|Varun Vijay Gaiki (email@example.com)|
|Community Medicine, Datta Meghe Institute of Medical Sciences (Deemed University), Nagpur|
|This cross sectional study was carried out in the field practice area of Rural Health and Training Centre, Seloo, Wardha, for assessment of nutritional status of adolescent girls (15 to 19 years), and to identify the causes associated with malnutrition.
Adolescents are those between the age groups of 10 to 19 years and adolescence is a transitional period between childhood and adulthood characterized, by marked accelerated growth.
Study participants were recruited for the study, by house to house survey, and random selection.
Total of 385 participants were recruited for the study, of which, 96 participants were had completed their 15th birthday, 123 participants had completed 16 years of age, and 27, 69, 70 participants had completed 17, 18 and 19 years respectively.
Four of the study participants were married, and majority had completed their education up to 10th standard.
56.10% individuals were part of nuclear family, and 58.18% were Hindu by religion, followed by 39.48% who were Buddhist.
25.20% of the study participants were belonging to class V as per modified B. G. Prasad classification, and 37.14% were in class IV of the socioeconomic classification.
Majority of the participants had their illiterate mothers and father educated up to 10th standard. Agriculture was the primary occupation in the study households.
42.60% of the individuals were classified as malnourished according to Gomez classification. Of which 21.03% were in class I, 17.15 were in class II, and 3.89%, 00.52% were found to be in class IV and class V, as per Gomez classification, which takes into account weight of an individual for that age.
Total of 48.05% of the participants were found to be wasted, of which 57.14% of the study participants had completed their 19th birthday.
A significant number of study participants (30.39%) were found to have stunted growth, of which, 44.29% of the individuals were found to be of 19 years.
All the 3 individuals who were found to have grade III wasting were having II degree of stunting. Out of 12.47% of Grade II wasted participants, 35(13.05%) were having No stunting, 8 (10.67%) had I degree of stunting and 4(10.53%) had II degree stinting. 34.81% individuals, who were having grade I wasting had 98 individuals as no stunting, 75 individuals were found to have grade I stunting.
64(65.98%) of the individuals of socioeconomic class V, were wasted. 47(32.87%) of the class IV individuals were wasted.
Out of total 117 individuals who were stunted, 26(20.80%) individuals were from class V as per modified B. G. Prasad classification of socio-economic classification.
Mean (±s.d.) weight of the participants was 48.99 Kgs (±5.29), whereas mean (±s.d.) height of the study participants was 147.20 (±9.92). Mean (±s.d.) mid upper arm circumference of the individuals was 15.27 (±0.75).
The mean (±s.d.) biceps skin fold thickness of participants was found out to be 13.08 (±7.17) mm, and mean triceps skin fold thickness was found to be 10.16 (±4.26) mm.
When body mass indices of the participants was compared, it was observed that, only 16.88% of individuals were below the cut off level of <5th percentile. 81.04% of the individuals had their BMI within 5th to 85th percentile. 2.08% individuals were having their BMI more than 85th percentile, indicating their overweight.
Comparison of the nutritional status of the individuals with different criteria, i.e. weight for age, height for age and body mass index (percentile) showed huge difference in the nutritional status. When weight for age (wasting) was considered, 48.05% of the individuals were wasted. i.e. were found to be below normal cut off values. When parameter height for age was considered for the calculation of nutritional status, this number dropped to 30.39%. whereas when the criteria body mass index (percentile) was used for the assessing the nutritional status of individuals, it was observed that, only 16.88% of the individuals were found to be below the normal cut off values.