DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20170288

Nutritional assessment of women in the reproductive age group (15-49 years) from a rural area, Kolar, Kerala, India

Manjunath T. L., Shilu M. Zachariah, Mahesh Venkatesha, Muninarayana C., Ananya Lakshmi

Abstract


Background: Adults in India are affected by dual burden of malnutrition such as over nutrition and under nutrition.  Literature suggests that only 52% of women and 57% of men are at a normal weight for their height. Objectives: To estimate the nutritional status of women in the reproductive age group in rural Kolar and to estimate various socio-demographic factors associated with the nutritional status of women.

Methods: Community based Cross-sectional study was conducted in rural field practice areas of Medical College for 6 months.  180 women in the reproductive age group of 15-49 years residing at Devarayasamudra village were included. Statistical methods: Chi-square test and multiple logistic regression were used as test of significance.

Results: It was observed that out of 180 women, 49 (27.2%) of the women were overweight and 26 (14.4%) women were underweight. 36.67% women had a waist hip ratio of more than 0.85. Multivariate logistic regression showed that Age and educational status were independent risk factors for increased Waist Hip Ratio among women in reproductive age group.

Conclusions: Higher prevalence of overweight and abdominal obesity was observed among women of reproductive age group in rural area.  Hence measures to improve the nutritional status of women in rural areas need to be addressed.

Keywords


Rural, Nutrition, Reproductive, Waist hip ratio

Full Text:

PDF

References


The World Health Report 2002.Reducing risks, promoting healthy life. Geneva: World Health Organization; 2002.

Arnold F, Parasuraman S, Arokiasamy P, Kothari M. Nutrition in India. National Family Health Survey (NFHS-3), India, 2005-06. Mumbai: International Institute for Population Sciences; Calverton, Maryland, USA; 2009 Aug. 44p.

Goodman-Gruen D, Barrett-Connor E. Sex differences in measures of body fat and body distribution in the elderly. Am J Epidemiol. 1996;143:898-906.

Folsom AR, Kushi LH, Anderson KE, Mink PJ, Olson JE, Hong CP, et al. Associations of general and abdominal obesity with multiple health outcomes in older women: the Iowa Women’s Health Study. Arch Intern Med. 2000;160:2117-28.

WHO. Waist Circumference and Waist-Hip Ratio. Report of WHO Expert Consultation. Geneva: World Health Organization (WHO); 2008 Dec.

Park K. Park’s Textbook of Preventive and Social Medicine. 22th ed. Jabalpur: M/s Bhanarsidas Bhanot Publishers; 2013.

Gopalan S, Jain V. Mudaliar and Menon’s Clinical Obstetrics. 10th ed. Chennai: Orient Longman; 2005.

Prakruthi BS, Prakash J. Nutritional status and dietary pattern of Indian rural women with reference to energy intake and expenditure. J Community Nutrition & Health. 2013;2(1):44-51.

World Health Organization. Fact sheet N°311 [internet]. Washington DC: World Health Organization; 2013. Obesity and overweight. (Available from http://www.who.int/mediacentre/ factsheets/fs311/en, accessed on 3 October 2016).

Popkin BM. The shift in stages of the nutritional transition in the developing world differs from past experiences! Public Health Nutrition. 2002;5(1A):205-14.

Gopalan C. Obesity in the Indian urban ‘middle class’. Bulletin of the Nutrition Foundation of India. 1998;19(1):1-5.

Mandal S, Sinha NK, Samantha P, Das S, Bose K. Anthropometric assessment of nutritional status among college women of Midnapore, West Bengal, India. Int J Life Science and Pharma Research. 2011:L81-7.

Gouda J, Prusty RK. Overweight and Obesity among Women by Economic Stratum in Urban India. J Health Popul Nutr. 2014;32(1):79-88.

Agrawal P, Mishra V. Covariates of Overweight and Obesity among Women in North India. [Internet]. Honolulu: East-West Centre; 2004.

Kain J, Vio F, Albala C. Obesity trends and determinant factors in Latin America. Cad Saude Publica. 2003;19(Suppl 1):S77-86.

Rao S, Parab-Waingankar P. Performance of waist circumference relative to BMI in predicting risk of obesity and hypertension among affluent Indian adults. Health. 2013;5(8A3):16-22.

Lassek WD, Gaulin SJ. Changes in body fat distribution in relation to parity in American women: covert form of maternal depletion. Am J Physical Anthropology. 2006;131(2):295‐302.