Assessment of micronutrients adequacy in the diet of adolescents of Gurgaon district (Haryana)
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Date
2015
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CCSHAU
Abstract
This study was conducted to assess the micronutrients adequacy in the diet of adolescents of
Gurgaon district. Total 220 school going adolescents (13-17y) were selected for the study. Out of it,
110 adolescents from rural background (Laxmi Senior Secondary School, Rathiwas, Gurgaon) and 110
adolescents from urban background (Rao Lal Sing Public School, Sidhrawali, Gurgaon) were selected.
The nutritional status of adolescents was assessed in terms of height for age, BMI for age and waist to
hip ratio, dietary intake, nutrient intake, dietary diversity score, food variety score and probability of
adequacy of micronutrients. Z-score for height-for-age and BMI-for age were calculated using the
National Centre for Health Statistics (NCHS) reference data and WHO Anthro Plus software (version
2014). The means were compared gender wise and area wise using independent sample t -test.
Associations of area and gender with prevalence of wasting, stunting, overweight and abdomen obesity
were assessed using chi-square test. Pearson correlation coefficients were conducted to explore the
relationship between DDS, FVS and probability of adequacy of micronutrients; and socioeconomic
profile and nutritional status. Majority of the adolescents were belonging to nuclear type and medium
sized family having general supplied water in their house. The level of father education, mother
education, father occupation and family income was comparatively better in urban background. The
level of family type, family size and drinking water facility was more or less similar in both the
backgrounds. In urban background the consumption of egg and non vegetarian diet was higher than the
rural backgrounds. Daily mean intake of energy, protein, fats, iron, β-carotene, vitamin C and zinc
except calcium was significantly lower than their respective RDAs in the daily diets of both the male
and female adolescents of both the age group. Mean value of DDS was 6.7 (± 0.87). The theoretical
range was 1 to 13, while in the sample it varied from 4 to 8. Ninety six different food items were
reported to be eaten by the adolescents during the survey period. Mean FVS was 25.3 (± 3.5), with a
minimum intake of 8 and a maximum of 34. In general, all the estimates of probability of adequacy for
micronutrients ranged low. Intakes of iron had the lowest (35%) while intakes of calcium had the
highest (75%) probability of adequacy. The mean probability of adequacy across 5 micronutrients was
54 percent. The rural adolescents had the significantly (p<0.01) higher probability of adequacy of
vitamin C and β-carotene whereas the probability of adequacy of iron and zinc was significantly
(p<0.01) higher in urban adolescents. The prevalence of wasting, overweight, obese, stunting, severely
stunting and abdomen obesity among adolescents was 20.90, 10.45, 5.6, 16.81, 6.36 and 17.27 per cent
respectively. Pearson‟s correlations coefficients of dietary diversity scores and food variety scores and
adequacy of micronutrient were significant. Family income was positively associated with the intakes
of major nutrients. The parent‟s education, father occupation and family income was positively
associated with the BMI for age and height for age whereas family type and family size were
negatively associated with nutrients intakes, BMI for age and height for age. Adolescents should be
provided nutrition education regarding needs of balanced diversified diets in their health.
Description
Keywords
Biological phenomena, Nutrients, Nutrient intake, Vitamins, Fruits, Iron, Fats, Calcium, Proteins, Zinc