IMPACT OF DIETARY INTERVENTION ON NUTRITIONAL STATUS OF ANEMIC ADOLESCENT GIRLS OF KANGRA DISTRICT (HP)
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Date
2017-07
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CSKHPKV, Palampur
Abstract
ABSTRACT
The present study was planned and executed with the specific objective to study the
impact of dietary and nutrition intervention on moderately anemic adolescent girls. A total of 300
adolescent girls aged-12-18 years were selected from Panchrukhi, Baijnath and Bhawarna blocks
of Kangra district, Himachal Pradesh. Their socio-economic profile, dietary pattern, nutrient
intake, anthropometric profile, hemoglobin level and knowledge/perceptions regarding anemia
and related aspects were examined. Analysis of these indicators gave evidence of a better socioeconomic
status in terms of education, type of house and accessibility to drinking water. The
intake of cereals, pulses, fruits and green leafy vegetables was less than suggested dietary intake
thereby lowering their mean daily intake of energy, protein, vitamin and minerals in comparison to
RDA. Majority of subjects irrespective of age group met standard height above 90 per cent and in
range of 75.31-85.86 percent for weight when compared with ICMR and NCHS standards. Based
on their hemoglobin level, 77.33 % of the adolescent girls had moderate anemia,12.33 % mild
anemia,6.33 per cent had severe anemia and only 4 per cent were having normal hemoglobin.
Soaking, drying and roasting of garden cress seeds reduced its pungency and increased the total
iron, ionisable iron, soluble iron and percent bio-availability of iron and other minerals. Among
various developed recipes, variant -2 of ladoo and mathri that constituted processed garden cress
seeds was highly acceptable. Based on hemoglobin values, 90 moderately anemic adolescent girls
were screened out and divided into three groups for intervention programme. Group I received
sweet and savoury preparations on alternate days of 20 g of ladoo and mathri each that provided
100 per cent of RDA for iron. Group II received nutrition counselling only and Group III was
control as it did not receive any type of intervention. A very positive impact of intervention was
observed in experimental groups i.e. group I and group II as assessed by extent of improvement in
knowledge, attitude and practices score and gain in aerobic capacity and physical fitness.
Significantly increase was calculated for dietary and nutrient intake. After receiving intervention
for a period of 120 days, 13.33 per cent of group-I subjects were not anemic at all, while 76.66 fall
into mild anemic category. 86.66 per cent of respondents in group-II remained in the same
category of moderately anemic and 13.33 shifted to mild anemic category. No change was
observed in control group for any parameter post intervention. Thus, the present study concluded
with a positive and strong impact of diet and nutrition intervention on eradicating anemia in
adolescent girls.
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