Background: Nutritional deficiency, especially B 12 deficiency is quite common in India. The manifestation can range from anemia usually megaloblastic anemia as an early indicator to neurological sequel that develops later. Evaluation of Mean Corpuscular Volume (MCV) as a screening parameter has been highly unreliable and misleading. This has resulted in delayed diagnosis with irreversible changes. Aim: Our study aimed at evaluating the sensitivity, specificity and diagnostic accuracy of MCV in delineating vitamin B 12 deficiency. Methods: The study population consisted of 501 adolescent girls aged 10 to 18 years going to schools in the rural areas of the district. Pre-designed proforma comprising of required demographic profile and detail history were filled-up. The cut off value used for serum B 12 was 200 pg/ml and that of MCV was 100 fL. Findings: The prevalence of vitamin B 12 deficiency in rural areas was found to be 58.58% in adolescent school going girls. The B 12 deficient population depicted significant association with vegetarian diet (p<0.001) and BMI (p=0.005). The sensitivity and specificity of MCV to screen out B 12 deficiency were calculated to be 10.14% and 92.82% respectively. Accuracy of MCV as an indicator for B 12 deficiency was estimated to be 45.05%. From all the above data, the percentage of subjects missed to be diagnosed for B 12 deficiency of all deficient subjects was calculated to be 89.86%. Conclusion: The study revealed that almost every alternate adolescent girl was found to be B 12 deficient. Raised MCV was found in only 1% cases and the sensitivity was very low. Hence, MCV should not be the screening criteria for B 12 deficiency which might be misleading.
ARTICLE INFO ABSTRACT Aim:The aim was to find out the prevalence of anemia in the adolescent girls in the schools of rural area and the influence of micronutrients on different grades of anemia. Materials and methods: It was a cross-sectionals study. 501 school going adolescent girls were enrolled for the study after informed consent. Data for demographic profile were collected, followed by blood sample collection for analysis of hemoglobin, iron profile and vitamin B12. Results: Prevalence of anemia was 40.7% in the study population. Anemia distribution was significantly associated with low socioeconomic class (SEC), low body mass index (BMI), diet pattern and worm infestation. Vitamin B12 deficiency was recorded to be 57.9% which was more prevalent as compared to Iron deficiency anemia which was found to be only 17%. Conclusion:Annual screening for anemia along with health education and poverty alleviation program would definitely aid in developing strategies and programs to improve adolescence health by ensuring adequate micronutrient store for future pregnancy.
Background: Obesity is evolving as a major nutritional problem in developing countries affecting a substantial number of adults and resulting in an increased burden of chronic disease. Objectives: To study the prevalence of obesity and to establish the correlation between BMI and Neck Circumference in childrens of Rural & Urban Raipur. Methods: Height measured using a stadiometer. Weight recorded to the nearest 0.1 kg using a weighing scale. BMI measured from the available WHO growth charts for children. Waist and neck circumference measured using a standard measuring tape to the nearest 0.1cm. Results: The overall prevalence of overweight and obesity was found to be 9.8% and 7.8% respectively in our study. The prevalence of overweight was found to be 9.5% and 10.2% in males and females, respectively while obesity was more common in males (8.8%) compared to females (6.6%). Also there was direct correlation of prevalence of obesity with the choice of diet. 64.4% obese or overweight children belonged to the non vegetarian diet group as opposed to 35.6% in vegetarian group. Conclusion: There was positive correlation between the socio-economic status and prevalence of obesity, also with the choice of diet. Children studying in Private schools had a higher prevalence of obesity when compared to Government schools. Keywords: Height, Neck Circumference, Obesity, Overweight, Vegetarian Diet, Waist.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.