scholarly journals Study of nutritional status of adolescent girls in a rural area of a district of Maharashtra

Author(s):  
Abhilasha Nair ◽  
Mohan K. Doibale ◽  
Bina M. Kuril ◽  
Vijay K. Domple

Background: Adolescence is the transition period between childhood and adulthood where rapid physical, mental, emotional and social development takes place. Adolescent girls are at greatest risk for nutrient deficiency and it badly affects their overall development. With this background this study was conducted to study some aspects of the socio-demographic profile and to assess the nutritional status of adolescent girls by anthropometry in a rural area of a district. Methods: It was a community based cross sectional study conducted during January 2015 to June 2015 in 10 villages of a district. 583 adolescent girls were interviewed using pre designed, pretested questionnaire and anthropometric examination was done. Results were analyzed with the help of Microsoft Excel 2007 and SPSS version 16.0 statistical software. Results: Mean age of the study population was 13.95±2.48 years. Majority (63.12%) were Hindu and belonged to nuclear family (54.72%). 45.63% were educated up to high school level. Most of the girls belonged to socio economic class IV (45.46%). The prevalence of underweight and stunting in this study was 36.54% and 48.37% respectively. Statistically significant association was found between underweight and marital status of adolescent girls (p=0.029). The association of age group, religion and educational status with stunting was statistically significant (p<0.05). Mean BMI of the total 583 study subjects was 17.66±2.42 kg/m2. The prevalence of thinness was 18.87% in this study, significantly associated with religion, type of family and socioeconomic status (<0.05). Conclusions: Since the prevalence of under nutrition was high among adolescent girls in our study, appropriate health education and nutrition intervention should be directed towards them to improve their nutritional status.  

Author(s):  
S. Uday Kumar Reddy ◽  
Sirshendu Chaudhuri ◽  
Syeda Fathima Amrin ◽  
Gunasekaran Rabeka

Background: Nutritional status and dietary intake during adolescent period play a crucial role in their mental and physical development. Objectives of the present study were to estimate the prevalence of undernutrition, as defined by the World Health Organization (WHO), among unmarried adolescent girls in rural area of Chittoor district; to estimate the average daily intake of different macro and micro-nutrients, i.e., calorie, protein and iron, by the same group by 24-hour dietary recall method; and to identify individual and family level determinants for undernutrition and decreased intake of nutrients.Methods: In this cross-sectional community-based survey anthropometric measurements were done, and dietary intake of unmarried adolescent girls was assessed by 24-hour recall method.Results: Majority is suffering from poor nutrient intake. This is more prominent for calcium [25.1-40.9% of the recommended daily allowance (RDA)] and energy intake (68.6-88.9% of RDA). Only 55% of the adolescents get iron supplementation; rests consume minimal iron (8.5gm) on average. Prevalence of thinness and stunting was 29.4% (95% CI: 20.4%, 38.4%) and 21.4% (95% CI: 13.3, 29.5%) respectively. Economic and housing conditions were associated with low dietary intake and poor nutritional status. Considerable cluster-wise variation exists for both the conditions.Conclusions: High prevalence of stunting and thinness together with substantial macro and micro-nutrient deficiency exist among adolescent girls. Existing national programs for this age group needs adequate supervision. Awareness development regarding locally available low-cost nutritious food together with periodic anthropometric measurements is required. 


Author(s):  
B. L. Vyas ◽  
Renu Sethia ◽  
Rekha Acharya

Background: Adolescent girls form an important vulnerable sector of population that constitute about one tenth of Indian population.Methods: The study was conducted at Udairamsar village at Bikaner which is the field practice area of Department of Community Medicine, S.P. Medical College, Bikaner.Results: Out of 489 girls, 436 were Hindu. 73.21% girls were living in nuclear family and 60.32% girls belonged to socio-economic status IV. Out of 489 girls, 46.42% girls were anaemic and 2.04% girls were having vitamin–B deficiency.Conclusions: Anaemia was common problem among adolescent girls in rural area. The personal hygiene was good among adolescent girls.


Author(s):  
Sambedana Mohanty ◽  
Manasee Panda

AbstractBackgroundAdolescent girls are vulnerable to many problems, undernutrition being the most common. This results in growth restriction resulting in stunting, wasting, underweight and last but not the least iron-deficiency anaemia. Nutritional needs are high during puberty which later leads to complications during pregnancy and its outcomes.Materials and methodsA field based cross-sectional study was carried out to assess the nutritional status of the girls and to determine the various factors responsible for undernutrition. After clearance from the Institution Ethical Committee (IEC) and permission from Child Development Programme Officer (CDPO), the study was conducted in the anganwadi centres (AWC) of urban slums in the field practice area of the Department of Community Medicine from the 1st October 2014 to the 31st October 2016. All the adolescent girls enlisted in the seven anganwadi centres were included as study subjects with their consent. A pre-designed, pre-tested and semi-structured questionnaire was used to collect data on following sections. (a) socio-demographic profile and (b) nutritional status. Dietary intake was taken using the 24-h recall method. Anthropometry was measured and haemoglobin (Hb) was estimated. SPSS version 21 was used for descriptive and analytic statistics.ResultsAmong the 160 girls 98(61.3%), 69(43.1%), 53(33.1%) were underweight, stunted and wasted, respectively. Anaemia was present among 144(90%) of the girls.ConclusionStrict monitoring of weekly iron and folic acid supplementation (WIFS) as well as nutrition education are essential measures to solve the problem of undernutrition among adolescent girls.


Author(s):  
Meng-Chien Tsai ◽  
Hsiao-Ling Chuang ◽  
Cheng-Yi Huang ◽  
Shu-Hsin Lee ◽  
Wen-Chun Liao ◽  
...  

Objective: Diabetic foot ulcers are an invasive complication of diabetes and are increasing. This study investigates the relationship between health beliefs and foot self-care behaviors, among people with type II diabetes. Methods: A cross-sectional design was adopted, and 98 patients were recruited from outpatient clinics of the endocrine department. The questionnaires of Demographic, Diabetes Foot Ulcer Health Belief Scale (Health Beliefs, DFUHBS), and Diabetes Foot Self-Care Behavior Scale (Self Care, DFSBS) were used to collect data. Results: Among the subjects living alone or who had diabetes less than ten years, the score of DFSBS was significantly lower than among those living with families or who had diabetes for ten years or more. The frequency of performing diabetes foot self-care behavior, among males was lower than among females significantly. Although there was no significant difference in the Health Belief total score, there were differences in the benefit subscale. Those who had junior high school level or less or had diabetes less than ten years, their score was significantly lower than those with senior high school level or more or had diabetes ten years or more. In a multivariable regression model, living with family, diabetes duration, and health beliefs explained 42.9% of the variance of diabetic-foot self-care behaviors. Conclusions: Living alone, shorter duration of diabetes, male gender, and lower health belief scores predict less adequate diabetic foot self-care behavior. Health care providers should assess these factors when designing individual care plans.


Author(s):  
Jia-Yu Wei ◽  
Shu-Ting Shi ◽  
Dan Sun ◽  
Guo-Zhong Lyu

Abstract Objective Nutritional assessment can early identify patients who are malnourished and at risk of malnutrition. To examine the effect of nutritional status on wound healing in elderly burn patients, we used the MNA-SF to measure the nutritional status of elderly patients. This study aimed to examine the role of MNA-SF in elderly burn patients through the correlation analysis of wound-healing indicators and MNA-SF score. Design Prospective observational and cross-sectional study. Methods This study used the MNA-SF to investigate the elderly burn patients at the department of burn. According to the score, the patients fell into three groups: good nutritional status (more than 12 points), malnutrition risk (8~11 points), and malnutrition (0~7 points). At the same time, we measured and compared the wound-healing indicators among the three groups of patients, and detected the correlation. Results The statistical analysis found gender had a slight influence on the score of nutritional status. While age was negatively correlated with the MNA-SF score and nutrition-related indicators. There was a low positive linear correlation between the wound healing percent area change or wound healing rate of patients and the score of the MNA-SF. Conclusion This study finds malnutrition is common among hospitalized elderly burn patients. The application of the MNA-SF in elderly burn patients is efficient and accurate to identify malnutrition early and prevent further obstruction of the normal wound healing, which can provide reference points for early nutrition intervention programs.


2020 ◽  
Vol 19 (3) ◽  
pp. 567-574
Author(s):  
Nasreen Akther ◽  
Meherunnessa Begum ◽  
Tamanna Tasmin ◽  
Khondoker Saif Imtiaz ◽  
Ahmed Nawsher Alam ◽  
...  

Background: In Bangladesh there is a scarcity of data on the degree of knowledge amongadolescents about reproductive health. Objective: To assess the awareness about reproductivehealth issues among adolescent girls in a rural area of Bangladesh. Materials and method: Thisdescriptive type of cross sectional study was conducted among 148 adolescent girls who wereselected purposively at PurbaChandara village of Kaliakairthana of Shafipurupazilla of Gazipurdistrict in Bangladesh. A pre-tested semi structured questionnaire was used to collect data byface to face interview. Results: Most of the respondents (76.35%) were within the age group of15-19 years. The average age of their menarche was 14 years. Majority of the respondents 136(91.89%) had history of menstruation and 97 (65.54%) mentioned the duration of menstrualcycle > 7 days. Regarding the hygienic practice during menstruation, majority of them (68.24%)were unhygienic. About knowledge on age at marriage, 131 (88.51%) reportedly mentionedcorrect answer that marriage age is 18 years or more for girls. Regarding the knowledge onfamily planning and family planning methods, most of them (41.89%) had no knowledge.About the infection of reproductive tract, 87 (58.78%) had no knowledge and about half of therespondents (92; 56.79%) had no knowledge about symptoms of STDs. Conclusion: it is ourresponsibility to improve the condition of adolescent girls by giving clear and correct knowledgeon reproductive health which will help them to maintain a good and sound reproductive healthin future. Bangladesh Journal of Medical Science Vol.19(3) 2020 p.567-574


Author(s):  
Sikata Nanda ◽  
Rabi Narayan Dhar

Background: Nutritional status of adolescent girls are different from the younger children and older adults. In the tribal population they are more neglected in comparison to boys because of limited resources and health care facilities. In the present study we have done assessment of nutritional status of adolescent girls in the Dongria Kondh tribe in Odisha. Methods: Dongria Kondh’ residing in Rayagada district of Odisha, having its maximum concentration was studied. Bissam Cuttack block was selected randomly as the study area. Moreover, coincidently majority of the study population resided in the block having villages like Kurli, Khambesi, Hundijali, Muthesi, Khajuri, Mundabali and Uppar Gandatallli which are situated as a distance of 5000 ft height above sea level. 89 adolescent girls were considered to assess the nutritional status of tribal adolescent girls of Dongria Kondh tribe to study the different factors associated with the nutritional status of the girls and to suggest remedial measures for integrated development of the adolescent girls. Results: Most of the girls (81%) were from nuclear family. All girls belonged to low socio economic status. The energy intake was adequate only in 35% of study subjects. The protein intake was adequate in only 38% of study subjects. The common types of food consumed was rice, ragi and seasonal fruits and all were non vegetarian. Conclusions: The widespread problem of poverty, illiteracy, malnutrition, absence of sanitary living condition, ignorance of cause of disease still are the contributing factors for the deplorable condition prevailing amongst the adolescent girls of the tribal group. As they are future mothers, improvement of nutritional status should be the primary objective. 


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