NUTRITIONAL NORMS BY CALORIE INTAKE AND MEASUREMENT OE POVERTY V. K . E . V. RA O Institute for Social and Economic Change, Bangalore, India Jieprinted /nm p r o c e e d in g s o f t h e 41ST SESSION OF THE INTERNATIONAL STATISTICAL TNSTITOTB NEW DELHI, 1077 Bull. Int.'Stilt. InsL. 1077, X L V n (1) 645-G5-1. N U T R I T I O N A L N O R M S BY C A L O R IE I N T A K E A N D M E A S U R E M E N T OF P O V E R T Y V. K. R. V. RAO Institulr for Social and Economic Change, Bangalore^ India 1. In tro d u ctio n A method commonly employed for the measurement of poverty is to take the nutritional norm in terms of daily cuilorio intiike by consumer unit, and the cut-off point by the expenditure class which has an average daily calorie intake per consumer unit nearest to the norm and then treat half of the popu lation lying in this expenditure class and the entire population in the lower expenditur;^; classes as the poor. This is the method employed by Randolciir and Rath (1071) in their famous brochure ‘Poverty in Imlia’. And it has been followed by more studies using a more or less similar method. Recently published N.a.s. data, compilcrl specifically for the y . a .o . on the basis of its 20th Round (1971-72) give caloric and protein content of food items consumed pe>r diem per consumer unit. Those data show the limitations of using the oalorio intake norm in the manner described above for estimating the number of the poor. 2. E x am in atio n o f NSS d a ta TJio data shows an average daily intake of as high as 4000 calories and more per consumm’ unit for 2159 of the 11468 sample households in rural India, while 337 of these households had a daily intake per consumer unit of nearly 7300 calories. Details are given in Table I. TA BLE 1. N ID IB E R OF SAZktPLE HOUSEHOLDS REPO RTIN G H IG H CALORIC IN TA K E D aily carorio No. of No. of D aily calorio intake houseliold household intake 6080 .578 6 4459 10 5380 112 4658 5500 341 433 4828 7207 337 19 5004 2159 37 Average 5333 5037 The latest f .a .O . norm for daily calorie intake p e r consumer unit is 2300. Out of the 49198 consumer units covered by the 114G8 sample households, 15848 consumer units had a "daily intake of less than 2300 .calories and ^resnmably constituted the rural poor. These consumer units, however, were 646 V, K. R. V. RAO distributed among all expenditure classes and not just confined to the lower among them as sho\vm in Table 2. Tlie table does not support tlio usual pre sumption that extent of poverty is indicated by size of expenditure. TA BLE 2. N U M B ER OF RU RA L CONSLTMER U NITS W ITH CA LORIE IN TA K E LESS THAN 2300 M onthly exN um ber of M onthly exN um ber of penditure consum er penditure calorie doss per units Tvith class per intake* consum er caloric consum er below 2,300 unit (in Rs.) intake below unit (in Rs.) 2300 0-15 2026 3-U43 135-t 15-21 4496 43-55 550 21-24 2230 55-/5 271 24-28 2449 75 & above 60 28-34 2323 All classes 15S4S Previous writers on the subject have used the calorie intake norms to determine the cut-off expenditure class for determining the magnitude of poverty. Taking a daily intake of less than 2300 calories for determining the cut-off exponditime class, the relevant figure in respect of the N.s.s. data for 1971-72 is the monthly expenditure class of Rs. 21-24. On this basis, the number of households representing the poor among the consumer units wmuld be 2057 out of a total of 11468 or 17.9 per cent. But this nuTuber includes 673 hoiiseholdg or 27.3 per cent whose daily intake is above 2300 calories. At the same time, the two expenditure classes immediately above the cut-off point include largo nurnbere of houso-holds with a daily intake per consumer unit of below 2300 calories class Rs. 24-28 having 44.1 per cent of such house holds, the corresponding figure for the class Rs. 28-34 l>eing 28.2 per cent. In fact the number of households with daily intake of below 2300 calories irres|)eotivo of expenditure class is 3298 or 28.8 per cent of the total of sample households as agaimst the figirre of 17.9 per cent which we get by the method of cut-off expenditure class on calorie intake criteria. Clearly, the methodo logy followed liitherto for estimating tbe magnitude of rural poverty does not appear to be (lOrrect. WTiJe the proportion of undei'-nutritional poverty undoutedly declines with increasing income, we find the paradoxical result that the poor as defined also include the not-poor and that the not-poor include the poor. As Dr, Sukliatrne (1977) has pointed out in his Lai Bahadur Shastri Memorial L'i'Cturc, ‘We cannot regard everyone eating b-low the average energy retjuirement as under-nourished, nor does it follow that everyone eating above TABLE 3. JfUMBER OF RURAL HOUSEHOLDS WITH VAKYtKG CAEORTE INTAKE PER CONSUMER UNIT Mtmthly c xpoiidiiuro claad por coiisunv'r unit (ill Ra.) Total nurabor Average' NumlKir o f IiolisiiIio M h with uat(>rm iiitnlto pm' coiiAiunor unit Bnlow J 6D0 Rotwooti 1600 J 700 B<jtwoeii ^otween 1700 1000 1900-2100 41 20 921 286 1267 1957 116 4C0 347 »I3 22M7 172 103 5IH 656 1174 2431 131 204 492 1266 1749 273 1 14' 300 172R 2028 3127 218 192 1H9 190 71 no 111 82 J8-3I ct 3S 34-43 16 21 conaumur unit 1493 15-21 56 2300 ca|ori>> in oach cloba iatako |K-r 444 62 15 Abov(» 40 207 2 1-2rt 2100-2300 T otal bolow 2300 o f hou!i«holtl*( 404 0 -1 5 21-21 Botweoii ------------ 81 132 25 31 55 123 1532 1655 3513 55-75 r> 17 25 53 1266 1319 4016 A bovo R i. 100 All axpofiH ituro 551 456 c XH > M v:> 5C tr n H 4 3 -55 7 5 -1 0 0 O C *»3 r? -4 I 2 10 588 598 4571 A I II 471 482 0181 676 702 3208 8170 11408 2724 864 4- V. K. R. V. RAO the average need is over-nourished... Even as a matter of course, the daily requheraent of an itulividual in healtli will vary about his true mean require ment within the range of variance typical of the generating meoiianism govern ing energy balance in man, without implying that an individual is under nourished whenever his intake is below the true average requirement and vice-versa.’ He concludes ‘Clearly, in any classification of the incidence of of poverty based on energy needs of man, it is necessary to allow for both inter as well as intra indi\fidual variation if the calculation of the poverty line is to be nutritionally meaningful’. On the basis of present data available on the subject, he suggests ‘that the requirement of an indi\idual will be around a mean value with a standard deviation of approximately 400 calories’, and concludes ‘we would expect most adult individuals to have their intake at the retail level between the range represented by 1950 to 3550 calories’. The data given earlier in this paper show that the range of intake varies from an average intake of 1493 calories Ln the monthly expenditure class Rs. 0-15 to one of 6181 cilories in the monthly expenditure class of Rs. 100 and above. In fact, all expenditure classes above a monthly figure of Rs. 55 show an average intake per consumer unit of above 3500 calories. One does not know how to explain this phenomenon in nutritional terms. The x.s.s. data do not also support the normally held thesis that the relation between calories intake and monthly consumption expenditure in creases rapidly to start with and gradually thereafter till it stabilises itself at a given maximum level. Contrary to Dr. Sukhatme’s contention that there is ample evidence in the n .s .s . data to support this belief, the fixstevev data released by the x.s.s. on the details of calorie intake by expenditure classes shows that calorie intake keeps on increasing with increasing levels of consumption expenditme even after crossing what are regarded by nutritional experts as a tolerable maximum. That the pattern of increase of calorie intake in relation to increase in monthly consumption expenditure does not support Dr. Sukhatme’s thesis on the subject is shown by Table 4 compiled from n .s.s . data for 1971-72. While there is a rapid increase from the first to the second expenditure class and a fall over the third and fourth expenditure classes, the fifth and sixth cla.sses show a rise, the seventh a slightly smaller rise, and the eighth and ninth expenditure classes a higher rise at a more or less equal rate, while A very sharp rise is seen in the tenth or highest expenditure class. The conti nuity of the rise in calorie intake of each expenditure class over the preceding class culminating in a rise over the immediately preceding next highest class is certainly an unusual phenomenon in nutritional behaviour and raises some CALORIE E^TAKE AND MEASEREMENT OF POVERTY 649 TABL[^ I. RICE IN' A \T:RA G E c a l o r i e INTAILE p e r COXSTBIPTION ITNIT OVER M ONTHLY E N P E N L IT U R E CLASSES Incroasos over im m ediately procoding class ^Monthly expsn- Avorago daily ditore class calorio intake per Calories Percentage of (Rs.) consum er uiMt increase O-lo 1493 1957 15-21 464 31.1 2 1 -2 4 2287 330 11.2 2 4-2S 2431 144 6.3 25-34 303 2734 12.5 3127 34^3 393 14.4 43-55 386 3513 12.3 4016 55-75 503 14.3 13.9 75-100 553 4574 35.1 1607 100 3: above 6131 doubt about the credibility of the n.s.s. data for 1971-72 which has been specially compiled for the f . a . o . by the n . s . s . Organization. 3. O th er m ethodological q u e stio n s Turning no tv to other methodological q nest ion,s, calorie is not a homo geneous concept in terms of the nutritional quality of the food components h'om which it is derived. The n . s . s . data used in tlu.s paper contain figures for the percentage of calories derived from five food group.s which broadly correspond to carbohydrates (I), vegetable proteins (LI), animal proteins (III), fats (IV), and miscellaneous (V) which, besides calories also contains other needed nutrients. Relevant figmes are given in Tables 5 and 6 for all expendi ture classes as well as for all calorie intake groups. Table 5 shows that while the percentage of calories drawn from cereals and other carbohydrates falls from 89.4 per cent in the lowest expenditure class to 60 percent in the highest expenditure class, the share of vegetable proteins rises from o,2 to 10,0 per cent, of animal proteins from 1.2 to 11.3 per cent, of fat.s from 2.0 to 5.2 per cent, and of the miscellaneous group from 2.3 to 7.5 per cent. Table 6 shows that while the percentage of calories di-awn from cereals and other carbohydrates falls from 86 per cent in the low(\st calorie group to 74 ptir cent in thy lughest calorie group, that from vegcUjjle proteins goe.s up from 4.3 to 12.5 per cent, and of animal proteins from 2.4 to 6.1 per cent, while the share of fats and of the miscellaneous group doe.s not show 650 V. K. E. V. RAO T.ABLE 5. PERCEN TA G E OF CALORIES FO R FOOD GROUPS AND AVERAGE DALLY C-ALOREE AND PR O T E IN INTAICJ:; FO R ALL E X PE N D IT U R E CLASSES ilo ath Jr ex penditure per consumer unit — (in Rs.) 0-15 15-21 21-24 24-28 28-34 34^3 4^-00 55-75 75-100 100 & above .AH classes PorLiontage of calerie from food groups I n m TV V 89.40 88.17 87.54 85.61 84.81 82.58 80.30 76.38 73.77 66.04 82.43 5.16 5.13 5.46 6,11 6.34 6.63 7.81 9.24 9.71 9.95 7.34 1.22 1.70 1.95 2.76 3.16 4.25 5.39 6.71 8.40 11..33 4.56 1.95 2.46 2.66 2.81 3.10 3.44 3.59 3.93 4.29 5.15 3.46 2.27 2..54 2-39 2.71 2.59 3.10 2.91 3.74 3.83 7.53 2.21 Average intake per diem per consum er u n it Calorie Proteina (gras.) 1493 46 60 1957 2287 69 2431 73 82 2734 3127 93 105 3513 4016 121 139 4574 182 6181 76 2724 TABLE 6. PERCEN TA GE OF CALORIES FEO.M FTV^ FOOD GROUTS AND A V ERA GE DAILY CALORIE AND PR O T E IN INT.AIvE FO R ALL C-ALORIE ENTAKE GROUTS Average intake Dailv calorie per consum er Percentage of calorie from food groups intake per u n it corsum er unit V Calories Protein I m TV n (gras.) 1221 35 4.58 85.60 4.30 2.37 3.15 Upto loOO 1604 45 3.44 3.16 4.06 2.45 86.89 1501-1700 52 3.38 1801 3.21 2.57 86.73 4.11 1701-1900 57 2002 2.64 3.47 3.39 4.47 86.03 1901-2100 64 3.07 2203 2.94 3.47 5.21 85.31 2101-2300 70 2399 2.86 3.55 4,89 3.33 85.37 2301-2500 77 2599 5. IS 3.98 2.91 3.53 84.40 2501-2700 84 2842 2.76 5.54 4.05 3.01 84.65 2701-3000 96 3227 2.72 5.45 4.60 3.16 84.07 3001-3500 111 3717 3.35 ‘ 2.79 6.23 4.75 32.88 3501^000 170 5248 3.47 6.12 3.44 74,50 12.47 4001 & above 76 2724 2.21 7.34 4.56 3.46 82.43 All groups CAXOEEE INTAKE AND MEASUREMENT OF POVERTY 651 any noticeable trend over the different calorie groups. The influence of income on the quality composition of the calorie intake is clearly seen from the differing behaviour of the five food groups in Table 5 as compared to Table 6, These also bring out the absence of any unique relationship between nutritional quality and calorie intake. The inadequacy of the calorie intake criterion is further emphasized w'hen we look at its composition by different food groups among the rural popula tion of different states of the Indian Union (Table 7). TABLE 7. PERCENTAGE OF CALO RIES FROM FIV E FOOD GROUPS AND A \T:RA G E DAILY CALORIE AND PR O T EIN IN T A K E IN RU RA L AREAS OF D IF F E R E N T STATES States 1. Andhra Pradesh 2. Assam 3. BLhar 4. Gujarat 5. H ar\'ana 6. Him achal Pradesh 7. Jam m u and K ashm ir 8. K arnataka 9. Kerala 10. M adhya Prade.=:h 11. M aharashtra 12. Orissa 13. Punjab 14. R ajasthan 15. Tam il Nadu 16. U ttar Pradesh 17. West Bengal All Lidia Porcentage of calories from food groups n ni 82.36 80. OS 86.59 78.24 78.70 81.84 82.59 83,81 78.22 77.88 81.42 89.46 73.64 84.64 81.31 83.93 86.18 32.43 4,48 3.69 6.05 5,66 4.00 5.94 3.01 7.22 7.15 14.75 7.07 3,27 4.18 3.01 6.97 6.33 3.30 7.34 2 92 3.79 2.63 7.10 13.36 7.70 6.93 3.23 5.08 2.89 3.70 1.50 12.63 7.76 3.22 4.47 2.83 4.56 3.62 3.70 2.40 6.08 1.69 2.76 3.59 2 21 2.31 2.60 4.71 2.23 3.30 2.57 3.70 3.49 3. 89 3,40 0.12 2.74 2.28 2.86 2.25 1.70 3.88 3.53 7.24 1.88 3.10 3.54 6.25 2.02 4.80 1.78 3.80 2.21 Average daily intake per consum er unit Calories Protein (gms) 2666 73 2665 69 2732 S3 82 2322 115 3652 3190 98 3490 100 2839 77 50 2195 129 3055 2567 73 66 2533 3711 111 102 3213 77 2394 102 3198 2311 63 76 2724 The quality of the calorie content in, for example, Kerala is seen in this table to be definitely better than that in Orissa; but if the calorie norm is adopted, Orissa would be superior to Kerala. 65 2 V. K. R. V. RAO It is obvioiip therefore that calorie intake has to be taken in conjunction with its content by different food groups, that is. by its nutritional quality, before it can be used as a nutritional determinant of the magnitude of poverty. This means that malnutrition has to be taken together with the so-called under-nutrition for establishing the nutritional criteria of poverty. Altogether, after studying in some detail the data on calorie intake by calorie groups and expenditure classes given in x.s.s. Number 258/1 to 258/10, for rural India, one is filled with grave doubts about the wisdom of using the calorie intake norm as a criterion for the determination of the poverty line in terms of expenditure classes or even for the identification of poverty except perhaps that of destitution, or semi-starvation. The balanced diet approach is therefore preferable to the calorie intake approach. And this is what writers like Bardhan (1974). Rudra (1974) and others have done, unlike Dandekar and Rath (1971) who have only used the calorie intake criterion. The balanced diet approach, however, is not so easy to use for mcasiurG' ment of poverty. Apart from the difficulties caused by the non-availability of the required data, difficulties also arise becau.se of regional differences and income differences in the food stuffs used and differences in the manner of utilisation. When intertemporal comparisons are undertaken, deflation of prices comes in as a basic condition with all the diffi(mlties it involves, especially as it concerns the food basket with all its regional, cultural, and income differences. Besides these difficiUties in. theii’ application, nutritional criteria are not sufficient to identif}' poverty or measure its extent in any given population. In fact, most Indian writers on the subject have sought to identify a minim vim income critf-rion for poverty by taking the expenditure needed for a balanced diet, the expenditure class which incurs an equi’valcnt expenditure on food, the ob.served proportion between food and non-food expenditure in that class and then treating the total expenditure incurred as the minimum income for drawing the pov^i'ty line. They have however made no attempt cither to analyse the content of the non-food expenditure nor attempt any criterion for determuiing its minimum as they have done in the case of food expenditure. The result is a mixtui-e of the normative and the real, which vitiates tlie credi bility of the figures the}‘ set out in terms of monthly expenditure on income for the determination of poverty. 4. C oncluding re m a rk s ^ The conclusion of this paper therefore is that estimates of the magnitude of poverty based on the sole criterion of calorie intake or cut-off point of CALORIE i n t a k e AND MEASUREMENT OF POVERTY 653 expenditure class based on the given calorie intake are defective and can be used, if at all, only alongside a clear statement of the reservations they are subject to. To a lesser extent this would also be true if a balanced diet is substituted for the calerie intake. I am afraid there is no getting away from fresh exercises on the content of a minimum level of living for drawing the poverty line if we are to have meaningful statements on the nature and magnitude of poverty in India. Poverty has to be identified with deficiency in the total level of living. And total level of hving includes not only energy requirements but also balanced diet needed for health, and the other compo nents of basic needs essential for human existence at a tolerable level. This exercise on the connotation and identification of poverty has still to be under taken in India. References BiRDH.\y, p . K. (1974). On the incidence of poverty in rural India in sixties. In Poverty and income distribniion in India, Sriniva.^an, T. N. and Bardhan, P. K. (ed), 264-280, Statistical Publishing Society, Calcutta. D.VXDEK.VII, V. M. and R a t h . N. (1971), Poverty in India. Indian School of Political Economy, Ponna. F ao (1973). Quoted in Dr. Sukhatm e’a Lai B ahadur Shastri lecture. NSS (1976-1977). Xumbera 258/1 to 258/10. R tjD ra, a . (1974). lliniraiun level of liv-ing—a statistical exam ination. In Poverty and income dUtribution in India, Srinivasan, T. N. and Bardhan, P. K. (ed), 281-290. Statistical Publishing Society, Calcutta. StTiLrTATOUT:, p . V. (1977). yu tritio n and Poverty, Lai B ahadur Shastri Memorial Lecture, Indian Council of Agricultural Research, New Delhi. K.ey w ords Calorie groups, calorie norms, cut off point, expenditure class, consumer unit, household, carbohydrates, proteins, fats, balanced diet, poverty line. Abstract A commonly employed m ethod for a.ss6ssment of poverty is the daily nutritional intake in term s of calories per consumer unit or per capita. The latest norm used by the F.A.O. is 2300 calories per consuroer unit or 1900 calories per capita. N utritional experts also regard a daily calorie intake of 3500-4000 as the ceiling for consumption. Recent N.S..S. studios have made a detailed study of calorie intake for sample households and consum er units in the sample households, and given classified data by size groups of calorie intake." These were specially compiled by them for the F.A.O. The data shows an average daily intake of as high as 400u calories per consumer unit and more for 2159 out of 11468 sample households in rural India and shows the calorie intake increasing w ith increasing levels of conaumption even after crossing the norm ally accepted m axim um for such consumption. In fact, 337 households out of 11468 show a daily intake per consumer unit of nearly 7000 calories. The data aUo shows that all expenditure cla-sses, from the lo-west to the highest, contain households 654 V. K . B. V. RAO w ith consum er units ha\-ing a daily calorie intake of beiow 2300 calories. They also show that am ong the hou.seholds th at fall in the expenditure classes below the cut-off point determ ined on the basis of a daily calorie intake of less than 2300 calories and presum ably the rural poor, 27.3 per cent had a daily calorie intake of moro tlian 2300 calories ; and 12.5 per cent a daily calo rie intake ranging between 2810 and 5380 calories. Application of the calorie intake norm for determ ining poverty thus gives the paradoxical result th a t the rural poor are found in all expenditure classes and th a t the lowest expenditure classes contain m any persons who are not poor. The conclusion th at seems to follow is the in-applicability of the calorie intake norm for detonrnining poverty, though it m ay be of rele vance for determ ining destitution. We need some other criterion, not so much one of a balanced diet as a package of minimum com ponents of basic consumption requirem ents needed for toler able level of living. Such a criterion is still to bo evolved in India. R^sum^ Une m ethode frequem m ent employee pour I’evaluaticm de pauvret^ est la consommation joum aliere en terraes do calories p ar unite de consom inateur ou per capita. L a dem iere nonne en emploi par la FAO est 2300 calories par unite de consommateur ou 1900 calories per capita. Les experts nutritifs sont auasi de I’opinion qu’une consommation joum aliere calorique do 3500 A 4000 comme la lim ite pour la consomption. Dos recherches NSS recentes ont fait une etude d^taillee de consomption de calories par menages d ’exem ple et des iinites de corLSommateur dans les roenoges d ’exem ple, e t ont presente des donnees classLfiees par dimensions de groupes de consommation calorique. Collos-ci ont specialement compilees par eux pour le FAO. Les donnees indiqueut une consommation joum aliere moyenne aussi elevee quo 4000 calories par unite do consom m ateur e t pour plus de 2159 sur 11468 menakes d ’exemple en Inde rurale et dem ontrent que la consom mation de calories augm ente avec les niveaux ascendants de consomption meme a p r^ avoir croise le maxinium normalem ent accepte pour de telles consomptions. En effet, de 11468, 337 menages m ontrent line consom mation joum aliere par unite de consommateur de prfe de 7000 calories. Ces d o n n as dem ontrent egalement que fcoutcs les classes da consommation do la plus basse A la plus haute contiennent los menaees avec des unites do consommateurs ayant une consom ption calorique joum aliere d ’eades.sou.s de 2300 calories. Elies dem ontrent egalement, que parm is des menages qui appartiennent a la classe do consommation audessous du point “ cut-off” determ ine sur la base d ’une consommation joum aliere calorique de moins de 2300 calories e t piobablem ent les pamTes m raux, 27.3% avaieiit une consommation joumaliere calorique de plus do 2300 calories ; et 12.5% une consommation joum aliere calorique comprise entre 2810 et 5380 calories. L’appUcation de la norme de consomption calorique pour determ iner la pauvrete donne done le resultat paradoxal que les pauvres ruraux so trouvent dans toutes lea classes depenses et que la classe de depenses la plus baase coutient beaucoup de porsonnoa qui ne sont pas pauvres. L a conclusion qui serable suivre est I’inapplicabilite de la norme de consom mation calorique pour determ iner la pauvrete bien que olio peut etre pertinante pour d6tem iiner la destitution. Nous avons boaoin d ’un autre critero, pas tellem ent celui d’un regime balance m ais d ’un minimum do partie constituante de besoin de consomption 5xige pour un niveau de vie tolerable. E n crit€re psreil doit encore se developper en Inde.
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