MYcÖRvZš¿x evsjv‡`k miKvi

RvZxq
Lv`¨ MÖnY wb‡`©wkKv
2020

Lv`¨ gš¿Yvjq
¯^v¯’¨ I cwievi Kj¨vY gš¿Yvjq
GwcÖj 2021
 MYcÖRvZš¿x evsjv‡`k miKvi

RvZxq
Lv`¨ MÖnY wb‡`©wkKv
2020

Lv`¨ gš¿Yvjq
¯^v¯’¨ I cwievi Kj¨vY gš¿Yvjq
GwcÖj 2021
 mn‡hvMx gš¿Yvjq
K…wl gš¿Yvjq, MYcÖRvZš¿x evsjv‡`k miKvi
grm¨ I cÖvwYm¤ú` gš¿Yvjq, MYcÖRvZš¿x evsjv‡`k miKvi
gwnjv I wkï welqK gš¿Yvjq, MYcÖRvZš¿x evsjv‡`k miKvi

KvwiMwi mn‡hvwMZv
evi‡Wg †Rbv‡ij nvmcvZvj
RvwZms‡Ni Lv`¨ I K…wl ms¯’v
Lv`¨ cwiKíbv I cwiaviY BDwbU, Lv`¨ gš¿Yvjq
Rb¯^v¯’¨ cywó cÖwZôvb, ¯^v¯’¨ I cwievi Kj¨vY gš¿Yvjq

ISBN 978-984-35-0624-5

GwcÖj 2021

ii
 m~wPcÎ
gyLeÜ v
Lv`¨ MÖnY wb‡`©wkKvB DbœZ cywói g~j
f~wgKv 01
evsjv‡`‡ki cywó cwiw¯’wZ 02
Lv`¨-wfwËK Lv`¨ MÖnY wb‡`©wkKvi g~jbxwZ cÖPv‡i cywó-ms‡e`bkxj
bxwZgvjv Ges †KŠkj 04
RbM‡Yi cywó Dcv`vb MÖn‡Yi j¶¨gvÎv 05
evsjv‡`‡ki Rb¨ ˆ`wbK Kvw•ÿZ Lv`¨ MÖn‡Yi cwigvY 06
evsjv‡`‡ki RbM‡Yi Av`k© Lv`¨ MÖn‡Yi wb‡`©kvejx 09
wb‡`©wkKv 1 : cÖwZ‡ejvq mylg I ˆewPΨc~Y© Lv`¨ MÖnY Kiæb 10
wb‡`©wkKv 2 : cwiwgZ cwigv‡Y ‡Zj I Pwe© RvZxq Lv`¨ MÖnY Kiæb 17
wb‡`©wkKv 3 : cÖwZw`b mxwgZ cwigv‡Y Av‡qvwWbhy³ jeY MÖnY Kiæb 20
wb‡`©wkKv 4 : wgwóRvZxq Lv`¨ mxwgZ cwigv‡Y MÖnY Kiæb 22
wb‡`©wkKv 5 : cÖwZw`b ch©vß cwigv‡Y wbivc` cvwb I cvbxq cvb Kiæb 23
wb‡`©wkKv 6 : wbivc` Lv`¨ MÖnY Kiæb 24
wb‡`©wkKv 7 : mylg Lv`¨ MÖn‡Yi cvkvcvwk wbqwgZ kvixwiK kÖ‡gi gva¨‡g
Av`k© IRb eRvq ivLyb 26
wb‡`©wkKv 8 : mwVK c×wZ‡Z ivbœv, mwVK Lv`¨vf¨vm Ges my¯’ Rxebhvc‡b
wb‡R‡K Af¨¯Í Kiæb 28
wb‡`©wkKv 9 : Mf©ve¯’vq Ges ¯Íb¨`vbKv‡j evowZ Lv`¨ Pvwn`v Abyhvqx
MÖnY Kiæb 30
wb‡`©wkKv 10 : wkï‡K 6 gvm eqm ch©šÍ ïaygvÎ gv‡qi `ya w`b Ges 6 gvm
ci evowZ Lv`¨ cÖ`vb Kiæb 31
cwiwkó 33
mshyw³ 1: evsjv‡`‡ki Rb¨ Lv`¨ wb‡`©wkKv wcivwgW 33
mshyw³ 2: evsjv‡`‡ki Rb¨ cÖ¯ÍvweZ cywóKi Lvev‡ii †cøU 35
mshyw³ 3: kvixwiK kÖg wcivwgW 36
mshyw³ 4: Lv‡`¨i Av`k© cwigvc 37
mshyw³ 5: Lv`¨ cwi‡ekb ZvwjKv 38
mshyw³ 6 : Lv`¨ MÖnY I RxebhvÎvi g~j¨vqb 39

iii
mshyw³ 7: †gby cwiKíbv 40
mshyw³ 8: wewfbœ eq‡mi cywó Pvwn`v 43
8.1 :wewfbœ eq‡mi bvix I cyiæl Gi †cÖvwUb, Pwe© I Avu‡ki Pvwn`v 43
8.2 :wewfbœ eq‡mi bvix I cyiæl Gi wfUvwgb Pvwn`v 44
8.3 :wewfbœ eq‡mi bvix I cyiæl Gi LwbR je‡Yi
(g¨v‡µvwgbv‡ij) Pvwn`v 45
8.4 : wewfbœ eq‡mi bvix I cyiæl Gi LwbR je‡Yi
(gvB‡µvwgbv‡ij) Pvwn`v 46
mshyw³ 9 : fviZxq‡`i Rb¨ cywó Dcv`v‡bi AvbygvwbK Mo Pvwn`v, 2020 47
mshyw³ 10: fviZxq mycvwikK…Z cywó MÖnY gvÎv (AviwWG) 2020 Gi
Dci wfwË K‡i gvSvwi ai‡Yi kvixwiK Kvh©Kjv‡ci mv‡_
m¤ú„³ GK e¨w³i bgybv Lvev‡ii ZvwjKv 49
mshyw³ 11: wbe©vwPZ kã‡Kvl 50
RvZxq Lv`¨ MÖnY wb‡`©wkKv 2015 nvjbvMv` K‡i RvZxq Lv`¨ MÖnY wb‡`©wkKv
2020 cÖYq‡b KvwiMwi mn‡hvwMZvq 55
RvZxq Lv`¨ MÖnY wb‡`©wkKv 2015 cÖYq‡b Dc‡`óvgÛjx, †Kvi KwgwUi
m`m¨mn M‡elKe„‡›`i ZvwjKv 56

iv
gyLeÜ
MZ wZb `k‡K evsjv‡`k wkï cywónxbZv GK-Z…Zxqvsk n«vm Kivi gva¨‡g
D‡jøL‡hvM¨ AMÖMwZ mvab K‡i‡Q| Z_vwc GL‡bv we‡klZ wfUvwgb G, dwjK
GwmW, K¨vjwmqvg, wRsK, Av‡qvwWb cÖf…wZ gvB‡µvwbDwU«‡q‡›Ui AfveRwbZ
mgm¨v Ges wkïi Le©Zv, K…kZv, Kg Rb¥ IRb cÖf…wZi gZ ¸iæZi I cywó msµvšÍ
mgm¨v we`¨gvb| cvkvcvwk cywó mswkøó AmsµvgK e¨vwaI wkïi †ivM Ges
g„Zy¨nvi e„w×i GKwU Ab¨Zg KviY| `xN©‡gqvw` AmsµvgK †ivM Ges kvixwiK
mgm¨v †hgb AwZwi³ IRb, ¯’‚jZv, Wvqv‡ewUm, ü`‡ivM, wjfv‡ii †ivM Ges
K‡qK ai‡Yi K¨vÝvi cÖwZ‡iv‡ai c~e©kZ© n‡jv ¯^v¯’¨m¤§Z I cywóKi Lvevi MÖnY|
wewfbœ Lv`¨‡kªwY †_‡K †mB mKj Lvevi MÖnY Kiv DwPZ hv †`‡ni e„w×, MVb Ges
my¯^v¯’¨ eRvq ivLvi Rb¨ cÖ‡qvRbxq mKj ai‡Yi cywó mieivn K‡i| Lv`¨
wbe©vP‡bi †¶‡Î Lv‡`¨i ˆewPΨ I gvb Dbœq‡bi Dci ¸iæZ¡v‡ivc Kiv DwPZ hv‡Z
gvbyl mn‡R ˆewPΨc~Y©, wbivc` Ges cywóKi Lvevi MÖn‡Yi gva¨‡g eqm-wfwËK
wewfbœ `‡ji Lv`¨kw³, g¨v‡µv Ges gvB‡µvwbDwU«‡q‡›Ui Pvwn`v c~iY K‡i
¯^v¯’¨Ki Ges Drcv`bkxj RxebhvÎv wbwðZ K‡i| Dc¯’vwcZ Lv`¨ wb‡`©wkKvwU
Lv`¨ MÖn‡Yi Lv`¨-wfwËK bxwZgvjvi Dci wfwË K‡i ˆZwi Kiv n‡q‡Q hv
Rbmvavi‡Yi cywó I ¯^v‡¯’¨i Ae¯’vi Ae¨vnZ Dbœq‡b mnvqZv Ki‡Z cv‡i| GwU
ˆewPΨc~Y© cywó mg„× Lv`¨ †hgb dj, kvKmewR, km¨`vbv, Wvj, ev`vg, ˆZjexR,
`ya I `ya RvZxq Lv`¨, wWg, Pwe© Qvov gvsm Ges gvQ MÖnY‡K DrmvwnZ Ki‡e|
wb‡`©wkKvq mvaviY RbM‡Yi Rb¨ cÖ‡qvRbxq Z_¨vw` Dc‡`k AvKv‡i Dc¯’vcb
Kiv n‡q‡Q|
eZ©gvb wb‡`©wkKvwU cÖYq‡b 2015 m‡bi wb‡`©wkKvi evZ©vmg~n nvjbvMv` Kiv
n‡q‡Q| RvZxq Lv`¨ MÖnY wb‡`©wkKv 2015 nvDR‡nvì BbKvg A¨vÛ G·‡cwÛPvi
mv‡f© 2010 - Gi Lv`¨ MÖnY msµvšÍ DcvË, Gwkqvi wbw`©ó wKQy †`‡ki wb‡`©wkKv
ch©v‡jvPbv K‡i Ges cywó ch©vßZv we‡køl‡Yi wfwˇZ ˆZwi Desirable Dietary
Pattern for Bangladesh (DDP)-Gi Dci wfwË K‡i cÖ¯‘Z Kiv n‡q‡Q| 2000
mv‡j evsjv‡`k RvZxq cywó cwil`, ¯^v¯’¨ I cwievi Kj¨vY gš¿Yvjq KZ©…K
cÖKvwkZ cÖ_g wb‡`©wkKvi mv‡_ mvgÄm¨ †i‡L Av‡iv M‡elYv I we‡køl‡Yi gva¨‡g
Gi e¨vwß evov‡bv n‡q‡Q|
GB wb‡`©wkKv cÖYq‡b nvDR‡nvì BbKvg A¨vÛ G·‡cwÛPvi mv‡f©-Gi 2016 Gi
cÖwZ‡e`b ch©v‡jvPbv Ges 2010 I 2016 Gi Lv`¨ MÖnY c¨vUvb© Gi Zyjbvg~jK
we‡kølY Kiv n‡q‡Q| Lv`¨ MÖn‡Y cwieZ©b D‡jøL‡hvM¨ fv‡e Lv‡`¨ ˆewPΨ e„w×i

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MÖn‡Yi †¶‡Î ˆewPΨ e„wׇK we‡ePbvq ivLv n‡q‡Q|
¯^v¯’¨Ki Lv`¨vf¨v‡mi cÖPvi Ges mnvqZvi Rb¨ hv‡Z wewfbœ ai‡Yi cywó mg„×
Lvevi mwVK cwigv‡Y MÖn‡Y ¸iæZ¡ †`qv nq †m wel‡q GB wb‡`©wkKvq Lv`¨ MÖnY
Ges cywó welqK Z_¨I mwbœ‡ewkZ Kiv n‡q‡Q|
Lv`¨ gš¿Yvjq, ¯^v¯’¨ I cwievi Kj¨vY gš¿Yvjq, evi‡Wg, RvZxq cywó‡mev,
Rb¯^v¯’¨ cywó cÖwZôvb Gi mw¤§wjZ cÖ‡Póvq, RvwZms‡Ni Lv`¨ I K…wl ms¯’v, wek¦
¯^v¯’¨ ms¯’vi mn‡hvwMZvq Ab¨vb¨ Askx`vi‡`i Askx`vix‡Z¡ ˆZwi wb‡`©wkKvwU
cywó, Lv`¨ I Lv`¨vf¨vm Gi †¶‡Î GB cywó bxwZgvjv RbM‡Yi cywó m‡PZbZv I
Af¨vm cwieZ©‡b GKwU wk¶vg~jK DcKiY wn‡m‡e KvR Ki‡e e‡j Avkv Kiv
hvq| D‡jøL¨, GB wb‡`©wkKvwU hviv ¸iæZi ¯^v¯’¨ RwUjZvq fyM‡Qb Ges hv‡`i
we‡kl Lv`¨ MÖnY msµvšÍ wb‡`©kbv cÖ‡qvRb nq Zv‡`i Rb¨ cÖ‡hvR¨ bq|
Avwg Avkv Kwi, nvjbvMv`K…Z RvZxq Lv`¨ MÖnY wb‡`©wkKv-2020 Gi gva¨‡g
evsjv‡`‡ki RbMY DcK…Z n‡eb|

†gv: knx`y¾vgvb dviæKx

gnvcwiPvjK
(AwZwi³ mwPe)
Lv`¨ cwiKíbv I cwiaviY BDwbU
Lv`¨ gš¿Yvjq, MYcÖRvZš¿x evsjv‡`k miKvi

vi
Lv`¨ MÖnY wb‡`©wkKvB DbœZ cywói g~j
f~wgKv
Lv`¨ wbivcËvq evsjv‡`k D‡jøL‡hvM¨ AMÖMwZ Ki‡jI wbivc` Lvevi, Lvev‡ii
gvb Ges cvwievwiK ch©v‡q, we‡kl K‡i bvix I wkï‡`i Lv`¨ ˆewPΨ GLbI
weivU P¨v‡j‡Äi gy‡LvgywL| GB welqmg~n cy‡iv RxebKvj, we‡kl K‡i cÖ_g
1000 w`‡bi cywó cwiw¯’wZ‡Z cÖfve †d‡j|
cvwievwiK Lv`¨vf¨vm ax‡i ax‡i e`‡j hv‡”Q Ges ˆewPΨc~Y© Lv`¨ZvwjKvi eo
Ask Ry‡o _vK‡Q kvKmewR, djg~j I cÖvwYR Lv`¨| Z‡e, Lv`¨ZvwjKv g~jZ
km¨RvZ Lv‡`¨i Dc‡iB wbf©i K‡i †hLv‡b Lvevi †_‡K †gvU AwR©Z Lv`¨kw³i
60% †_‡K 66%-B Av‡m fvZ †_‡K| Amylg Lv`¨ MÖnY Acywó I `xN©‡gqvw`
†iv‡Mi SyuwK e„w×i Ab¨Zg KviY wn‡m‡e cwiwPZ| hw`I Lv`¨vf¨vm‡K ¯^v¯’¨ I
cywóMZ e„w×i mv‡_ mshy³ Kivi †KŠkj wb‡q Av‡iv we¯Íi M‡elYv cÖ‡qvRb, Zey
eZ©gv‡b cÖvß DcvË cÖwZ‡iva I cÖwZKvig~jK Kvh©µg MÖn‡Yi c‡¶B K_v e‡j|
Lv`¨ MÖnY wb‡`©wkKv Mf©aviY †_‡K ïiæ K‡i eva©K¨ ch©šÍ mKj mg‡q wbivc` I
cywóKi Lv`¨ MÖnY Ges ¯^v¯’¨m¤§Z RxebPP©v‡K DrmvwnZ K‡i| RvZxq I
AvšÍR©vwZK ch©v‡q me©m¤§wZµ‡g G wel‡q ¸iæZ¡v‡ivc Kiv n‡q‡Q, mKj †`‡kiB
Zv‡`i cwiw¯’wZi mv‡_ gvbvbmB wbR¯^ Lv`¨ MÖnY wb‡`©wkKv ˆZwi Kiv DwPZ|
GLv‡b Dc¯’vwcZ Lv`¨ MÖnY wb‡`©wkKv 2000 mv‡j evsjv‡`k RvZxq cywó cwil`
KZ©…K cÖKvwkZ Lv`¨ MÖnY wb‡`©wkKv, Lv`¨ gš¿Yvjq I ¯^v¯’¨ I cwievi Kj¨vY
gš¿Yvjq KZ©…K 2015 mv‡j nvjbvMv`K…Z Lv`¨ MÖnY wb‡`©wkKv Ges Gwkqvi
Ab¨vb¨ †`‡ki Lv`¨ MÖnY wb‡`©wkKv‡K we‡ePbvq wb‡qB ˆZwi Kiv n‡q‡Q| c„_K
c„_K cywó Dcv`v‡bi Ici †Rvi bv w`‡q GB wb‡`©wkKvq ¯^v¯’¨m¤§Z I cywóKi
Lv`¨vf¨v‡mi Ici †ewk †Rvi †`qv n‡q‡Q| GB bw_wU‡Z Lv`¨-wfwËK †KŠkj‡K
Drmvn `v‡bi cvkvcvwk ¸YMZ I cwigvYMZ wewfbœ evZ©vI hy³ Kiv n‡q‡Q|
AvÂwjK Lv`¨vf¨v‡mi mv‡_ mvgÄm¨ †i‡L bvbviK‡gi wbivc` I cywóKi Lv`¨, hv
¯^v‡¯’¨i Rb¨ cÖwZi¶vg~jK I DcKvix f~wgKv cvjb K‡i †mme Lv`¨ MÖn‡Y †fv³v
m‡PZbZvg~jK civg‡k©i Ic‡i ¸iæZ¡v‡ivc Kiv n‡q‡Q| Wvj, gvsm, gvQ, `ya,
kvKmewR I djg~‡ji g‡Zv wKQy Lv`¨ MÖn‡Yi Rb¨ wba©vwiZ j¶¨mg~n g~jZ
h‡_vchy³ bxwZMZ wm×všÍ MÖn‡Y DrmvwnZ K‡i| Gi gva¨‡g mycvwikK…Z cywó
MÖn‡Yi (Recommended Nutrient Intakes (RNI)) mv‡_ mvgÄm¨ †i‡L cywó
Dcv`vb MÖn‡Yi j¶¨gvÎv wba©viY Kiv hv‡e e‡j Avkv Kiv hvq| GLv‡b cÖ‡Z¨K
Lv`¨‡kªwYi Dc‡hvMx evZ©vi Dci ¸iæZ¡v‡ivc Kiv n‡q‡Q| wbivc` I ch©vß
cywóhy³ Lvevi cÖ¯‘Z Ki‡Z ¯’vbxqfv‡e cÖvß I mK‡ji Rb¨ mnRjf¨ bvbvb
iK‡gi Lv`¨ wbe©vPb Kiv †h‡Z cv‡i|
01
¯^v¯’¨m¤§Z I cywóKi Lv`¨ cwiKíbvq mnvqZvi Rb¨ cwi‡ek‡bi AvKvi I
msL¨vmn Lv`¨ wewbgq ZvwjKvI cÖ`vb Kiv n‡q‡Q| GB Lv`¨-wfwËK Lv`¨ MÖnY
wb‡`©wkKv my¯^v‡¯’¨i Rb¨ mKj Lv`¨‡kªwY n‡Z cwiwgZ Lv`¨ Mªn‡Yi Dci ¸iæZ¡
w`‡q‡Q|
RvZxq cywó‡mev I AmsµvgK †ivM cÖwZ‡iva I wbqš¿‡Yi Rb¨ eûLvZwfwËK
Kg©cwiKíbv 2018-2025 Gi wbwi‡L RvZxq Lv`¨ MÖnY wb‡`©wkKvi cÖ‡qvM e„w×
Riæwi| Lv`¨ MÖnY Gi aiY‡K mvgÄm¨c~Y© K‡iB ¯^v¯’¨Ki Lv`¨vf¨vm M‡o †Zvjv
m¤¢e| †mBmv‡_ RbMY‡K Lv`¨ MªnY wb‡`©wkKv †g‡b Pj‡Z DØy× Kivi j‡¶¨ e„nr
cwim‡i AvPiY cwieZ©bg~jK cªPviYv Pvjv‡Z n‡e| GBme Kvh©µg‡K eZ©gv‡b
Pjgvb RvZxq cywó, K…wl Ges ¯^v¯’¨ mswkøó Kvh©µ‡gi m‡½ GKxf~Z Ki‡Z n‡e|
evsjv‡`‡ki cywó cwiw¯’wZ
weMZ K‡qK eQ‡i RvZxq ch©v‡q AcywóRwbZ mgm¨v mgvav‡bi cÖ‡Póv D‡jøL‡hvM¨
MwZ‡Z e„w× †c‡q‡Q| Zv m‡Ë¡I, evsjv‡`‡k Drcv`bkxjZvi m¤¢vebv D`&NvUb
K‡i RbM‡Yi Rb¨ Lv`¨ I cywó wbivcËv wbwðZ Ki‡Z Av‡iv A‡bK wKQy Kivi
my‡hvM i‡q‡Q| GLv‡b GL‡bv GK Z…Zxqvs‡ki wKQy Kg msL¨K wkï Le©Kvq, cÖvq
GK Z…Zxqvsk wkï b~¨bZg MªnY‡hvM¨ Lv`¨ Ges cªvq 56% bvix Ach©vß Lv`¨ MªnY
Ki‡Q| cªvq 50% cÖRbb eqmx bvix wewfbœ iK‡gi cywó Dcv`v‡bi AfveRwbZ
Acywó‡Z fyM‡Q| we‡klZ, 50% Mf©eZx bvix i³¯^íZvq fyM‡Q, hvi cÖfv‡e Kg
IRb wb‡q wkïi Rb¥ n‡”Q| †mBmv‡_, GK Z…Zxqvs‡kiI †ewk bvix hv‡`i
weGgAvB 23-Gi AwaK Zviv mn IRbvwaK¨ Ges ¯’‚jZvi nvi w`b w`b †e‡oB
P‡j‡Q, hv `wi`ªZi Rb‡Mvôxi gv‡SI e¨vcKfv‡e j¶¨Yxq| Acywói GB wÎgyLx
†evSv AmsµvgK bvbv †ivM, †hgb Wvqv‡ewUm, ü`‡ivM Ges wKQy ai‡Yi
K¨vÝv‡ii mv‡_ `„pfv‡e m¤úwK©Z| evsjv‡`‡ki Rb‡Mvôxi g‡a¨ cÖvq 9.2%
gvby‡li Wvqv‡ewUm †gwjUvm1, 18% gvby‡li D”P i³Pvc2 Ges 17% gvby‡li
ü`‡ivM3 Gi cªv`yf©ve i‡q‡Q|

1
B›Uvib¨vkbvj Wvqv‡ewUm †dWv‡ikb, 2019| cvIqv hv‡et
https://www.diabetesatlas.org/upload/resources/2019/IDF_Atlas_9th_Edition_2019.pdf
2
AmsµvgK †ivM cÖwZ‡iva I wbqš¿‡Yi Rb¨ eûLvZwfwËK Kg©cwiKíbv 2018-2025, evsjv‡`k| cvIqv hv‡et
https://dghs.gov.bd/images/docs/Publicaations/NCDC_multisectoral_action_plan_2018_2025.pdf
3
AvBweAvBwW 2
02
evsjv‡`‡ki RbmsL¨vi cywó cwiw¯’wZi mvims‡¶c wb‡Pi QK 1-G cÖKvk Kiv nj :
QK 1: cywóMZ Ae¯’v
m~PK % / cÖwZ
nvRv‡i m~Î
Kg IRb wb‡q Rb¥ nIqv wkï‡`i Dci
Kg IRb wb‡q Rb¥ nIqv wkïi kZKiv nvi 22.6 RvZxq Rwic, evsjv‡`k, 2015
0-5 eQi eqmx 5 eQ‡ii Kg eqmx wkï‡`i g‡a¨ evsjv‡`k RbwgwZ I ¯^v¯’¨ Rwic 2017-
wkï‡`i g‡a¨ Le©Zvi cÖeYZv (eq‡mi Abycv‡Z 2018 (wewWGBPGm 2017- 2018)
Acywói cÖeYZv D”PZv <-2 Av`k© wePz¨wZ, hv wek¦ ¯^v¯’¨ 31
ms¯’vi wkï e„w×i Av`k©gv‡bi ga¨K
Øviv cwigvwcZ)
5 eQ‡ii Kg eqmx wkï‡`i g‡a¨ evsjv‡`k RbwgwZ I ¯^v¯’¨ Rwic 2017-
K„kZvi cÖeYZv (D”PZvi Abycv‡Z 8 2018 (wewWGBPGm 2017- 2018)
IRb <-2 Av`k© wePz¨wZ, hv wek¦ ¯^v¯’¨
ms¯’vi wkï e„w×i Av`k©gv‡bi ga¨K
Øviv cwigvwcZ)
5 eQ‡ii Kg eqmx wkï‡`i †ÿ‡Î evsjv‡`k RbwgwZ I ¯^v¯’¨ Rwic 2017-
IRb¯^íZvi cÖeYZv (eq‡mi Abycv‡Z 2018 (wewWGBPGm 2017- 2018)
22
IRb <-2 Av`k© wePz¨wZ, hv wek¦ ¯^v¯’¨
ms¯’vi wkï e„w×i Av`k©gv‡bi ga¨K
Øviv cwigvwcZ)
beRvZ‡Ki g„Zy¨nvi evsjv‡`k RbwgwZ I ¯^v¯’¨ Rwic 2017-
30 cªwZ
2018 (wewWGBPGm 2017- 2018)
nvRv‡i
wkï g„Zz¨/1000 GK eQ‡ii Kg eqmx wkïi g„Zz¨nvi 38 cªwZ
evsjv‡`k RbwgwZ I ¯^v¯’¨ Rwic 2017-
RxweZ Rb¥ nvRv‡i
2018 (wewWGBPGm 2017- 2018)
5 eQ‡ii Kg eqmx wkïi g„Zz¨nvi 45 cÖwZ evsjv‡`k RbwgwZ I ¯^v¯’¨ Rwic 2017-
nvRv‡i 2018 (wewWGBPGm 2017- 2018)
cÖvK-we`¨vjq wkï 33 RvZxq AYycywó Rwic 2011/12
i³¯^íZvi nvi Mf©eZx Ges ¯Íb¨`vbKvix bq Ggb RvZxq AYycywó Rwic 2011/12
26
(NPNL) bvix
wRsK NvUwZi cÖvK-we`¨vjq wkï 45 RvZxq AYycywó Rwic 2011/12
nvi Mf©eZx bb Ges ¯Íb¨`vbKvix bq Ggb 57 RvZxq AYycywó Rwic 2011/12
(GbwcGbGj) bvix
Av‡qvwWb NvUwZ Mf©eZx bb Ges ¯Íb¨`vbKvix bq Ggb 42 RvZxq AYycywó Rwic 2011/12
(g~‡Î Av‡qvwW‡bi (GbwcGbGj) bvix
NbZ¡)
Wvqv‡ewUm cÖvßeq¯‹ 9.2 cÖwZ B›Uvib¨vkbvj Wvqv‡ewUm †dWv‡ikb
†gwjUvm 100 R‡b (AvBwWGd), 2019
15-49 eQi eqmx bvix hv‡`i evsjv‡`k RbwgwZ I ¯^v¯’¨ Rwic 2014
24 (wewWGBPGm 2014)
weGgAvB >25 †KwR/wg2
IRbvwaK¨ ev 15-49 eQi eqmx bvix hv‡`i evsjv‡`k RbwgwZ I ¯^v¯’¨ Rwic 2014
¯’‚jZv weGgAvB >23 †KwR/wg2 39 (wewWGBPGm 2014)
15-34 eQi eqmx cyiæl hv‡`i 6 evsjv‡`k RbwgwZ I ¯^v¯’¨ Rwic 2011
weGgAvB >25 †KwR/wg2 (wewWGBPGm 2011)
¯^í IRb evsjv‡`k RbwgwZ I ¯^v¯’¨ Rwic 2014
(`xN©¯’vqx 15-49 eQi eqmx bvix 19 (wewWGBPGm 2014)
Lv`¨kw³i NvUwZ)
weGgAvB <18.5 15-34 eQi eqmx cyiæl evsjv‡`k RbwgwZ I ¯^v¯’¨ Rwic 2011
27 (wewWGBPGm 2011)
†KwR/wg2

03
Lv`¨-wfwËK Lv`¨ MÖnY wb‡`©wkKvi g~jbxwZ cÖPv‡i cywó-ms‡e`bkxj
bxwZgvjv Ges †KŠkj
evsjv‡`‡ki RbM‡Yi cywógv‡bi D‡jøL‡hvM¨ DbœwZ mva‡bi j‡¶¨ cÖYxZ `ywU
cÖavb bxwZgvjv n‡jv RvZxq cywóbxwZ 2015 Ges wØZxq RvZxq cywó Kg©cwiKíbv
(2016-2025)| GmKj bxwZgvjvq cywó-wbw`©ó I cywó-ms‡e`bkxj `ywU
†¶Î‡KB cÖvavb¨ †`qvi cvkvcvwk ¯^v¯’¨m¤§Z I cywóKi Lv`¨ MÖn‡Yi Rb¨ †fv³vi
m‡PZbZv I mwVK Lv`¨ wbe©vP‡bi m¶gZv e„w× Kivi w`‡KI ¸iæZ¡v‡ivc Kiv
n‡q‡Q| GB D‡Ï‡k¨ Lv`¨, K…wl Ges ¯^v¯’¨ welqK cwiKíbv cÖYq‡b Ab¨Zg w`K
wb‡`©kK `wjj wnmv‡e Lv`¨-wfwËK Lv`¨ MÖnY wb‡`©wkKv‡K me©vwaK ¸iæZ¡ †`qv
nq|
cywó Ávb Ges mwVK Lv`¨vf¨vm e„w×i j‡¶¨ Lv`¨ MÖnY wb‡`©wkKv cÖYqb RvZxq
cywó‡mev Kvh©µg 2011-2016 Ges 2017-2022 GiI GKwU Ab¨Zg Kg©m~wP|
evsjv‡`k miKvi KZ©…K Aby‡gvw`Z RvZxq Lv`¨ I cywó wbivcËv bxwZ 2020 Gi
D‡Ïk¨vejx‡Z mKj RbMY we‡kl K‡i bvix Ges wkï‡`i Rb¨ wbivc` I ch©vß
cywó wbwðZ Kiv Ges cvkvcvwk ¯^v¯’¨evb RvwZ MV‡b mylg Lv`¨ wbwðZKi‡Yi
`xN©¯’vqx RvZxq ch©v‡qi cwiKíbv MÖn‡Y AwaK †Rvi †`qv n‡q‡Q|
cywó-ms‡e`bkxj Lv`¨ e¨e¯’v m¤úwK©Z evsjv‡`k wØZxq ivó«xq wewb‡qvM cwiKíbv
(wmAvBwc-2) ÿzav I Acywó †gvKv‡ejvmn †UKmB Dbœqb j¶¨gvÎv AR©‡bi Rb¨
GKwU Acwinvh© eûLvZxq wewb‡qvM Kg©c×wZ wnmv‡e we‡ewPZ nq| Gi GKwU
†KŠkjMZ D‡Ïk¨ n‡jv ¯^v¯’¨m¤§Z I cywóKi Lv`¨ MÖn‡Yi Rb¨ mwVK Lv`¨ wbe©vPb
Kivi cÖ‡qvRbxq Ávb jvf wbwðZ Kiv| wmAvBwc-2 Gi wewb‡qvM ‡¶Î wKsev
Kvh©µg 3 ÒDbœZ Lv`¨ ˆewPΨ, †fvM I ˆRweK e¨enviÓ Gi Kg©m~wP, 3.1 Òcywó
welqK ewa©Z Ávb I DËg PP©vi cÖmvi Ges wbivc` I cywóKi Lv`¨ MÖnYÓ Gi
gva¨‡g Lv`¨ MÖnY wb‡`©wkKvi cÖPvi Ges ev¯Íevqb‡K AMÖvwaKvi †`qv nq |
Lv`¨ MÖnY wb‡`©wkKvi j¶¨mg~n-
 mvaviY RbM‡Yi Rb¨ ¯^v¯’¨m¤§Z I cywóKi Lv`¨vf¨vm Ges DbœZ Lvevi
MÖnY‡K DrmvwnZ Kiv|
 RxebPµ I eqm Abyhvqx Lv`¨ MÖnY Ges cywói DbœwZ NUv‡bv|

 AmsµvgK e¨vwa cÖwZ‡iv‡a Lv`¨-welqK Z‡_¨i †hvMvb †`qv|

04
RbM‡Yi cywó Dcv`vb MÖn‡Yi j¶¨gvÎv
wek¦e¨vcx AvÂwjK I RvZxq ms¯’vmg~n KZ©…K we‡ewPZ Ges Lv`¨ MÖnY mswkøó
`xN©‡gqvw` AmsµvgK †ivM cÖwZ‡iv‡ai mycvwikgvjv Abyhvqx RbM‡Yi cywó
Dcv`vb MÖn‡Yi j¶¨gvÎv wb‡P QK 2-G †`qv n‡q‡Q| G‡Z ˆ`wbK Pvwn`v Abyhvqx
Lv‡`¨i wewfbœ kw³ Dr‡mi AvbycvwZK cwigvYI D‡jøL Av‡Q| hw`I RbM‡Yi
cywó Dcv`vb MÖn‡Yi j¶¨gvÎvq Lv`¨kw³ mieivnKvix g¨v‡µvwbDwUª‡q›U-Gi
Dci †Rvi †`qv n‡q‡Q, Z‡e Gi gv‡b GB bq †h Ab¨vb¨ cywó Dcv`v‡bi wel‡q
h_vh_ ¸iæZ¡ †`qv n‡”Q bv4| mv¤úªwZK Z_¨ cÖgvY5 †_‡KI †`Lv hvq †h wewfbœ
Lv`¨‡kÖwY †_‡K bvbv ai‡Yi Lv‡`¨i mgš^‡q Lv`¨ MÖnY Ki‡j Zv gvbe¯^v¯’¨ fv‡jv
ivLvi Rb¨ mnvqK n‡e| (QK 3 `ªóe¨)|
QK 2: wek¦e¨vcx RbM‡Yi g‡a¨ cywó Dcv`vb MÖn‡Yi j¶¨gvÎv6

% †gvU Lv`¨kw³/ ˆ`wbK

cywó Dcv`vbmg~n
Pvwn`v
Kv‡e©vnvB‡WªU 55-75%
wPwb <10%
†cÖvwUb 10-15%
d¨vU 15-30%
m¤ú„³ d¨vwU GwmW <10%
eû Am¤ú„³ d¨vwU GwmW 6-10%
I‡gMv-6 eû Am¤ú„³ d¨vwU GwmW 5-8%
I‡gMv-3 eû Am¤ú„³ d¨vwU GwmW 1-2%
UªvÝ d¨vwU GwmW <1%
†Kv‡j‡÷ij <300 wg.MÖv./w`b
jeY (†mvwWqvg) <5 MÖvg (<2 MÖvg/w`b)
dj I mewR ≥400 MÖvg/w`b

`ªóe¨: cyiæl Ges bvix‡`i wewfbœ eq‡mi Rb¨ g¨v‡µv Ges gvB‡µvwbDwUª‡q›U
Gi ˆ`wbK Pvwn`v wel‡q mshyw³ 8 †`Lyb|

4
WvweøDGBPI/GdGI 2003. Wv‡qU, wbDwUªkb GÛ `¨v wcÖ‡fbkb Ad µwbK wWwR‡Rm, WvweøDGBPI
†UKwbK¨vj wmwiR 916
5
BGwU j¨v‡ÝU Kwgkb Ab †njw` Wv‡qUm d«g mvm‡UBb¨vej dzW wm‡÷gm, 2019
6
AvBweAvBwW 4

05
evsjv‡`‡ki Rb¨ ‰`wbK Kvw•ÿZ Lv`¨ MÖn‡Yi cwigvY
wb‡Pi QK 3-G Kvw•ÿZ Lv`¨ MÖnY (wWwWwc, 2013) Gi Ici wfwË K‡i evsjv‡`‡ki
c~Y©eq¯‹ GKRb e¨w³i cÖwZw`‡bi Lv`¨ MÖn‡Yi cwigvY ‡`qv n‡q‡Q| Lv`¨ jf¨Zv,
Lvbv I e¨w³ wfwËK Lv`¨ MÖnY Ges GB welqK RvZxq ch©v‡qi we‡klÁ‡`i Øviv
PvwjZ GKwU Zyjbvg~jK we‡køl‡Yi wfwˇZ 2013 †Z evsjv‡`‡ki Rb¨ Kvw•ÿZ Lv`¨
MÖnY cwigvc Kiv n‡q‡Q †hLv‡b GKRb MocoZv cÖvßeq¯‹ evsjv‡`wki Rb¨ ˆ`wbK
2430 wK‡jvK¨vjwi MÖn‡Yi K_v ejv n‡q‡Q (mshyw³ 7 G 2430 wK‡jvK¨vjwii Rb¨
†gby cwiKíbv †`Lyb)|
evsjv‡`‡ki Af¨vmMZ Lv`¨ MÖnY Ges Kvw•ÿZ Lv`¨ MÖn‡Yi g‡a¨ Zyjbv K‡i I
ˆewk¦K mycvwikK…Z Lv`¨ MÖn‡Yi mv‡_ mvgÄm¨ †i‡L wewfbœ cÖKvi Lv`¨km¨, Wvj,
AwaK cwigvY kvKmewR I djg~j Ges mylg I AvbycvwZK nv‡i cÖvwYR DrmRvZ
Lv`¨ we‡kl K‡i `ya, wWg, gvQ I gvsm Gi mgš^‡q ˆewPΨgq Lv`¨ MÖnY Ges
cwiwgZ cwigv‡Y †Zj I wPwb MÖn‡Yi Dci †Rvi †`qv n‡q‡Q|7 (†cøU c×wZ‡Z
cywóKi Lvevi MÖn‡Yi AbycvZ Rvb‡Z mshyw³ 2 ‡`Lyb)|
BGwU j¨v‡ÝU Kwgkb, 20198 gvbe¯^v¯’¨ Ges cwi‡e‡ki †UKmwnZv‡K hy³
Ki‡Z Lv`¨ MÖn‡Yi ¸iæZ¡c~Y© f~wgKv Ges Gi mgš^‡q mdjfv‡e †UKmB Dbœqb
j¶¨gvÎv AR©‡bi cÖ‡qvRbxqZv Zy‡j a‡i‡Q| G‡¶‡Î, BGwU j¨v‡ÝU Kwgkb
2019 Gi mycvwikgvjvi mv‡_ mvgÄm¨ †i‡L Kvw•ÿZ Lv`¨ MÖn‡Yi my‡hvM
i‡q‡Q| Kvw•ÿZ K¨vjwi MÖn‡Y ˆewPΨgq Dw™¢¾ Lvevi, ¯^í cwigvY cÖvwYR
DrmRvZ Lv`¨, wKQy cwigvY ev`vg I wewP RvZxq Lvevi, m¤ú„³ Pwe©i e`‡j
Am¤ú„³ Pwe© Ges mxwgZ cwigv‡Y cwi‡kvwaZ `vbv`vi km¨ MÖn‡Yi Ges AwaK
cÖwµqvRvZ I AwZwi³ wPwb RvZxq Lv`¨ eR©‡bi Dci ¸iæZ¡v‡ivc Kiv n‡q‡Q|
fviZ m¤úªwZ Gi Rb‡Mvôxi mycvwikK…Z cywó MªnY gvÎv (AviwWG)9 cybwe©‡ePbv
K‡i‡Q Ges cywó Dcv`v‡bi Pvwn`v bZybfv‡e cªYqb K‡i‡Q| cvðvZ¨ RbmsL¨vi
Zyjbvq fviZxq‡`i kvixwiK MV‡b wfbœZv i‡q‡Q Ges †emvj wecvK (Basal
Metabolism) h‡_ó Kg hv we‡ePbvq †i‡L cÖvßeq¯‹‡`i Lv`¨kw³ Pvwn`vi h‡_ó

7
†njw` Wv‡qU, Iqvì© †nj_ AM©vbvB‡Rkb, 2018. G‡·mW d«g:
https://www.who.int/news-room/fact-sheets/detail/ healthy-diet
8
BGwU j¨v‡ÝU Kwgkb Ab dzW, cø¨v‡bU, †nj_. 2019. G‡·mW d«g:
https://eatforum.org/eat-lancet-commission/
9
bvix-cyiæl †f‡` cÖvq mKj (97-98 kZvsk) my¯’ e¨w³i Rxe‡b cÖwZwU ch©v‡q cÖ‡qvRbxq cywó Pvwn`v
†gUv‡Z cÖwZw`‡bi Lv`¨ ZvwjKvq ch©vß cywó MÖnY gvÎv‡K wb‡`©k K‡i| GwU AbywgZ Mo Pvwn`v Z_v
Pvwn`vi e›U‡bi M‡oi mv‡_ 2 ÷¨vÛvW© wePz¨wZ (GmwW) †hvM K‡i cvIqv hvq| GB cwifvlvwU g~jZ
e¨w³ we‡k‡li Lv`¨ MÖnY g~j¨vq‡bi Rb¨ e¨eüZ nq| AviwWG `jMZ Lv`¨ MÖnY g~j¨vq‡bi Rb¨
Abychy³ KviY GwU `‡ji GKwU e„nr As‡ki Pvwn`v‡K Qvwo‡q e¨w³ ch©v‡qi MÖnY gvÎv|
06
cwieZ©b Avbv n‡q‡Q| eZ©gvb mycvwikgvjv Rb‡Mvôxi cywó MªnY g~j¨vq‡bi Rb¨
AbywgZ Mo Pvwn`v (BGAvi)10 Ges GKRb e¨w³i wbivc` cywó Mªn‡Yi cwigvY
wba©vi‡Yi Rb¨ mycvwikK…Z cywó MªnY gvÎv (AviwWG) Gi cÖ¯Íve †`q|
ms‡kvwaZ AviwWG 2020 kvixwiK Kvh©Kjv‡ci wewfbœ aiY Abyhvqx cyiæl Ges
bvix‡`i Rb¨ Lv`¨kw³ I kK©ivi Pvwn`v nªvm Kivi cÖ¯Íve w`‡q‡Q| †cÖvwUb, Pwe©
Ges AYycywói Pvwn`vi †¶‡ÎI ms‡kvab n‡q‡Q| kvixwiK MVb, weGgAvi, Lv`¨
MªnY, RxebhvÎv I Lv`¨vf¨vm G mv`„k¨ _vKvq evsjv‡`kmn `w¶Y Gkxq A‡ji
Rb¨ GB ms‡kvabxi cªfve Av‡Q|

Kvw•ÿZ Lv`¨ MÖnY (wWwWwc) 2013 Ges fviZxq mycvwikK…Z cywó MÖnY
gvÎv (AviwWG) 2020 Gi g‡a¨ cÖavb cv_©K¨ wb‡P ewY©Z n‡q‡Qt
bZyb fviZxq Lv`¨ MÖnY wb‡`©wkKv 2020 G kK©iv Kg MÖnY Kivi cÖ¯Íve †`qv
n‡q‡Q hv‡Z G RvZxq Lv`¨ †_‡K †gvU Lv`¨kw³i 55% †_‡K 60% Gi †ewk
MÖnY bv Kiv nq| G‡¶‡Î Kg QvuUvBK…Z km¨RvZxq Lv`¨ Ges evRiv Gi kK©iv
MÖn‡Yi Dci †Rvi †`qv n‡q‡Q| †cÖvwU‡bi Rb¨ Kvw•ÿZ Lv`¨ MÖnY 2013-Gi
†P‡q †ewk cwigvY `ya †me‡bi cÖ¯Íve Kiv n‡q‡Q| GKBfv‡e, fviZxq Lv`¨ MÖnY
wb‡`©wkKvq GKwU bZyb Lv`¨‡kÖwY wnmv‡e ev`vg Ges wewP RvZxq Lv`¨ Dc¯’vc‡bi
cvkvcvwk †ewk cwigv‡Y dj I kvKmewR MÖnY Ki‡Z ejv n‡q‡Q| fviZxq
wb‡`©wkKv gy³wPwb MÖn‡Yi cÖ¯Íve †`q bv, hv Kvw•ÿZ Lv`¨ MÖnY G Kiv nqwb|
evsjv‡`‡ki Rb¨ ms‡kvwaZ Lv`¨ MÖnY wb‡`©wkKvq cywó MÖn‡Yi j¶¨gvÎv wba©viY
Ges Kvw•ÿZ Lv`¨ cwiKíbvi †¶‡Î mgš^q Kivi Rb¨ ms‡kvwaZ fviZxq
mycvwikK…Z cywó MÖnY gvÎv (AviwWG) 2020 ‡K we‡ePbv Kivi civgk© †`qv nq|
QK 3-G Kvw•ÿZ Lv`¨ MÖnY 2013, BGwU j¨v‡ÝU Kwgkb 2019 G mycvwikK…Z
Lv`¨ MÖnY Ges fviZxq‡`i Rb¨ 2020 G mycvwikK…Z cywó MÖnY gvÎv (AviwWG)
I AbywgZ Mo Pvwn`v Ges †mBmv‡_ mshyw³ 9 I 10 G ewY©Z I bgybv Lvev‡ii
ZvwjKv Gi Dci wfwË K‡i evsjv‡`k Gi Kvw•ÿZ Lv`¨ MÖnY Gi Zyjbvg~jK
we‡kølY Kiv n‡q‡Q hv cywó j¶¨gvÎv wba©vi‡Y I Kvw•ÿZ Lv`¨ MÖnY cwiKíbvq
GKwU †idv‡iÝ wnmv‡e e¨envi Kiv †h‡Z cv‡i|

10
bvix-cyiæl †f‡` my¯’ Rb‡Mvôxi A‡a©‡Ki Rxe‡bi cÖwZwU ch©v‡q cÖ‡qvRbxq cywó Pvwn`v †gUv‡Z
cÖwZw`‡bi Lv`¨ZvwjKvq AbywgZ Mo cywó MÖnY gvÎv‡K wb‡`©k K‡i| GwU g~jZ Rb‡Mvôx ev `jMZ
g~j¨vq‡bi Rb¨ e¨eüZ nq|
07
 QK 3: GKwU Zzjbvg~jK Kvw•ÿZ Lv`¨ MÖn‡Yi cwigvY
Kvw•ÿZ MÖnY (wWwWwc), 2013 BGwU j¨v‡ÝU Kwgkb, 2019 AviwWG 2020, fviZ
(2430 wK‡jvK¨vjwi) (2500 wK‡jvK¨vjwi)
Lv`¨
Kvw•ÿZ MÖnY % †gvU Kvw•ÿZ MÖnY
Kvw•ÿZ MÖnY (MÖvg) % †gvU Lv`¨kw³ Lv`¨ Lv`¨ % †gvU Lv`¨kw³
(MÖvg) Lv`¨kw³ (MÖvg)
Lv`¨km¨ 400 56
Pvj 350 49 Lv`¨km¨ 232 32 Lv`¨km¨ I evRiv 360 53
Mg Ges Ab¨vb¨ km¨ 50 7
Wvj 50 6.5 Wvj 75 (0-100) 11
cÖvwYR Lv`¨ 260 10.5 cÖvwYR Lv`¨ 334 12
gvQ 60 3 gvQ 28 (0-100) 2 Wvj/gvsm RvZxq Lv`¨ (cÖvwYR
120 11
gvsm (Miæ, Lvwm) 14 (0-28) 1 Lv`¨)
gvsm 40 2
gvsm (gyiwM Ges Ab¨vb¨ †cvwëª) 29 (0-58) 2

08
wWg 30 2 wWg 13 (0-25) 1
`ya Ges `yaRvZxq Lvevi 130 3.5 `ya Ges `yaRvZxq Lvevi 250 (0-500) 6 `ya 300 3
200
dj 100 3 dj 5 dj 150 4
(100-300)
cvZv RvZxq 100 2 300 cvZv RvZxq 150 5
kvKmewR kvKmewR 3 kvKmewR
Ab¨vb¨ 200 2 (200-600) Ab¨vb¨ 200 6
Avjy 100 4 K›` Ges †k¦Zmvi RvZxq mewR 50 (0-100) 2 g~j I K›` 100 4
Am¤ú„³ 40 (20-80) 14
ivbœvq/
ivbœvq e¨eüZ †Zj 30 11 11.8 Pwe© I †Zj 30 9
Lvev‡i m¤ú„³ 4
e¨eüZ Pwe© (0-11.8)
wPwb/¸o 20 3 Lvev‡i e¨eüZ wPwb 31 (0-31) 5 - - -
ev`vg - - ev`vg 50 (0-75) 12 wewP I ev`vg 30 6
gkjv 20 2 - - - gkjv 10 -
†gvU 1280 100
evsjv‡`‡ki RbM‡Yi Av`k© Lv`¨ MÖn‡Yi wb‡`©kvejx
RbM‡Yi my¯^v¯’¨ eRvq ivLvi Rb¨ Lv`¨ MÖnY wb‡`©wkKvq 10wU wb‡`©kvejx Ges
cywóevZ©v ms‡hvwRZ n‡q‡Q, hv mvaviY RbM‡Yi Rb¨ mnR‡eva¨| GwU cywóKi I
mylg Lv`¨ MÖnY m¤ú‡K© mg‡qvc‡hvMx aviYvi †cÖiYv †hvMv‡e| Gi gva¨‡g RbMY
†Kvb Lv`¨ wK cwigv‡Y MÖnY Ki‡e, cÖwZw`b wK cwigvY †Zj, jeY, wPwb I cvwb
MÖnY Ki‡e †mB m¤ú‡K© weÁvbwfwËK aviYv cv‡e (cwiwkó 1 G Lv`¨ wcivwgW
†`Lyb)| wb‡`©kvejx‡Z wbivc` Lv`¨ I ivbœv m¤úwK©Z cÖ‡qvRbxq wb‡`©kbv †`qv
n‡q‡Q, hv cÖ‡qvM Ki‡j Lv‡`¨i cywó Dcv`v‡bi AcPq †iva n‡e Ges my¯^v¯’¨
eRvq _vK‡e|
01| cÖwZ‡ejvq mylg I ˆewPΨc~Y© Lv`¨ MÖnY Kiæb|
02| cwiwgZ cwigv‡Y ‡Zj I Pwe©RvZxq Lv`¨ MÖnY Kiæb|
03| cÖwZw`b mxwgZ cwigv‡Y Av‡qvwWbhy³ jeY MÖnY Kiæb|
04| wgwóRvZxq Lv`¨ mxwgZ cwigv‡Y MÖnY Kiæb|
05| cÖwZw`b ch©vß cwigv‡Y wbivc` cvwb I cvbxq cvb Kiæb|
06| wbivc` Lv`¨ MÖnY Kiæb|
07| mylg Lv`¨ MÖn‡Yi cvkvcvwk wbqwgZ kvixwiK kÖ‡gi gva¨‡g Av`k© IRb
eRvq ivLyb|
08| mwVK c×wZ‡Z ivbœv, mwVK Lv`¨vf¨vm Ges my¯’ Rxebhvc‡b wb‡R‡K Af¨¯Í
Kiæb|
09| Mf©ve¯’vq Ges ¯Íb¨`vbKv‡j evowZ Lv`¨ Pvwn`v Abyhvqx MÖnY Kiæb|
10| wkï‡K 6 gvm eqm ch©šÍ ïaygvÎ gv‡qi `ya w`b Ges 6 gvm ci evowZ Lv`¨
cÖ`vb Kiæb|

09
wb‡`©wkKv 1: cÖwZ‡ejvq mylg I ˆewPΨc~Y© Lv`¨ MÖnY Kiæb
1.1 cÖwZw`b kvixwiK Pvwn`v Abyhvqx ch©vß cwigv‡Y Lv`¨km¨ I km¨RvZxq
Lv`¨, †k¦Zmvi wewkó g~j, K›` Ges mewR MÖnY Kiæb

evsjv‡`‡k RbwcÖq km¨RvZxq Lv`¨ nj Pvj I Mg| G¸‡jv Avgv‡`i Lv`¨kw³i

g~j Drm Ges wfUvwgb we-Gi fv‡jv Drm| Pvj †_‡K ˆZwi wewfbœ Lv`¨`ªe¨ †hgb
wPov, gywo BZ¨vw` RbwcÖq| Lv`¨kw³i cieZ©x mg„× Drm n‡jv Mg| M‡g i‡q‡Q
K¨vjwmqvg, g¨vM‡bwmqvg, cUvwmqvg, g¨v½vwbR, wRsK, Kcvi Ges wfUvwgb we
Kg‡cø‡·i g‡Zv cÖ‡qvRbxq LwbR Dcv`vb| f~Æv, M‡gi AvUv Ges wm× I
†XuwKQvuUv Pv‡j D‡jøL‡hvM¨ cwigv‡Y cywó Dcv`vb Ges Lv`¨ Avuk _v‡K hv ¯^v‡¯’¨i
Rb¨ DcKvix| Avuk mg„× km¨RvZxq Lv`¨ wcË_wji cv_i, nv‡U©i AmyL, †Kvjb
K¨vÝvi Ges Ab¨vb¨ Amy‡Li cÖeYZv n«vm K‡i| Av¯Í Mg, f~Æv Ges Kg QvuUvBK…Z
km¨RvZxq Lv‡`¨ (jvj Pvj, jvj AvUv) MøvB‡mwgK Bb‡W· (GI) Kg _v‡K hv
¯^v‡¯’¨i Rb¨ fv‡jv|
Pvj Ges Mg QvovI Ab¨vb¨ †hme `vbv Ges Lv`¨km¨ evsjv‡`‡ki ˆ`bw›`b
Lv`¨ZvwjKvi Ask n‡Z cv‡i Zvi g‡a¨ i‡q‡Q : he, f~Æv, KvDb, evRiv (wPbv,
†MvUv `vbv), Ges †Rvqvi| g~j Ges K›` mvaviYZ evsjv‡`‡k LvIqv nq Ges
Lv`¨k‡m¨i cwie‡Z© G‡`i e¨envi i‡q‡Q| Gi g‡a¨ i‡q‡Q Avjy, wgwó Avjy11, KPy
Ges KvuPKjv| Giv Lv`¨kw³ Ges cUvwmqv‡gi gZ Lwb‡Ri fv‡jv Drm|
11
Kgjv my›`ix bv‡g cwiwPZ Kgjv i‡Oi kuvmhy³ wgwóAvjy Lv`¨kw³i fv‡jv Drm Ges weUv K¨v‡ivwUb
GiI mg„× Drm|
10
 cywóevZ©v :
 cÖwZw`b Pvwn`v Abyhvqx, fvZ, iæwU ev Ab¨vb¨ km¨RvZxq Lv`¨ MÖnY
Kiæb| cwikÖg‡f‡` GKRb cÖvß eq¯‹ e¨w³i ˆ`wbK 270-420 MÖvg
(m‡e©v”P) hv 9-14 cwi‡ekb (1 cwi‡ekb = 30 MÖvg) Gi mgcwigvY
Pvj ev Mg MÖnY Kiv DwPZ| †k¦Zmvi wewkó g~j, K›` Ges Kjvi
†¶‡Î, 1 cwi‡ekb 75-100 MÖvg Gi mgvb| (Lv‡`¨i ÷¨vÛvW© IRb I
cwigv‡ci Rb¨ cwiwkó 4 Ges Lv`¨ wewbgq ZvwjKvi Rb¨ cwiwkó 5
†`Lyb)|
 cywói gv‡bvbœq‡bi Rb¨ fvZ I iæwUi mv‡_ Wvj A_ev gvQ/gvsm/wWg
RvZxq Lvev‡ii mgš^‡q ˆZwi Lv`¨ MÖnY Kiæb|
 Pvj AwZgvÎvq bv ay‡q emvfvZ MÖnY Kiæb| ivbœv Kiv fvZ †_‡K cvwb
†d‡j †`qv hv‡e bv, †Kbbv G‡Z cvwb‡Z `ªexf~Z nq Ggb wfUvwgb
nviv‡bvi AvksKv _v‡K|
 jvj Pvj I jvj AvUv Ges evRiv RvZxq `vbvkm¨ LvIqvi †Póv Kiæb|
G¸‡jv‡Z †cÖvwUb, Pwe©, Lv`¨ Avuk, LwbR Avqib, we Kg‡cø· Ges
wfUvwgb B _v‡K|

11
1.2 cÖwZw`b Pvwn`v Abyhvqx ch©vß cwigv‡Y gvQ, gvsm, wWg, Wvj Ges wKQy
ev`vg I exR RvZxq Lv`¨ MÖnY Kiæb

gvQ, gvsm, wWg, Wvj, wewP I ev`vg n‡jv †cÖvwU‡bi cÖavb Drm hv †`‡ni e„w×,
Kvh©¶gZv I i¶Yv‡e¶‡Yi Rb¨ cÖ‡qvRb| †ivM cÖwZ‡iva Ges Lv`¨kw³i Rb¨
†cÖvwUb ¸iæZ¡c~Y©| GQvovI mvgyw`ªK gv‡Q I‡gMv-3 d¨vwU GwmW, wfUvwgb wW I
wfUvwgb we AwaK gvÎvq i‡q‡Q hv ¯^v‡¯’¨i Rb¨ DcKvix| KvuUvhy³ †QvU gvQ
K¨vjwmqvg Gi DrK…ó Drm hv nvo I `vuZ gReyZ K‡i| gvs‡m †cÖvwUb I Avqib
QvovI K¨vjwmqvg, wRsK I Kcvi D‡jøL‡hvM¨ cwigv‡Y _v‡K| G¸‡jv †`‡n
¸iæZ¡c~Y© f~wgKv cvjb Kivi mv‡_ mv‡_ wewfbœ Kvh©¶gZv wbqš¿Y K‡i| cÖwZw`b
gvQ †L‡j i‡³i ¶wZKi Pwe© (†Kv‡j‡÷ij) ev‡o bv| Pwe©nxb gvsm LvIqv
fv‡jv| KviY GwU GKBmv‡_ †cÖvwUb mieivn Kivi cvkvcvwk i³bvjx‡Z Pwe©
Rgvi cwigvY Kwg‡q Av‡b|
wWg D”Pgv‡bi †cÖvwU‡bi GKwU cÖavb Ges mvkÖqx Drm| †cÖvwU‡bi cvkvcvwk
Ab¨vb¨ cywó Dcv`vb †hgb jywUb, †Kvwjb, Avqib Ges wfUvwgb wW ‡ivM cÖwZ‡iva
¶gZv e„wׇZ mnvqZv K‡i| gvsm/†cvwë«/wWg wng Avqi‡biI GKwU fv‡jv Drm
(ev‡qvGfvBjA¨v‡ej)|
Wvj I wewP RvZxq Lv`¨ (†hgb: wk‡gi wewP, gUiïuwU, †Qvjv, KvuVv‡ji wewP)
†cÖvwU‡bi Ab¨Zg Drm hv‡Z †cÖvwUb QvovI †`‡ni Rb¨ DcKvix Ab¨vb¨ cywó
Dcv`vb †hgb: kK©iv, wfUvwgb B, K¨vjwmqvg, Avqib, dmdivm, cUvwkqvg,
dwjK GwmW, Lv`¨ Avuk Ges Ab¨vb¨ Dcv`vb, †hgb - Gw›UAw·‡W›U I
dvB‡UvB‡÷«v‡Rb Av‡Q| gUi I gmyi Wv‡j m¨v‡cvwbb i‡q‡Q hv i‡³i
†Kv‡j‡÷ij Kgvq| wewfbœ ai‡Yi Wv‡ji g‡a¨ i‡q‡Q gmyi, gUi, †Qvjvi Wvj,
gvmKjvB, gyM, Aoni, mqvweb Ges Ab¨vb¨ gUiRvZxq wewP| WvjRvZxq k‡m¨
Møy‡Ub _v‡K bv Ges wmwjqvK wWwRR Ges Møy‡Ub G›Uv‡ivc¨vw_ Gi Rb¨ Lvevi
wn‡m‡e Zv e¨envi Kiv hvq|

12
ev`vg Ges exR RvZxq Lv`¨ †cÖvwUb, ¯^v¯’¨Ki Pwe©, Avuk, wfUvwgb Ges Lwb‡Ri
D‡jøL‡hvM¨ Drm| ev`vg Ges exR †`‡ni IRb, Lv`¨ MÖnY wbqš¿Y K‡i Ges kw³
`n‡b mnvqZv K‡i| ev`vg Ges ex‡R Am¤ú„³ Pwe© Ges Ab¨vb¨ cywó Dcv`vb
_v‡K hv ü`‡iv‡Mi cÖwZ‡iv‡a f~wgKv iv‡L| GB †kªwY‡Z wPbvev`vg mn Ab¨vb¨
ev`vgI i‡q‡Q †hgb KvRyev`vg, KvVev`vg, †c¯Ív ev`vg Ges AvL‡ivU|
mnRcÖvc¨ ex‡Ri g‡a¨ i‡q‡Q wZj, m~h©g~Lx, Kygov, KvuVvj Ges wZwm| wkï‡`i‡K
Aí cwigv‡Y ev`vg Ges exR cwic~iK Lvevi wn‡m‡e ev ‰`bw›`b Lvev‡ii Ask
wn‡m‡e †L‡Z w`‡j Zv Zv‡`i Rb¨ Am¤ú„³ d¨vwU GwmW, Dw™¢¾ †cÖvwUb, Lv`¨
Avuk, LwbR, †Uv‡Kv‡dij, dvB‡Uv‡÷ij Ges †d‡bvwjK †hŠMmg~‡ni D‡jøL‡hvM¨
Drm n‡e|

cywóevZ©v :
 cÖwZw`b gvSvwi AvKv‡ii 1-4 UyK‡iv (GK UyK‡iv = 50 MÖvg) gvQ/
gvsm Ges 1 †_‡K 2 Kvc Wvj (30-60 MÖvg) RvZxq Lv`¨ MÖnY Kiæb|
 fvZ I Wvj A_ev gywo I †Qvjvi IR‡bi Av`k© AbycvZ 3:1 eRvq
ivLyb|
 wkï Ges cÖvßeq¯‹ Df‡qB wbwð‡šÍ ‰`wbK GKwU wWg †L‡Z cvi‡eb|
 Aí cwigv‡Y KvuPv A_ev ïK‡bv fvRv wewfbœ ai‡Yi ev`vg Ges exR
RvZxq Lvevi jeY Qvov mßv‡n Pvi ev cvuPevi Lv‡eb|

13
1.3 ch©vß cwigv‡Y `ya I `yaRvZxq Lv`¨ MÖnY

gReyZ nvo I `vuZ MV‡b ev‡qvGfvBjA¨v‡ej K¨vjwmqvg I dmdivm Gi Rb¨

`ya DrK…ó Drm| `y‡a †cÖvwUb, j¨v‡±vR, wfUvwgb (we-12) i‡q‡Q hv †ckxi e„w×
I mwVK Kvh©¶gZv‡K Z¡ivwš^Z K‡i| nvo‡K AwaK kw³kvjx Ki‡Z Ges nv‡oi
e„w×i Rb¨ wkï-wK‡kvi‡`i `ya cvb Kiv cÖ‡qvRb| `ya cieZ©x Rxe‡b nv‡oi
¶q‡ivM Aw÷I‡cv‡ivwmm nIqv cÖwZ‡iva K‡i| Mf©eZx I ¯Íb¨`vbKvix gv I wkï
Df‡qi nvo I `vu‡Zi ¯^v‡¯’¨i Rb¨B `ya Riæwi| Avgv‡`i ‡`‡k Miæ, QvMj Ges
gwn‡li `ya RbwcÖq| evsjv‡`‡k mPivPi MÖnY Kiv `yaRvZxq Lv‡`¨i g‡a¨ i‡q‡Q
`B Ges cwbi|

cywóevZ©v :
 gReyZ nvo Ges `vu‡Zi Rb¨ K¨vjwmqv‡gi fv‡jv Drm wn‡m‡e cÖwZw`b
Kgc‡¶ 1 Kvc (130-150 wgwj) `ya ev `yaRvZxq cY¨, ‡hgb 150
MÖvg `B ev 30 MÖvg cwbi MÖnY Kiæb|
 `ya mn¨ bv n‡j `y‡ai cwie‡Z© `B ev mqv`ya MÖnY Kiæb| `B‡q
j¨vKwUK GwmW e¨vK‡Uwiqv _v‡K hv ‡`‡ni Rb¨ DcKvix Ges hv `y‡ai
j¨vK‡UvR cwicvK Ki‡Z mvnvh¨ K‡i|
 e„×Kv‡j bwb‡Zvjv `ya MÖnY Kiæb|

14
1.4 cÖwZw`b ch©vß cwigv‡Y kvKmewR I djg~j MÖnY Kiæb

kvKmewR I djg~j wfUvwgb, LwbR Dcv`vb I Avu‡ki DrK…ó Drm| we‡klZ

njy` Ges Kgjv i‡Oi mewR Ges dj Lv`¨ Avuk, †dv‡jU Ges wewfbœ iK‡gi
K¨v‡ivwUb‡qW Ges wfUvwgb wm Gi D‡jøL‡hvM¨ Drm| kv‡K Aí cwigvY †cÖvwUb
_v‡K Ges km¨, Wvj Ges Ab¨vb¨ Lvevi ˆZwii mgq Zv h_v_© cwigv‡Y †gkv‡bv
hvq| kvKmewR I djg~‡ji Avuk kix‡ii eR¨©, AwZwi³ †Kv‡j‡÷ij Ges wKQy
K¨vÝvi DrcbœKvix Dcv`vb‡KI AcmviY K‡i| cÖwZw`b kvKmewR I djg~j
MÖnY Ki‡j wfUvwgb G-i NvUwZRwbZ AmyL (ivZKvbv) I i³¯^íZv cÖwZ‡iva
Kiv m¤¢e| M‡elYvq †`Lv †M‡Q kvKmewR Ges d‡ji weUv K¨v‡ivwUb Ges
wfUvwgb wm i³bvjx‡Z Pwe© Rgv nIqv‡Z evav †`q, wewfbœ ai‡Yi K¨vÝv‡ii SyuwK
Kgvq Ges wewfbœ ai‡Yi K¨vÝvi e„wׇZ evav †`q| †mŠfvM¨µ‡g evsjv‡`‡k
wewfbœ ai‡Yi kvK Ges ¯’vbxq †gŠmywg dj cvIqv hvq| wbqwgZ Lv‡`¨i Ask
wn‡m‡e G‡`i MÖnY Kiv DwPZ, we‡kl K‡i wkï Ges wK‡kvix‡`i my¯^v¯’¨ a‡i
ivL‡Z Ges kw³kvjx K‡i Zyj‡Z cÖ‡Z¨K‡K cÖwZ‡ejv Lvev‡ii mgq wewfbœ
ai‡Yi kvKmewR Ges Lvevi †k‡l ev bv¯Ív wn‡m‡e dj LvIqvi civgk© †`qv nq|
†gŠmyg wfwËK kvKmewR I djg~j cÖvwßi Dci wfwË K‡i G¸‡jv MÖnY Kiv
DwPZ|

15
cywóevZ©v :
 cÖwZw`b Kgc‡¶ 2wU †gŠmywg dj MÖnY Kiæb| GKwU ‡jey RvZxq,
Ab¨wU wfUvwgb G Gi D‡jøL‡hvM¨ Drm¸‡jvi GKwU ‡_‡K|
 Lv`¨ MÖn‡Yi ci Avqi‡bi cwi‡kvlY e„w×i Rb¨ wfUvwgb wm mg„× dj
MÖnY Kiæb|
 cÖwZw`b AšÍZ 100 MÖvg ev 1 AvuwU kvK Ges 200 MÖvg ev 2 Kvc mewR
MÖnY Kiæb|
Av‡kcv‡k cvIqv hvq Ggb A_ev evwo‡Z Rb¥v‡bv kvKmewR ‡L‡Z
n‡e| Av‡kcv‡k cvIqv hvq Ggb Lvevi AwaK UvUKv, ¯^v¯’¨Ki n‡q
_v‡K Ges AwaK my¯^v`y nq KviY G‡Z dmj †Zvjv Ges †Uwe‡j
‡cŠuQv‡bvi g‡a¨ mgqKvj A‡bK Kg _v‡K Ges ZvB cywógvb K‡g
hvIqvi m¤¢vebv K‡g hvq|

16
wb‡`©wkKv 2: cwiwgZ cwigv‡Y ‡Zj I Pwe© RvZxq Lv`¨ MÖnY Kiæb

Dc‡ii Qwe‡Z D”P gvÎvq †Zj I Pwe©hy³ Lvevi cÖ`wk©Z n‡q‡Q| ˆ`bw›`b Lvev‡i
G¸‡jv mxwgZ Kiv AZ¨vek¨K|
†`‡n kw³ mieiv‡ni Rb¨ ‡Zj I Pwe© AZ¨šÍ cÖ‡qvRbxq| cÖvwYR I Dw™¢¾ Drm
†_‡K cÖvß †Zj I Pwe© kw³i cÖavb Drm| ivbœvq ev †Uwe‡j †h Pwe© ev †mœnRvZxq
Lvevi e¨envi Kiv nq (†fwR‡Uej ‡Zj, eb¯úwZ, gvLb Ges wN) Zv‡`i‡K
Ô`„k¨gvb Pwe©Õ e‡j| wewfbœ ai‡Yi Lvev‡ii Awe‡”Q`¨ Ask wn‡m‡e †h Pwe© cvIqv
hvq Zv‡`i‡K ÔA`„k¨ Pwe©Õ ejv nq| cÖwZ MÖvg †Zj I Pwe© 9 wK‡jvK¨vjwi kw³
mieivn K‡i| Avgv‡`i †`‡k mvaviYZ ivbœvq mqvweb †Zj, mwilvi †Zj, ivBm
eªvb I‡qj cÖf„wZ e¨eüZ nq| gv‡S gv‡S wN Ges gvLbI e¨envi Kiv nq|
Lv‡`¨i †Zj I Pwe© AZ¨vek¨Kxq d¨vwU GwmW mieivn K‡i Ges wfUvwgb G,
wfUvwgb wW, wfUvwgb B, wfUvwgb †K BZ¨vw` cwi‡kvlY Ki‡Z mvnvh¨ K‡i| †Zj
A¨vw›UAw·‡W›U mg„× hv K¨vÝv‡ii SyuwK n«vm K‡i| †Zj I Pwe© Lvev‡ii myMÜ,
¯^v` evov‡Z f~wgKv iv‡L| Lv‡`¨ †Kv‡j‡÷ij Aí cwigv‡Y cÖ‡qvRb n‡jI Zv
gw¯Í¯‹ MV‡bi Rb¨ AZ¨vek¨Kxq Dcv`vb| †Kv‡j‡÷ij ïay cÖvwYR Lv`¨ †hgb-
bwbhy³ `ya, gvLb, wN, wWg, gvsm, wPswoi gv_v BZ¨vw`‡Z cvIqv hvq| Dw™¢¾
Lvev‡i †Kv‡j‡÷ij _v‡K bv|
ivmvqwbK ag© Abyhvqx, d¨vwU GwmW‡K m¤ú„³ d¨vwU GwmW (Saturated Fatty
Acid), GKK Am¤ú„³ d¨vwU GwmW (Monounsaturated Fatty Acid) I eû
Am¤ú…³ d¨vwU GwmW (Polyunsaturated Fatty Acid) G fvM Kiv nq| wb‡Pi
Q‡K ‡Zj I Pwe©‡Z _vKv d¨vwU GwmW ‡`Lv‡bv n‡q‡Q| Avg`vwbK…Z RjcvB‡qi
†Z‡j I‡gMv-3 Ges I‡gMv-6 d¨vwU GwmW `y‡UvB _v‡K| ü`‡ivM cÖwZ‡iv‡a
I‡gMv-3 d¨vwU GwmW ¸iæZ¡c~Y© Ges GwU ˆZjv³ gvQ †hgb Bwjk gvQ, mvgyw`ªK
gvQ I wZwmi †Z‡j cÖPyi cwigv‡Y cvIqv hvq| gv‡Qi †Zj I‡gMv-3 d¨vwU
Gwm‡Wi Drm hv cywó Ges ¯^v¯’¨ myi¶vq `iKvwi|
17
m¤ú„³ Pwe© gvsm, cÖvwYi Pvgov, eb¯úwZ, wN, gvLb Ges bvwi‡Kj †Z‡j cvIqv hvq|
AwaKgvÎvq m¤ú„³ Pwe© MªnY Ki‡j G‡_‡iv‡RwbK SyuwK ev‡o, ZvB Zv mxwgZ
cwigv‡Y MÖnY Kiv DwPZ, GB mveavbZv we‡kl K‡i cÖvßeq¯‹‡`i Rb¨ cÖ‡hvR¨|
dv÷ dyW, †eKvwi cY¨, AwaKgvÎvq cÖwµqvRvZ AwaK Pwe©hy³ Lv‡`¨ A¯^v¯’¨Ki
U«vÝd¨vU _v‡K hv m¤ú„³ Pwe©i gZB GjwWGj (LDL) ‡Kv‡j‡÷ij evov‡Z cv‡i
Ges ü`‡ivM cÖwZ‡ivaKvix GBPwWGj (HDL) †Kv‡j÷‡ij Gi gvÎv Kgvq|
QK 4: †Zj Ges Pwe©‡Z cvIqv hvq Ggb cÖavb d¨vwU GwmWmg~n12
m¤ú„³ GKK Am¤ú„³ eû Am¤ú„³
wj‡bv‡jBK (n-6) Avjdv-wj‡bv‡jwbK (n-3)
bvwi‡Kj jvj cvg †Zj Aí jvj cvg †Zj mwilv
cvg kvum cvjg‡jBb cvjg‡jBb mqvweb
wN/gvLb wPbvev`vg gvSvwi wPbvev`vg,
eb¯úwZ ivBm eªvb ivBm eªvb, wZj
gvR©vwib wZj D”P Kzmygdzj, m~h©g~Lx,
RjcvB ZyjvexR, fzÆv,
mqvweb, K¨v‡bvjv,
RjcvB

cywóevZ©v :
 nvB‡W«v‡R‡b‡UW †Zj wKsev gvLb Ges wN Gi g‡Zv m¤ú…³ Pwe©i
Zyjbvq mwilvi †Zj Ges mqvweb, ivBmeªvb †Z‡ji g‡Zv Dw™¢¾ †Zj
†ewk fv‡jv Ges ¯^í cwigv‡Y e¨envi Kivi Rb¨ civgk© †`qv nq|
cÖvK…wZK m¤ú„³ Pwe©, †hgb gvLb Ges wN wbqwš¿Z gvÎvq e¨envi Kiæb
A_ev cÖ‡qvRb n‡j e¨envi †_‡K weiZ _vKyb|
 cÖ‡qvRbxq cwigvY ivbœvi †Zj e¨envi Kiæb| GKRb‡K ˆ`wbK 30
MÖv‡gi (m‡e©v”P 2 †Uwej PvgP) †ekx `„k¨gvb Pwe© e¨envi bv Kivi
civgk© †`qv nq|
 AwZwi³ fvRv Ges ˆZjv³ Lvevi eR©b Kiæb|
 wbqwgZ D”P Pwe©hy³ †eKvwii Lv`¨ (we¯‹yU, †KK, c¨vw÷«, cvB), dv÷ dyW
(nUWM, evM©vi), ˆZjv³ Lvevi (wewiqvwb, Kvw”P), Rv¼ dyW (evM©vi, wc¾v,
†d«Â d«vB cÖf…wZ) Ges cÖwµqvRvZ gvsm †hgb wMÖjW wP‡Kb BZ¨vw`
cwinvi Kiæb| GB Lvevi¸‡jv‡Z U«vÝ d¨vU _v‡K hv K‡ivbvwi ü`‡iv‡Mi
SyuwK evovq|
12
A¨vW‡ÞW d«g WvqvUvwi MvBWjvBbm di BwÛqvbm-G g¨vbyqvj, b¨vkbvj BÝwUwUDU Ad wbDwUªkb
(GbAvBGb), 2011

18
 my¯^v‡¯’¨i Rb¨ Pwe©RvZxq Lvevi MÖnY welqK civgk©
 ˆ`bw›`b M„nxZ Lv`¨kw³i 15-30% †Zj I Pwe© (`„k¨gvb+A`„k¨)
†_‡K Avmv DwPZ|
 e‡m KvR Kivi mv‡_ hviv Af¨¯Í Zviv 25 MÖvg Gi g‡Zv `„k¨gvb
Pwe© MÖnY Ki‡Z cv‡ib| Ab¨w`‡K, hviv KvwqK cwikÖ‡g Af¨¯Í
Zv‡`i 30 †_‡K 40 MÖvg `„k¨gvb Pwe©i cÖ‡qvRb nq|
 ˆ`bw›`b M„nxZ Lv`¨kw³i 10% Gi Kg m¤ú„³ d¨vwU GwmW †_‡K
Avmv DwPZ|
 ‡gvU M„nxZ Lv`¨ †_‡K Avmv eû Am¤ú„³ d¨vU - wj‡bv‡jBK/
Avjdv-wj‡bv‡jwbK (n-6/n-3) Gi AbycvZ 5-10 Gi g‡a¨ nIqv
DwPZ|
 UªvÝd¨v‡Ui MÖnYgvÎv ˆ`bw›`b M„nxZ Lv`¨kw³i 1% Gi Kg nIqv
DwPZ|
 evwK Lv`¨kw³UzKz GKK Am¤ú„³ d¨vwU GwmW †_‡K †bqv †h‡Z
cv‡i|
 †Kv‡j‡÷i‡ji MÖnYgvÎv ˆ`wbK 300 wgwjMÖvg Gi Kg nIqv DwPZ|

19
wb‡`©wkKv 3: cÖwZw`b mxwgZ cwigv‡Y Av‡qvwWbhy³ jeY MÖnY Kiæb

Dc‡ii Qwe‡Z D”P gvÎvq jeY I †mvwWqvghy³ Lvevi cÖ`wk©Z n‡q‡Q| ˆ`bw›`b
Lvev‡i G¸‡jvi e¨envi mxwgZ Kiv AZ¨vek¨K|
jeY Lvev‡ii GKwU cÖ‡qvRbxq Dcv`vb Ges GwU ¯^v` e„w× K‡i| wcÖRvi‡fwUf
wn‡m‡eI Gi e¨envi i‡q‡Q| me ai‡Yi Lvev‡i †mvwWqvg _v‡K wKš‘ Lv‡`¨ †hvM
Kiv jeY (†mvwWqvg 40%, †K¬vivBW 60%) Avgv‡`i Lvev‡i †mvwWqv‡gi g~j
Drm| Lvevi je‡Y 97-99% †mvwWqvg †K¬vivBW _v‡K Ges GK Pv Pvg‡P cÖvq
400 wgwjMÖvg †mvwWqvg _v‡K| Lvevi jeY QvovI Avgiv cÖwZwbqZ wewfbœ Drm
†_‡K †mvwWqvg MÖnY K‡i _vwK, †hgb: †mvwWqvg evB Kve©‡bU (†ewKs †mvWv),
g‡bv †mvwWqvg MøyUv‡gU (†Uw÷s më), †mvwWqvg dm‡dU, †mvwWqvg Kve©‡bU Ges
†mvwWqvg †ebR‡qU| Lye Kg jeY MÖnY †cwk‡Z e¨_v, gv_v †Nviv Ges
B‡j‡±«vjvBU Gi fvimvg¨nxbZvi KviY n‡q `vuovq| AwZgvÎvq jeY MÖnY Ki‡j
nvBcvi‡Ubkb ev D”P i³ Pv‡ci SyuwK e„w× cvq| mv¤úªwZK M‡elYvq †`Lv hvq
†h, evsjv‡`‡ki RbMY cÖwZw`b M‡o 10-15 MÖvg (GK ‡Uwej PvgP) jeY MÖnY
K‡i †hLv‡b wek¦ ¯^v¯’¨ ms¯’vi civgk© Abyhvqx ˆ`wbK 5 MÖvg (1 Pv PvgP) †meb
Kiv DwPZ| †bvbv ïuUwK, Bwjk, cwbi, mm, mqvmm, wPcm, PvUwb BZ¨vw`‡Z
AwZgvÎvq jeY _v‡K| D”P gvÎvi †mvwWqvghy³ Lvev‡ii g‡a¨ i‡q‡Q jeYhy³
Lvevi †hgb wPcm, PvbvPyi, †bvbZv we¯‹yU, Bb÷¨v›U byWjm, †bvbv Bwjk, cwbi,
ïuUwK, Lvevi jeY, AvPvi, wdm mm, †KPvc, wPwj mm Ges mqvmm BZ¨vw`|
20
cywóevZ©v :
 Aí eqm †_‡KB AwZwi³ jeY †meb wbqš¿Y Kiæb| beRvZ‡Ki Rb¨
cÖ¯‘ZK…Z Lvev‡i (6 †_‡K 12 gvm) AwZwi³ je‡Yi e¨envi
wbiærmvwnZ Kiæb|
 je‡Yi cwigvY Kg Ggb Lvevi LvIqvi Af¨vm M‡o Zyjyb|
 jeY MÖn‡Yi cwigvY ˆ`wbK GK Pv Pvg‡Pi (5 MÖvg) g‡a¨ mxgve×
Kiæb|
 †KejgvÎ Av‡qvwWbhy³ jeY e¨envi Kiæb |
 msiw¶Z Ges cÖwµqvRvZ Lvevi †hgb wPcm, PvbvPyi, cvco, Svjgywo,
AvPvi, mm, †KPvc, †bvbZv we¯‹yU, cwbi Ges †bvbv gvQ MÖnY mxwgZ
Kiæb|
 D”PgvÎvi jeY Ges gkjv MÖnY Kiv †_‡K weiZ _vKyb Ges Lvev‡ii
mgq evowZ jeY MÖnY †_‡K weiZ _vKyb|

21
wb‡`©wkKv 4: wgwóRvZxq Lv`¨ mxwgZ cwigv‡Y MÖnY Kiæb

Dc‡ii Qwe‡Z D”P gvÎvq wPwb I cwi‡kvwaZ óvP©hy³ Lvevi cÖ`wk©Z n‡q‡Q|
ˆ`bw›`b Lvev‡i G¸‡jvi e¨envi mxwgZ Kiv AZ¨vek¨K|
wPwb cÖvK…wZKfv‡e wbR¯^iƒ‡c Ges wewfbœ Lv‡`¨ Dcv`vb wn‡m‡e †_‡K _v‡K| wPwb
Nbxf~Z kw³i Drm Ges GwU mijiƒ‡ci Kv‡e©vnvB‡W«U ev kK©iv w`‡q ˆZwi|
mvaviYZ wPwb e¨eüZ nq Lv`¨ I cvbxq‡K wgwó Kivi Rb¨ †hgb: Pv, Kwd,
wgóvbœ| AwaK gvÎvq wPwb ev ¸‡oi ˆZwi Lv`¨ MÖnY Ki‡j AwaK Lv`¨kw³ †`‡n
mwÂZ nq| GwU gvbyl‡K ¯’~jKvq K‡i Ges cieZ©x‡Z ü`‡ivM I Wvqv‡ewUm ‡iv‡M
AvµvšÍ nIqvi SyuwK evwo‡q ‡`q| AwaK cwigvY wPwb MÖn‡Yi mv‡_ `vu‡Zi mgm¨vi
m¤úK© i‡q‡Q| †hme wkï †ewk cwigv‡Y wgwó MÖnY K‡i Zv‡`i Ab¨vb¨ Lv‡`¨
AiæwP _v‡K Ges `vuZ ¶‡qi SyuwK †ewk _v‡K| gay Ges ¸o †_‡KI wPwb cvIqv
hvq Ges Zv cwi‡kvwaZ wPwbi †P‡q DËg| †gvU kw³i 10 kZvs‡kiI Kg cwigvY
Lv`¨kw³ gy³ wPwb ‡_‡K mieivn Kiv DwPZ| Lv`¨ MÖnY mswkøó `xN©‡gqvw` †ivM
cÖwZ‡iv‡ai Rb¨ wPwb Ges cwi‡kvwaZ Lv`¨km¨ Kg e¨envi Kiv DwPZ|

cywóevZ©v :
 ˆ`wbK 25 MÖvg ev 5 Pv PvgP-Gi Kg wPwb MÖnY Kiæb|
 cwi‡kvwaZ wPwb Ges wgwó I wgwóRvZxq Lvevi we‡klZ, ¶xi, †MvjvcRvg,
Kv‡jvRvg, wRjvwc, PgPg, im‡Mvjøv, ivewo, cvwUmvcUv, m‡›`k BZ¨vw`
Kg cwigv‡Y MÖnY Kiæb|
 †eKvwii ˆZwi Lvevi †hgb: we¯‹yU, †KK, R¨vg, †Rwj-gvi‡g‡jW,
P‡Kv‡jU, Uwd, K¨vwÛ, AvBmwµg, kxZj ev †Kvgj cvbxq Gi gZb
jy‡Kv‡bv Ges AwZwi³ wPwbhy³ Lv`¨ mxwgZ cwigv‡Y MÖnY Kiæb|
 wewfbœ cÖKvi †gŠmywg dj †L‡q cÖvK…wZK wPwb MÖnY‡K DrmvwnZ Kiæb|

22
wb‡`©wkKv 5: cÖwZw`b ch©vß cwigv‡Y wbivc` cvwb I cvbxq cvb Kiæb

Avgv‡`i kix‡ii †gvU IR‡bi 70% cwigvY cvwb Ges i³ I Ab¨vb¨

AZ¨vek¨K kvixwiK Zi‡ji Dcv`vbI cvwb| GwU gvbe‡`‡ni GKwU gyL¨ Dcv`vb
Ges GKwU AZ¨vek¨K cywó Dcv`vb| cvwb Lv`¨ cwicvK, cwi‡kvlY, cwienb,
eR¨© c`v_© `~ixKiY Ges kix‡ii ZvcgvÎvi fvimvg¨ i¶vi Rb¨ cÖ‡qvRb|
beRvZK hviv mwVK wbq‡g gv‡qi `ya cvb K‡i Zv‡`i Rb¨ evowZ cvwbi cÖ‡qvRb
nq bv| evošÍ å~Y Ges A¨vgwb‡qvwUK d¬yB‡Wi Pvwn`v c~iY Ges G·U«v †mjyjvi
d¬yBW e„w×i Kvi‡Y Mf©eZx bvixi AwZwi³ cvwb cv‡bi cÖ‡qvRb nq| gv‡qi `y‡ai
mv‡_ †ewi‡q hvIqv Zi‡ji NvUwZ c~i‡Yi Rb¨ gvZ…`y»`vbKvix bvix‡K ch©vß
cwigv‡Y wbivc` cvwb cvb Ki‡Z n‡e|

cywóevZ©v :
 ˆ`wbK Zi‡ji Pvwn`v c~i‡Yi Rb¨ h‡_ó cwigv‡Y wbivc` I my‡cq
cvwb cvb Kiæb|
 cÖwZw`b 1.5 - 3.5 wjUvi A_©vr 6 - 14 Møvm wbivc` cvwb cvb Kiæb|
 wbivc` cvwb wel‡q m‡›`n _vK‡j dyUv‡bv cvwb cvb Kiæb|
 †Kvgj cvbxq Ges K…wÎg Ry‡mi cwie‡Z© Wv‡ei cvwb A_ev UvUKv
d‡ji im cvb Kiv cywóm¤§Z|
 ZvRv djg~‡ji Rym cwiwgZ cwigv‡Y cvb Kiæb|

23
wb‡`©wkKv 6: wbivc` Lv`¨ MÖnY Kiæb

Lv‡`¨ †fRvj Ges `~lY G‡`‡ki wewfbœ Lv`¨evwnZ †iv‡Mi g~j KviY| evwm, cPv
I `~wlZ Lv`¨ MÖn‡Yi d‡j gvby‡li gvivZ¥K Amy¯’Zv GgbwK g„Zy¨I n‡Z cv‡i|
wKQy wbw`©ó ‡gvì ‡_‡K Drcbœ A¨vd¬vUw·b (Aflatoxin) wKQy ai‡Yi Lv‡`¨ msµwgZ
n‡q Lv`¨km¨, wPbvev`vg, `yaRvZxq Lv`¨`ªe¨, wWg Ges gvsm‡K `~wlZ K‡i _v‡K|
Awbivc` I †fRvj Lv`¨ Wvqwiqv ev Ab¨vb¨ cvwb I Lv`¨ evwnZ †ivM †_‡K ïiæ
K‡i K¨vÝvi ch©šÍ bvbvb ai‡Yi RwUj †iv‡Mi KviY n‡Z cv‡i|
wbgœgv‡bi msi¶Y Ges cÖwµqvRvZKi‡Yi Kvi‡Y Lv‡`¨ Dcw¯’Z cÖvK…wZK
GbRvBgmg~n Lv`¨‡K bó K‡i ‡dj‡Z cv‡i| e¨vK‡Uwiqv, fvBivm Ges QÎv‡Ki
AvµgY Lv`¨ I cvbxq‡K welv³ K‡i †Zv‡j| Bu`yi I welv³ †cvKvgvKo Lv`¨‡K
AMªnY‡hvM¨ K‡i †Zv‡j| Lv‡`¨ †fRvj`ªe¨ wgkÖY, Aby‡gv`bwenxb I gvÎvwZwi³
¶wZKi iO I M‡Üi e¨envi Kiv nq, hv ¯^v‡¯’¨i Rb¨ SyuwKc~Y©| iv¯Ívi cv‡ki
Lvevi‡K wbivc` Lvevi ejv hvq bv| KviY Zv †ewkifvM mg‡qB A¯^v¯’¨Ki
Dcv‡q ˆZwi Kiv n‡q _v‡K Ges Zv‡Z Kwjdg© RxevYy _vKevi m¤¢vebv _v‡K hv
wKbv gj`~lY wb‡`©k K‡i|
wbivc` Ges fv‡jv gv‡bi Lv`¨ MÖnY wbwðZKi‡Yi cÖ_g avc n‡jv mwVK Lv`¨
wbe©vPb| wbf©i‡hvM¨ Drm †_‡K Lv`¨`ªe¨ µ‡qi gva¨‡g wbivc` Lvevi wbwðZ Kiv
†h‡Z cv‡i| evsjv‡`k ÷¨vÛvW©m A¨vÛ †Uw÷s BÝwUwUDU (weGmwUAvB)
(Bangladesh Standards and Testing Institute) (BSTI)-Gi mvwU©wd‡KUcÖvß
Lv`¨`ªe¨ µq Kiv DwPZ| c¨v‡KURvZ Lvevi µ‡qi c~‡e© memgq (best before /
date of expiry) †j‡e‡ji w`‡K bRi w`‡q Ges cywóMZ Z_¨ †`‡L µq Kiv DwPZ|
24
m‡PZbZv e„w×, wbivc` cvwb wbwðZKiY, ¯^v¯’¨wewa, DbœZ cwi”QbœZvwewai
Abykxjb Lv`¨evwnZ ‡ivM Kgv‡Z ¸iæZ¡c~Y© f~wgKv cvjb Ki‡e| Lv`¨ cÖ¯‘Z I
MÖnYKv‡j Lv`¨ wbe©vPb, †j‡ej, Lv`¨ msi¶Y, Drcv`b I †gqv` Ges e¨w³MZ
¯^v¯’¨wewa m¤úwK©Z Ávb I aviYv Lv`¨‡K wbivc` K‡i Ges my¯^v¯’¨ AUyU ivL‡Z
mvnvh¨ K‡i| `ya, gvQ, gvsm, kvKmewR Ges djg~‡ji gZb cPbkxj Lv`¨`ªe¨
h‡_vchy³ Dcv‡q msi¶Y Ki‡Z n‡e Ges hZ ZvovZvwo m¤¢e †L‡q †dj‡Z
n‡e| Lv`¨ ‰Zwii cy‡iv cÖwµqvRy‡o e¨w³MZfv‡e cwi”QbœZv eRvq ivL‡Z n‡e|
hw` Kv‡iv Db¥y³ KvUv¯’vb ev ¶Z _v‡K, Z‡e Zv‡K Aek¨B GB cÖwµqv †_‡K
weiZ _vK‡Z n‡e| whwb Lvevi ˆZwi Ki‡eb wZwb Lv‡`¨i Dci _yZy, nvuwP ev Kvwk
†dj‡Z cvi‡eb bv| Lvevi cÖ¯ÍyZKv‡j Zv‡`i‡K bvK, gyL, Pyj Ges Pvgovq nvZ
†`qv †_‡K weiZ _vK‡Z n‡e| evievi fv‡jvfv‡e nvZ †avqv Ges Pvwiw`K
mZK©Zvi mv‡_ cwi®‹vi ivLv LyeB ¸iæZ¡c~Y© welq| ayjv, gvwQ Ges gqjvI Lv`¨‡K
`~wlZ K‡i _v‡K, ZvB Lv`¨`ªe¨‡K mKj mg‡qB fv‡jvfv‡e myiw¶Z ivL‡Z n‡e,
Ges myôyfv‡e msi¶Y Ki‡Z n‡e|

cywóevZ©v :
 wbf©i‡hvM¨ Drm †_‡K hvPvB K‡i Lv`¨`ªe¨ µq Kiæb|
 LvIqvi Av‡M kvKmewR I djg~j fv‡jvfv‡e ay‡q wbb|
 KvuPv I ivbœv Lvevi mwVK fv‡e msi¶Y Kiæb Ges RxevYy, Bu`yi I
†cvKvgvK‡oi AvµgY †iva Kiæb|
 ayjv I gvwQi ms¯úk© †VKv‡Z Lv`¨ wVKfv‡e †X‡K ivLyb|
 GK Lvevi †_‡K Ab¨ Lvev‡i RxevYy msµgY (cross contamination)
†iva Ki‡Z kvKmewR, djg~j, `yaRvZxq Lv`¨`ªe¨, wWg I gvsmRvZxq
Lv`¨`ªe¨ Avjv`v Avjv`v fv‡e msi¶Y Kiæb|
 e¨w³MZ ¯^v¯’¨wewa fv‡jvfv‡e †g‡b Pjyb Ges Lv`¨ ˆZwii I msi¶‡Yi
RvqMv cwi®‹vi I wbivc` ivLyb|
 ivbœv I LvIqvi Kv‡R memgq cwi®‹vi ˆZRmcÎ e¨envi Kiæb|
 Lv`¨ MÖn‡Yi c~e© ch©šÍ cPbkxj Lv`¨‡K wd«‡R ev VvÐv RvqMvq ivLyb|
 msi¶Y Kiv n‡q _vK‡j ivbœv Kiv Lv`¨`ªe¨‡K fv‡jvfv‡e cybivq Mig
Kiæb| 70 wWwMÖ †mjwmqvm ev Zvi †P‡q †ewk ZvcgvÎvq †cŠuQv‡bvi ci
2 wgwbU hveZ Lv`¨`ªe¨‡K Mig Kiæb|
 `~wlZ cvwb I ayjvevwji ms¯ú‡k© Av‡m e‡j iv¯Ívi cv‡ki XvKbvwenxb
I †Lvjv Lvevi MÖnY †_‡K weiZ _vKyb|
25
wb‡`©wkKv 7: mylg Lv`¨ MÖn‡Yi cvkvcvwk wbqwgZ kvixwiK kÖ‡gi gva¨‡g
Av`k© IRb eRvq ivLyb

kvixwiK I gvbwmK my¯^v‡¯’¨i Rb¨ cÖ‡Z¨K my¯’ e¨w³‡K ch©vß kvixwiK cwikÖg
Pvwj‡q hvevi civgk© †`qv hvq| †QvU‡ejv †_‡K kvixwiKfv‡e mwµq _vKv
eqmKv‡j bvbvbiK‡gi †ivM Ges A¶gZv †_‡K i¶v K‡i| e¨vqvg Aw·‡Rb,
Møy‡Kv‡Ri e¨envi evovq Ges Kg©¶gZv e„w× K‡i| Lv`¨ MÖnY-mswkøó bvbviK‡gi
`xN©‡gqvw` ‡iv‡Mi mv‡_ Abychy³ Lv`¨ MÖnY, ˆ`wnK cwikÖ‡gi Afve Ges ÎywUhy³
RxebhvÎv Nwbôfv‡e m¤úwK©Z|
mßv‡n AšÍZ 5 w`b Kgc‡¶ 30 wgwbU kvixwiK cwikÖg ev e¨vqvg Kivi civgk©
†`qv nq (mshyw³ 3 G kvixwiK kÖg wcivwgW †`Lyb)| Gi cvkvcvwk mylg Lv`¨
MÖnY Ges Aí K¨vjwi MÖn‡Yi †PóvI Kiv DwPZ| GwU g‡b ivLv AZ¨vek¨K †h
GKB IRb eRvq ivLvi Rb¨ GKRb e¨w³i M„nxZ K¨vjwi Ges LiPK…Z K¨vjwii
cwigvY mgvb n‡Z n‡e (mshyw³ 6 G Lv`¨ MÖnY I RxebhvÎvi g~j¨vqb †`Lyb)|

26
 cywóevZ©v :
 Lvevi mgqgZ MÖnY Kiæb|
 Lvevi fv‡jvgZ wPwe‡q LvIqvi Af¨vm Kiæb|
 AwZwi³ LvIqv †iva Ki‡Z mwVK mgq weiwZ‡Z Lv`¨ MÖnY Kiæb|
 a~gcvb, g`¨cvb, ZvgvK Ges mycvwi wPev‡bvi gZ Af¨vmmg~n cwinvi
Kiæb|
 mylg Lv`¨ MÖnY Ges kvixwiK kÖ‡gi mgš^‡q Av`k© IRb eRvq ivLyb|
 cÖwZw`b Kgc‡¶ 30-45 wgwbU nvuUv, †`Šov‡bv, e¨vqvg Kiv, mvB‡Kj
Pvjv‡bv, mvuZvi KvUvi cvkvcvwk M„n¯’vwj KvRK‡g©i gZb wewfbœ
G‡ivweK kvixwiK kÖ‡g Af¨¯Í nb|
 we.Gg.AvB 18.5-25.0 Gi g‡a¨13, cyiæl‡`i †Kvgi cwiwa 80
†m:wg: ev Zvi Kg I gwnjv‡`i †Kvgi cwiwa 90 †m:wg: ev Zvi Kg;
†Kvgi †_‡K wbZ‡¤^i AbycvZ cyiæl‡`i Rb¨ 0.95 Gi Kg, bvix‡`i
Rb¨ 0.80 Gi Kg eRvq ivLyb|
 i‡³i kK©ivi cwigvY wbqš¿Y Ges nR‡gi DbœwZ‡Z mvnvh¨ K‡i e‡j
LvIqvi c‡i nvjKv kvixwiK e¨vqvg Kiæb|

13
wek¦ ¯^v¯’¨ ms¯’v KZ…©K 2004 mv‡j AbywôZ we‡klÁ civgk©mfvq Gkxq‡`i Rb¨ mycvwik Kiv n‡qwQj
†h weGgAvB 23 †KwR/wg2 ev Zvi AwaK n‡j Zv ewa©Z SzuwK Ges 27.5 †KwR/wg2 ev Zvi AwaK n‡j
Zv weGgAvB D”PZi SzuwK wb‡`©k K‡i hv Rb¯^v¯’¨g~jK Kvh©µg MÖn‡Yi w`K wb‡`©kbv wnmv‡e we‡ePbv
Kiv DwPZ|

27
wb‡`©wkKv 8: mwVK c×wZ‡Z ivbœv, mwVK Lv`¨vf¨vm Ges my¯’ Rxebhvc‡b
wb‡R‡K Af¨¯Í Kiæb

mwVK c×wZ‡Z ivbœvi d‡j Lvev‡ii AvK…wZ, ¯^v`, is, MÜ Ges MVb cwiewZ©Z
nq, hvi d‡j Lvevi my¯^v`y nq Ges Lvev‡ii MÖnY‡hvM¨Zv e„w× cvq| ivbœvi d‡j
Lvevi big nq, G‡Z Dcw¯’Z RxevYy aŸsm nq Ges nRg Dc‡hvMx nq| wewfbœ
welv³ Dcv`vb ‡hgb: KxUbvk‡Ki Aewkóvsk, ciRxex Ges ayjvevwj `~i Kivi
Rb¨ ivbœvi c~‡e© Lv`¨`ªe¨‡K cvwb w`‡q fv‡jvfv‡e cwi®‹vi Ki‡Z n‡e| mewR ay‡q
eo eo UyKiv K‡i KvU‡j wfUvwgb I LwbR je‡Yi AcPq Kg nq| ivbœvi A‡bK
c×wZ cÖPwjZ Av‡Q, G¸‡jv nj wm×, fvucv‡bv, †cÖkvi KyKv‡i ivbœv, †muKv, fvRv,
Sjmv‡bv, Ges †cvov‡bv| Gi g‡a¨ wm×, †muKv Ges fvucv‡bv ivbœvi me‡P‡q
¯^v¯’¨Ki c×wZ| emvfvZ Ges fvucv‡bv mewR ¯^v¯’¨Ki Lvevi| cviA·vBW I wd«
i¨vwWK¨vjm Drcv`‡bi gva¨‡g A‡š¿i wgD‡Kvmvi K¨vÝv‡ii g‡Zv RwUjZv m„wói
KviY n‡Z cv‡i e‡j GKevi Lvevi fvRvq e¨eüZ †Z‡ji cybte¨envi Gov‡bv
DwPZ|

28
cywóevZ©v :
 KvUvi c~‡e© kvKmewR I Ab¨vb¨ Lv`¨ ay‡q wbb|
 kvKmewR‡K eo eo UyK‡iv K‡i †K‡U wbb|
 KvUvi c‡i dj I mewR evZv‡m †Lvjv Ae¯’vq ivL‡eb bv|
 ivbœvi mgq XvKbv e¨envi Kiæb|
 GKev‡ii †ewk Lvevi Mig Kivi Af¨vm Z¨vM Kiæb|
 mvjv` ev PvUwb wn‡m‡e MvRi, kmv, U‡g‡Uvi gZ KvuPv mewR LvIqv‡K
DrmvwnZ Kiæb|
 †jey, wmiKv, m‡l©evUv Ges †Zj Qvov Ab¨vb¨ gkjv e¨envi K‡i N‡iB
mvjv` †W«wms ˆZwi Kiæb|
 mewR ivbœvi Rb¨ D”P Zv‡c I Kg mg‡q ivbœvi c×wZ AbymiY Kiæb|
 fvRvq e¨eüZ †Z‡ji cybte¨envi Gwo‡q Pjyb|

29
wb‡`©wkKv 9: Mf©ve¯’vq Ges ¯Íb¨`vbKv‡j evowZ Lv`¨ Pvwn`v Abyhvqx MÖnY Kiæb
Mf©ve¯’vq Ges ¯Íb¨`vbKv‡j GKRb gwnjvi cywó
Pvwn`v e„w× cvq| wkïi e„w× Ges gv‡qi ¯^v¯’¨ wVK
ivLvi Rb¨ Mf©eZx I ¯Íb¨`vbKvix gv‡qi cÖwZw`b
ch©vß cywómg„× Lv`¨ MÖn‡Yi cÖ‡qvRb| gv ‡h Lvevi
Lvq Zv †_‡K wkïi cywó I e„w×i cÖ‡qvRbxq
Dcv`vb¸‡jv Av‡m| Mf©ve¯’vq †gvU IRb e„w× 12
†KwR (10-14 †KwRi g‡a¨) nIqv ev”Pvi my¯^v¯’¨
wbwðZ Ki‡Z cv‡i Ges Mf©Kvjxb RwUjZv Kwg‡q
Avb‡Z mvnvh¨ Ki‡Z cv‡i| ¯Íb¨`vbKvix bvixi
†¶‡Î Zvi Lv`¨ hZ †ewk cywóKi n‡e Zvi gv‡qi
`yaI ZZ †ewk cywóKi n‡e| ¯Íb¨`vbKvix bvixi
Rb¨ mylg Lv`¨ MÖnY, cÖPyi cwigv‡Y cvwb cvb, Ges
Qwei †mŠR‡b¨t evsjv‡`k †eªówdwWs h_vm¤¢e wekÖvg †bqv AZ¨šÍ ¸iæZ¡c~Y©|
dvD‡Ûkb, AvBwcGBPGb

cywóevZ©v :
 wWg, Miæi gvsm, Lvwmi gvsm, nvum-gyiwMi gvsm Ges gvQ LvIqvi gva¨‡g
fv‡jv gv‡bi †cÖvwUb I ev‡qvGfvBjA¨v‡ej gvB‡µvwbDwU«‡q›U (Avqib,
wRsK Ges K¨vjwmqvg) MÖnY Kiæb| †cÖvwUb I gvB‡µvwbDwU«‡q‡›Ui DrK…ó
Drm Wvj, wkg, ev`vg I wewP MÖnY Kiæb we‡kl K‡i Lv`¨k‡m¨i mv‡_|
 mn‡R nRg Kiv hvq Ges D”P cywógvb _vKvi Kvi‡Y A¼ywiZ Wvj, MvuRv‡bv
Lv`¨ (Fermented Food) Ges HwZn¨MZfv‡e †ivw÷s, wm×KiY I
†fRv‡bvi gva¨‡g ˆZwi Lv`¨ MÖnY Kiæb|
 cvZv RvZxq kvKmewR, njy`/Kgjv Ges Ab¨ i‡Oi mewR †L‡q
cÖwZw`bKvi Avqib, dwjK GwmW, wfUvwgb G Ges Lv`¨ Avuk
(Dietary Fibre) MÖnY wbwðZ Kiæb|
 Mf©ve¯’vq †gŠmywg dj we‡kl K‡i Lvev‡ii ci ci Lv‡eb| djg~j wfUvwgb
wm, cUvwkqvg Ges Lv`¨ Avuk (Dietary Fibre) Gi DrK…ó Drm|
 å~‡Yi K¼v‡ji myôy MV‡bi Rb¨ cÖwZw`b `ya I `yaRvZxq Lvevi MÖnY Kiæb|
 Mf©ve¯’vq wbqwgZ kvixwiK kÖg Pvwj‡q hvb Ges kix‡ii ¯^v¯’¨Ki IRb
eRvq ivLyb|
 wPwKrm‡Ki civgk© Abyhvqx Avqib I dwjK Gwm‡Wi m¤ú~iK MÖnY Kiæb|
 ¯Íb¨`vqx gv‡qiv gv‡qi `ya Drcv`‡bi AwZwi³ Pvwn`v c~i‡Yi Rb¨ mylg
Lv`¨ MÖnY Kiæb, cÖPyi cwigv‡Y cvwb cvb Kiæb Ges h‡_ó wekÖvg wbb|
30
wb‡`©wkKv 10: wkï‡K 6 gvm eqm ch©šÍ ïaygvÎ gv‡qi `ya w`b Ges 6 gvm
ci evowZ Lv`¨ cÖ`vb Kiæb
gv‡qi `ya wkïi Rb¨ Av`k© I Acwinvh©
Lvevi| wek¦ ¯^v¯’¨ ms¯’v R‡b¥i GK NÈvi
†fZ‡iB ev”Pv‡K gv‡qi `ya LvIqv‡bvi civgk©
w`‡q‡Q| ïaygvÎ gv‡qi `ya cvb wkïi cÖ_g 6
gvm ch©šÍ Pj‡e Ges Zvici 2 eQi ev Z`~aŸ©
eqm ch©šÍ wbivc` I Dchy³ cwic~iK Lv‡`¨i
cvkvcvwk gv‡qi `ya cvb Pj‡Z _vK‡e| wkïi
¯^vfvweK e„w× I my¯^v‡¯’¨i Rb¨ gv‡qi `ya
me‡P‡q Dc‡hvMx cÖvK…wZK Lv`¨, hv wkïi
Rxeb evuPvq, ‡ivM msµg‡Yi SyuwK n«vm K‡i
Ges cÖvK…wZK Rb¥wbqš¿K wn‡m‡e KvR K‡i
cieZ©x Mf©aviY‡K wejw¤^Z K‡i| 6 gvm c‡i
wkïi kvixwiK e„w×i m‡½ Lv‡`¨i Pvwn`v e„w×
cvIqvq gv‡qi `y‡ai cvkvcvwk cwic~iK
Qwei †mŠR‡b¨t evsjv‡`k †eªówdwWs
Lvev‡ii cÖ‡qvRb nq| G mg‡q N‡i ˆZwi
dvD‡Ûkb, AvBwcGBPGb
wbivc` cwic~iK Lvevi LvIqv‡bv DËg|
wkï‡K N‡i ˆZwi cwic~iK Lv`¨, hv wKbv Lv`¨kw³ I cywó‡Z ficyi, cwi®‹vi I
cwi”Qbœ Dcv‡q ˆZwi, Zv †`qvB evÃbxq|

cywóevZ©v :
 wkï R‡b¥i ci 1 NÈvi g‡a¨ kvj `ya cvb Kivb|
 cÖ_g 6 gvm eqm ch©šÍ ïaygvÎ gv‡qi `ya LvIqvb|
 cÖm~wZ gv‡qi Rb¨ cvwievwiKfv‡e AvšÍwiK mn‡hvwMZv I ch©vß wekªvg
wbwðZ Kiæb|
 wkïi eqm 6 gvm c~Y© n‡j h_vh_ cwic~iK Lvevi LvIqv‡bv ïiæ Kiæb
Ges 2 eQi ch©šÍ gv‡qi `ya LvIqvb|
 Qq gvm c~Y© nevi c‡i N‡i ˆZwi cwic~iK Lvevi wbe©vPb Kiæb|
 cwic~iK Lvevi cÖ¯‘Z Kivi Rb¨ wb‡gœ ewY©Z mycvwikK…Z AvUwU
Lv`¨‡kÖwYi g‡a¨ Kgc‡¶ cuvPwU ev Zvi †ewk Lv`¨‡kÖwY evQvB Kiæb:
 km¨ I km¨RvZ Lvevi, g~j Ges K›`

31
  Wvj, ev`vg I wewP RvZxq Lvevi
 `ya I `yaRvZxq Lvevi †hgb cwbi, `B
 gvsm RvZxq Lvevi (gvQ, Miæ/Lvwmi gvsm, nvum-gyiwMi gvsm Ges
KwjRv)
 wWg
 wfUvwgb G mg„× dj I mewR
 Ab¨vb¨ dj I mewR
 gv‡qi `ya
 wkï‡K jeYv³ I gkjv`vi Lvevi †`qv Gwo‡q Pjyb; Lvev‡i evowZ
jeY †`qv cwinvi Kiæb|
 R‡b¥i ci cÖ_g eQ‡iB wkï‡K ‡Kvgj I wgwó cvbxq ‡`qv ‡_‡K weiZ
ivLyb|
 ¯Íb¨`vqx gv‡K a~gcvb, g`¨cvb, ZvgvK I ¶wZKi Jla ‡meb ‡_‡K
weiZ ivLyb|

32
cwiwkó:
mshyw³ 1: evsjv‡`‡ki Rb¨ Lv`¨ wb‡`©wkKv wcivwgW
¯^v¯’¨m¤§Z I cywóKi Lv`¨ MÖnY‡K mnR Kivi Rb¨ Lv`¨ wcivwg‡Wi bKkv Kiv
n‡q‡Q| ¯^v¯’¨m¤§Z I cywóKi Lv`¨ MÖnY ej‡Z my¯^v¯’¨ i¶vq cÖ‡qvRbxq cywó
(†cÖvwUb, †mœn, kK©iv, wfUvwgb Ges LwbR) mwVK cwigv‡Y MÖnY‡K †evSvq| GKB
ai‡Yi cywógv‡bi Lvevi¸‡jv‡K Lv`¨ wcivwg‡Wi G‡KK ¯Í‡i †kÖwYe× Kiv
n‡q‡Q| G‡Z cywóKi Lvevi MÖn‡Yi Rb¨ ZvwjKv evbv‡bvi †¶‡Î wewfbœ Lvevi
†e‡Q †bqvi my‡hvM _v‡K|
km¨RvZxq Lv`¨ GB wcivwg‡Wi wfwË hv Pvwn`vgZ MÖnY Ki‡Z ejv n‡q‡Q|
Ab¨w`‡K wcivwg‡Wi kx‡l© wPwbRvZ cY¨ Ges †Zj I Pwe©i K_v ejv n‡q‡Q hv
Aí/mxwgZ cwigv‡Y MÖnY Ki‡Z n‡e, †Kbbv Gme Lv`¨ Lye Aí cwigv‡Y †`‡ni
Rb¨ cÖ‡qvRbxq wfUvwgb Ges Lwb‡Ri †hvMvb †`q| Lv`¨ wcivwg‡Wi Dc‡ii Ask
mvaviYZ G‡`i wb‡q MwVZ| G‡`i MÖnY mxwgZ Kiv cywóKi Lv`¨ MÖn‡Yi Rb¨
Acwinvh©|

33
 evsjv‡`‡ki Rb¨ Lv`¨ wb‡`wk©Kv wcivwgW

wPwb (5 cwi‡ekb)

Aí cwigv‡Y LvIqv
Pwe© Ges †Zj
(3-6 cwi‡ekb)

cwiwgZfv‡e Lvb `ya Ges `yaRvZxq cY¨

(1-2 cwi‡ekb)

cwiwgZfv‡e Lvb
gvsm, gvQ Ges wWg Wvj (1-2 cwi‡ekb)
(1-4 cwi‡ekb)

ch©vß cwigv‡Y LvIqv

mewR dj
(3-6 cwi‡ekb) (1-3 cwi‡ekb)

Pvwn`v Abyhvqx LvIqv

km¨ RvZxq Lv`¨,
g~j Ges K›`
(9-15 cwi‡ekb)

cÖwZw`b 8 Møvm cvwb cvb Kiæb

+
mßv‡n Kgc‡¶ 5 w`b 30 wgwb‡Ui Rb¨
gvSvwi ai‡Yi kvixwiK kÖg

34
mshyw³ 2: evsjv‡`‡ki Rb¨ cÖ¯ÍvweZ cywóKi Lvev‡ii †cøU
†cøU c×wZ‡Z GKRb cÖvßeq¯‹ e¨w³i `ycy‡ii cywóKi Lvevi MÖn‡Yi AbycvZ

7%

15 %

53%
6%

4% 15 %

35
mshyw³ 3: kvixwiK kÖg wcivwgW
kvixwiK kÖg wcivwgW †_‡K my¯’ Rxebhvc‡bi Rb¨ wewfbœ ai‡Yi kvixwiK kÖg
KZ¶Y Kiv DwPZ Zvi wb‡`©kbv cvIqv hv‡e

cwiwgZ fv‡e/Kgv‡bv
wUwf †`Lv, wfwWI †Mgm †Ljv,
†gvevBj †dv‡bi AwZwi³ e¨envi
Kw¤úDUv‡i `xN© mgq a‡i KvR Kiv

mßv‡n 2-3 evi

†Ljvayjv - dzUej,
fwjej, †Uwbm, nv-Wz-Wz, mvuZvi,
IRb †Zvjv, †hvMe¨vqvg

mßv‡n 3-5 evi

mvB‡Kj Pvjv‡bv, `ªæZ nvuUv,
w¯‹wcs, †`Šo/RwMs
bvP ev Ab¨vb¨ e¨vqvg Kiv

cÖwZw`b
- mwµq _vKv
- ewniv½b µxovKjv‡c AskMÖnY Kiv
- M„n¯’vwj KvRKg© Kiv (evmb †avqv, †g‡S cwi®‹vi Kiv, Kvco †avqv BZ¨vw`)
- h‡š¿i Dci wbf©ikxjZv Kwg‡q Kv‡R mwµqfv‡e AskMÖnY Kiv
- evMvb Kiv
- wjdU / G‡¯‹‡jUv‡ii cwie‡Z© wmuwo †e‡q IVv

36
mshyw³ 4: Lv‡`¨i Av`k© cwigvc
evi‡Wg nvmcvZvj, XvKv-†Z e¨eüZ Av`k© cwigvc Kvc, evwU Ges PvgP‡K
mvwf©s mvB‡Ri Av`wk©Ki‡b e¨envi Kiv n‡q‡Q| cÖwZ mvwf©s Gi AvbygvwbK
Lv`¨kw³ gvb (wK‡jvK¨vjwi) I cÖ`vb Kiv n‡q‡Q|

1 Kvc (200 MÖvg) ivbœv Kiv mewR (2 1wU Kjv (100 MÖvg, 1 cwi‡ekb)
cwi‡ekb) †_‡K 100 wK‡jvK¨vjwi †_‡K 95 wK‡jvK¨vjwi cvIqv hvq|
cvIqv hvq|

1 Kvc (100 MÖvg) ivbœv fvZ (1 10 wgwj †Zj (2 cwi‡ekb) 90

cwi‡ekb) †_‡K 100 wK‡jvK¨vjwi wK‡jvK¨vjwi cvIqv hvq|
cvIqv hvq|

1 Kvc (100 wgwj) cvZjv Wvj (1 150 wgwj `ya (1 cwi‡ekb) †_‡K 100
cwi‡ekb) †_‡K 50 wK‡jvK¨vjwi wK‡jvK¨vjwi cvIqv hvq|
cvIqv hvq|

100 MÖvg ivbœv Kiv gvQ (1 cwi‡ekb, 1Uv wWg (60 MÖvg, 1 cwi‡ekb) †_‡K
2 UzKiv) †_‡K 100 wK‡jvK¨vjwi 100 wK‡jvK¨vjwi cvIqv hvq|
cvIqv hvq|

37
mshyw³ 5: Lv`¨ cwi‡ekb ZvwjKv
Lv`¨ cwi‡ekb ZvwjKvq †hme Lv‡`¨ cywó Dcv`vb †hgb Lv`¨kw³, kK©iv, †cÖvwUb
Ges Pwe© cÖvq mg cwigv‡Y we`¨gvb ‡mme Lv`¨‡K GKB †kÖwYi Lv`¨ wnmv‡e cÖKvk
Kiv nq|
km¨, Wvj, gvQ Ges gvs‡mi cÖwZ cwi‡ekb †_‡K 100 wK‡jvK¨vjwi Lv`¨kw³
mieivn K‡i, dj Ges mewR Gi cÖwZ cwi‡ekb †_‡K 50 wK‡jvK¨vjwi cvIqv
hvq|
cwi‡ekb cwi‡ekb AvKvi
Lv`¨ MÖvg/cwi‡ekb wK‡jvK¨vjwi
msL¨v (ivbœv Qvov)
Pvj 8-12 30 1/3 Kvc 100
Mg 1-3 30 1/3 Kvc 100
Avjy 1-4 50 1 wU gvSvwi 50
Wvj 1-2 30 1/3 Kvc 100
kvK 1-2 150 1 AvuwU 50
mewR 2-3 150 1 1/2 Kvc 50
dj 1-3 100 1wU 50
gvQ, gvsm 1-2 100 2 UzKiv 100
wWg 1 60 1wU 100
`ya 1-3 150 1 Kvc 100
wPwb 1-5 5 5 Pv PvgP 100
ivbœvq e¨eüZ †Zj 3-6 5 2 Pv PvgP 100
gkjv* 1 20 4 Pv PvgP 50

* gkjvi g‡a¨ i‡q‡Q ‡cuqvR, imyb, Av`v, njy` Ges gwiP|

38
mshyw³ 6: Lv`¨ MÖnY I RxebhvÎvi g~j¨vqb
evsjv‡`‡ki Rb¨ Lv`¨ MÖnY wb‡`©wkKvi 10wU wbqg we‡ePbvq †i‡L GLb mgq
n‡q‡Q wb‡Ri Lv`¨vf¨vm Ges RxebhvÎvi aviv g~j¨vq‡bi|
 wb‡gœ cÖ`Ë Lvwj RvqMvq wb‡Ri Lv`¨vf¨vm Ges RxebhvÎv Abyhvqx Dˇii
cv‡k wUK wPý () w`b|
 wb‡gœ D‡jøwLZ 17wU Lv`¨vf¨vm Ges RxebhvÎvi avivi †h‡Kv‡bvwUi Rb¨,
wbqwgZ †Z wUK w`‡Z n‡e hw` Af¨vm ev avivwU ˆ`bw›`b Rxe‡bi Ask nq,
gv‡S gv‡S †Z wUK w`‡Z n‡e hw` Af¨vm ev avivwU mßv‡n wZb w`b
Abykxjb Kiv nq, KL‡bv bv †Z wUK w`‡Z n‡e hw` Af¨vm ev avivwU mßv‡n
wZb w`‡bi Kg Abykxjb Kiv nq|
 cÖvß b¤^‡ii †hvMdj g~j¨vqb djvdj †c‡Z mvnvh¨ Ki‡e|

Lv`¨ MÖn‡Yi nvi

Lv`¨vf¨vm Ges RxebhvÎvi aviv
wbqwgZ gv‡S gv‡S KL‡bv bv
1| Lv`¨ wcivwg‡Wi 6-8 wU Lv`¨‡kÖwYi ga¨ †_‡K wewfbœ
ai‡Yi Lvevi LvIqv
2| †XuwKQuvUv Pvj I jvj AvUv LvIqv
3| †jey/UKRvZxq Ges wfUvwgb G mg„× dj LvIqv
4| kvKmewR LvIqv (cvZv RvZxq I Ab¨vb¨)
5| gvQ/gvsm LvIqv
6| Wvj LvIqv
7| Pwe© Ges †Zj mg„× Lvevi (Rv¼ dzW) cwiZ¨vM Kiv
8| wgwóhy³ Lvevi mxwgZ Kiv
9| `ya cvb Kiv
10| UvUKv Ges fv‡jvfv‡e cª¯‘ZK…Z Lvevi LvIqv
11| AwZwi³ Lv`¨ MÖnY cwinvi Kiv
12| Lvevi fvjfv‡e wPwe‡q LvIqv
13| Lvevi LvIqvi Av‡M memgq nvZ †avqv
14| mvßvwnKfv‡e kix‡ii IRb gvcv
15| e¨vqvg Kiv/‡Ljvayjv Kiv
16| eQ‡i AšÍZ GKevi Wv³vwi/¯^v¯’¨ cixÿv Kiv
17| ch©vß wekÖvg †bqv Ges Nygv‡bv
g~j¨vqb djvdj
DËg ga¨g wb¤œgvb
15-17 11-14 <10

39
mshyw³ 7: †gby cwiKíbv
kvixwiK IRb, kvixwiK Kvh©Kjv‡ci aiY, kvixwiK Ae¯’v, Lv‡`¨i g~j¨, †gŠmywg
Lv`¨ Ges Lv`¨ ˆewPΨZvi Dci wfwË K‡i †gby cwiKíbv Kiv n‡q‡Q| gvSvwi
ai‡Yi kvixwiK Kvh©Kjv‡ci mv‡_ m¤ú„³ GK e¨w³i Rb¨ cwiwgZ e¨q mv‡c‡¶
wb‡Pi †gbywU cwiKíbv Kiv n‡q‡Q|
cÖvßeq¯‹ cyiæl
eqm: (19-29 eQi)
Kv‡Ri aiY: gvSvwi
eZ©gvb Lv`¨kw³ Pvwn`v: 2430 wK‡jvK¨vjwi/w`b
IRb: 60 ‡KwR
Lv`¨kw³ (wK‡jvK¨vjwi) Pvwn`vi wfwˇZ kK©iv, †cÖvwUb, I Pwe©i Pvwn`v wbY©q:
70% wK‡jvK¨vjwi kK©iv (50% km¨RvZxq + 20% Ab¨vb¨ Lv`¨) †_‡K
20% wK‡jvK¨vjwi Pwe© ‡_‡K
10% wK‡jvK¨vjwi †cÖvwUb ‡_‡K
100%
2430 wK‡jvK¨vjwi Lv`¨kw³i Rb¨ cywó Dcv`v‡bi AbycvZ wb‡P ‡`Lv‡bv
nj:
• kK©iv
70% × 2430 wK‡jvK¨vjwi = 1701 wK‡jvK¨vjwi;
1701 wK‡jvK¨vjwi ÷ 4 wK‡jvK¨vjwi/MÖvg = 425 MÖvg
(AZGe, cyiæ‡li 425 MÖvg kK©iv cÖ‡qvRb)
• Pwe©
20% × 2430 wK‡jvK¨vjwi = 486 wK‡jvK¨vjwi;
486 wK‡jvK¨vjwi ÷ 9 wK‡jvK¨vjwi/MÖvg = 54 MÖvg
(AZGe, cyiæ‡li 54 MÖvg Pwe© cÖ‡qvRb)
• †cÖvwUb
10% × 2430 wK‡jvK¨vjwi = 243 wK‡jvK¨vjwi;
243 wK‡jvK¨vjwi ÷ 4 wK‡jvK¨vjwi/MÖvg = 61 MÖvg
(AZGe, cyiæ‡li 61 MÖvg †cÖvwUb cÖ‡qvRb)

40
 bgybv †gby cwiKíbv
eqm 28 wj½ cyiæl K¨vjwi Pvwn`v 2430 (wK‡jvK¨vjwi)
D”PZv PAL (kvixwiK
170 1.5 kK©iv 70% (1701 wK‡jvK¨vjwi)
(†m.wg.) kÖ‡gi avc)
BMR
IRb
60 (wK‡jvK¨vjwi/†KwR 27 †cÖvwUb 10% (243 wK‡jvK¨vjwi)
(†KwR)
/w`b)
†¯œn 20% (486 wK‡jvK¨vjwi)
mKv‡ji bv¯Ív + bv¯Ív iv‡Zi Lvevi + 790
700 wK‡jvK¨vjwi `ycy‡ii Lvevi + bv¯Ív 940 wK‡jvK¨vjwi
bv¯Ív wK‡jvK¨vjwiwi
Lvev‡ii bvg cwigvY (MÖvg) Lvev‡ii bvg cwigvY (MÖvg) Lvev‡ii bvg cwigvY (MÖvg)
60 150

41
AvUv Pvj Pvj 120
†Qvjv 15 gmyi Wvj 10 iv gmyi Wvj 10
wPwP½v 125 Avjy 50 †Z jvD 125
mKv‡ji gkjv+jeY 5 Xu¨vom 125 i jvj kvK 100
`ycy‡ii Lvevi
bv¯Ív †Zj 10 gvQ 30 Lv gyiwM (dvg©) 40
cyuBkvK 100 ev gkjv+jeY 10
gkjv+jeY 10 i †Zj 10
†Zj 10
Kjv (cvKv) 100 ¸o 10
bv Miæi `ya
bv¯Ív wPuov 50 bv¯Ív ZigyR 100 130
¯Ív (mi-mn)
¸o 10 gywo 30
 Lv`¨ ZvwjKv Ges cywógvb
wfUvwgb dwjK
K¨vj wfUvwgb wfUvwgb wRsK
cwigvY Avuk Lv`¨kw³ Lv`¨kw³ †cÖvwUb †¯œn kK©iv Avqib wfUvwgb wfUvwgb wm G GwmW g¨vM‡bwmqvg †mvwWqvg cUvwmqvg dmdivm
Lvev‡ii bvg wmqvg we2 we3 (wgwjMÖvg)
(MÖvg) (MÖvg) (wK.K¨v.) (wK.Ryj) (MÖvg) (MÖvg) (MÖvg) (wgwjMÖvg) we1 (wgwjMÖvg) (gvB‡µv (gvB‡µv (wgwjMÖvg) (wgwjMÖvg) (wgwjMÖvg) (wgwjMÖvg)
(wgwjMÖvg) (wgwjMÖvg) (wgwjMÖvg)
(wgwjMÖvg) MÖvg) MÖvg)
wPuov 50 0.65 178 755 3 0.55 40 13 3.4 0.1 0.02 0 0 2 0 1 24 1 75 65
gywo 30 0.42 108 462 2 0.03 25 3 0.21 0.06 0.04 0 0 1.05 3.49 0 14 195 46 40
AvUv 60 6.42 200 846 7 1.26 37 31 2.94 0.29 0.1 0 0 3.72 17.4 2 91 10 170 184
Pvj 270 9.18 929 3926 18 1.08 207 24 1.89 0.57 0.14 0 0 12.42 29.7 4 116 5 394 340
†Qvjv 15 2.61 53 221 3 0.9 7 30 1.32 0.04 0.04 0 1 0.74 27.9 0 20 5 107 55
gmyi Wvj 20 2.64 63 268 6 0.16 9 5 1.02 0.16 0.02 0 1 1.26 7.2 1 14 7 127 52
jvj kvK 100 4.2 32 131 5 0.3 1 256 6 0.03 0.13 42 793 1.6 85 1 181 59 261 32
cyuB kvK 100 2.2 25 105 2 0.3 2 111 2.2 0.02 0.36 52 170 0.5 140 0 179 69 187 31
gkjv+jeY 25 0.42 48 55 2 1.54 7 5 0.19 0 0.03 1 0 0.07 4.18 0 5 1180 46 6
Avjy 50 1.05 33 141 1 0.1 7 6 0.25 0.04 0.04 10 1 0.4 9 0 11 8 143 20
jvD 125 0.75 43 178 1 0.12 9 33 0.88 0.01 0.02 11 2 0.5 7.5 1 14 49 188 66

42
wPwP½v 125 1 30 129 1 0.38 6 39 0.5 0.05 0.08 24 0 1 20 0 21 49 194 35
X¨uvom 125 3.88 49 205 3 0.25 7 116 1.12 0.05 0.2 22 24 1.75 75 0 25 46 223 35
mwilvi †Zj 30 0 270 1110 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kjv (cvKv) 100 2.6 95 400 1 0.8 19 11 0.3 0.05 0.08 1 2 0.9 20 0 23 10 411 36
ZigyR 100 0.4 22 93 1 0.2 4 12 0.4 0.02 0.04 24 29 0.3 3 0 11 17 107 12
KB gvQ 30 0 42 174 5 2.31 0 19 0.36 0.01 0.05 0 65 0.78 0 0 16 16 64 48
gyiwM (dvg©) 40 0 51 215 8 2.28 0 7 0.4 0.04 0.05 0 0 3.8 1.6 1 12 22 120 72
Miæi `ya
130 0 82 342 4 4.81 6 134 0.13 0.08 0.36 3 41 1.04 11.7 1 17 66 170 117
(mimn)
¸o 20 0 77 326 0 0.02 19 18 0.32 0 0 0 0 0 0 0 24 16 58 14

†gvU 1545 38.42 2430 10080 72 47.39 410 873 23.83 1.62 1.8 188 1128 33.83 462.67 13 816 1832 3099 1261

Avi.wW.G - 38 2830 10206 62 20 425 1000 27.4 1.2 1.3 45 600 16 400 7 260 2092 3750 700

mKv‡ji bv¯Ív: iæwU 2wU, †Qvjv (gvSvwi Nb‡Z¡i) 1/2 Kvc, wPwP½v 1/2 Kvc; ga¨ `ycyi: Kjv (gvSvwi) 1Uv, wPuov-¸o 1/2 Kvc; `ycy‡ii Lvevi: fvZ 41/2 Kvc, gvQ 1wU †QvU UzK‡iv, gmyi Wvj 1/2 Kvc, kvKmewR (Avjy, cyuBkvK, X¨uvom)
11/2 Kvc; weKv‡ji bv¯Ív: gywo-¸o 1 Kvc, ZigyR 1 Kvc, iv‡Zi Lvevi: fvZ 31/2 Kvc, gmyi Wvj 1/2 Kvc, kvKmewR (jvj kvK, jvD) 1/2 Kvc, gyiwM (dvg©) 1 †QvU UzK‡iv; Nygv‡bvi mgq: `ya 1 Kvc (jeY = 5 MÖvg/w`b/ e¨w³)
AvBwWwWGm: 12 Gi g‡a¨ 10 Lvev‡ii g~j¨: 62 UvKv (2010 mv‡ji K…wl wecYb Awa`߇ii g~j¨ Abyhvqx)
 mshyw³ 8 : wewfbœ eq‡mi cywó Pvwn`v
8.1 : wewfbœ eq‡mi bvix I cyiæl Gi †cÖvwUb, Pwe© I Avu‡ki Pvwn`v
†gvU Pwe©
eqm †cÖvwUb MÖvg/w`b Lv`¨ Avuk MÖvg/w`b
ˆ`wnK IRb (†KwR) (% †gvU Lv`¨kw³)
(eQi) (GdGI/WvweøDGBPI 2007)
(GdGI/WvweøDGBPI 2008)
cyiæl bvix cyiæl bvix cyiæl bvix cyiæl bvix
> †Kv‡bv GAvB14 wVK Kiv
1 7.47 6.91 10.2 9.4 40-60 40-60 †Kv‡bv GAvB wVK Kiv nqwb
nqwb
1 11.43 10.79 11.6 10.8 35 35 14 14
2 13.51 13 11.9 11.4 35 35 14 14
3 15.67 15.06 13.1 12.7 25-35 25-35 14 14
4-6 17.69-18.46 16.81-17.81 17.1 16.2 25-35 25-35 18 18
7-8 20.37-22.55 19.76-22.09 25.9 26.2 25-35 25-35 18 18
25-35 25-35

43
9-10 25-27.8 24.82-28.21 25.9 26.2 24 20
11-14 30.88-43.96 32.36-43.22 40.5 41 25-35 25-35 24 20
15-18 49.87-45.75 44.99-40.75 57.9 47.4 25-35 25-35 28 22
19-50 45-75 40-75 33-66 33-66 20-35 20-35 30 25
51-65+ 45-75 40-75 33-66 33-66 20-35 20-35 30 25
+1 25-28
+10 25-28
+31 25-28
+19 27-30
+13 27-30

14
ch©vß Lv`¨ MÖnY
 8.2 : wewfbœ eq‡mi bvix I cyiæl Gi wfUvwgb Pvwn`v15
wfUvwgb G
_vqvwgb wi‡evd¬vwfb bvqvwmb wfUvwgb we-12 †dv‡jU (DFE16) wfUvwgb wm- AviGbAvB
ˆ`wnK IRb (†KwR) (†iwUbj mgZzj¨)
17
gvB‡µv MÖvg/w`b wgwjMÖvg/w`b wgwjMÖvg/w`b wgwjMÖvg NEs /w`b gvB‡µv MÖvg/w`b gvB‡µv MÖvg/w`b wgwjMÖvg/w`b

eqm (eQi)
cyiæl bvix cyiæl bvix cyiæl bvix cyiæl bvix cyiæl bvix cyiæl bvix cyiæl bvix cyiæl bvix

44
b- Hw”QK (AviweUªwi) gvb

15
wfUvwgb GÛ wgbv‡ij wiKqi‡g›Um Bb wnDg¨vb wbDwUªkb, †m‡KÛ GwWkb, GdGI-WvweøDGBPI 2004
16
Wv‡qUvwi †dv‡jU mgZzj¨
17
bvqvwmb mgZzj¨
 8.3 : wewfbœ eq‡mi bvix I cyiæl Gi LwbR je‡Yi (g¨v‡µvwgbv‡ij) Pvwn`v

ev‡qvGfvBjA¨v‡ewjwU

45
g-gv‡qi `ya, M-Miæi `ya, d-dgy©jv dzW
 8.4 : wewfbœ eq‡mi bvix I cyiæl Gi LwbR je‡Yi (gvB‡µvwgbv‡ij) Pvwn`v

wRsK wgwjMÖvg/w`b

ev‡qvGfvBjA¨v‡ewjwU ev‡qvGfvBjA¨v‡ewjwU ev‡qvGfvBjA¨v‡ewjwU ev‡qvGfvBjA¨v‡ewjwU ev‡qvGfvBjA¨v‡ewjwU ev‡qvGfvBjA¨v‡ewjwU

46
g-gv‡qi `ya

18
gvZ…`yM× cvb Kiv‡bv
 mshyw³ 9 : fviZxq‡`i Rb¨ cywó Dcv`v‡bi AvbygvwbK Mo Pvwn`v, 2020

we-6 we-12
Kv‡Ri
aiY wK‡jvK¨vjwi wgwjMÖvg wgwjMÖvg wgwjMÖvg wgwjMÖvg wgwjMÖvg wgwjMÖvg wgwjMÖvg wgwjMÖvg wgwjMÖvg wgwjMÖvg wgwjMÖvg wgwjMÖvg

47
 18.3

25.3

34.9

36.4

50.5

49.6

64.4

48
55.7
mshyw³ 10 : fviZxq mycvwikK…Z cywó MÖnY gvÎv (AviwWG) 2020 Gi Dci wfwË K‡i
gvSvwi ai‡Yi kvixwiK Kvh©Kjv‡ci mv‡_ m¤ú„³ GK e¨w³i bgybv Lvev‡ii ZvwjKv

cwigvY wbivwgl‡fvRx Avwgl‡fvRx

Lv`¨ ZvwjKv cywó Dcv`vb BGAvi 21 AviwWG 22
MÖvg/w`b (†fwR‡Uwiqvb (bb-†fwR‡Uwiqvb
Wv‡qU) Wv‡qU)

19

wRsK

we-6

we-1220

19 ai‡Yi

20 -
†iwUbjI †hvM Kiv n‡q‡Q|

ai‡Yi WuvUvkvK

21
BGAvi - AbywgZ Mo Pvwn`v
22
AviwWG - mycvwikK…Z cywó MÖnY gvÎv

49
mshyw³ 11 : wbe©vwPZ kã‡Kvl
 †Kv‡j‡÷ij- †Kv‡j‡÷ij cÖvYx Ges gvbe †Kv‡li wSwjø (†mj †gg‡eªb) Gi
GKwU Ask hv ni‡gvb Ges cvPKim (evBj GwmW) ˆZwi K‡i| gvbyl Zvi
RxeZvwË¡K Pvwn`v c~i‡Yi Rb¨ h‡_ó cwigv‡Y †Kv‡j‡÷ij ms‡kølY K‡i|
AwZwi³ †Kv‡j‡÷ij i³bvwj‡Z Rgv n‡q G‡_‡ivm‡K¬‡ivwmm
(Atherosclerosis) NUvq| †Kv‡j‡÷ij ïaygvÎ cÖvwYR Lv`¨ Dr‡m cvIqv
hvq †hgbt wewfbœ A‡½i gvsm (KwjRv, wKWwb Ges gMR), Miæi gvsm, wWg,
m‡mR, gvLb, c~Y© bbxhy³ `ya Ges cwbi|
 µwbK wKWwb wWwRR (CKD)- wKWwbi Ggb GKwU †ivM hv‡Z K‡qK gvm †_‡K
ïiæ K‡i eQi-Lv‡bK mg‡qi g‡a¨ wKWwb ax‡i ax‡i Zvi Kvh©¶gZv nvivq|
¶wZMÖ¯’ wKWwb ¯^vfvweK wbq‡g i³ cwi‡kvab Ki‡Z cv‡ibv| GB ¶wZi
Kvi‡Y †`‡n eR¨© Rgv n‡Z cv‡i|
 `B- `y‡ai Ask hv `ya †d‡U †M‡j ev j¨vK‡Uve¨vwmjvm AYyRx‡ei gva¨‡g,
Av‡Mi `B ex‡Ri gva¨‡g A_ev mswkøó e¯Íyi mvnv‡h¨ RgvU evu‡a|
 n«vmK…Z cwi‡kvwaZ wPwbi MÖnYgvÎv - M„nxZ Lv`¨kw³i 10% Gi †ewk evB‡i
†_‡K †hvM Kiv wPwb †_‡K Avmv DwPZ bq|
 n«vmK…Z je‡Yi MÖnYgvÎv - ˆ`wbK ‡mvwWqvg MÖnYgvÎv 1.6 MÖvg Gi Kg nIqv
DwPZ| (cÖwZw`b 4 MÖvg Lvevi je‡Yi mgZyj¨)|
 Lv`¨ ˆewPΨ †¯‹vi (DDS)- cwiev‡ii Lvev‡ii ˆewPΨ cwigv‡ci GKwU
cwigvcK n‡jv Lv`¨ ‰ewPΨ †¯‹vi| GUv cwiev‡ii m`m¨‡`i Lv`¨ †_‡K cÖvß
cywó Dcv`v‡bi ch©vßZv‡K wb‡`©k K‡i| M„n¯’vwji Lv`¨ ˆewPΨ ‡¯‹vi
cwigv‡ci Rb¨ GdGGbwUG/RvwZms‡Ni Lv`¨ I K…wl ms¯’v mKj cÖKv‡ii
Lv`¨`ªe¨‡K 12wU †kÖwY‡Z fvM K‡i‡Q, G¸‡jv n‡jv- km¨, KvÐ I g~j,
kvKmewR, dj, gvsm, wWg, gvQ I mvgyw`ªK Lvevi, Wvj I exR, `ya I
`yaRvZxq Lvevi, †Zj I Pwe©, wgwó Ges gkjv| cÖwZwU Lv`¨‡kÖwY ‡_‡K
cÖwZw`b 30 MÖvg MÖnY Ki‡j ‡¯‹vi 1 aiv nq| Gfv‡e cÖwZw`b cÖwZwU
Lv`¨‡kÖwY ‡_‡K M„nxZ Lv‡`¨i ‡¯‹v‡ii ‡hvMdj 5 Gi Kg n‡j wbgœgv‡bi,
6-8 n‡j gvSvwi ai‡Yi Ges 9 Gi ‡ewk n‡j DËg we‡ePbv Kiv nq|
 Lv`¨ Avuk- Lv`¨ Avuk nj kvKmewR, djg~j I k‡m¨i AcwicvK‡hvM¨ Ask|
Avuk 2 ai‡Yi; `ªeYxq I A`ªeYxq| `ªeYxq Avu‡k ‡cKwUb, Mvg _v‡K hv dj,
exR I he G cvIqv hvq| `ªeYxq Avuk cvwb‡Z `ªexf~Z nq| GwU i‡³ ¯^í
Nb‡Z¡i wj‡cv‡cÖvwU‡bi cwigvY Kgvq Ges A‡š¿i wµqvK‡g©i Rb¨ cÖ‡qvRb|
A`ªeYxq Avu‡k †mjy‡jvR I †nwg‡mjy‡jvR _v‡K hv km¨ I kvKmewR‡Z
cvIqv hvq Ges GwU i‡³i †Kv‡j‡÷ij Kgv‡Z mvnvh¨ K‡i|
50
 gv‡Qi †Zj- gv‡Qi ‡Zj I‡gMv-3 d¨vwU Gwm‡Wi GKwU fv‡jv Drm| GwU
ü`‡ivM, welbœZv Ges K¨vÝvi cÖwZ‡iva Ki‡Z mnvqZv K‡i|
 †M‡÷kbvj Wvqv‡ewUm ‡gwjUvm (GDM)- Mf©ve¯’vi ‡h ‡Kvb mgq cÖ_gev‡ii
g‡Zv nvBcviMøvB‡mwgqv aiv co‡j wek¦ ¯^v¯’¨ ms¯’v Gi gvb`Û Abyhvqx
†mUv‡K †M‡÷kbvj Wvqv‡ewUm ‡gwjUvm (GDM) A_ev Mf©ve¯’vq Wvqv‡ewUm
‡gwjUvm wn‡m‡e we‡ePbv K‡i|
 †Møv‡giæjvi wd‡ë«kb ‡iU (GFR)- GwU GKwU cix¶v hv wKWwbi m¶gZv
hvPvB‡q e¨eüZ nq| wbw`©ófv‡e ej‡Z ‡M‡j GwU cÖwZ wgwb‡U †Møv‡giæwji
‡fZi w`‡q KZUyKy i³ cÖevwnZ nq Zv cwigvc K‡i| wRGdAvi Gi gvb Kg
nIqv gv‡b wKWwb fv‡jvfv‡e KvR Ki‡Qbv| cÖvßeq¯‹‡`i †¶‡Î, mvaviY
wRGdAvi bv¤^vi 90 ev Zvi ‡ewk nq|
 m¤ú„³ Pwe©- GwU Pwe©i AYy hvi ga¨Kvi Kve©b AYy¸‡jv‡Z wØ-eÜb _v‡K bv
†Kbbv Zviv nvB‡W«v‡Rb AYy w`‡q m¤ú„³ n‡q _v‡K| m¤ú„³ Pwe© K¶
ZvcgvÎvq mvaviYZ KwVb Ae¯’vq _v‡K| cÖvwYR Drm †_‡K †h Pwe© cvIqv
hvq Zv‡`i †ewkifvMB m¤ú„³ Pwe© †hgbt †KK, we¯‹yU, †cw÷«, Ab¨vb¨
†eKvwii Lvevi, fvRv‡cvov Lvevi Ges P‡Kv‡jU BZ¨vw`| GB d¨vwU
GwmW¸‡jv GjwWGj (LDL) †Kv‡j‡÷ij e„w× K‡i Ges K‡ivbvwi ü`‡iv‡Mi
SyuwK evovq|
 Av`k© kvixwiK IRb- †h m‡e©v”P gvÎvi IRb GKRb e¨w³i Rb¨ ¯^v¯’¨Ki,
hv g~jZ D”PZvi Dci wbf©ikxj wKš‘ Ab¨vb¨ cÖfveK ‡hgb eqm, kvixwiK
Mob Ges †ckx MV‡bi gvÎvI f~wgKv iv‡L| Av`k© kvixwiK IRb Gi GKwU
¯’~j cwigvcK n‡jvt
 bvixt ‡mw›UwgUv‡i †`‡ni AvKvi ‡_‡K 100 we‡qvM K‡i djvdj

†_‡K 15% Kgv‡Z n‡e|

 cyiælt ‡mw›UwgUv‡i †`‡ni AvKvi ‡_‡K 100 we‡qvM K‡i djvdj

†_‡K 10% Kgv‡Z n‡e|

 Lv`¨ Avuk MÖnYgvÎv e„w×- cÖvßeq¯‹‡`i cÖwZw`b cÖvq 30 MÖvg Avuk RvZxq
Lvevi MÖnY Kiv DwPZ|
 RwUj kK©iv MÖnY e„w×- wek¦ ¯^v¯’¨ ms¯’v (WHO) Gi civgk© Abyhvqx Avgv‡`i
me©‡gvU M„nxZ Lv`¨kw³i 70% RwUj kK©iv †_‡K Avmv DwPZ hvi g‡a¨
i‡q‡Q dj Ges kvKmewR, Wvj Ges km¨|
 dj Ges kvKmewR MÖnY e„w×- kvK Ges njy` i‡Oi mewR wfUvwgb, LwbR
Ges Gw›UAw·‡W‡›Ui †ek fv‡jv Drm| wek¦ ¯^v¯’¨ ms¯’v (WHO) Abyhvqx
Avgv‡`i cÖwZw`b 400 MÖvg Gi ‡ewk (w`‡b cvuP cwi‡ekb Gi g‡Zv) MÖnY
Kiv DwPZ|
51
 MøvB‡mwgK Bb‡W‡·i (GI) mvnv‡h¨ cÖwZ‡ejvi Lv`¨ cwiKíbv- MøvB‡mwgK
Bb‡W· GKwU m~PK hv e¨w³i Lv`¨ MÖn‡Yi 2 NÈvi g‡a¨ i‡³i kK©ivi †gvU
gvÎv e„wׇK eySvq| GI wbf©i K‡i Lv‡`¨ Aew¯’Z kK©iv, †cÖvwUb, Pwe© Ges
Lv`¨ Avu‡ki cwigv‡Yi Dci| GI gv‡bi Dci wfwË K‡i Lv`¨‡K 3 †kÖwY‡Z
fvM Kiv nq †hgb: wbgœ GI (<55), ga¨g GI (56-69) Ges D”P GI (>70)|
Myø‡Kv‡Ri GI 100, gvQ I gvs‡mi GI k~b¨, Wvj, `ya I AwaKvsk dj I
mewRi GI wbgœ ‡kÖwYi| km¨RvZxq Lv‡`¨i GI mvaviYZ D”Pgv‡bi nq Z‡e
Av¯Í Mg I ev`vwg Pv‡ji GI ga¨g ‡kÖwYi| wbqwgZ D”P GI hy³ Lvevi MÖnY
Ki‡j Wvqv‡ewU‡mi SyuwK ev‡o|
 Pvwn`v Abyhvqx ‡cÖvwUb MÖnY- GwU me©‡gvU Lv`¨kw³i cÖvq 10-15 kZvsk
nIqv DwPZ|
 ¯’~jZv- weGgAvB 30 Gi ‡ewk n‡j, g~jZ GwW‡cvm †Kvl Rgv nIqv‡K
¯’~jZv e‡j|
 Aa©wm× Pvj- Pvj QvuUvi Av‡M avb‡K fv‡ci g‡a¨ w`‡q ‡bqv hvi d‡j Pvj
AvswkK ivbœv n‡q hvq|
 eû Am¤ú„³ d¨vwU GwmW (Polyunsaturated Fatty Acid (PUFA))- †h d¨vwU
GwmW¸‡jvi Kve©b ‡PB‡b `yB ev Z‡ZvwaK Kve©b Kve©b wØ-eÜb Av‡Q| Giv
Acwinvh©| A_©vr, kvixwiK Kvh©Kjv‡ci Rb¨ G‡`i cÖ‡qvRb i‡q‡Q wKš‘
kixi G‡`i ms‡kølY Ki‡Z cv‡i bv, d‡j Lv`¨ ‡_‡K PUFA MÖnY Ki‡Z nq|
I‡gMv-6 Ges I‡gMv-3 bv‡g `yB ai‡Yi PUFA Av‡Q| I‡gMv-3 d¨vwU GwmW
‡`n‡Kv‡li Kvh©Kjv‡ci Rb¨ Acwinvh©| Giv Lv`¨kw³ Drcv`b Ges
ü`wcÛ, dymdym, i³bvwj Ges †ivM cÖwZ‡iva e¨e¯’vq ¸iæZ¡c~Y© f~wgKv iv‡L|
g~jZ wZb ai‡Yi I‡gMv-3 i‡q‡Qt AvB‡Kvm¨v‡cbU¨v‡bvwqK GwmW (EPA),
†Wv‡Kvmv‡n·vB‡bvwqK GwmW (DHA) Ges Avjdv-wj‡bv‡jwbK GwmW (ALA)|
 †Kv‡j‡÷ij MÖnY n«vm- MÖnYgvÎv 300 wgwjMÖvg/w`b Gi Kg ivL‡Z n‡e|
 me©‡gvU Pwe©i MÖnYgvÎv n«vm- WHO Gi civgk© Abyhvqx Lv`¨kw³i †Kej
15-30 fvM Pwe© ‡_‡K Avmv DwPZ hvi g‡a¨ m¤ú„³ Pwe© m‡e©v”P 10 kZvsk
n‡Z cv‡i|
 A¨vj‡Kvnj cvb wbqš¿Y- ‰`wbK GK AvD‡Ýi (30 wgwj) ‡ewk weï×
A¨vj‡Kvnj cvb Kiv hv‡e bv|

52
 bwb‡Zvjv `ya- ‡h `ya ‡_‡K mi c„_K Kiv nq Zv‡K bwb‡Zvjv `ya ejv nq|
gv‡Sg‡a¨ ‡Kej A‡a©K bwb Zy‡j ‡djv nq hvi d‡j AvswkK bwb‡Zvjv `ya
‰Zwi nq|
 U«vÝ d¨vU- U«vÝ d¨vwU GwmW, hviv mvaviYZ U«vÝ d¨vU bv‡gI cwiwPZ,
nvB‡W«v‡R‡bkb cÖwµqvq ‰Zwi Kiv nq ‡hLv‡b nvB‡W«v‡Rb M¨vm Ges GKwU
cÖfve‡Ki Dcw¯’wZ‡Z Zij ‡fwR‡Uej ‡Zj‡K DËß Kiv nq| Lvevi `xN© w`b
wUwK‡q ivLvi Rb¨ ev Lvevi‡K DbœZ ¯^v` cÖ`vb Kivi Rb¨ U«vÝ d¨vU e¨envi
Kiv nq|
 †fwR‡Uej k‡U©wbs- gvR©vwib, µ¨vKvi, KywK Ges bv¯Ív RvZxq Lvevi ‡hgb
Avjyi wPc‡m cÖvqB U«vÝ d¨vU _v‡K| U«vÝ d¨vU mg„× Lv`¨ MÖnY Ki‡j Zv
ü`‡iv‡Mi Ges †÷«v‡Ki SyuwK evovq|
 Am¤ú„³ Pwe© (Unsaturated Fatty Acid)- Am¤ú„³ Pwe© GK ai‡Yi Pwe© ev
d¨vwU GwmW hvi d¨vwU GwmW ‡PB‡b Kgc‡¶ GKwU wØ-eÜb i‡q‡Q| GKwU
d¨vwU GwmW ‡PBb GKK Am¤ú„³ (Monounsaturated) nq hw` Zv‡Z GKwU
wØ-eÜb _v‡K, eû Am¤ú„³ (Polyunsaturated) nq hw` Zv‡Z G‡Ki AwaK
wØ-eÜb _v‡K| Am¤ú„³ Pwe©‡K, hv K¶ ZvcgvÎvq Zij _v‡K, DcKvix Pwe©
wn‡m‡e aiv nq ‡Kbbv Zv i‡³ ‡Kv‡j‡÷i‡ji gvÎvi DbœwZ NUvq Ges cÖ`vn
‡_‡K gyw³ ‡`q| Dw™¢¾ Lvevi ‡_‡K g~jZt Am¤ú„³ Pwe© cvIqv hvq ‡hgb
‡fwR‡Uej ‡Zj, ev`vg Ges exRmg~n|
 †Kvg‡ii gvc- ‡K›`ªxq ¯’~jZv cwigv‡ci GKwU m~PK nj ‡Kvg‡ii cwiwai
cwigvc| ¯^vfvweK ‡Kvg‡ii cwigvc (cyiæl‡`i Rb¨ 40 Bw Ges gwnjv‡`i
Rb¨ 35 Bw Gi Kg) Gi ‡ewk n‡j AmsµvgK ‡iv‡M AvµvšÍ nIqvi SyuwK
ev‡o|
 †Kvgi- wbZ‡¤^i AbycvZ (WHR)- GwU kix‡ii Pwe©i e›Ub cwigv‡ci
AwZwi³ GKwU gvcKvwV Ges ¯’~jZvi GKwU cwigvcK, hv c¶všÍ‡i Ab¨vb¨
AwaK SyuwKc~Y© ¯^v¯’¨ mgm¨vi wb‡`©kK (‡Kvg‡ii cwiwa‡K wbZ‡¤^i cwiwa w`‡q
fvM)| WHO Gi gZvgZ Abyhvqx cyiæ‡li ‡¶‡Î ‡Kvgi-wbZ‡¤^i AbycvZ
0.90 Gi AwaK Ges bvix‡`i ‡¶‡Î 0.85 Gi AwaK n‡j Zv Zj‡c‡Ui
¯’~jZv e‡j msÁvwqZ Kiv nq|
 mycvwikK…Z cywó MÖnY (Recommended Nutrient Intake (RNI))-
mycvwikK…Z cywó MÖnY n‡”Q my¯^v¯’¨ Ges fvj _vKvi Rb¨ ch©vß cywó MÖn‡Yi
gvÎv, †hwU mv¤úªwZK mg‡q weÁvbm¤§Zfv‡e wba©viY Kiv n‡q‡Q|

53
A‡bK (lots) gv‡b Kx ?
cÖ‡Z¨K e¨w³i cÖwZw`b Qq ‡_‡K AvU Møvm cwi®‹vi, wbivc` cvwb cvb Kiv DwPZ|
wb‡gœv³ ‡¶‡Î AwZwi³ cvwb cvb Kiv DwPZt
 MigKv‡j cÖPyi Nvg‡j
 m~‡h©i wb‡P KvR Ki‡j ev Mi‡gi w`‡b KvwqK cwikÖg Ki‡j
 Zxeª e¨vqvg Ki‡j
 R¡i _vK‡j
 Wvqwiqv wKsev ewgi Kvi‡Y kix‡ii cvwb K‡g ‡M‡j
cÖPyi (plenty) gv‡b Kx?
cÖPyi cwigv‡Y cÖwZw`b Kgc‡¶ cvuP cwi‡ekb kvKmewR ev dj LvIqv DwPZ|
D`vniY¯^iƒct
1| mKv‡ji bv¯Ívi mgq dj LvIqv| ‡hgbt GKwU Kgjv‡jey ev GKwU Av‡cj|
2| jv e‡· KvuPv mewR ‡hgb MvRi ev KywP K‡i KvUv kmv/euvavKwc ‡hvM Ki‡Z
n‡e| `yB‡ejvi Lvev‡ii g‡a¨I ZvRv dj ev mewR bv¯Ív wnmv‡e MÖnY Kiv
‡h‡Z cv‡i|
wbqwgZ (regularly) gv‡b Kx?
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54
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55
 RvZxq Lv`¨ MÖnY wb‡`©wkKv 2015 cÖYq‡b Dc‡`óvgÛjx,
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56
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RvwZms‡Ni Lv`¨ I K…wl ms¯’v

57
GB RvZxq Lv`¨ MÖnY wb‡`©wkKvwU MYcÖRvZš¿x evsjv‡`k miKv‡ii Lv`¨ cwiKíbv I cwiaviY BDwbU
(GdwcGgBD), Lv`¨ gš¿Yvjq Ges ¯^v¯’¨ I cwievi Kj¨vY gš¿Yvj‡qi GKwU ‡hŠ_ D‡`¨vM| GwU
RvwZms‡Ni Lv`¨ I K…wl ms¯’vi wgwUs `¨v AvÛviwbDwU«kb P¨v‡jÄ cÖKí Ges wek¦ ¯^v¯’¨ ms¯’v-Gi
KvwiMwi mnvqZv Øviv mgw_©Z| evsjv‡`‡k BDGmGAvBwW Ges BD‡ivcxq BDwbqb ‡hŠ_fv‡e GB
D‡`¨v‡Mi A_©vqb K‡i‡Q| AviI Z_¨ Ges ‡h ‡KvbI cÖ‡kœi Rb¨, `qv K‡i ‡hvMv‡hvM Kiæb: Lv`¨
cwiKíbv I cwiaviY BDwbU (GdwcGgBD), Lv`¨ feb, 16 Avãyj MwY ‡ivW, XvKv-1000, evsjv‡`k

ISBN 978-984-35-0624-5
GwcÖj 2021