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      Prevalence of undernutrition and associated factors: A cross-sectional study among rural adolescents in West Bengal, India

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          Abstract

          Background and objectives

          Malnutrition is a silent emergency and it is one of the most common causes of morbidity and mortality among children and adolescent throughout the world. The present study was undertaken to investigate the prevalence of malnutrition among 10 to 17 years old adolescent and its association with socio-demographic factors.

          Design and setting

          This community based cross-sectional descriptive study was conducted between May 2014 to April 2015 on 839 subjects.

          Subjects and methods

          Anthropometric measures were measured in 560 adolescents in rural areas of West Bengal state, India, by using standard technique. Different socio-demographic variables were studied by questioner method.

          Results

          In the present investigation, about 54% of adolescents were stunted and 49% were thin. The adolescents belonged to lower social class were significantly more likely to be stunted (OR = 2.68) and thin (OR = 2.44). Other variables like father's occupation, mother's education, economic status and sanitation showed significant and negative association with undernutrition. However, mother's working status showed significant and positive association with undernutrition. Adolescents of working mothers were more likely to be stunted and thin than those who do not worked outside of the home. The adolescents of women with higher education were less likely to be undernourished than adolescents of poor and uneducated women. Adolescents of nuclear families (family size <4) were more likely to be stunted and thin.

          Conclusions

          Poverty is found to be an important factor of undernutrition among the adolescents. So there is a require to implement well-thought poverty reduction actions along with providing mass education regarding nutrition and health with a special focus on economically and socially deprived sections of the society.

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          Most cited references31

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          Pratical issues in calculating the sample size for prevalence studies

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            Cross-Sectional Study of Malnutrition and Associated Factors among School Aged Children in Rural and Urban Settings of Fogera and Libo Kemkem Districts, Ethiopia

            Introduction Little information is available on malnutrition-related factors among school-aged children ≥5 years in Ethiopia. This study describes the prevalence of stunting and thinness and their related factors in Libo Kemkem and Fogera, Amhara Regional State and assesses differences between urban and rural areas. Methods In this cross-sectional study, anthropometrics and individual and household characteristics data were collected from 886 children. Height-for-age z-score for stunting and body-mass-index-for-age z-score for thinness were computed. Dietary data were collected through a 24-hour recall. Bivariate and backward stepwise multivariable statistical methods were employed to assess malnutrition-associated factors in rural and urban communities. Results The prevalence of stunting among school-aged children was 42.7% in rural areas and 29.2% in urban areas, while the corresponding figures for thinness were 21.6% and 20.8%. Age differences were significant in both strata. In the rural setting, fever in the previous 2 weeks (OR: 1.62; 95% CI: 1.23–2.32), consumption of food from animal sources (OR: 0.51; 95% CI: 0.29–0.91) and consumption of the family's own cattle products (OR: 0.50; 95% CI: 0.27–0.93), among others factors were significantly associated with stunting, while in the urban setting, only age (OR: 4.62; 95% CI: 2.09–10.21) and years of schooling of the person in charge of food preparation were significant (OR: 0.88; 95% CI: 0.79–0.97). Thinness was statistically associated with number of children living in the house (OR: 1.28; 95% CI: 1.03–1.60) and family rice cultivation (OR: 0.64; 95% CI: 0.41–0.99) in the rural setting, and with consumption of food from animal sources (OR: 0.26; 95% CI: 0.10–0.67) and literacy of head of household (OR: 0.24; 95% CI: 0.09–0.65) in the urban setting. Conclusion The prevalence of stunting was significantly higher in rural areas, whereas no significant differences were observed for thinness. Various factors were associated with one or both types of malnutrition, and varied by type of setting. To effectively tackle malnutrition, nutritional programs should be oriented to local needs.
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              Gender bias among children in India in their diet and immunisation against disease.

              This paper conducts an econometric analysis of data for a sample of over 4000 children in India, between the ages of 1 and 2 years, with a view to studying two aspects of the neglect of children: their likelihood of being immunised against disease and their likelihood of receiving a nutritious diet. The starting hypothesis, consistent with an universal interest in gender issues, was that girls were more likely to be neglected than boys. The analysis confirmed this hypothesis. In respect of vaccinations, the likelihood of girls being fully vaccinated, after controlling for other variables, was 5 percentage points lower than that for boys. In respect of receiving a nutritious diet, the treatment of girls depended very much on whether or not their mothers were literate: there was no gender discrimination between children of literate mothers; on the other hand, when the mother was illiterate, girls were 5 percentage points less likely to be well-fed relative to their brothers and the presence of a literate father did little to dent this gender gap. But the analysis also pointed to a broader conclusion which was that all children in India suffered from sharper, but less publicised forms of disadvantage than that engendered solely by gender. These were the consequences which stemmed from children being born to illiterate mothers and being brought up in the more impoverished parts of India.

                Author and article information

                Contributors
                Journal
                Int J Pediatr Adolesc Med
                Int J Pediatr Adolesc Med
                International Journal of Pediatrics & Adolescent Medicine
                King Faisal Specialist Hospital and Research Centre
                2352-6467
                13 September 2016
                March 2017
                13 September 2016
                : 4
                : 1
                : 9-18
                Affiliations
                [a ]Ergonomics and Sports Physiology Division, Dept. of Human Physiology with Community Health, Vidyasagar University, Midnapore, West Bengal, India
                [b ]Dept of Physiology, Suri Vidyasagar College, Birbhum, West Bengal, India
                [c ]Dept. of Physiology, Panskura Banamali College, Purba Midnapore, West Bengal, India
                Author notes
                []Corresponding author. Ergonomics and Sports Physiology Division, Dept. of Human physiology with Community Health, Vidyasagar University, Midnapore, 721102, West Bengal, India. Tel.: +91 9433226695; fax: +91 03222 275329. prakashdhara@ 123456rediffmail.com
                Article
                S2352-6467(16)30059-X
                10.1016/j.ijpam.2016.08.009
                6372453
                30805494
                10b7acfe-41c6-422a-9ad2-6f1266bb13ac
                © 2016 Publishing services provided by Elsevier B.V. on behalf of King Faisal Specialist Hospital & Research Centre (General Organization), Saudi Arabia.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 20 April 2016
                : 13 August 2016
                : 16 August 2016
                Categories
                Original Research Article

                adolescent,malnutrition,stunting,thinness,sociodemographic factors

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