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Magnitude of Anemia Vis-a-Vis Nutrition Knowledge Status (NKS), Dietary Diversity Score (DDS) and Body Mass Index for Age (BAZ) Score of School-Going Adolescent Girls at Border-Belt of Indian Punjab


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1 Agriculture Science Centre, Guru Angad Dev Veterinary and Animal Sciences University, Booh, Harike Pattan - 143 412, Tarn Taran, Punjab, India
     

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Anemia is major deficiency disorder among women of every age in developing countries attributed to diverse array of factors. The present study aimed at assessing magnitude of anemia and its association with nutrition knowledge, dietary diversity and Body Mass Index z scores. Hence, a cross-sectional study was conducted at Government School, Harike Pattan, District Tarn Taran, a rural area of border-belt of Indian Punjab. A total number of 32 adolescent girls, were randomly selected from 9th to 12th standard. Adolescent girls were assessed for their hemoglobin level by cyanmethaemoglobin method. Nutrition knowledge of adolescent girls was appraised via incorporating a questionnaire containing multiple choice questions. Assessment of their dietary lifestyle was completed through recording Dietary Diversity Score (DDS), frequency of major meals and food combinations. Results showed that mild, moderate and severe anemia was present among 28, 59 and 13 per cent adolescent girls, respectively. Low mean hemoglobin level (9.9 g/dl) was significantly (p< 0.05) associated with poor NKS, DDS, skipping of major meals, higher frequency of faulty food combination and lower practice of good food combination among adolescent girls. Further, it was observed that 65.6 per cent of total adolescent girls had abnormal BAZ score ranging from <-2SD to >+2SD (i.e. moderate thinness to obese), which represented a disproportion in age-specific anthropometric measurements. In view of above figures, it is strongly recommended that nutrition knowledge of adolescent girls with regard to dietary diversification and appropriate food combinations should be strengthened at school level so as to ensure normal hemoglobin level.

Keywords

Anemia, Adolescent Girls, Nutrition Knowledge Status (NKS), Dietary Diversity Score (DDS), Body Mass Index for Age (BAZ), Hemoglobin
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  • WHO. Nutritional anemias: Tools for effective prevention and control. WHO, Geneva, 2017. https://apps.who.int.iris/bitstream/10665/259425/1/9789241513067-eng.pdf. Accessed 21 October 2020
  • Ministry of Health and Family Welfare, Government of India. National Family Health Survey - 4 (2015-16). International Institute for Population Sciences, Mumbai, 2017. http://rchiips.org/nfhs/NFHS-4Reports/India.pdf. Accessed 25 December 2020
  • National Health Policy. Ministry of Health and Family Welfare, Government of India, 2017. http://cdsco.nic.in/writereaddata/National-Health-Policy.pdf. Accessed 05 January 2021
  • Stuetz, W., Gowele, V., Kinabo, J., Bundala, N., Mbwana, H., Rybak, C., Eleraky, L., Lambert, C. and Biesalski, H.K. Consumption of dark green leafy vegetables predicts vitamin A and iron intake and status among female small-scale farmers in Tanzania. Nutr., 2019, 11, 1025. https://doi.org/10.3390/nu11051025.
  • Deaton, A. and Derez, J. Food and nutrition in India: Facts and interpretations. Econ. Polit. Wkly., 2009, https://www.princeton.edu/~deaton/downloads/Food_and_Nutrition_in_India_Facts_and Interpretations.pdf. Accessed 25 December 2020.
  • Mehta, R., Platt, A.C., Sun, X., Desai, M., Clements, D. and Turner, E.L. Efficacy of iron-supplement bars to reduce anemia in urban Indian women: A cluster-randomized controlled trial. Am. J. Clin. Nutr., 2017, 105, 746-757.
  • Cook, J.D. International Nutritional Anemia Consultative Group (INACG). Measurements of iron status. Nutrition Foundation, Washington, D.C, 1985.
  • World Health Organization. Hemoglobin concentrations for the diagnosis of anemia and assessment of severity, 2011. http://apps.who.int/iris/bitstream/10665/85839/3WHO_NMH_NHD_MNM_11.1_eng.pdf. Accessed on 20 March, 2020.
  • Indian Academy of Pediatrics. Indian girls growth chart (0-18 years), 2015. www.iapindia.org. Downloaded on 18 August 2020.
  • World Health Organization. Growth reference 5-19 years. Application tools. WHO AnthroPlus software, 2007a. http://www.who.int/growthref/tools/en. Downloaded on 28 April 2020.
  • World Health Organization. Global Database on Child Growth and Malnutrition. Child growth indicators and their interpretation, 2015. http://www.who.int/nutgrowthdb/about/introduction/en/index2. html. Accessed 26 September 2020.
  • GraphPad Prism software (version 5.01 for Windows), San Diego California, USA.
  • Mengistu, G., Muluken, A. and Hordofa, G. Iron deficiency anemia among In-school adolescent girls in rural area of Bahir Dar City Administration, North West Ethiopia. Anemia, 2019, doi: https://doi.org/10.1155/2019/1097547.
  • Rai, R.K., Fawzi, W.W. and Chowdhury, B.A. The burden of iron-deficiency anaemia among women in India: How have iron and folic acid interventions fared?. WHO South-East Asia Pacific J. Pub. Health., 2018, 7, 18-23.
  • Sedlander, E., Rimal, R.N., Talegawkar, S.A., Yilma, H. and Munar, W. The RANI project: A socio-normative intervention to reduce anemia in Odisha, India: A formative research protocol (Version 2; Peer review 2). Gates Open Res., 2018, 2, 15. doi: https://doi.org/10.12688/gatesopenres.12808.2.
  • Kaur, S., Bains, K. and Kaur, H. Regional disparity analysis for dietary diversity and food and nutrient adequacy of school-going children from Punjab, India. Ind. J. Econ. Develop., 2018, 6, 1-7.
  • Regasa, R.T. and Haider, J.A. Anemia and its determinant of in-school adolescent girls from rural Ethiopia: A school based cross-sectional study. BMC Women’s Health, 2019, doi: https://doi.org/10.1186/s12905.
  • Kaur, S., Bains, K., and Kaur, H. Assessment of stunting and malnutrition among school-going children from different cultural regions of Punjab, India. Ind. J. Ecol., 2017, 44, 898-903.
  • Dhillon, P.K., Kumar, B. and Verma, H.K. Prevalence of anemia in view of socio-demographic and health status of adolescent girls enrolled in government school at border-belt of Indian Punjab. Ecol. Fd. Nutr., 2020, 60, 198-211.

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  • Magnitude of Anemia Vis-a-Vis Nutrition Knowledge Status (NKS), Dietary Diversity Score (DDS) and Body Mass Index for Age (BAZ) Score of School-Going Adolescent Girls at Border-Belt of Indian Punjab

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Authors

Piverjeet Kaur Dhillon
Agriculture Science Centre, Guru Angad Dev Veterinary and Animal Sciences University, Booh, Harike Pattan - 143 412, Tarn Taran, Punjab, India
Balwinder Kumar
Agriculture Science Centre, Guru Angad Dev Veterinary and Animal Sciences University, Booh, Harike Pattan - 143 412, Tarn Taran, Punjab, India

Abstract


Anemia is major deficiency disorder among women of every age in developing countries attributed to diverse array of factors. The present study aimed at assessing magnitude of anemia and its association with nutrition knowledge, dietary diversity and Body Mass Index z scores. Hence, a cross-sectional study was conducted at Government School, Harike Pattan, District Tarn Taran, a rural area of border-belt of Indian Punjab. A total number of 32 adolescent girls, were randomly selected from 9th to 12th standard. Adolescent girls were assessed for their hemoglobin level by cyanmethaemoglobin method. Nutrition knowledge of adolescent girls was appraised via incorporating a questionnaire containing multiple choice questions. Assessment of their dietary lifestyle was completed through recording Dietary Diversity Score (DDS), frequency of major meals and food combinations. Results showed that mild, moderate and severe anemia was present among 28, 59 and 13 per cent adolescent girls, respectively. Low mean hemoglobin level (9.9 g/dl) was significantly (p< 0.05) associated with poor NKS, DDS, skipping of major meals, higher frequency of faulty food combination and lower practice of good food combination among adolescent girls. Further, it was observed that 65.6 per cent of total adolescent girls had abnormal BAZ score ranging from <-2SD to >+2SD (i.e. moderate thinness to obese), which represented a disproportion in age-specific anthropometric measurements. In view of above figures, it is strongly recommended that nutrition knowledge of adolescent girls with regard to dietary diversification and appropriate food combinations should be strengthened at school level so as to ensure normal hemoglobin level.

Keywords


Anemia, Adolescent Girls, Nutrition Knowledge Status (NKS), Dietary Diversity Score (DDS), Body Mass Index for Age (BAZ), Hemoglobin

References