Association of Energy Balance and Protein Intake With Nutritional Status of Adolescent Girls in a Rural Area of Haryana

Abstract

BACKGROUND:In spite of impressive gain in the field of health and nutrition, significant proportion of adolescent girls in our country is under-nourished. Often health and nutritional status of adolescent girls are direct reflection of the cumulative effects of various factors. One of the important parameters that causes under nutrition in adolescent girls is an increased risk of low protein and energy intake but high energy expenditure. Hence the problems related to adolescent girls deserve special attention. OBJECTIVE: (a) To assess nutritional status of study subjects, (b) To study energy balance and protein intake of adolescent girls in a rural area, (c) To find out the association of energy balance and protein intake with the nutritional status of adolescent girls. STUDY DESIGN: Community based cross-sectional study. SETTING: Primary Health Centre, Agroha, Haryana. PARTICIPANTS: 273 adolescent girls between 10-19 years of age. SAMPLE SIZE ESTIMATION: Based on the extent of under nutrition in adolescent girls. 39 adolescent girls were selected by simple random sampling from each of the 7 villages covered under PHC, Agroha. METHODS AND MATERIALS:The primary tools in this study were predesigned and pretested interview and examination schedule. Nutritional status of study subjects, was assessed on the basis of Body Mass Index (BMI). Their protein and energy intake was computed by 24 hours recall oral questionnaire method. Estimation of energy expenditure was based on physical activity which was noted by 24 hours activity recall questionnaire method. Energy balance of each subject was obtained by subtracting energy expenditure from energy intake. STATISTICAL ANALYSIS: Proportions and X 2 test. RESULTS: Two third of the adolescent girls were under weight. Under-nutrition was 68.50% and 57.53% in subjects with negative and positive energy balance, respectively. There existed significant (P<0.01) association between protein intake and nutritional status of study subjects. CONCLUSIONS: In view of widespread under-nutrition in adolescent girls and it's significant association with protein intake, it is imperative that nutrition education programmers, both in schools and at community be initiated through the existing rural networks including health services.

Socioeconomic Variables Influencing Body Mass Index of Adolescent Girls in a Rural Area of Haryana

“…Only 29.30% study subjects had normal nutritional status (BMI<18.5-22.9 kg/m 2 ); corresponding values for overweight (BMI 23-24.9 kg/m 2 ) & obese (BMI >25 kg/m 2 ) were 3.30% & 1.83%, respectively. 2 , BMI has been grouped into 2 categories i.e. < 18.5 and  18.5 kg/m 2 .…”

“…< 18.5 and  18.5 kg/m 2 . 2 , BMI has been grouped into 2 categories i.e. < 18.5 and  18.5 kg/m 2 .…”

“…Similarly, with increase in socioeconomic status reciprocal decrease in chronic energy deficiency grade III (BMI <16 kg/m 2 ) were noticed. 2 , BMI has been grouped into 2 categories i.e. < 18.5 and  18.5 kg/m 2 .…”

“…1 Often health and nutritional status of adolescent girls are direct reflection of the cumulative effects of various factors. 2,3 One of the important parameter that causes under nutrition in adolescent girls is their poor socioeconomic status. 3 Further low literacy levels and lack of awareness about nutrition & health aggravate this dismal situation.…”

Hubungan Intake Protein dengan Status Gizi pada Remaja Puteri

“…Uang saku yang digunakan untuk membeli makanan jajanan di sekolah rata-rata sebesar Rp 2.000,00 -Rp 5.000,00, dengan jumlah uang saku untuk membeli jajan minimal Rp 5000,00 dan maksimal Rp 10.000,00. Rata-rata uang saku siswa antara Rp 2.000 hingga Rp 10.000 12 . Mayoritas responden memiliki uang saku sebesar Rp 5.000 untuk jajan setiap hari.…”