Nutritional Status among Adolescent Girls in Rural Areas of Tirupati – A Cross Sectional Study

Authors

  • Visweswara Rao Guthi SVIMS-SPMCW, Tirupati
  • Neeraja Kolar SVIMS-SPMCW, Tirupati
  • Nagaraj Kondagunta SVIMS-SPMCW, Tirupati

DOI:

https://doi.org/10.55489/njcm.1332022396

Keywords:

Adolescent girls, Thinness, BMI for Age, Rural area

Abstract

Background: Adolescent is the period of the life between the ages of 10-19 years. Adolescence is time to learn and adopt healthy habits to avoid many health and nutritional problems later in life. Objective of this study is to assess the nutritional status of adolescent girls by anthropometric measurements and to determine the association between different individual and family level factors with under nutrition.

Methods: It is a community based cross-sectional study conducted among adolescent girls of age between 10-19 years in rural areas of Tirupati. The study sample was 188. BMI for age <-2SD is considered as thinness. A pre tested semi structured questionnaire was used to collect individual and family level factors and analysed using appropriate statistical tests with SPSS26th version.

Results: Prevalence of thinness and overweight/obese among adolescent girls in this study was 17% and 17.6%. Thinness was significantly high among girls with family size is more than five(23.8% vs 8.4%), who attained menarche at >11 years (17.1% vs 0%) and who are not doing regular physical activity(22.3% vs 9.2%). Multivariate binary logistic regression showed socioeconomic status, family size and physical activity are significant predictors of thinness.

Conclusions: It can be concluded from this study that thinness was significantly high among adolescent girls with family size >5, who attained menarche at >11 years and who does not have the habit of doing regular physical activity.

References

Joint FAO/WHO Expert Committee on Nutrition : eighth report, food fortification, protein-calorie malnutrition, Geneva, Switzerland, 9-18 November 1970. Available at https://apps.who.int/iris/handle/10665/40921. Accessed November 13th, 2021.

WHO, FORTY -First World Health Assembly report. Available at http://apps.who.int/iris/bitstream/handle/10665/164197/WHA41_1988REC1_eng.pdf?sequence=1. Accessed November 13th, 2021.

K Park. Park's Textbook of Preventive and Social Medicine, 25th ed. Jabalpur: Bhanot Publishers; 2019. p 665.

Ghai OP ,Gupta P, PaulVK. Textbook of Essential paediatrics. 6th ed. Kolkatta: CBS Publishers;2005.Page No. 448.

Mala V, Kumar D, Dwivedi S, Dabral SB. Psycho-social behaviour pattern of unmarried adolescent girls in urban area of Allahabad, Uttar pradesh. Indian J Community Med. 2007;32(1):79-81. Available at https://www.ijcm.org.in/article.asp?issn=0970-0218;year=2007;volume=32;issue=1;spage=79;epage=81;aulast=Mala. https://doi.org/10.4103/0970-0218.53415

Kurz KM. Adolescent nutritional status in developing countries. Proceedings of the Nutrition Society. Cambridge University Press; 1996;55(1B):319-31. Available at https://www.cambridge.org/core/journals/proceedings-of-the-nutrition-society/article/adolescent-nutritional-status-in-developing-countries/014DA409D9096E2FC9A54B4330495AE9. https://doi.org/10.1079/PNS19960032

Martorell R,Khan LK,Schroeder DG.Reversibility of stunting:epidemiological findings in children from developing countries. Eur J Clin Nutr 1994;48(Suppl1):S45-57. Available at https://pubmed.ncbi.nlm.nih.gov/8005090/

Rao KM, Balakrishna N, Laxmaiah A,Venkaiah K, Brahmam GNV. Diet and nutritional status of adolescent tribal population in nine states of lndia. Asia Pac J Clin Nutr . 2006; 15(1): 64-71. Available at https://pubmed.ncbi.nlm.nih.gov/16500880/

Venkaiah K, Damayanti K, Nayak. MU , Vijayaraghavan K. Diet and Nutritional status of rural adolescents in India. EUr JClin Nutr . 2002;56(11):1119-25. https://doi.org/10.1038/sj.ejcn.1601457 https://doi.org/10.1038/sj.ejcn.1601457

Branca F, Piwoz E,Schultink W, SullivanLM. Nutrition and health in women, children, and adolescent girls. BMJ. 2015;351:4173. https://doi.org/10.1136/bmj.h4173 https://doi.org/10.1136/bmj.h4173

Abhilasha Nair, Mohan K. Doibale, Bina M. Kuril, Vijay K. Domple. Study of nutritional status of adolescent girls in a rural area of a district of Maharashtra. Int J Community Med Public Health.2017 Dec;4(12):4617-4622. http://dx.doi.org/10.18203/2394-6040.ijcmph20175340 https://doi.org/10.18203/2394-6040.ijcmph20175340

B.G. Prasad scale. Prasad social classification scale update. Available at: http://prasadscaleupdate.weebly.com/. Accessed on 23.01.2019.

BMI-for-age (5-19 years). Available at https://www.who.int/growthref/who2007_bmi_for_age/en/. Accessed on 29.09.2019.

Smitha Malenahalli Chandrashekarappa1, Narayana Murthy Mysuru Ramakrishnaiah1, Renuka Manjunath. Nutritional status in adolescent girls: Attempt to determine its prevalence and its association with sociodemographic variables. Family Medicine and Community Health 2018;6(4):184-190. http://dx.doi.org/10.15212/FMCH.2017.0122 https://doi.org/10.15212/FMCH.2017.0122

Bhattacharyya H, Barua A. Nutritional status and factors affecting nutrition among adolescent girls in urban sum of Dibrugarh,Assam. Community Med 2013;4(1):35-9. Available at https://www.researchgate.net/publication/319107128_NUTRITIONAL_STATUS_OF_ADOLESCENT_GIRLS_IN_SLUMS_OF_DIBRUGARH_TOWN-_A_CROSS_SECTIONAL_STUDY.

Srivastav S, Mahajan H, Grover VL. Nutritional status of the government school children of adolescent age group in urban areas of district Gauthambudh-Nagar, Uttar Pradesh. Community Med 2013;4(1):100-3. Available at https://www.researchgate.net/publication/303518993_Nutritional_Status_of_the_Government_School_Children_of_Adolescent_age_group_in_Urban_areas_of_District_Gautam_Budh_nagar_Uttar-Pradesh_Natl_J_Community_Med_2013_4_100-3.

Bovet P, Kizirian N, Madeleine G, Blössner M, Chiolero A. Prevalence of thinness in children and adolescents in Seychelles: comparision of two international growth references. Nutr J 2011;10(1):1. Available at https://nutritionj.biomedcentral.com/articles/10.1186/1475-2891-10-65. https://doi.org/10.1186/1475-2891-10-65

Alam N, Roy SK, Ahmed T, Ahmed AS. Nutritional status, dietary intake, and relevant knowledge of adolescent girls in rural Bangladesh. J Health Popul Nutr 2010;28(1):86. Available at https://pubmed.ncbi.nlm.nih.gov/20214090/ https://doi.org/10.3329/jhpn.v28i1.4527

Fokeena WB, Jeewon R. Is there an association between socioeconomic status and body mass index among adolescents in Mauritius? Sci World J 2012;2012:1-9. Available at https://pubmed.ncbi.nlm.nih.gov/22606060/ https://doi.org/10.1100/2012/750659

Sheloj M Joshi1, Swarna Likhar, Sanjay S Agarwal, Mahesh Kumar Mishra, Umashankar Shukla. A STUDY OF NUTRITIONAL STATUS OF ADOLESCENT GIRLS IN RURAL AREA OF BHOPAL DISTRICT. National Journal of Community Medicine.2014;5(2):191-194. Available at http://www.njcmindia.org/home/abstrct/554/

Goyal J, Parmar I, Patel B, Kumar N, Shah V. Determinants of overweight and obesity in affluent adolescent in Surat city, South Gujarat region, India. Indian J Community Med 2011;36(4):296-300. Available at https://pubmed.ncbi.nlm.nih.gov/22279261/ https://doi.org/10.4103/0970-0218.91418

Maiti S, Ali KM, De D, Bera TK, Ghosh D, Paul S. A Comparative Study on Nutritional Status of Urban and Rural Early Adolescent School Girls of West Bengal, India. J. Nepal Paediatr. Soc.2013;31(2):169-174. Available at https://www.nepjol.info/index.php/JNPS/article/view/5352. https://doi.org/10.3126/jnps.v31i3.5352

H.R. Shivaramakrishna, A.V. Deepa and M. Sarithareddy. Nutritional Status of Adolescent Girls in Rural Area of Kolar District -A Cross-Sectional Study. Al Ame en.J Med Sci(2011);4 (3):243- 246.

Goyal J, Parmar I, Patel B, Kumar N, Shah V. Determinants of overweight and obesity in affluent adolescent in Surat city, South Gujarat region, India. Indian J Community Med 2011;36(4):296-300. Available at https://pubmed.ncbi.nlm.nih.gov/22279261/ https://doi.org/10.4103/0970-0218.91418

Guo X, Zheng L, Li Y, Yu S, Sun G, Yang H, et al. Differences in lifestyle behaviors, dietary habits, and familial factors among normal-weight, overweight, and obese Chinese children and adolescents. Int J Behav Nutr Phys Act 2012;9:120. Available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3522535/ https://doi.org/10.1186/1479-5868-9-120

Ghosh A. Explaining overweight and obesity in children and adolescents of Asian Indian origin: the Calcutta childhood obesity study. Indian J Public Health 2014;58(2):125-8. Available at https://pubmed.ncbi.nlm.nih.gov/24820988/ https://doi.org/10.4103/0019-557X.132290

Nawab T, Khan Z, Khan I, Ansari M. Influence of behavioral determinants on the prevalence of overweight and obesity among school going adolescents of Aligarh. Indian J Public Health 2014;58(2):121-4. Available at https://pubmed.ncbi.nlm.nih.gov/24820987/ https://doi.org/10.4103/0019-557X.132289

Neyamul Akhter, Farida Yasmin Sondhya. Nutritional status of adolescents inBangladesh: Comparison of severe thinness status of a low-income family's adolescentsbetween urban and rura Bangladesh. J Edu Health Promot 2013;2:27. Available at https://pubmed.ncbi.nlm.nih.gov/24083277/

Abhilasha Nair, Mohan K. Doibale, Bina M. Kuril, Vijay K. Domple. Study of nutritional status of adolescent girls in a rural area of a district of Maharashtra. Int J Community Med Public Health. 2017 Dec;4(12):4617-4622. Available at https://www.researchgate.net/publication/321261380_Study_of_nutritional_status_of_adolescent_girls_in_a_rural_area_of_a_district_of_Maharashtra. https://doi.org/10.18203/2394-6040.ijcmph20175340

Choudhary S, Mishra CP, Shukla KP. Correlates of nutritional status of adolescent girls in the rural area of Varanasi. The Internet J of Nutr and Wellness2009;7(2). Available at https://print.ispub.com/api/0/ispub-article/4339. https://doi.org/10.5580/520

Venkaiah K, Damayanti K, Nayak MU, Vijayaraghavan K. Diet and nutritional status of rural adolescents in India. European J ofClinical Nutr 2002; 56: 1119-1125. Available at https://www.nature.com/articles/1601457. https://doi.org/10.1038/sj.ejcn.1601457

Amin TT, Al-Sultan AI, Ali A. Overweight and obesity and their association with dietary habits, and sociodemographic characteristics among male primary school children in Al-Hassa, Kingdom of Saudi Arabia. Indian J Community Med 2008;33(3):172-81. Available at https://pubmed.ncbi.nlm.nih.gov/19876479/ https://doi.org/10.4103/0970-0218.42058

Waseem Fatima, Nasser Alqhatani and Leena mohammad Ahmad. Assessment of Nutritional Status and its Related Factors among Female Adolescent Girls: A School based Study in Arar city, Kingdom of Saudi Arabia. Int J Med Res Health Sci 2019, 8(2):133-144.Available at https://www.researchgate.net/publication/334194268_Assessment_of_Nutritional_Status_and_its_Related_Factors_among_Female_Adolescent_Girls_A_School_based_Study_in_Arar_city_Kingdom_of_Saudi_Arabia.

Danjuma Shehu Uba , Md. Rabiul Islam , Md. Imdadul Haque , ABM Alauddin Chowdhury, SheikhMohammed Shariful Islam and Faisal Muhammad. Nutritional Status of Adolescent Girls in a Selected Secondary School of North-Eastern Part of Nigeria. Middle East J Rehabil Health Stud. 2020; 7(4):e104331. Available at https://dro.deakin.edu.au/eserv/DU:30145914/islam-nutritionalstatus-2020.pdf. https://doi.org/10.5812/mejrh.104331

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Published

2022-03-31

How to Cite

1.
Rao Guthi V, Kolar N, Kondagunta N. Nutritional Status among Adolescent Girls in Rural Areas of Tirupati – A Cross Sectional Study. Natl J Community Med [Internet]. 2022 Mar. 31 [cited 2024 Mar. 28];13(03):179-85. Available from: https://www.njcmindia.com/index.php/file/article/view/396

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