Assessment of the Nutritional Status and Determinants of Malnutrition among School Going Adolescents in the Rural Field Practice Area of the Medical College, Hassan, Karnataka

Main Article Content

G. Praveen
K. J. Subhashini

Abstract

Background and Objectives: Adolescence which is the transitional period between childhood and adulthood is often the neglected phase as the adolescents are often regarded as relatively healthy with the focus being given for children and women. Addressing the nutritional needs of adolescents could be an important step in curbing malnutrition among them. With the rising epidemic of Non-communicable diseases, it is equally important to address both the issues of under-nutrition and over-nutrition. Hence this study was undertaken to assess the nutritional status and associated risk factors of malnutrition among the school going adolescents from 5th to 12th standard in the rural field practice area of Hassan Institute of Medical Sciences (HIMS), Hassan.

Methods: A cross-sectional study was conducted among the school going adolescents attending the government and private schools of the rural field practice area of the medical college from January 2017 to June 2018. The sample size of 830 was divided between the three areas under rural field practice area as per sample size proportional to population. BMI was measured and WHO reference charts 2007 for BMI was used to categorize the nutritional status of the adolescents.

Results: The prevalence of malnutrition among the school going adolescents was found to be 44.1% of which the prevalence of thinness and severe thinness was 15.8% and 21.3% respectively and that of overweight and obesity was 5.8% and 1.2% respectively. On logistic regression, male gender, government school, lower socio-economic status, deworming status and open-air defecation were identified as significant risk factors for undernutrition and female gender, private school, upper socio-economic status, low levels of physical activity, excess television watching, consuming junk foods, breakfast skipping, inadequate sleeping hours were identified as significant risk factors for over nutrition.

Conclusion: The prevalence of malnutrition among the school going adolescents was found to be 44.1% in our study. Gender, type of school in which they study, socio-economic status and life style behaviours were found to be significant risk factors for malnutrition. There is a need for health education programmes, regular monitoring and effective policies to promote healthy eating and lifestyle changes among adolescents to curb the burden of malnutrition.

Keywords:
Adolescence, malnutrition, thinness, obesity, school going adolescents, nutritional status, body mass index.

Article Details

How to Cite
Praveen, G., & Subhashini, K. J. (2020). Assessment of the Nutritional Status and Determinants of Malnutrition among School Going Adolescents in the Rural Field Practice Area of the Medical College, Hassan, Karnataka. International Journal of TROPICAL DISEASE & Health, 40(2), 1-13. https://doi.org/10.9734/ijtdh/2019/v40i230221
Section
Original Research Article

References

World Health Organization. Nutrition in adolescence – Issues and challenges for the health sector; 2005.

World Health Organization. Adolescent Nutrition: A Review of the Situation in Selected South-East Asian Countries. New Delhi: Regional Office South-East Asia. 2006;1-96.

Beegum MR. Prevalence of malnutrition among adolescent girls: A case study in Kalliyoor Panchayat, Thiruvananthapuram. Unpublished Article. 2001;35.

World Health Organization. Improvement of Nutritional Status of Adolescents. Rep Regional Meet. 2002;1-31.

Anand D, Anuradha RK. Malnutrition Status of Adolescent Girls in India: A Need for the Hour. International J Science Res. 2016;5(3):642-6.

Banerjee S, Dias A, Shinkre R, Patel V. Under-nutrition among adolescents: A survey in five secondary schools in rural Goa. The National Medical Journal of India. 2011;24(1):8.

NHM Components: RMNCH+A: Adolescent Health (RKSK). Background.
Available:http://nhm.gov.in/nrhm-components/rmnch-a/adolescent-healthrksk/ rksk.background.html/
[Accessed on 8th November, 2019]

World Health Organization: Growth reference 5-19 years.
Available:http://www.who.int/growthref/who2007_bmi_for_age/en/
[Accessed on 8th November, 2019]

Pandey VK, Aggarwal P, Kakkar R. Modified BG Prasad’s Socio-economic Classification-2018: The need of an update in the present scenario. Indian J Community Health. 2018;30(1):82-4.

Deshmukh PR, Gupta SS, Bharambe MS, Dongre AR, Maliye C, Kaur S, et al. Nutritional status of adolescents in rural Wardha. The Indian Journal of Pediatrics. 2006;73(2):139-41.

Palaniappan S. A Cross-sectional Study on the Prevalence of Thinness based on the Body Mass Index among the children in VI to VIII Standards in a Government school in Minjur, Thiruvallur District, Tamil Nadu 2011. University Journal of Medicine and Medical Specialties. 2017;3(4).

Syamala AP, Jaganathan D. Health status of adolescents in selected districts of Tamil Nadu. Int J Health Sciences Res. 2012; 2(7):54-62.

Kamath R, Jakkula RP, Kumar S. Nutritional status assessment of school children in Bellary district, Karnataka. Journal of Dr. NTR University of Health Sciences. 2015;4(1):13.

Abraham RR, Anand AK. A study on nutritional status and its determinants in adolescents aged 11 to 17 years, from selected schools in Bangalore, India. National Journal of Research in Community Medicine. 2017;6(3):213-6.

Singh MS, Devi RK. Nutritional status among the urban Meitei children and adolescents of Manipur, Northeast India. Journal of Anthropology; 2013.

Dambhare DG, Bharambe MS, Mehendale AM, Garg BS. Nutritional status and morbidity among school going adolescents in Wardha, a Peri-Urban area. Online Journal of Health and Allied Sciences. 2010;9(2).

Bose K, Bisai S, Chakraborty J, Datta N, Banerjee P. Extreme levels of underweight and stunting among pre-adolescent children of low socioeconomic class from Madhyamgram and Barasat, West Bengal, India. Collegium Antropologicum. 2008; 32(1):73-7.

Sonya J, Ranjani H, Priya M, Unnikrishnan RA, Anjana RM, Mohan VI. Prevalence of overweight and obesity among school children and adolescents in Chennai. Indian Pediatrics. 2014;51(7):544-9.

Jain S, Pant B, Chopra H, Tiwari R. Obesity among adolescents of affluent public schools in Meerut. Indian Journal of Public Health. 2010;54(3):158.

Ornelas IJ, Perreira KM, Ayala GX. Parental influences on adolescent physical activity: A longitudinal study. International Journal of Behavioral Nutrition and Physical Activity. 2007;4(1):3.

Goyal JP, Kumar N, Parmar I, Shah VB, Patel B. Determinants of overweight and obesity in affluent adolescent in Surat City, South Gujarat region, India. Indian Journal of Community Medicine. 2011;36(4):296.

Wisniewski AB, Chernausek SD. Gender in childhood obesity: Family environment, hormones, and genes. Gender Medicine. 2009;6:76-85.

Dietz WH. Periods of risk in childhood for the development of adult obesity – what do we need to learn? The Journal of Nutrition. 1997;127(9):1884S6S.

Thekdi K, Kartha G, Nagar SS. Assessment of nutritional and health status of the school students of 5th to 9th standard (11 to 15 years age group) of Surendranagar district, Gujarat state, India. Pathology. 2011;25(10):35.

Gupta DK, Shah P, Misra A, Bharadwaj S, Gulati S, Gupta N, et al. Secular trends in prevalence of overweight and obesity from 2006 to 2009 in urban Asian Indian adolescents aged 14-17 years. PloS One. 2011;6(2):e17221.

Kotian MS, Kumar G, Kotian SS. Prevalence and determinants of overweight and obesity among adolescent school children of South Karnataka, India. Indian journal of community medicine: official publication of Indian Association of Preventive and Social Medicine. 2010; 35(1):176.

Gaiki VW. Nutritional status of adolescent girls from selected rural area of a district from central India. Innovative Journal of Medical and Health Science. 2014;4(2):90-2.

Laxmaiah A, Nagalla B, Vijayaraghavan K, Nair M. Factors Affecting Prevalence of Overweight Among 12‐to 17‐year old Urban Adolescents in Hyderabad, India. Obesity. 2007;15(6):1384-90.

Vohra R, Bhardwaj P, Srivastava JP, Srivastava S, Vohra A. Overweight and obesity among school-going children of Lucknow city. Journal of Family and Community Medicine. 2011;18(2):59.

Chitra U, Reddy CR. The role of breakfast in nutrient intake of urban school children. Public health nutrition. 2007;10(1):55-8.

Arora M, Nazar GP, Gupta VK, Perry CL, Reddy KS, Stigler MH. Association of breakfast intake with obesity, dietary and physical activity behaviour among urban school-aged adolescents in Delhi, India: results of a cross-sectional study. BMC Public Health. 2012;12(1):881.

Croezen S, Visscher TL, Ter-Bogt NC, Veling ML, Haveman-Nies A. Skipping breakfast, alcohol consumption and physical inactivity as risk factors for overweight and obesity in adolescents: results of the E-MOVO project. European Journal of Clinical Nutrition. 2009;63(3): 405.

Shaikh WA, Patel M, Singh SK. Sleep Deprivation Predisposes Gujarati Indian Adolescents to Obesity. Indian Journal of Community Medicine. 2009; 34(3):192-94.

Yu Y, Lu BS, Wang B, Wang H, Yang J, Li Z, et al. Short sleep duration and adiposity in Chinese adolescents. Sleep. 2007; 30(12):1688-97.

Calamaro CJ, Park S, Mason TB, Marcus CL, Weaver TE, Pack A, et al. Shortened sleep duration does not predict obesity in adolescents. Journal of Sleep Research. 2010;19(4):559-66.