Purpose. The anthropometric status and growth of adolescents living in challenging conditions such as slums are insufficiently studied. The purpose here was to describe anthropometric characteristics and nutritional status of adolescents from urban slums of India and to study the factors affecting it. Methods. Anthropometric, socioeconomic and dietary habit data were collected using structured questionnaires of six hundred adolescents aged 10–19 years by house-to-house survey conducted in two randomly selected slums of Nashik, Western India. The growth of adolescents was compared using WHO and Indian reference populations. Mixed effects logistic regression models were used to examine associations between anthropometric measures and income, mother’s education, household size, and dietary intake. Results. Prevalences of stunting and thinness were lower using the Indian reference population compared to that of WHO. Stunting was more prevalent than thinness in the study subjects, and boys suffered more than girls. The effect of age on stunting was different among boys than girls. A mother’s education was highly significantly associated with both stunting and thinness in both sexes. Household size and income were significantly associated with the nutritional status of girls. Conclusions. Educating mothers about the nutritional needs of adolescents may help to improve adolescents’ anthropometric profile and future health.
Intake of fats and foods that are important sources of protein among underprivileged households in India is low and reflected in the relatively late age at menarche. The potential differences in the association between various types of fatty acids, energy intake and age at menarche in conditions of undernutrition requires further prospective study.
Background: Both hypertension and depression are common disorders and obesity is on the rise in low and middle-income countries. Because early life changes may prove to be precursors to the development of diseases in adult, assessing the mental and physical health of younger population is crucial. This study aimed to determine the association between blood pressure, mental health and anthropometric status of adolescents from urban slums in Nashik, India. Methods: A cross-sectional observational study was conducted among eligible adolescents during November 2010 and April 2011 in two randomly selected slums of Nashik, Maharashtra, India. A total of 545 adolescents were selected from 276 households. Data on socio-demographic indicators, anthropometry, blood pressure, mental wellbeing, and addictions were collected using pretested structured questionnaires by house visits. Mental wellbeing was examined using the General Health Questionnaire with 12 items (GHQ-12). A higher score indicates more-optimal mental wellbeing. Linear mixed effects models were used to analyse the data. Results: Girls had better mental wellbeing scores than boys. Adolescents with low mental wellbeing score had higher percentage of stunting (22%) compared to high scores. The factors associated significantly with systolic blood pressure (SBP) were age, mid mental wellbeing score, stunting, and thinness. For diastolic blood pressure (DBP), sex, high mental wellbeing score, and father's education were, in addition, also significant. When moving from the low to mid mental wellbeing score, SBP and DBP decreased and the same was observed for high score. The prevalence of prehypertension was 20%. Conclusion: The findings showed that the adolescents do run a higher risk of substance abuse, health-related problems and higher SBP and DBP if there is an evidence of distress. It brings into focus the importance of mental health management in adolescents.
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