Dietary Inadequacy of Micronutrients in Adolescent Girls of Urban Varanasi: Call for Action

Jaya Krishna; C.P. Mishra

doi:10.6000/1929-5634.2015.04.04.7

Authors

Jaya Krishna Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi- 221005, India
C.P. Mishra Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi- 221005, India

DOI:

https://doi.org/10.6000/1929-5634.2015.04.04.7

Keywords:

Dietary habit, Dietary reference intakes, Recommended dietary allowances, Socioeconomic status, Under nutrition

Abstract

Background: Adolescent girls are vulnerable to dietary inadequacy in general and micronutrients (viz, Iron, Calcium, Vitamin A and C etc) inadequacy in particular due to variety of reasons including their own food preferences. Lack of protective foods in their diet can have serious consequences.

Objective: To assess dietary inadequacy of micronutrients in urban adolescent girls and to pinpoint their correlates.

Methodology: A community based cross sectional study was undertaken on 400 adolescent girls (10-19 years) of urban Varanasi, selected by adopting multistage sampling technique. Their socio-demographic and personal characteristics were obtained by interviewing parents or other responsible family member. Dietary intake of subjects was assessed by 24 hours recall oral questionnaire method and their micronutrients intake was computed by using nutritive value of Indian foods.

Result: In case of 72.8%, 71.2%, 88.2% and 6.2% subjects calcium, iron, Vitamin A and Vitamin C intakes were <50% of Recommended Dietary Allowances. Taking 10-14 years as reference risk of less iron intake was more (AOR; 3.66 CI: 1.30-10.30) in subjects aged 18-19 years. When Scheduled Caste was taken as reference category, risk of less iron intake was more in subjects from other caste category (AOR; 2.91, CI: 1.07-7.91). In comparison to subjects having sibling <4 risk of less calcium intake was more (AOR; 4.37 CI: 1.10-17.39) in subjects having sibling >7.With reference to vegetarians, odds of less vitamin C intake was more in nonvegetarian (AOR=2.01: CI-1.10-3.65) and eggitarian (AOR=2.53: CI-1.03-6.19).

Conclusion: Micronutrients deficiency in urban adolescents is quiet predominant and calls for community based interventions to streamline micronutrients supplementation and therapeutic strategies.

References

World Health Organization. Young people’s health-A challenge for society. Report of a WHO Study Group on young people and Health for All by the year 2000. Technical Report Series No. 731. Geneva: WHO 1986.

Novella R. Adolescent Growth and Development. Virginia Polytechnic Institute and State University 2009; 1-5.

Mishra CP, Reddy DCS, Tiwari IC. Growth pattern among Harijan and tribal preschool children. Indian Ped 1986; 23: 35-40.

Mulugeta A, Fitsum H, Barbara Sr, Gideon K, Vincent L, Zenebe A, Mekonen Y, Girmay G. Samuel nutritional status of adolescent girls from rural communities of Tigray, Northern Ethiopia. Ethiop J Health Dev 2009; 23(1): 6-11. http://dx.doi.org/10.4314/ejhd.v23i1.44831

Barnes HV. Physical growth and development during puberty. Med Clin North Am 1975; 59: 1305-1317.

Wong DL, Wilson D, Whaley LF. Whaley & Wong's nursing care of infants and children. 5th ed. St. Louis: Mosby 1995.

Government of India : A strategic approach to reproductive, maternal, newborn, child and adolescent health(RMNCH+A) in India ; ministry of health & Family Welfare Government of India January 2013.

Gupta VM, Sen P. Adolescent Health. Indian J of Public Health 2001; 45(1): 3-7.

Working Group on Youth Affairs and Adolescents. Draft final report of working group on youth affairs and adolescents. The Development for formulation of 11th Five Year Plan (2007-2012) March 2007; Volume-I.

Ministry of Youth Affairs & Sports. Report of working group on adolescent and youth development, Deptt. of Youth Affairs, M/o YA&S for formulation of 12th Five Year Plan (2012-17).Prepared by Department of Youth Affairs& Sports, Government of India 2011; 1-133.

Devadas RP, Easwaran PP. Intra-family food intake of selected rural households and food consumption patterns of pregnant women. Indian J Nutr Dietet 1986; 27: 237-245.

Gopaldas T, Raghavan R, Kanani S. Nutritional impact of antiparasitic drugs, prophylactic vitamin A and iron-folic acid on under privileged school girls in India. Nutr Res 1983; 3: 831-844. http://dx.doi.org/10.1016/S0271-5317(83)80036-0

Thakore B. A nutrition health status survey and nutrition- health education intervention for underprivileged adolescent girls in Baroda. M.Sc. Thesis, Department of Foods and Nutrition. M.S. University of Baroda, Baroda 1989.

Satyanarayana K, Naidu AN, Swaminathan MC, Rao BSN. Effect of nutrition deprivation in early childhood on later growth-A community study with out intervention. Am J Clin Nutr 1981; 34: 1636-1637.

Pereira P, Mehta S. Physical growth in adolescent girls of upper socio-economic group in Varanasi. Indian J Med Res 1983, 77: 839-844.

National Institute of Nutrition. Report on diet and nutritional status of adolescents. NNMB. NNMB Technical Report No.20, NIN ICMR Hyderabad 2000; 20: 1-25.

Frary CD, Johnson RK, Wang MQSO. Children and adolescents' choices of foods and beverages high in added sugars are associated with intakes of key nutrients and food groups. Adolesc Health 2004; 34(1): 56-60. http://dx.doi.org/10.1016/S1054-139X(03)00248-9

Kurshed A, Mohammad A, Masud R, Sabina KTM, Alamgir A, Jamila B, Aminul HB. Dietary intake, physical activities and nutritional status of adolescent girls in an urban population of Bangladesh. Ibrahim Med Coll J 2010; 4(2): 78-82. http://dx.doi.org/10.3329/imcj.v4i2.6502

Uma M I, Rachana M, Bhoite, Sharmistha R. An exploratory study on the nutritional status and determinants of malnutrition of urban and rural adolescent children (12-16) years of Vadodara city. International Journal Of Applied Biology And Pharmaceutical Technology 2011; 2(1): 102- 107.

Parimalavalli R, Sangeetha M. Anthropometric measurements and nutrient intake of adolescent girls anthropologist 2011; 13(2): 111-115.

Goel S, Kaur T, Gupta M. Increasing proclivity for junk food among overweight adolescent girls in district Kurukshetra, India. International Research Journal of Biological Sciences 2013; 2(3): 80-84.

Registrar General and Census Commissioner, India: Census of India, Ministry of Home Affair, Government of India 2011.

Available at http://censusindia. gov.in/

Mishra CP, Jaya Krishna. Turbulence of adolescence, Indian J Prev Soc Med 2014; 45(1): 1-6.

Mishra CP, Bhatnagar T, Choudhary S, Shukla KP, Mishra RN. Measuring SES through composite indicator: Monogram, Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University 2010.

Gopalan C, Ramasastry BV, Balasubramanyam SC, Narasinga RBS, Deosthale YG, Pant KC. Nutritive Value of Indian Foods. Hyderabad: National Institute of Nutrition 1989.

Krishna J, Mishra CP. Correlates of macronutrients intake of adolescent girls in urban Varanasi. IJFANS 2014; 3(3): 67- 76.

Bidad K, Anari SH, Tavasoli S, Nazemi L, Gholami N, Zadhush S, Moayeri H. Dietary intakes of adolescent girls in relation to weight status. Iranian J Publ Health 2008; 37(1): 114-118.

Khan MR, Ahmed F. Physical status, nutrient intake and dietary pattern of adolescent female factory workers in urban Bangladesh. Asia Pac J Clin Nutr 2005; 14(1): 19-26.

Shekhar A. Iron status of adolescents girls and its effect on physical fitness. The Indian J Nutr Dietet 2005; 42(10): 451- 456.