Assessment of nutritional and health status of post menopausal women of Hisar district, Haryana

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Date
2019
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CCSHAU
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The present study was conducted to assess the nutritional and health status of post menopausal women of Hisar district, Haryana and to determine the impact of nutrition education on knowledge gain of 50 post menopausal women selected from rural and urban area of Hisar district. Nutritional status of post menopausal women was assessed from dietary survey, anthropometric measurements, clinical and biochemical assessment. Data on general, socio-economic and personal profile of post menopausal women revealed that most of the urban (56%) and rural (52%) subjects belonged to general category and 65 and 73 percent of urban and rural subjects belonged to joint families. Fifty three percent of urban subjects had income more than Rs. 30,000, while 41 percent of rural subjects had monthly income in range of Rs. 15,001-30,000.Thirty six percent of urban subjects had four and 30 percent of rural subjects had more than 5 children and most of the urban (53%) and rural (45%) subjects had breastfed their child up to 2 years. The mean daily intake of pulses, milk and milk products, green leafy vegetables, other vegetables, roots and tubers and fruits by post menopausal women was found to be lower than SDI while the intake of cereals, sugar and jaggery and fats and oils was significantly higher than SDI. The intake of nutrients like energy, protein, fat, phosphorus and sodium were significantly higher, intake of calcium, iron, β-carotene, potassium and were significantly lower than RDA while intake of thiamine, riboflavin, niacin, zinc was found atpar. A significant difference was found in mean waist circumference, waist to height ratio and fat mass among urban and rural subjects. Clinical examination revealed lack of hair lustre, pale conjunctiva, angular scars, dental caries, spongy and bleeding gums, thyroid problem, dry and rough skin and thinning of nails among 35, 9, 2, 49, 7, 4.0, 34 and 15 per cent of urban and 48, 10,4, 55, 11,5, 27 and 22 percent of rural post menopausal women, respectively. It was observed that majority of urban (35.48 and 12.90%) and rural (26.31 and 31.57%) subjects had high fasting and postprandial blood glucose level, respectively. It was found that 67.74 percent of urban and 31.57 percent of rural subjects had high blood pressure. On the basis of blood lipid profile it was observed that 3.22 percent urban subjects had high total cholesterol and high VLDLC while 6.45 percent each had low HDL-C, high LDL-C and high triglyceride. It was observed that the blood lipid profile of rural subjects was observed to be normal. Most of the urban (57, 46 and 41%) and rural (61, 39 and 32%) subjects had knees pain, poor memory and hot flushes and night sweats, respectively. It was found that after imparting nutrition education a significant (p<0.01) gain in knowledge score was obtained among selected subjects. So to improve the nutritional and health status and quality of life of post menopausal women, there is great need to provide nutrition education to them.
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