Effectiveness of long term community based nutrition intervention for prevention and management of anaemia among adolescent girls

DOI: 10.18805/ajdfr.v36i03.8961    | Article Id: DR-1202 | Page : 235-240
Citation :- Effectiveness of long term community based nutrition interventionfor prevention and management of anaemia among adolescent girls.Asian Journal Of Dairy and Food Research.2017.(36):235-240
K. Grover and M. Choudhary moni0986@gmail.com
Address : Department of Food and Nutrition Punjab Agricultural University, Ludhiana-141 004, India.
Submitted Date : 5-01-2017
Accepted Date : 23-05-2017

Abstract

High prevalence of iron deficiency anaemia among adolescent girls is a matter of great concern because of double demand of growth and activity. Therefore, the present study was conducted among 200 unmarried adolescent girls(10-18 yrs) with an objective to assess the prevalence of anemia and to improve the dietary behavior and reduce iron deficiency anaemia through nutrition intervention. The effectiveness of nutrition intervention was evaluated through various parameters viz. Body Mass Index (BMI), haemoglobin (Hb) level, food frequency and knowledge, attitude and practice (KAP) scores. Nutrition intervention was imparted to the subjects for a period of one year. Consequently, the average Hb level of the subjects increased significantly (p£0.01) from 8.55 to 10.66 g/dl. A significant (p£0.01) increase in BMI i.e. 17.7 to18.8 Kg/m2 was also found in the selected subjects. Further, Nutrition education also showed a significant improvement (p £0.01) in the food frequency of the entire Hb forming food items as well as KAP scores among adolescent girls. 

Keywords

Adolescent girls Body Mass Index Food frequency Haemoglobin Nutrition intervention.

References

  1. Anderson, A.S., Porteous, L.E., Foster, E., Higgins, C., Stead, M., Hetherington, M. (2005). The impact of a school-based nutrition education intervention on dietary intake and cognitive and attitudinal variables relating to fruits and vegetables. Public Health Nutrition, 8:650–656.
  2. Anonymous, (2005). Clinical resource efficiency support team, Guidelines for the management of obesity in secondary care (www.gain-    in.org/guidelenes/obesity-wallchart.pdf).
  3. Biswas, A.B., Roy, A.K., Das, K.K., Biswas, R. (1991). Impact of Nutrition Education on rural School children of Burdwan, West Bengal. Indian Journal of Community Medicine, 16:29–33.
  4. Brown, T., Smith, S., Bhopal, R., Kasim, A., Summerbell, C. (2015). Diet and Physical Activity Interventions to Prevent or Treat Obesity in South Asian Children and Adults: A Systematic Review and Meta-Analysis. International Journal of Environment Research Public Health, 12: 566–594. 
  5. Dacie, J.V., Lewis, S.M. (1974). Practical Haematology. 5thedition, Churchill living stone, Edinburg, Great Britain, pp. 31.
  6. Desai, N., Chaudhary, V.P. (1993). Nutritional anaemia in protein energy malnutrition. Indian Pediatrics, 30: 1471-1483.
  7. Gawarikar, R.S., Gawarikar, S.B., Tripathi, B.C. (2002). Prevalence of anaemia in adolescent girls of Ujjain in Western M.P. Indian Journal of Nutrition and Dietetics, 39: 493-499.
  8. Gupta, V.K., Maria, A.K., Kumar, R., Bahia, J.S., Arora, S., Singh, R., Gupta, V. (2011). To Study the Prevalence of Anaemia in Young Males and Females with Respect to the Age, Body Mass Index (BMI), Activity Profile and the Socioeconomic Status in Rural Punjab. Journal of Clinical and Diagnostic Research, 5: 1020-1026. 
  9. Haldar, D., Chatterjee, T., Sarkar, A.P., Bisoi, S.,Biswas, A.K., Sardar, J.C. (2012). A Study on Impact of School-Based Health and Nutrition Education in Control of Nutritional Anemia Among Primary School Children in Rural West Bengal. Indian Journal of Community Medicine, 37: 259–262.
  10. Jadhav, B. N. (2016). A critical review on iron deficiency anaemia in female population of developing India. International Journal of Fauna and Biological Studies, 3: 116-119.
  11. Jain, T., Chopra, H., Mohan, Y., Rao, S. (2011). Prevalence of anemia and its relation to socio-demographic factors: cross-sectional study among adolescent boys in urban Meerut, India. Biology and Medicine 3: 1-5.
  12. Joshi, M., Gumashta, R. (2013). Weekly iron folate supplementation in adolescent girls: An effective nutritional measure for the management of iron deficiency anaemia. Global Journal of Health Sciences, 5: 188-194.
  13. Kapur, D., Sharma, S., Agarwal, K.N. (2003). Effectiveness of nutrition education, iron supplementation or both on iron status in urban slums of Delhi. Journal of Pediatrics, 4: 68-73.
  14. Kaur, I.P., Kaur, S. (2011). A comparison of nutritional profile and prevalence of anemia among rural girls and boys. Journal of Exercise Science and Physiotherapy, 7: 11–18. 
  15. Kaur, M., Bassi, R., Sharma, S. (2011). Impact of nutrition education in reducing iron deficiency anaemia in adolescent girls. Indian Journal of Fundamentals and Applied Life Sciences, 1: 222-228. 
  16. Kotecha, P.V., Nirupam, S., Karkar, P.D. (2009). Adolescent girls’ anaemia control programme, Gujarat, India. Indian Journal of Medical Research, 130: 584-89.
  17. Laneroll, P., Atukorala, S. (2006). Nutrition education improves serum retinal concentration among adolescent school girls. Asian Pacific Journal of Clinical Nutrition, 15: 43-49.
  18. Li, Y.P., Yang, K.G., Zhai, F.Y., Piao, J.H., Zhao, W.H., Zhang, J. (2005). Disease risks of childhood obesity in China. Biomedical and Environmental Sciences, 18: 401-10.
  19. Mishra, A. (2014). Trust and teamwork matter: Community health workers’ experiences in integrated service delivery in India. Global Public Health, 9:960-974.
  20. Nead, K.G., Halterman, J.S., Kaczorowski, J.M., Auinger, P., Weitzman, M. (2004). Overweight children and adolescents: a risk group for iron deficiency. Pediatrics, 114: 104-8.
  21. NFHS-III, (2007). Report on National Health Survey, 2005-06. Department of Health and Family Welfare, Government of India, pp. 1-535.
  22. Obai, G., Odongo, P., Wanyama, R. (2016). Prevalence of anaemia and associated risk factors among pregnant women attending antenatal care in Gulu and Hoima Regional Hospitals in Uganda: A cross sectional study. BMC Pregnancy and Childbirth, 16:76.
  23. Okafor, I.M., Okpokam, D.C., Antai , A.B., Usanga, E.A. (2017). Iron Status of Pregnant Women in Rural and Urban Communities of Cross River State, South-South Nigeria. Nigerian Journal of Physiological Sciences, 31:121-125.
  24. Passi, S.J., Malhotra, A. (2007). Diet quality and nutritional status of rural adolescent girl beneficiaries of ICDS in north India. Asian Pacific Journal of Clinical Nutrition, 16:8-16.
  25. Patel, B.H., Saxena, D., Singhal, D. (2009). Intervention of iron folic acid in school children. Journal of Human Ecology, 25: 61-62.
  26. Percy, L., Mansour, D. (2017). Iron deficiency and iron-deficiency anaemia in women’s health. The Obstetrics & Gynecology, 19:155–61.
  27. Ruzita, A.T., Wan Azdie, M.A., Ismail, M.N. (2007). The effectiveness of nutrition education programme for primary school children. Malaysian Journal of Nutrition, 13:45–54.
  28. Sajjan, J., Kasturiba, B., Naik, R.K., Bharati, P.C. (2011). Impact of child to child nutrition education intervention on nutrition knowledge scores and haemoglobin status of rural adolescent girls. Karnataka Journal of Agricultural Science, 24: 513-515.
  29. Sidhu, S. (2002). Age at menarche among Scheduled Caste girls of Punjab. Journal of Human Ecology, 13: 317-328.
  30. Singla, P., Sachdeva, R. and Kochhar, A. (2012). Impact of nutrition counseling on consumption pattern of junk foods and knowledge, attitudes and practices among adolescent girls of working mother. Journal of Human Ecology, 39: 221-227.
  31. Sunitha, S., Gururaj, G. (2014). Health behaviours & problems among young people in India: Cause for concern & call for action. Indian Journal of Medical Research, 140: 185–208. 
  32. Verma, M., Chhatwal, J., Kaur, G. (1999). Prevalence of anaemia among urban school children of Punjab. Indian Pediatrics, 36:1181-86.
  33. Vir, S.C., Singh, N., Nigam, A.K., Jain, R. (2008). Weekly iron and folic acid supplementation with counseling reduces anaemia in adolescent girls: A large-scale effectiveness study in Uttar Pradesh, India. Food Nutrition Bulletin, 29: 186-194.
  34. WHO, (2001). Iron deficiency anaemia: assessment, prevention and control, a guide for programme managers. World Health Organization, Geneva, pp. 1- 107. 
  35. WHO, (2004). Appropriate body-mass index for Asian population and its implications for policy and intervention strategies. The Lancet, 3:157–163. 

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