Export file:

Format

  • RIS(for EndNote,Reference Manager,ProCite)
  • BibTex
  • Text

Content

  • Citation Only
  • Citation and Abstract

Prevalence and associated factors of malnutrition among school going adolescents of Dang district, Nepal

1 Nursing Department, Universal College of Medical Science and Teaching Hospital, Tribhuvan University, Bhairahawa, Rupandehi Nepal
2 Department of Community Medicine, Universal College of Medical Science and Teaching Hospital, Tribhuvan University, Bhairahawa, Rupandehi Nepal

Background: Malnutrition is a quiet emergency and one of the most widespread causes of morbidity and mortality among children and adolescent throughout the world; however there are very limited indications about the cause of malnutrition among adolescents. This study aimed to find out the prevalence and associated factors of malnutrition among school going adolescents of Dang district, Nepal. Methods: School based descriptive cross-sectional research design among 510 school adolescents studying in grade 9 and 10 between ages 14–17 years on April–October 2017 was conducted in Dang district Nepal. Among total 130 secondary schools, 10 schools were selected; one government and one private from each 5 electoral constituency using multistage probability random sampling. Results: The mean age and family size was 15.28 ± 0.77 and 5.25 ± 1.56 respectively. Among the total 25.7% of the adolescents are malnourished where 21.8% underweight, 3.1% overweight and 0.8% obese. After adjustment some of the variables such as religion (OR = 0.19; CI = 0.05–0.65, p = 0.008), family type (OR = 0.28; CI = 0.13–0.61, p = 0.001), school type (OR = 0.46; CI = 0.22–0.98, p = 0.044), earning status of family (OR = 4.52; CI = 1.44–14.16, p = 0.010), daily intake of green leafy vegetables (OR = 0.49; CI = 0.26–0.93, p = 0.031) and school sports (OR = 0.49; CI = 0.25–0.96, p = 0.040) were significantly associated with the underweight of adolescent. Similarly, variables such as gender (OR = 0.20; CI = 0.04–0.97, p = 0.046) and religion (OR = 9.75; CI = 2.24–42.39, p = 0.002) were significantly associated with the overweight/obesity of adolescent. Conclusion: Malnutrition was significantly higher among adolescents living in joint family, family having no earning status. Male adolescents were found more likely to be overweight and obesity. Hence to tie up the good nutrition it is recommended that integrated nutritional intervention and health related services should also be focused on adolescents.
  Figure/Table
  Supplementary
  Article Metrics

Keywords adolescents; malnutrition; underweight; overweight; obesity; Dang

Citation: Sigma Bhattarai, Chet Kant Bhusal. Prevalence and associated factors of malnutrition among school going adolescents of Dang district, Nepal. AIMS Public Health , 2019, 6(3): 291-306. doi: 10.3934/publichealth.2019.3.291

References

  • 1.UNICEF (2005) The state of the world's children 2005: Childhood under threat. The State of the World's Children: Childhood under Threat 2004.
  • 2.Pal A, Pari AK, Sinha A, et al. (2017) Prevalence of undernutrition and associated factors: A cross-sectional study among rural adolescents in West Bengal, India. Int J Pediatr Adolesc Med 4: 9–18.    
  • 3.Müller O, Krawinkel M (2005) Malnutrition and health in developing countries. Can Med Assoc J 173: 279–86.    
  • 4.Schofield C, Ashworth A (1996) Why have mortality rates for severe malnutrition remained so high? Bull World Health Organ 74: 223–229.
  • 5.World Health Organization (2002) The world health report 2002: Reducing risks, promoting healthy life. World Health Organization.
  • 6.Cusick SE, Kuch AE (2012) Determinants of undernutrition and overnutrition among adolescents in developing countries. Adolesc Med State Art Rev 23: 440–456.
  • 7.World Health Organization (2016) Adolescent Health: World Health Organization. Available from: http:// www.who.int/topics/adolescent_health/en/.
  • 8.Delisle Hln, World Health Organization (2005) Nutrition in adolescence: Issues and challenges for the health sector: Issues in adolescent health and development.
  • 9.World Health Organization (2006) Adolescent nutrition: A review of the situation in selected South-East Asian countries.
  • 10.National Population and Housing Census 2011. Government of Nepal, National Planning Commission Secretariat Central Bureau of Statistics 2012. Available from: https://unstats.un.org/unsd/demographic-social/census/documents/Nepal/Nepal-Census-2011- Vol1.pdf.
  • 11.Ergo A, Gwatkin DR, Shekar M (2009) What difference do the new WHO child growth standards make for the prevalence and socioeconomic distribution of undernutrition? Food Nutr Bull 30: 3–15.    
  • 12.Marriott BP, White A, Hadden L, et al. (2012) World Health Organization (WHO) infant and young child feeding indicators: Associations with growth measures in 14 low-income countries. Matern Child Nutr 8: 354–370.    
  • 13.McDonald CM, Olofin I, Flaxman S, et al. (2013) The effect of multiple anthropometric deficits on child mortality: Meta-analysis of individual data in 10 prospective studies from developing countries. Am J Clin Nutr 97: 896–901.    
  • 14.Wells JC (2012) Obesity as malnutrition: The role of capitalism in the obesity global epidemic. Am J Hum Biol 24: 261–276.    
  • 15.Delisle HF, Receveur O, Agueh V, et al. (2013) Pilot project of the Nutrition-Friendly School Initiative (NFSI) in Ouagadougou, Burkina Faso and Cotonou, Benin, in West Africa. Glob Health Promot 20: 39–49.
  • 16.Tanumihardjo SA, Anderson C, Kaufer-Horwitz M, et al. (2007) Poverty, obesity, and malnutrition: An international perspective recognizing the paradox. J Am Diet Assoc 107 :1966–1972.
  • 17.Raut BK, Jha MK, Baidya D, et al. (2014) Determination of risk factors associated with childhood obesity and the correlation with adult obesity-A random cross sectional study from Nepal. Am J Health Res 2: 134–139.    
  • 18.World Health Organization (2000) Turning the tide of malnutrition: Responding to the challenge of the 21st century.
  • 19.Waslien CI, Stewart LK (1994) Nutrition of the Asian adolescent girl. Asia Pac J Public He 7: 31–33.    
  • 20.Sa M, SMb S (2004) Complementary feeding practices and its impact on nutritional status of under two old children in urban areas of the Kathmandu, Nepal. J Nepal Health Res Counc 2: 1–4.
  • 21.Aryal KK (2017) Global school based student health survey Nepal, 2015. Nepal Health Res Counc.
  • 22.Mansur DI, Haque MK, Sharma K, et al. (2015) A study on nutritional status of rural school going children in Kavre District. Kathmandu Univ Med 13: 146–151.
  • 23.Daniel WW, Cross CL (2010) Biostatistics: Basic concepts and methodology for the health sciences. John Wiley & Sons New York.
  • 24.Acharya B, Chauhan HS, Thapa SB, et al. (2014) Prevalence and socio-demographic factors associated with overweight and obesity among adolescents in Kaski district, Nepal. Indian J Commun H 26: 118–122.
  • 25.Dang district Profile Report. Available from: http://ddcdang.gov.np/ne-brief-introduction/
  • 26.District Education Office Dang Annual Report 2073/74. Available from: http://www.deodang.gov.np/allcontent/Detail/114.%202073/74.
  • 27.Roba K, Abdo M, Wakayo T (2016) Nutritional status and its associated factors among school adolescent girls in Adama City, Central Ethiopia. J Nutr Food Sci 6: 2.
  • 28.NDHS. Ministry of Health, Nepal; New ERA; and ICF (2011) Nepal Demographic and Health Survey. Kathmandu, Nepal: Ministry of Health, Nepal.
  • 29.Doku DT, Neupane S (2015) Double burden of malnutrition: Increasing overweight and obesity and stall underweight trends among Ghanaian women. BMC Public Health 15: 670.    
  • 30.Bisai S, Bose K, Ghosh D, et al. (2011) Growth pattern and prevalence of underweight and stunting among rural adolescents. J Nepal Paediat Soc 31: 17–24.    
  • 31.Manyanga T, El-Sayed H, Doku DT, et al. (2014) The prevalence of underweight, overweight, obesity and associated risk factors among school-going adolescents in seven African countries. BMC Public Health 14: 1471–2458.
  • 32.Ministry of Health, Nepal; New ERA; and ICF (2017) Nepal Demographic and Health Survey 2016. Kathmandu, Nepal: Ministry of Health, Nepal.
  • 33.Selvaraj V, Sangareddi S, Velmurugan L, et al. (2016) Nutritional status of adolescent school children in a semi-urban area based on anthropometry. Int J Contemp Pediatrics 3: 468–472.
  • 34.Gurung TR, Vl NG (2014) Overweight and obesity among the adolescent school students in Belgaum city. J Nepal Med Assoc 52: 791–795.    
  • 35.Senbanjo IO, Oshikoya KA, Odusanya OO, et al. (2011) Prevalence of and risk factors for stunting among school children and adolescents in Abeokuta, southwest Nigeria. J Health Popul Nutr 29: 364–370.
  • 36.Mukherjee R, Chaturvedi S, Bhalwar R (2008) Determinants of nutritional status of school children. Med J Armed Forces India 64: 227–231.    
  • 37.Goyal RK, Shah VN, Saboo BD, et al.(2010) Prevalence of overweight and obesity in Indian adolescent school going children: Its relationship with socioeconomic status and associated lifestyle factors. J Assoc Physicians India 58: 151–158.
  • 38.Adeladza A (2009) The influence of socio-economic and nutritional characteristics on child growth in Kwale District of Kenya. Afr J Food Agric Nutr Dev 9.
  • 39.Sabharwal NS (2011) Caste, religion and malnutrition linkages. Econ Political Wkly: 16–18.
  • 40.Arepalli S, Rao GV (2016) Study of nutritional status of preschool children in areas of Kallur Primary Health Center, Kurnool District. Int J Med Sci Public Health 5: 2351–2355.    
  • 41.Peltzer K, Pengpid S, Samuels TA, et al. (2014) Prevalence of overweight/obesity and its associated factors among university students from 22 countries. Int J Environ Res Public Health 11: 7425–7441.    
  • 42.Bharmal NH, McCarthy WJ, Gadgil MD, et al. (2018) The association of religious affiliation with overweight/obesity among south Asians: The mediators of atherosclerosis in south Asians living in America (MASALA) study. J Relig Health 57: 33–46.    

 

Reader Comments

your name: *   your email: *  

© 2019 the Author(s), licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

Download full text in PDF

Export Citation

Copyright © AIMS Press All Rights Reserved