Stunting and its determinants among adolescents in four schools of Bangalore city: Height for age- a vital metric for nutritional assessment

dc.contributor.authorJohnson, ARen_US
dc.contributor.authorBalasubramanya, Ben_US
dc.contributor.authorThimmaiah, S.en_US
dc.date.accessioned2023-08-09T06:11:47Z
dc.date.available2023-08-09T06:11:47Z
dc.date.issued2022-03
dc.description.abstractBackground: National Family Health Surveys in India have not included nutritional status of the crucial age group of 10-14 years, when pubertal growth spurt typically occurs. BMI-for-age is commonly used to assess adolescent nutritional status which may misclassify stunted adolescents as normal or overweight. Objectives: To estimate prevalence and determinants of stunting among adolescents (10 to 19 years) in Bangalore city and to estimate the proportion of adolescents who are stunted, but otherwise assessed as normal or overweight using BMI-for-age. Methods: Cross sectional study conducted in four schools of Bangalore city using a self-administered questionnaire to capture socio-demographic details, dietary patterns and physical activity. WHO Anthroplus software was used to classify nutritional status based on height-for-age and BMI-forage. Multiple logistic regression analysis was done to calculate adjusted odds ratios of independent co-variates associated with stunting. Results: Overall prevalence of stunting was 14% (95%CI:11.5-16.5%); 14.3% among females (95%CI:10.7-17.9%) and 13.6% among males (95%CI: 10.2-17.0%). Determinants of stunting were late adolescence [AOR=1.90(1.24-2.90),P=0.03], lower socio-economic class [AOR=2.75(1.39-5.41),P=0.03] and not taking weekly iron and folic acid supplements [AOR=2.78(1.48-5.21),P=0.001] Four of every five stunted children (81%) were classified as normal/ overweight/ obese using BMI-for-age. Conclusion: Stunting is a problem among urban adolescents in Bangalore. Height-for-age is a vital metric for assessing nutritional status of adolescents along with other metrics. We recommend strengthening of weekly iron and folic acid supplementation in schools and culturally specific targeted nutritional interventions for adolescents from economically weaker sections of society using a multi-sectoral and participatory approach.en_US
dc.identifier.affiliationsAssociate Professor, Department of Community Health, St. John’s Medical College, Bengaluru, Karnatakaen_US
dc.identifier.affiliationsAssistant Professor, Rural Unit for Health and Social Affairs, Christian Medical College, Vellore, Tamil Naduen_US
dc.identifier.affiliationsProfessor, Department of Community Health, St. John’s Medical College, Bengaluru, Karnatakaen_US
dc.identifier.citationJohnson AR, Balasubramanya B, Thimmaiah S.. Stunting and its determinants among adolescents in four schools of Bangalore city: Height for age- a vital metric for nutritional assessment. Indian Journal of Community Health. 2022 Mar; 34(1): 111 – 117en_US
dc.identifier.issn0971-7587
dc.identifier.issn2248-9509
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/221916
dc.languageenen_US
dc.publisherMRI Publication Pvt. Ltd.en_US
dc.relation.issuenumber1en_US
dc.relation.volume34en_US
dc.source.urihttps://doi.org/10.47203/IJCH.2022.v34i01.021en_US
dc.subjectStuntingen_US
dc.subjectAdolescent Nutritionen_US
dc.subjectNutritional Statusen_US
dc.subjectIron Folic Acid Supplementsen_US
dc.subjectSchoolsen_US
dc.titleStunting and its determinants among adolescents in four schools of Bangalore city: Height for age- a vital metric for nutritional assessmenten_US
dc.typeJournal Articleen_US
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