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Anthropometric Characteristics of Underprivileged Adolescents: A Study from Urban Slums of India

DOI: 10.1155/2014/197048

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Abstract:

Purpose. The anthropometric status and growth of adolescents living in challenging conditions such as slums are insufficiently studied. The purpose here was to describe anthropometric characteristics and nutritional status of adolescents from urban slums of India and to study the factors affecting it. Methods. Anthropometric, socioeconomic and dietary habit data were collected using structured questionnaires of six hundred adolescents aged 10–19 years by house-to-house survey conducted in two randomly selected slums of Nashik, Western India. The growth of adolescents was compared using WHO and Indian reference populations. Mixed effects logistic regression models were used to examine associations between anthropometric measures and income, mother’s education, household size, and dietary intake. Results. Prevalences of stunting and thinness were lower using the Indian reference population compared to that of WHO. Stunting was more prevalent than thinness in the study subjects, and boys suffered more than girls. The effect of age on stunting was different among boys than girls. A mother’s education was highly significantly associated with both stunting and thinness in both sexes. Household size and income were significantly associated with the nutritional status of girls. Conclusions. Educating mothers about the nutritional needs of adolescents may help to improve adolescents’ anthropometric profile and future health. 1. Introduction Adolescence is a transitional phase between childhood and adulthood characterized by marked acceleration in growth [1, 2]. It is a second chance for growth or catch-up growth for those children who have experienced nutritional deficiencies in early childhood [3, 4]. A large number of adolescents from South and South-east Asian countries suffer from chronic malnutrition and anaemia which affect their development [1]. The high rate of malnutrition in girls contributes to the intergenerational cycle of malnutrition, and in most developing countries nutrition initiatives have focused on children and women, essentially neglecting adolescents, especially boys [1]. Anthropometry helps in assessing nutritional status and health risks among adolescents [5, 6]. Recommended measures for assessing nutritional status in school-aged children and adolescents are BMI-for-age and height-for-age [7]. Low BMI-for-age is classified as thinness and high BMI-for-age as overweight and obesity, and low height-for-age as stunting [7]. Stunting is a primary manifestation of malnutrition in early childhood and is an indicator of chronic undernutrition,

References

[1]  “Adolescents Nutrition: a review of the situation in selected South East Asian countries,” World Health Organization, Regional office of South East Asia, Executive Summary, 2005, http://apps.searo.who.int/PDS_DOCS/B0239.pdf?ua=1.
[2]  K. Anand, S. Kant, and S. K. Kapoor, “Nutritional status of adolescent school children in Rural North India,” Indian Pediatrics, vol. 36, no. 8, pp. 810–815, 1999.
[3]  S. Rao, “Nutritional status of the Indian population,” Journal of Biosciences, vol. 26, no. 4, pp. 481–489, 2001.
[4]  H. Delisle, V. C. Mauli, and B. De Benoist, “Should adolescents be specifically targeted for nutrition in developing countries? To address which problems and how?” http://www.idpas.org/pdf/1803ShouldAdolescentsBeTargeted.pdf.
[5]  World Health Organization, “Physical status: the use and interpretation of anthropometry,” Tech. Rep. 854, World Health Organization, Geneva, Switzerland, 1995.
[6]  H. G. Thakor, P. Kumar, V. K. Desai, and R. K. Srivastava, “Physical growth standards of Urban Adolescents (10–15 years) from south Gujarat,” Indian Journal of Community Medicine, vol. 25, no. 2, pp. 86–92, 2000.
[7]  M. de Onis, A. W. Onyango, E. Borghi, A. Siyam, C. Nishida, and J. Siekmann, “Development of a WHO growth reference for school-aged children and adolescents,” Bulletin of the World Health Organization, vol. 85, no. 9, pp. 660–667, 2007.
[8]  D. Basu, G. Islam, R. Gogoi, S. Dey, and J. Deori, “Child’s growth and nutritional status in two communities—Mishing tribe and Kaibarta caste of Assam,” International Journal of Sociology and Anthropology, vol. 62, pp. 59–69, 2014.
[9]  Fact sheet EURO/06/05, The Health of Children and Adolescents in Europe, World Health Organization, Copenhagen, Bucharest, 2005.
[10]  M. S. Kramer, “Determinants of low birth weight: methodological assessment and meta-analysis,” Bulletin of the World Health Organization, vol. 65, no. 5, pp. 663–737, 1987.
[11]  V. V. Khadilkar, A. V. Khadilkar, T. J. Cole, and M. G. Sayyad, “Cross-sectional growth curves for height, weight and body mass index for affluent Indian children,” Indian Pediatrics, vol. 46, no. 6, pp. 477–489, 2009.
[12]  M. De Onis, “Assessment of differences in linear growth among populations in the WHO Multicentre Growth Reference Study,” Acta Paediatrica, International Journal of Paediatrics, vol. 95, no. 450, pp. 56–65, 2006.
[13]  G. J. Haboubi and R. B. Shaikh, “A comparison of the nutritional status of adolescents from selected schools of South India and UAE: a cross-sectional study,” Indian Journal of Community Medicine, vol. 34, no. 2, pp. 108–111, 2009.
[14]  Census of India, Single Year Age Data Table C13, 2011, http://www.censusindia.gov.in/2011census/Age_level_data/Age_level_data.html.
[15]  S. Upinder, “Slum population in India: extent and policy response,” International Journal of Research in Business and Social Science, vol. 2, no. 1, pp. 2147–4478, 2013.
[16]  V. Kumaravel, V. Shriraam, M. Anitharani, S. Mahadevan, A. N. Balamurugan, and B. W. C. Sathiyasekaran, “Are the current Indian growth charts really representative? Analysis of anthropometric assessment of school children in a South Indian district,” Indian Journal of Endocrinology and Metabolism, vol. 18, no. 1, pp. 56–62, 2014.
[17]  S. Mandal, V. R. Prabhakar, J. Pal, R. Parthasarathi, and R. Biswas, “An assessment of nutritional status of children aged 0–14 years in a slum area of Kolkata,” International Journal of Medicine and Public Health, vol. 4, pp. 159–162, 2014.
[18]  V. V. Khadilkar and A. V. Khadilkar, “Growth charts: a diagnostic tool,” Indian Journal of Endocrinology and Metabolism, vol. 15, supplement 3, pp. S166–S171, 2011.
[19]  R. H. Bradley and R. F. Corwyn, “Socioeconomic status and child development,” Annual Review of Psychology, vol. 53, pp. 371–399, 2002.
[20]  C. Paxson and N. Schady, Cognitive Development Among Young Children in Ecuador: The Roles of Health, Wealth and Parenting, World Bank, 2005, http://wws-roxen.princeton.edu/chwpapers/papers/paxson_schady_childrenecuador.pdf.
[21]  A. Deaton and J. Drèze, “Food and nutrition in India: facts and interpretations,” Economic and Political Weekly, vol. 44, no. 7, pp. 42–65, 2009.
[22]  F. Arnold, S. Parasuraman, P. Arokiasamy, and M. Kothari, “Nutrition in India,” National Family Health Survey (NFHS-3) 2005-06, International Institute for Population Sciences, Mumbai, India, ICF Macro, Calverton, Md, USA.
[23]  R. Gaiha, R. Jha, and V. S. Kulkarni, “Child Under nutrition in India,” http://ssrn.com/abstract=1734591.
[24]  C. E. McCulloch, S. R. Searle, and J. M. Neuhaus, Generalized, Linear, and Mixed Models, Wiley Series in Probability and Statistics, John Wiley & Sons, Hoboken, NJ, USA, 2nd edition, 2008.
[25]  R Core Team, R: A Language and Environment for Statistical Computing, R Foundation for Statistical Computing, Vienna, Austria, 2013, http://www.r-project.org/.
[26]  D. Bates, M. Maechler, B. Bolker, and S. Walker, “lme4: linear mixed-effects models using Eigen and S4,” R Package Version 1.1-7, 2014, http://cran.r-project.org/web/packages/lme4/.
[27]  D. Bates, M. Maechler, B. M. Bolker, and S. Walker, “lme4: linear mixed-effects models using Eigen and S4,” Submitted to Journal of Statistical Software.
[28]  Press Note on Poverty Estimates, 2009–10, Government of India, Planning Commission, 2012, http://planningcommission.nic.in/news/press_pov1903.pdf.
[29]  S. S. Patil, S. R. Patil, P. M. Durgawale, S. V. Kakade, and K. Abhishek, “Study of physical growth standards of adolescents (10–15 years) from Karad, Maharashtra,” International Journal of Collaborative Research on Internal Medicine & Public Health, vol. 5, no. 1, pp. 10–18, 2013.
[30]  T. Rajaretnam and J. S. Hallad, “Nutritional status of adolescents in northern Karnataka, India,” Journal of Family Welfare, vol. 58, no. 1, pp. 55–67, 2012.
[31]  A. Taksande, P. Chaturvedi, K. Vilhekar, and M. Jain, “Distribution of blood pressure in school going children in rural area of Wardha district, Maharashatra, India,” Annals of Pediatric Cardiology, vol. 1, no. 2, pp. 101–106, 2008.
[32]  T. Bano, A comparative study of health nutrition and socio-psycho behaviour of adolescent boys and girls [Ph.D. thesis], University of Kashmir, 2012.
[33]  S. Maiti, D. De, K. Chatterjee, K. Jana, D. Ghosh, and S. Paul, “Prevalence of stunting and thinness among early adolescent school girls of Paschim Medinipur district, West Bengal,” International Journal of Biological and Medical Research, vol. 2, no. 3, pp. 781–783, 2011.
[34]  K. Venkaiah, K. Damayanti, M. U. Nayak, and K. Vijayaraghavan, “Diet and nutritional status of rural adolescents in India,” European Journal of Clinical Nutrition, vol. 56, no. 11, pp. 1119–1125, 2002.
[35]  P. R. Deshmukh, S. S. Gupta, M. S. Bharambe et al., “Nutritional status of adolescents in rural Wardha,” Indian Journal of Pediatrics, vol. 73, no. 2, pp. 139–141, 2006.
[36]  D. K. Das and R. Biswas, “Nutritional status of adolescent girls in a rural area of North 24 Parganas district, West Bengal,” Indian Journal of Public Health, vol. 49, no. 1, pp. 18–21, 2005.
[37]  A. Abudayya, M. Thoresen, Y. Abed, and G. Holmboe-Ottesen, “Overweight, stunting, and anemia are public health problems among low socioeconomic groups in school adolescents (12–15 years) in the North Gaza Strip,” Nutrition Research, vol. 27, no. 12, pp. 762–771, 2007.

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