DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20162570

Association between skinfold thickness and neck circumference with anemia in rural school going adolescent girls

Saiprasad Kavthekar, Ashok Chougule, Anil Kurane, Devayani Kulkarni

Abstract


Background: Anemia is one of the most common hematological abnormalities found in children and adolescents. Unfortunately assessment of nutritional status of adolescent girls has been the least explored area of research, particularly in rural India. There are studies which associated Body Mass Index and anemia in adolescent girls. But the validity of BMI across diverse samples of youth has not been evaluated. Objective of this study was to study association between skinfold thickness and neck circumference with anemia in rural school going adolescents.

Methods: A prospective study was carried out among 1200 rural adolescent girls of 10 randomly selected government schools (120 girls from each school and from each class 30 girls) between the age group of 12-16yrs. Skin fold thickness was measured by Herpenden’s caliper. Neck circumference was measured. The hemoglobin levels were estimated by cyanmethemoglobin method by finger prick. The collected data was statistically analysed.

Results: The prevalence of anemia in rural school going adolescent girls was 54.2%. 91.3% adolescent girls had SFT <14.5mm, out of that 56.2% adolescent girls were significantly anemic. 25.1%, 30.3% and 0.7% suffered significant mild, moderate and severe anemia respectively. 84.4% adolescent girls had neck circumference <27cms, out of that 58.4% girls had significant anemia (24.2% mild, 33.4% moderate and 0.9% severe anemia).

Conclusions: The adolescent girls who had SFT <14.5mm and neck circumference <27cms suggesting undernutrition were significantly anemic. SFT and NC can be used as nutritional parameter in adolescent girls. The health and nutritional education should be advocated to rural adolescent girls.

Keywords


Adolescent girls, Anemia, Neck circumference, Skinfold thickness

Full Text:

PDF

References


Galloway R. Anemia prevention and control: what works. Part I: Program guidance.2003. Population, Health and Nutrition Information Project (PHNI) Jorge Scientific Corporation, Washington DC.

Biradar SS, Biradar SP, Alatagi AC, Wantamutte AS, Malur PE. Prevalence of anemia among adolescent girls: a one year cross sectional study. Journal of Clinical and Diagnostic Research 2012;6(3):372-7.

Roy S, Chakravorty PS. Maternal and perinatal outcome in severe anemia. J Obstet Gynae Ind. 1992;42:743-50.

Rangnekar AG, Darbari R. Foetal outcome in anemia during pregnancy. J Obstet Gynae Ind. 1993;43:172-6.

Kaur S, Deshmukh PR, Garg BS. Epidemiological correlates of nutritional anemia in adolescent girls of rural Wardha. Indian J of Community Health Med 2006;31:255-258

Gupta A, Parashar A, Thakur A, Sharma D. Anemia among adolescent girls in Shimla hills of North India. Does BMI and onset of menarche have role. Indian J Med Science. 2012;66:126-30.

Pinhas-Hamiel O, Newfield RS, Korean I, Agmon A, Lios P, Phillip M. Greater prevalence of iron deficiency in overweight and obese children adolescents. Int J Obs Relat Metab Discord. 2003;27(3):416-8.

Choudhary S, Mishra CP, Shukla KP. Nutritional status of adolescent girls in rural area of Varanasi. Indian Journal of preventive and social medicine. 2003;34(1):54-61.

Himes JH, Bouchard C. Validity of anthropometry in classifying youth as obese. International Journal of Obesity. 1989;13:183-93.

World Health Organisation. Manual of basic techniques for a health laboratory. 1980:P271-278.

DeMayer EM, Dallman P, Gurney JM, Hallberg L, Sood SK, Srikantia SG. Preventing and controlling iron deficiency anemia through primary health care. Geneva: World Health Organisation. 1989:P8-9.

DeGruchy GC. General principles in the diagnosis and treatment of anemia. In: Penington D, Rush B, Cataldi P, eds. Clinical haematology in medical practice 4thed Delhi: CBS Publishers and Distributors; 1986:P59.

Chitra B, Nair N, Jose JK, JesinaBegam, Nazar A, Balkrishna. Study on prevalence of anemia among school children in a rural community setup. Sch Acad J Pharm. 2014;3(6):423-26.

Peter R, Kumar R, Sangwal L, Pandey S. Prevalence of anemia and its correlation to body mass index: Study among unmarried girls. International Journal of Basic and Applied Medical Sciences. 2012;2(3):58-62.

Rawat CMS, Garg SK, Singh JV, Bhatnagar M. Socio Demographic correlates of anemia among adolescent girls in rural areas of district Meerut (U.P). Indian J of Community Medicine. 2001;XXVI(4):173-5.

National Family Health Survey (NFHS) report 2008. Anemia is on the rise.

Agarwal KN, Gomber S, Bisht H, Som M. Anemia prophylaxis in adolescent school girls by weekly or daily iron folate supplementation. Indian Pediatrics 2010;40:296-301.

WHO/UNICEF/UNU(2001). Iron deficiency anemia. Assessment, prevention, control. A guide for programme managers. Report of WHO/UNICEF/UNU consultation, 6-10 December 1993, Geneva. Geneva:WHO.

Deshpande N, Karva D, Agarkhedkar S, Deshpande S. Prevalence of anemia in adolescent girls and its correlation with demographic factors. International Journal of medicine and public health. 2013;3(4):235-9.

Reilly JJ, Wilson J, Durnin JVGA. Determination of body composition from skinfold thickness. Archives of Disease in childhood. 1995;73:305-10.

Lipilekha P, Sumitra P, Sahu T, Raovenkata. Overweight and obesity among adolescent. A comparative study between government and private schools. Indian Pediatrics. 2015;52:779-81.

Fuller NJ, Jebb SA, Laskey MA, Coward WA, Elia M. A four component model for the assessment of body composition in humans. Clin Sci. 1992;82:687-93.

Davies PSW, Lucas A. prediction of body fatness in early infancy. Early Hum Dev. 1989;21:193-8.

Reilly JJ, Dorosty AR, Emmett PM. Identification of the obese child: adequacy of the BMI for clinical practice and epidemiology. Int J Obes Relat Metab Disord. 2000;24:1623-27.

World Health Organization. Prevention of iron deficiency anemia in adolescents. A role of weekly iron and folic acid supplements. Geneva: World Health Organization:2011.