M KALHAN, B Vashisht, V kumar, S Sharma
adolescent, bmi, haemoglobin, undernourished
M KALHAN, B Vashisht, V kumar, S Sharma. Nutritional Status of adolescent girls of rural Haryana. The Internet Journal of Epidemiology. 2009 Volume 8 Number 1.
Adolescents are the best human resources. But for many years, their health has been neglected because they were considered to be less vulnerable to disease than the young children or the very old. Their health attracted global attention in the last decade only. Though the issues like STDs, reproductive health have been given due importance, but limited attention has been paid to their nutritional status. The girls constitute a more vulnerable group especially in the developing countries where they are traditionally married at an early age and are exposed to greater risk of reproductive morbidity and mortality. Under-nutrition among adolescent girls is a major public health problem leading onto impaired growth and nutritional anaemia, etc.
Aims And Objectives
Material And Methods
The present study was carried out in block Lakhanmajra which is the field practice area attached to the Department of Community Medicine, Pt. B.D.Sharma PGIMS, Rohtak.
The study subjects were school going girls in the mid adolescent phase (13-16yrs). There were 11 Govt. Girls High Schools in the block, out of which 2 high schools were randomly selected and all the girls studying in 8th, 9th and 10th standard formed part of the study.
Anthropometric measurements (height and weight) were done using standard techniques. Body mass index (BMI) was calculated from these parameters. Haemoglobin estimation was done by Cyanmethaemoglobin method. Appropriate statistical tests were applied for the analysis of the data.
Table shows that weight of the girls was far less than the reference values in all the age groups.
Overall 22.3% of the girls had wt. <3rd percentile of NCHS values.
Table shows that about 15% of the girls had height <3rd percentile of the reference values.
Table shows that 79.4% girls were under-nourished (BMI≤18.5). Girls suffering from Chronic energy deficiency grade I, II and III were 23.6%, 25.7% and 30.1 % respectively. Out of the total 322 girls, none of the girls was found to be overweight or obese.
Analysis of Variance observed a highly significant association between BMI and mean Hb conc. As the BMI improves, a higher mean Hb conc. was observed.
Present study observed that the measurements were less as compared to the NCHS standards. About 80% of the girls were under-nourished (BMI <18.5). Analysis of variance showed that the anthropometric measurements of SC/BC girls were lower than that of other castes. Mean Hb in girls with BMI <16, 16-18.5 and ≥18.5 are 9.49±1.2, 10.08±1.2and 10.83±1.18 respectively and the difference between the groups has been found to be significant (P<0.01).