Flattening or falling of the child’s weight curve is an earliest indication of?

Correct option is C

Sol. A drop or plateau in the child’s weight-for-age growth curve is a red flag for Protein Energy Malnutrition (PEM). This condition results from prolonged deficiency of protein and calories. Early detection through growth monitoring helps prevent further health deterioration. It reflects both undernutrition and risk of stunting if not addressed timely.
Explanation of each option:
· (a) Vitamin deficiency – Causes specific clinical signs like scurvy, rickets, or night blindness, but does not initially affect weight curve. It becomes noticeable only after prolonged deficiency.
· (b) Micronutrient deficiency – Includes iron, zinc, and iodine deficiencies, which affect development, but they don't usually cause early fall in weight curve.
· (c) Protein energy malnutrition – Correct. It directly leads to growth failure and is the primary cause for a flattening weight curve in children. It also weakens immunity and causes fatigue.
· (d) Worm infestation – May cause weight loss and anemia, but the decline is usually gradual and not the first reason for curve flattening.