Assessment of Nutritional Status Using World Health Organisation (WHO, 2007) and Revised Indian Academy of Paediatrics (IAP, 2015) Growth Charts Among Adolescent Girls of Ambala, Haryana

Journal of the Anthropological Survey of India Pub Date : 2024-02-29 DOI:10.1177/2277436x241226815

Rashmi Choudhary Kapoor, I. Talwar

{"title":"Assessment of Nutritional Status Using World Health Organisation (WHO, 2007) and Revised Indian Academy of Paediatrics (IAP, 2015) Growth Charts Among Adolescent Girls of Ambala, Haryana","authors":"Rashmi Choudhary Kapoor, I. Talwar","doi":"10.1177/2277436x241226815","DOIUrl":null,"url":null,"abstract":"Assessing a population’s nutritional status and identifying specific causes and factors contributing to malnutrition are essential to implementing relevant interventions. This study aimed to assess the nutritional status and its correlates among adolescent girls and determine the most suitable growth chart/reference to estimate malnutrition among them. The cross-sectional sample consisted of 858 adolescent girls aged 10–19 years belonging to the rural and urban areas of district Ambala, Haryana. Height and weight were measured to calculate Body Mass Index (BMI). Socio-economic, demographic and dietary patterns were recorded using a structured questionnaire. Nutritional status was evaluated with the help of BMI using two different standards. Correlates of nutritional status were investigated using Chi-square test. According to the classification of WHO, stunting was shown by 60.73% of rural and 38.62% of urban girls. Wasting was witnessed in 52.43% of rural girls compared to 25.67% of urban girls. As per IAP growth charts, the maximum percentage (7.32%) of thinness was seen among rural girls, while only 1.96% of urban girls reported thinness. Urban girls exhibited a maximum percentage (19.36%) of overweight and obesity compared to 5.42% of rural girls. Undernutrition (underweight, stunting and wasting) was more prevalent among the rural girls, while the urban girls showed more incidence of overnutrition, that is, overweight and obesity. Socio-economic variables (parents’ educational status, occupation and monthly family income), demographic variables (family size, birth order and size of sib ship) and dietary habits (frequency of meals per day, food habits, consumption of milk and type of lunch) showed significant association with the nutritional status of the girls. Receiver Operating Characteristic Curve (ROC) analysis revealed the IAP growth charts to be the most suitable for assessing malnutrition among adolescent girls compared to WHO criteria.","PeriodicalId":198822,"journal":{"name":"Journal of the Anthropological Survey of India","volume":"13 31","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Anthropological Survey of India","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/2277436x241226815","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Assessing a population’s nutritional status and identifying specific causes and factors contributing to malnutrition are essential to implementing relevant interventions. This study aimed to assess the nutritional status and its correlates among adolescent girls and determine the most suitable growth chart/reference to estimate malnutrition among them. The cross-sectional sample consisted of 858 adolescent girls aged 10–19 years belonging to the rural and urban areas of district Ambala, Haryana. Height and weight were measured to calculate Body Mass Index (BMI). Socio-economic, demographic and dietary patterns were recorded using a structured questionnaire. Nutritional status was evaluated with the help of BMI using two different standards. Correlates of nutritional status were investigated using Chi-square test. According to the classification of WHO, stunting was shown by 60.73% of rural and 38.62% of urban girls. Wasting was witnessed in 52.43% of rural girls compared to 25.67% of urban girls. As per IAP growth charts, the maximum percentage (7.32%) of thinness was seen among rural girls, while only 1.96% of urban girls reported thinness. Urban girls exhibited a maximum percentage (19.36%) of overweight and obesity compared to 5.42% of rural girls. Undernutrition (underweight, stunting and wasting) was more prevalent among the rural girls, while the urban girls showed more incidence of overnutrition, that is, overweight and obesity. Socio-economic variables (parents’ educational status, occupation and monthly family income), demographic variables (family size, birth order and size of sib ship) and dietary habits (frequency of meals per day, food habits, consumption of milk and type of lunch) showed significant association with the nutritional status of the girls. Receiver Operating Characteristic Curve (ROC) analysis revealed the IAP growth charts to be the most suitable for assessing malnutrition among adolescent girls compared to WHO criteria.

查看原文本刊更多论文

使用世界卫生组织（WHO，2007 年）和印度儿科学会（IAP，2015 年）修订的哈里亚纳邦安巴拉少女生长图表评估营养状况

评估人口的营养状况并确定导致营养不良的具体原因和因素，对于实施相关干预措施至关重要。本研究旨在评估少女的营养状况及其相关因素，并确定最适合估计少女营养不良状况的生长图表/参考值。横断面样本包括哈里亚纳邦安巴拉县城乡地区的 858 名 10-19 岁少女。通过测量身高和体重来计算身体质量指数（BMI）。通过结构化问卷记录了社会经济、人口和饮食模式。在体重指数的帮助下，采用两种不同的标准对营养状况进行了评估。采用卡方检验对营养状况的相关性进行了调查。根据世界卫生组织的分类，60.73%的农村女孩和 38.62%的城市女孩发育迟缓。52.43% 的农村女孩出现消瘦，而城市女孩为 25.67%。根据 IAP 生长图表，农村女孩瘦弱的比例最高（7.32%），而城市女孩瘦弱的比例仅为 1.96%。城市女孩超重和肥胖的比例最高（19.36%），而农村女孩仅为 5.42%。营养不良（体重不足、发育迟缓和消瘦）在农村女孩中更为普遍，而城市女孩营养过剩，即超重和肥胖的发生率更高。社会经济变量（父母的教育状况、职业和家庭月收入）、人口统计学变量（家庭规模、出生顺序和兄弟姐妹人数）和饮食习惯（每天进餐次数、饮食习惯、牛奶消费量和午餐类型）与女童的营养状况有显著关联。接收器工作特征曲线（ROC）分析表明，与世界卫生组织的标准相比，IAP 生长图表最适合用于评估少女的营养不良状况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of the Anthropological Survey of India

自引率

0.00%

发文量