Underweight and Associated Factors Among Teenage Adolescent Girls in Resource-poor Settings: A Cross-sectional Study

Singh, Jitendra Kumar; Acharya, Dilaram; Rani, Divya; Gautam, Santosh; Bajgain, Kalpana Thapa; Bajgain, Bishnu Bahadur; Park, Ji-Hyuk; Yoo, Seok-Ju; Poder, Thomas G.; Lewin, Antoine; Lee, Kwan

doi:10.2147/rmhp.s280499

Cited by 12 publications

(9 citation statements)

References 42 publications

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“…There are studies that have found a significant level of association among HH food insecurity and the undernutrition of adolescents. A significant association between food insecurity and underweightness was found in a study conducted in urban slums in India among 418 teenage girls [ 53 ]. A significant association between HH food insecurity and thinness was reported by a systematic review and meta-analysis of 22 studies in Ethiopia among 17,854 adolescents [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Undernutrition among Female Adolescent Students in Darchula District, Nepal

2023

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Failure to understand and address the problem of malnutrition and its associated factors among female adolescents could lead to a vicious cycle of intergenerational malnutrition. A cross-sectional study was conducted in six secondary schools of four rural municipalities in Darchula District, Nepal. Data collection for the study was conducted from November 2021 to February 2022. Four hundred female adolescent students aged 15 to 19 years old were selected using quota sampling. The study aims to examine the prevalence of malnutrition by assessing different levels of body mass index (BMI) that is thinness (BMI less than 18.5 kg/m2), normal (18.5 kg/m2 to 24.9 kg/m2), overweight (25 kg/m2 to 29.9 kg/m2) and obese (BMI more than or equal to 30 kg/m2). Along with BMI, factors associated with undernutrition, here identified as thinness, are assessed using a structured questionnaire. Additionally, key informant interviews and review of interventions was performed to understand the gaps in nutrition-related policies and programs of school going adolescents in the study district. Quantitative data analysis included a prevalence study and chi-square test along with simple and multiple logistic regression to obtain crude and adjusted odds ratio at 95% confidence interval for the significant factors with p < 0.05 identified in the chi-square test. Thematic analysis and reviews were used for the synthesis of qualitative data. The results show a 24.7% prevalence of thinness in the study participants. Pre-mensuration status (OR = 5.015, CI = 1.257–20.011, p < 0.022), father having a monthly paying job (OR = 4.384, CI = 1.135–16.928, p < 0.032), father’s foreign employment (OR = 6.96, CI = 1.649–29.377, p < 0.008), household (HH) food insecurity status (OR = 2.079, CI = 1.182–3.658, p < 0.011) and grain/roots/tuber as most commonly bought food (OR = 9.487, CI = 1.182–76.138, p < 0.034) were found to be significantly associated with thinness. Information from the qualitative part identified gaps in existing interventions for an improved nutritional outcome among school going adolescent females. Further studies to understand the nutritional practices and its contributory factors in relation to thinness is encouraged. Stakeholders are urged to effectively address the shortcomings in existing interventions and adopt a more adolescent-centered approach to enhance the nutritional status of female adolescents.

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Section: Discussionmentioning

confidence: 99%

Factors Influencing Undernutrition among Female Adolescent Students in Darchula District, Nepal

2023

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“…Remaja membutuhkan jenis makanan bergizi yang berkualitas baik dalam jumlah yang cukup untuk mengatasi kebutuhan gizi tambahan terkait dengan pertumbuhan dan perkembangan. Konsumsi jenis makanan yang bergizi pada remaja bertujuan untuk mengurangi resiko terhadap masalah kesehatan dan memutus siklus malnutrisi antar generasi (10).…”

Section: Jenis Makanan Yang Dikonsumsi Remajaunclassified

Pelatihan Pemanfaatan Buku “Gizi Seimbang Remaja: Cegah Stunting” untuk Meningkatkan Pola Konsumsi Pangan Remaja

2023

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Prevalensi stunting di regional Asia Tenggara/South-East Asia Regional (SEAR) yaitu sebesar 36,4%. Salah satu upaya untuk mencegah dan mengurangi prevalensi stunting yaitu mengajarkan kepada remaja tentang pola konsumsi pangan berdasarkan gizi seimbang. Pengabdian kepada masyarakat bertujuan meningkatkan pola konsumsi pangan remaja. Penyampaian materi pelatihan dilakukan di SMP N 1 Kampar Kecamatan Kampar Kabupaten Kampar sedangkan praktik dilakukan di Laboratorium Pengolahan Pangan Laboratorium Terpadu Poltekkes Kemenkes Riau di Jl. Melur 103 Kota Pekanbaru. Kegiatan dilakukan bulan Februari s.d. Agustus 2022. Peserta pelatihan yaitu siswa sebanyak 12 orang. Praktik penyelenggaraan makanan dilakukan sebanyak 3 kali. Praktik Penilaian pola makan remaja dilakukan menggunakan kuesioner pre dan post test. Pertanyaan berkaitan dengan jenis, jumlah dan frekuensi makan. Penilaian keterampilan remaja dalam penyelenggaraan makanan observasi menggunakan daftar tilik. Hasil dari kegiatan yaitu terjadi peningkatan pola konsumsi pangan remaja sebanyak 6,7% dari 82,7 menjadi 89,4%. Peningkatan terlihat pada frekuensi konsumsi pangan dari 75% mejadi 80%. Jenis dan jumlah pangan yang dikonsumsi remaja sebelum pelatihan terlihat sudah baik dengan nilai di atas 80%. Rata-rata praktik pengolahan menu seimbang remaja sudah termasuk kategori baik dengan nilai di atas 80%. Kesimpulan dari kegiatan ini yaitu terjadi peningkatan pola konsumsi pangan remaja setelah mengikuti kegiatan Pelatihan Pemanfaatan Buku “Gizi Seimbang Remaja: Cegah Stunting”. Jenis dan jumlah pangan yang dikonsumsi remaja sudah baik sejak sebelum pelatihan. Adapun frekuensi konsumsi pangan remaja menjadi baik setelah pelatihan.

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“…In addition, it was established that the prevalence of underweight adolescents has increased worldwide. 12,13 Study reported that older adults with underweight was associated with the low levels of physical activity, cognition, and quality of life. 14,15 Moreover, the study reported that psychological problems was also increased in underweight adolescents.…”

Section: Participantsmentioning

confidence: 99%

The increases of cognitive impairment, depression level, and physical inactivity in Thai adolescents with obese type 2

Thummasorn¹,

Ingding²,

Tripheri³

et al. 2022

JAMS

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Background: Overweight and obesity are major public health concerns worldwide, as they increase cognitive dysfunction and depression among diabetic and obese individuals. Studies have shown that increased physical activity decreased cognitive impairment and depression in such persons. However, a comparison of physical activity, cognitive function and depression among Thai adolescences who are underweight, normal weight, overweight, and obese has never been investigated. In addition, it is known that physical activity was associated with cognitive and brain function in people of all ages. Moreover, physical activity can be used as tool for the treatment and prevention of psychiatric diseases. However, the associations of physical activity with cognition and mental health problem such as depression in Thai adolescents with underweight, overweight, and obese have never been investigated. Objectives: This study compared the levels of physical activity, cognitive function and depression among Thai adolescents who were underweight, overweight and obese. In addition, the associations of physical activity with cognitive impairment and depression were also studied. Materials and methods: 212 adolescents were divided into five groups depending on their body mass index (BMI) classifications as followed as: 1) normal weight group (n=66), 2) underweight group (n=41), 3) overweight group (n=38), 4) obesity type 1 group (n=37), and 5) obesity type 2 group (n=30). After that, assessments of physical activity, cognitive function and level of depression were conducted for all the participants. The measurement outcomes of this study including physical activity components, cognitive performance, and depression severity were measured in all groups. In this study, multi-factor ANOVA was used to compare the difference between physical activity, depression, and TMT scores among the groups. The multiple correlation analysis was used to analyze the correlation between physical activity and its associated factor in each group. P value <0.05 was statistically significant. Results: Levels of total physical activity and depression were decreased in adolescents who were underweight, obese type 1 and obese type 2. In contrast, cognitive level was decreased in adolescents with only obesity type 2. It was interesting that level of total physical activity in adolescents with obese type 2 was significantly decreased when compared with overweight adolescents, while the total physical activity between obesity type 1 and 2 adolescents showed no significant difference. It is possible that severity of obesity type 2 was higher than that for overweight persons, while the level of severity between obese type 1 and 2 individuals may have little difference in this study. Moreover, our results showed that the level of physical activity only in leisure time in adolescents with obesity type 2 was lower than that in those overweight. It is possible that physical activity during leisure time may be a major factor in inducing a difference in the level of total physical activity between adolescents with obesity type 2 and those overweight. Conclusion: Level of total physical activity in Thai adolescents with obesity type 2 was decreased via decreased physical activity during leisure time. It is possible that the decrease of physical activity during leisure time may be a major factor in the decrease of total physical activity in Thai adolescents with obesity type 2.

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Underweight and Associated Factors Among Teenage Adolescent Girls in Resource-poor Settings: A Cross-sectional Study

Cited by 12 publications

References 42 publications

Factors Influencing Undernutrition among Female Adolescent Students in Darchula District, Nepal

Factors Influencing Undernutrition among Female Adolescent Students in Darchula District, Nepal

Pelatihan Pemanfaatan Buku “Gizi Seimbang Remaja: Cegah Stunting” untuk Meningkatkan Pola Konsumsi Pangan Remaja

The increases of cognitive impairment, depression level, and physical inactivity in Thai adolescents with obese type 2

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