar M, Sharath BN. Nutritional assessment and counseling of tuberculosis patients at primary care in India: Do we measure up? Int J Tuberc Lung Dis. 2019 Jan8. Doi: 10.5588/ijtld.18.033Pdf Link
8.    Bhargava M, Bhargava A. Development of simplified body mass index–based field charts to assess nutritional status and weight gain in adult patients with tuberculosis. J Family Med Prim Care 2019;8:115-9. Doi 10.4103/jfmpc_226_18.Pdf Link
9.    Fathima KA, Bhargava M. Salt reduction and low?sodium salt substitutes: Awareness among health?care providers in Mangalore, Karnataka. Indian J Community Med 2018;43:266-9.Pdf Link
10.    Bhargava A, Bhargava M, Pande T, Rao R, Parmar M. N-TB: A mobile-based application to simplify nutritional assessment, counseling and care of patients with tuberculosis in India. Indian J Tuberc. 2018 Nov 7.Pdf Link 
11.    Rathi P, Raghuveer P, Narendra V, Bhargava M. Prevalence of Non Communicable Diseases and Its Risk Factors among the Non-Teaching Staff of Medical College using WHO STEPS. Natl Community Medicine 2018; 9(2):71-77.Pdf Link                   

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