Undernutrition and anaemia among Indian adolescents: role of dietary diversity and hygiene practices
In 2021, the Lancet Commission on adolescent nutrition highlighted the need to prioritise the elimination of adolescent malnutrition to tap the human capital potential and break the intergenerational malnutrition trap. The nutritional requirement during adolescence reaches its peak. The present stud...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-01-01
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| Series: | Journal of Nutritional Science |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2048679023000198/type/journal_article |
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| author | Mukesh Kumar Pratap Chandra Mohanty |
| author_facet | Mukesh Kumar Pratap Chandra Mohanty |
| author_sort | Mukesh Kumar |
| collection | DOAJ |
| description | In 2021, the Lancet Commission on adolescent nutrition highlighted the need to prioritise the elimination of adolescent malnutrition to tap the human capital potential and break the intergenerational malnutrition trap. The nutritional requirement during adolescence reaches its peak. The present study aims to appraise the prevalence of undernutrition (stunting and thinness) and anaemia among adolescents (10–19 years) in India and the role of socioeconomic, individual-level hygiene behaviour and dietary diversity in nutritional outcomes. We have used the nationally representative Comprehensive National Nutrition Survey (CNNS-2016–18) that covers children and adolescents (0–19 years) in India. The prevalence of stunting, anaemia and thinness among adolescents was 27⋅2, 28⋅5 and 24⋅1 %, respectively. Bivariate and multivariable logistic regression models were applied to estimate the likelihood of undernutrition. The likelihood of stunting was higher for late adolescence (OR 1⋅21, 95 % CI 1⋅15, 1⋅27), low dietary diversity (OR 1⋅37, 95 % CI 1⋅26, 1⋅49) and low hygiene behaviour compliance (OR 1⋅53, 95 % CI 1⋅42, 1⋅64). Adolescents from the poorest quintile were more likely to be stunted (OR 3⋅20, 95 % CI 2⋅94, 3⋅48), anaemic (OR 1⋅66, 95 % CI 1⋅47, 1⋅87) and thin (OR 1⋅68, 95 % CI 1⋅54, 1⋅82). We found that lower hygienic compliance was significantly associated with undernutrition and anaemia. Therefore, promoting hygienic practices should be emphasised to tackle undernutrition and anaemia. Furthermore, dietary diversity and poverty were strong predictors of stunting and thinness, therefore targeting the poor and focusing on improving dietary diversity should be the priority. |
| first_indexed | 2024-04-10T04:44:21Z |
| format | Article |
| id | doaj.art-c6a9c545b61d43c2b496e23909533627 |
| institution | Directory Open Access Journal |
| issn | 2048-6790 |
| language | English |
| last_indexed | 2024-04-10T04:44:21Z |
| publishDate | 2023-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Journal of Nutritional Science |
| spelling | doaj.art-c6a9c545b61d43c2b496e239095336272023-03-09T12:38:35ZengCambridge University PressJournal of Nutritional Science2048-67902023-01-011210.1017/jns.2023.19Undernutrition and anaemia among Indian adolescents: role of dietary diversity and hygiene practicesMukesh Kumar0Pratap Chandra Mohanty1https://orcid.org/0000-0002-2421-9643Department of Humanities and Social Sciences, Indian Institute of Technology Roorkee, Uttarakhand, IndiaDepartment of Humanities and Social Sciences, Indian Institute of Technology Roorkee, Uttarakhand, IndiaIn 2021, the Lancet Commission on adolescent nutrition highlighted the need to prioritise the elimination of adolescent malnutrition to tap the human capital potential and break the intergenerational malnutrition trap. The nutritional requirement during adolescence reaches its peak. The present study aims to appraise the prevalence of undernutrition (stunting and thinness) and anaemia among adolescents (10–19 years) in India and the role of socioeconomic, individual-level hygiene behaviour and dietary diversity in nutritional outcomes. We have used the nationally representative Comprehensive National Nutrition Survey (CNNS-2016–18) that covers children and adolescents (0–19 years) in India. The prevalence of stunting, anaemia and thinness among adolescents was 27⋅2, 28⋅5 and 24⋅1 %, respectively. Bivariate and multivariable logistic regression models were applied to estimate the likelihood of undernutrition. The likelihood of stunting was higher for late adolescence (OR 1⋅21, 95 % CI 1⋅15, 1⋅27), low dietary diversity (OR 1⋅37, 95 % CI 1⋅26, 1⋅49) and low hygiene behaviour compliance (OR 1⋅53, 95 % CI 1⋅42, 1⋅64). Adolescents from the poorest quintile were more likely to be stunted (OR 3⋅20, 95 % CI 2⋅94, 3⋅48), anaemic (OR 1⋅66, 95 % CI 1⋅47, 1⋅87) and thin (OR 1⋅68, 95 % CI 1⋅54, 1⋅82). We found that lower hygienic compliance was significantly associated with undernutrition and anaemia. Therefore, promoting hygienic practices should be emphasised to tackle undernutrition and anaemia. Furthermore, dietary diversity and poverty were strong predictors of stunting and thinness, therefore targeting the poor and focusing on improving dietary diversity should be the priority.https://www.cambridge.org/core/product/identifier/S2048679023000198/type/journal_articleAdolescent undernutritionAnaemiaDietary diversityHygiene practicesIndia |
| spellingShingle | Mukesh Kumar Pratap Chandra Mohanty Undernutrition and anaemia among Indian adolescents: role of dietary diversity and hygiene practices Journal of Nutritional Science Adolescent undernutrition Anaemia Dietary diversity Hygiene practices India |
| title | Undernutrition and anaemia among Indian adolescents: role of dietary diversity and hygiene practices |
| title_full | Undernutrition and anaemia among Indian adolescents: role of dietary diversity and hygiene practices |
| title_fullStr | Undernutrition and anaemia among Indian adolescents: role of dietary diversity and hygiene practices |
| title_full_unstemmed | Undernutrition and anaemia among Indian adolescents: role of dietary diversity and hygiene practices |
| title_short | Undernutrition and anaemia among Indian adolescents: role of dietary diversity and hygiene practices |
| title_sort | undernutrition and anaemia among indian adolescents role of dietary diversity and hygiene practices |
| topic | Adolescent undernutrition Anaemia Dietary diversity Hygiene practices India |
| url | https://www.cambridge.org/core/product/identifier/S2048679023000198/type/journal_article |
| work_keys_str_mv | AT mukeshkumar undernutritionandanaemiaamongindianadolescentsroleofdietarydiversityandhygienepractices AT pratapchandramohanty undernutritionandanaemiaamongindianadolescentsroleofdietarydiversityandhygienepractices |