Assessment of Nutritional Status of Adolescent Girls by Mid-Upper Arm Circumferences of Paschim Medinipur, India

Abstract Use of body mass index (BMI) to assess the nutritional status of adolescents requires many resources, especially for country-level assessment. This study aimed to determine the relationship between BMI and mid upper arm circumference (MUAC) among adolescent males and females in India and to examine whether MUAC effectively represents the nutritional status of adolescents. The study utilized anthropometric measurement data collected by India’s National Family Health Survey-4 (2015–16). The weighted sample for analysis included 91,315 female and 14,893 male adolescents. The BMI and MUAC measurements showed a positive correlation in both female and male adolescents. Using BMI-for-age Z-score classifications, 12.7% of the adolescents were undernourished. Using MUAC (in cm) as per NACS (Nutrition Assessment, Counselling, and Support) guidelines and Mramba et al. (2017) classified 22.9% and 3.7% of the adolescents as undernourished respectively. Finally, using the MUAC-for-age Z-score classification, 98.4% of adolescents were determined to be normal and 1.7% undernourished. Sensitivity and specificity tests of the MUAC cut-offs, in comparison with BMI cut-offs, showed that all three MUAC cut-off classifications had high specificity (NACS cut-off: 81.3%; Mramba et al. cut-off (cm): 97.7%; Mramba et al. cut-off (Z-score): 99.1%). The NACS cut-off had moderately high sensitivity (52.2%) but the Mramba et al. cut-offs had low sensitivity (13.3% for the centimetre cut-off and 6.6% for the Z-score cut-off). Sensitivity and specificity tests proved the relationship between BMI and MUAC, and that MUAC represents adolescent nutritional status with considerable efficiency. With further research, it may be established that MUAC is a better and promising measure of adolescent nutrition, having the advantage of needing fewer resources for data collection. The MUAC has the potential to offer a simple and low-resource alternative to BMI to assess nutritional status among adolescents in poor countries.

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Study of epidemiological determinants of undernutrition among adolescent girls in urban slums of Berhampur, Odisha: a cross-sectional study

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2019-0208 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Sambedana Mohanty ◽

Manasee Panda

Keyword(s):

Nutritional Status ◽

Nutrition Education ◽

Adolescent Girls ◽

Folic Acid Supplementation ◽

Cross Sectional Study ◽

Urban Slums ◽

Sectional Study ◽

Cross Sectional ◽

Nutritional Needs ◽

Structured Questionnaire

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.

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Prevalence of malnutrition among women and adolescent girls: impact of urbanization in rural–urban interface of Bangalore

British Food Journal ◽

10.1108/bfj-03-2021-0281 ◽

2022 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Veerabhadrappa Bellundagi ◽

K.B. Umesh ◽

B.C. Ashwini ◽

K.R. Hamsa

Keyword(s):

Nutritional Status ◽

Adolescent Girls ◽

Associated Factors ◽

Multinomial Logistic Regression ◽

Wealth Index ◽

Total Sample ◽

Normal Weight ◽

Double Burden ◽

Content Type ◽

Multinomial Logistic Regression Analysis

PurposeIndia is facing a double burden of malnutrition, i.e. undernutrition and obesity. Women and adolescent health and nutrition are very relevant issues which have not received much attention it deserves in India, especially in the context of a girl child. Hence, the purpose of this study is to assess malnutrition among women and adolescent girls as well as the associated factors.Design/methodology/approachAn attempt was made to assess malnutrition among women and adolescent girls and associated factors. The required data was collected from the north (616) and south transects (659) sample households of Bangalore constituting a total sample size of 1,275. The data was analyzed by adopting multiple linear regression and multinomial logistic regression analysis using STATA software.FindingsThe effects of this study simply confirmed that, urbanization had an instantaneous effect on dietary repute of women and adolescent girls, while transferring throughout the gradient from rural to urban with the growing significance of weight problems and obese. In adolescent girls, about 31% were underweight followed by normal weight and overweight across rural–urban interface of Bangalore. The factors such as education, consumption of meat and animal products, a dummy for urban, diabetes and blood pressure were significantly and positively influencing the nutritional status (Body Mass Index) of women across rural–urban interface. While consumption of vegetables, wealth index and per capita income had a positive and significant influence on the nutritional status of adolescent girls.Originality/valueWith limited studies and data available in Karnataka, especially in Bengaluru, one of the fastest growing cities in the world. Against this backdrop, the study was conducted to assess the prevalence of malnutrition among women and adolescents and its association with various socio-economic variables.

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Description of Pregnant Women's Nutritional Status Based on The Mid-Upper Arm Circumference in Sundari Medan General Hospital In 2019

Sumatera Medical Journal ◽

10.32734/sumej.v3i3.3309 ◽

2019 ◽

Vol 3 (3) ◽

Author(s):

David Franli ◽

Makmur Sitepu ◽

Hotma Partogi Pasaribu ◽

Sake Juli Martina

Keyword(s):

Nutritional Status ◽

Pregnant Women ◽

General Hospital ◽

Upper Arm ◽

Cross Sectional ◽

Arm Circumference ◽

Energy Stores ◽

Cross Sectional Design ◽

Mid Upper Arm Circumference ◽

Observational Descriptive Study

Introduction. Chronic energy deficieny (CED) is a condition of a body characterized by low body weight and low energy stores, possibly limited physical capacity due to deprivation of food over a long period time. Ministry of Health ( Kemenkes) showed that in 2015, 305 out of 100.000 death of pregnant women is realated to malnutriotion and CED. Objective. The aim of this study is to determine the overview of pregnant women nutritional status based on mid-upper arm circumference (MUAC) in Sundari Medan General Hospital. Method. The study was an observational descriptive study with a cross sectional design. The samples of this study consists of pregnant women from Sundari Medan Genaral Hospital, who had fulilled the inclusion and esclusion criteria by total sampling. Results.. Among 60 samples, the prevalance of Non-CED woman (85%) was found higher than the mild malnutrition (15%). Conclusion. Prevalance of CED pregnant women was found higher in risky age, middle educated and high income family.

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The Correlation of Parents Height Characteristics and Maternal Nutritional Status During Pregnancy Based on Upper Arm Circumference (UAC) and Stunting Incidence of Toddlers Aged 24-59 Months in the Working Area of Berbek Community Health Center Nganjuk Regency

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) ◽

10.26699/jnk.v8i1.art.p001-012 ◽

2021 ◽

Vol 8 (1) ◽

pp. 001-012

Author(s):

Wahyu Nuraisya ◽

Wahyu Erdi

Keyword(s):

Public Health ◽

Nutritional Status ◽

Health Center ◽

Normal Pregnancy ◽

Upper Arm ◽

Public Health Center ◽

Maternal Nutritional Status ◽

Arm Circumference ◽

Parental Height ◽

Almost All

Stunting in Indonesia was the fifth ranks in the world, influenced by many factors, some of which are the height of the parents and the nutritional status of the mother during pregnancy. The purpose of this research was to determine the correlation of parent height characteristics and maternal nutritional status during pregnancy based on Upper Arm Circumference (UAC) with stunting incidence in toddlers aged 24-59 months in the working area of the Berbek Public Health Center Nganjuk Regency. The research design used correlation analytic research design with observational method with case control approach. The independent variables consisted of parental height characteristics and maternal nutritional status during pregnancy based on UAC, and the dependent variable was stunting incidence. The population was 2266 respondents of under-five children aged 24-59 months. The sampling technique used quota sampling consisted 96 respondents. The instrument used height measurement tool, the Mother's Child Health book and the Public Health Center Weigh Activity Report, 2011. This research was conducted from 22 July to 22 August 2019 in three selected villages namely Sumberurip, Sumberwindu and Semare villages. Data analysis used chi-square test α (0.05). The results showed that almost all mothers and fathers had normal height characteristics, almost all respondents had the nutritional status of the mother during normal pregnancy. Analysis of height, circumference of the mother, and nutritional status of the mother during pregnancy based on Upper Arm Circumference (UAC) was obtained ρ value = 0.036; 0,000 and 0,000 <α 0,05. It meant that there was a correlation between parental height characteristics and maternal nutritional status during pregnancy based on Upper Arm Circumference (UAC) with the incidence of stunting in children aged 24-59 months in the Berbek Public Health Center Nganjuk Regency Parental height and nutritional status of the mother during normal pregnancy, it will have the opportunity to have a child with good growth.

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UPAYA PENGUATAN PROGRAM STIMULASI, DETEKSI DAN INTERVENSI DINI TUMBUH KEMBANG (SDIDTK) MELALUI PEMERIKSAAN ANTROPOMETRI PADA ANAK PRASEKOLAH

Jurnal EMPATI (Edukasi Masyarakat, Pengabdian dan Bakti) ◽

10.26753/empati.v2i1.522 ◽

2021 ◽

Vol 2 (1) ◽

pp. 71

Author(s):

Suci Fitri Rahayu ◽

Esme Anggeriyane ◽

Mariani Mariani

Keyword(s):

Early Childhood ◽

Early Intervention ◽

Nutritional Status ◽

Growth And Development ◽

Development Program ◽

Anthropometric Measurements ◽

Intervention Programs ◽

Upper Arm ◽

Arm Circumference ◽

Body Compositions

The importance of paying attention to nutritional status in early childhood is useful for maximizing the growth phase of early childhood. One way to assess nutritional status for early childhood can be assessed by means of anthropometric measurements. Anthropometric measurements are measurements of various dimensions and body compositions of various ages, such as baby length, head circumference, height, weight, chest circumference, and upper arm circumference. TK Aisyiyah 15 Bustanul Athfal Banjarmasin is one of the schools that has not implemented early detection of the growth and development of pre-school children because the teachers do not understand how to examine and document the results of the examination. Efforts to strengthen the Stimulation, Detection and Early Development Development Program (SDIDTK). Methods ranging from FGDs, training and mentoring so that teachers acquire comprehensive skills in anthropometric examinations. The activity was carried out in August and was continued with mentoring for teachers to be able to monitor and evaluate activities. The results of activities in efforts to strengthen stimulation, detection and early intervention programs for growth and development produce skills for teachers in conducting anthropometric examinations and screening children's growth and development. Efforts to strengthen the program of stimulation, detection and early intervention for growth and development can increase teachers' knowledge in conducting anthropometric examinations and growth screening.

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The malarial impact on the nutritional status of Amazonian adult subjects

Revista do Instituto de Medicina Tropical de São Paulo ◽

10.1590/s0036-46651995000100004 ◽

1995 ◽

Vol 37 (1) ◽

pp. 19-24 ◽

Cited By ~ 9

Author(s):

Paulo C. M. Pereira ◽

Domingos A. Meira ◽

Paulo R. Curi ◽

Nelson de Souza ◽

Roberto C. Burini

Keyword(s):

Nutritional Status ◽

Endemic Area ◽

Blood Biochemistry ◽

The Other ◽

Anthropometric Data ◽

Upper Arm ◽

Laboratory Findings ◽

Arm Circumference ◽

Nutrient Sink ◽

Quetelet Index

The anthropometric (body weight, height, upper arm circumference, triceps and subescapular skinfolds; Quetelet index and arm muscle circunference) and blood biochemistry (proteins and lipids) parameters were evaluated in 93 males and 27 females, 17-72 years old voluntaries living in the malarial endemic area of Humaita city (southwest Amazon). According to their malarial history they were assembled in four different groups: G1-controls without malarial history (n:30); G2 - controls with malarial history but without actual manifestation of the disease (n:40); G3 - patients with Plasmodium vivax (n:19) and G4 - patients with Plasmodium falciparum (n:31). The malarial status was stablished by clinical and laboratory findings. The overall data of anthropometry and blood biochemistry discriminated the groups differently. The anthropometric data were low sensitive and contrasted only the two extremes (G1>G4) whereas the biochemistry differentiated two big groups, the healthy (G1+G2) and the patients (G3+G4). The nutritional status of the P. falciparum patients was highly depressed for most of the studied indices but none was sensitive enough to differentiate this group from the P. vivax group (G3). On the other hand the two healthy groups could be differentiated through the levels of ceruloplasmin (G1<G2) and alpha nitrogen (G1>G2). Thus it seems that the malaria-malnourishment state exists and the results could be framed either as a consequence of nutrient sink and/or the infection stress both motivated by the parasite.

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A study on nutritional status of adolescent girls of Dongria Kondh tribe

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20171766 ◽

2017 ◽

Vol 4 (5) ◽

pp. 1573

Author(s):

Sikata Nanda ◽

Rabi Narayan Dhar

Keyword(s):

Nutritional Status ◽

Adolescent Girls ◽

Nuclear Family ◽

Economic Status ◽

Primary Objective ◽

Living Condition ◽

Health Care Facilities ◽

Contributing Factors ◽

Study Population ◽

The Common

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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