Background: Body image dissatisfaction and incorrect body weight perception are raising problems among the adolescents worldwide. They are at increasing level in developing countries undergoing economic and nutritional transition like Nepal. Objectives: To find out the body image satisfaction, body weight perception and knowledge of obesity among adolescents in Kaski district, Nepal. Materials and Methods: A cross sectional study was conducted among 838 adolescents in Kaski district, Nepal from 12 schools selected randomly using multistage cluster sampling. Data collection was done in between October to December, 2013 by using anthropometric assessment and self-administered questionnaire through use of pretested tools. Data was entered and analyzed using WHO anthroplus software v.1.0.4 and SPSS v. 16. Results: Majority of the adolescents, 630(75.2%) were found satisfied with their body image and 208(24.8) weren't. The body image satisfaction rate was comparatively found higher among adolescents with normal BMI for age, 509(79.3%) and the underweight, 86(67.2%). More than half of the overweight adolescents, 27(55.1%) perceived themselves as normal, 19(38.8%) perceived as overweight and 3(6.1%) perceived as obese. Majority of the adolescents had right knowledge on obesity however no significant association was found. Conclusion: Body image satisfaction among the adolescents was found high. Overweight and obese were found likely to underestimate their body weight. Interventions focusing on behavioral modifications and regular anthropometric assessment are essential.
Introduction: Malnutrition and mental disorders are the emerging problems among the children and adolescents worldwide especially among the children and adolescents in developing countries like Nepal. Objectives: To assess malnutrition and psychosocial dysfunction among vulnerable and children as well as to determine the association between malnutrition and psychosocial dysfunction among orphan and vulnerable children in Kaski district, Nepal. Materials and Methods: The study carried out was cross sectional which was done among 302 children residing from 10 institutional care facilities in Kaski district, Nepal, selected randomly using simple random sampling technique. Data collection was done in between January and February, 2015, by using anthropometric assessment and interview through use of pretested tools. Data were entered and analyzed using WHO Anthroplus software v.1.0.4 and SPSS v. 20. Results: The prevalence of malnutrition using percentile and z-score was found to be 12.3% and 10.3%, respectively. Psychosocial dysfunction was found to be 4.3% based on caregiver’s perspective and 3% on children’s own assessment. No association was found to be between malnutrition and psychosocial dysfunction among the orphan and vulnerable children. Conclusion: More than one tenth of the children were malnourished. Institutional care facilities should be concerned on lowering the malnutrition and promoting mental health through proper care support and recreational facilities.
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