Predictors of stunting and thinness in post-menarcheal adolescent girls in rural Bangladesh
To assess the nutritional status and risk factors of undernutrition in post-menarcheal girls in rural northern Bangladesh. Cross-sectional data on anthropometric measurements, dietary intake, work activity, morbidity and socio-economic status were collected from 12- to 19-year-old primigravidae (n 2...
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| Veröffentlicht in: | Public health nutrition 2009-12, Vol.12 (12), p.2400-2409 |
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| creator | Rah, Jee H Christian, Parul Shamim, Abu Ahmed Arju, Ummeh T Labrique, Alain B Rashid, Mahbubur |
| description | To assess the nutritional status and risk factors of undernutrition in post-menarcheal girls in rural northern Bangladesh.
Cross-sectional data on anthropometric measurements, dietary intake, work activity, morbidity and socio-economic status were collected from 12- to 19-year-old primigravidae (n 209) and never-pregnant adolescents (n 456) matched on age and time since menarche. Multiple regression analyses were conducted to determine predictors of stunting, thinness, upper-arm muscle (UAMZ) and fat area Z-scores (UAFZ) among the adolescent girls.
A large proportion of adolescents (49 %) were stunted (height-for-age Z-score |
| doi_str_mv | 10.1017/S1368980009005345 |
| format | Article |
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Cross-sectional data on anthropometric measurements, dietary intake, work activity, morbidity and socio-economic status were collected from 12- to 19-year-old primigravidae (n 209) and never-pregnant adolescents (n 456) matched on age and time since menarche. Multiple regression analyses were conducted to determine predictors of stunting, thinness, upper-arm muscle (UAMZ) and fat area Z-scores (UAFZ) among the adolescent girls.
A large proportion of adolescents (49 %) were stunted (height-for-age Z-score <-2) and underweight (40 %; weight-for-age Z-score <-2), but not thin (BMI-for-age <5th percentile; approximately 10 %). The mean (sd) UAMZ and UAFZ of the adolescent girls was -0.3 (0.64) and -0.9 (0.40), respectively. Lean mass increased whereas fat mass declined with age. Both stunting and thinness were positively associated with age and time since menarche (P < 0.05). Young age (12-14 years) and literacy were protective against stunting among pregnant adolescents (OR = 0.29, 95 % CI 0.09, 0.88 and OR = 0.50, 95 % CI 0.26, 0.96, respectively). Having symptoms of diarrhoea or dysentery (OR = 7.40, 95 % CI 1.43, 38.29) predicted thinness and was associated with lower UAMZ and UAFZ among never-pregnant girls (both P < 0.05). Performing light-to-moderate activities was protective against thinness among never-pregnant girls (OR = 0.43, 95 % CI 0.22, 0.82), whereas pregnant adolescents who performed high levels of strenuous activities had greater UAMZ (P < 0.05).
Undernutrition was widespread among this post-menarcheal adolescent population. Younger and literate adolescents were less likely to be stunted, whereas thinness and body composition were associated with morbidity and work activity.]]></description><identifier>ISSN: 1368-9800</identifier><identifier>ISSN: 1475-2727</identifier><identifier>EISSN: 1475-2727</identifier><identifier>DOI: 10.1017/S1368980009005345</identifier><identifier>PMID: 19344542</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adolescent girls ; adolescent nutrition ; Adolescent Nutritional Physiological Phenomena - physiology ; Adolescents ; Age ; Age of Onset ; anthropometric measurements ; Bangladesh - epidemiology ; Body composition ; Body Composition - physiology ; Body Height - physiology ; Body Weight - physiology ; Breastfeeding & lactation ; Child ; Child development ; Cohort analysis ; Cohort Studies ; cross-sectional studies ; Developing countries ; Diet ; Dysentery ; employment ; Female ; Food ; food intake ; Girls ; growth retardation ; Health Status ; Humans ; Interviews ; Lactation - physiology ; LDCs ; literacy ; Malnutrition ; Marriage ; Menarche ; Morbidity ; Nutrition assessment ; Nutritional Requirements ; Nutritional Status ; Predictive Value of Tests ; Pregnancy ; Prospective Studies ; puberty ; Risk Factors ; Rural areas ; Rural Bangladesh ; Rural Health ; Rural Population - statistics & numerical data ; socioeconomic status ; Socioeconomics ; Stunting ; Teenagers ; Thinness ; Thinness - epidemiology ; underweight ; Waterborne diseases ; Young Adult</subject><ispartof>Public health nutrition, 2009-12, Vol.12 (12), p.2400-2409</ispartof><rights>Copyright © The Authors 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c507t-f056a5c0246aa76affeb2db1faa126cf84c5bfe1a04b7aae0e3e0f846f8694c33</citedby><cites>FETCH-LOGICAL-c507t-f056a5c0246aa76affeb2db1faa126cf84c5bfe1a04b7aae0e3e0f846f8694c33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19344542$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rah, Jee H</creatorcontrib><creatorcontrib>Christian, Parul</creatorcontrib><creatorcontrib>Shamim, Abu Ahmed</creatorcontrib><creatorcontrib>Arju, Ummeh T</creatorcontrib><creatorcontrib>Labrique, Alain B</creatorcontrib><creatorcontrib>Rashid, Mahbubur</creatorcontrib><title>Predictors of stunting and thinness in post-menarcheal adolescent girls in rural Bangladesh</title><title>Public health nutrition</title><addtitle>Public Health Nutr</addtitle><description><![CDATA[To assess the nutritional status and risk factors of undernutrition in post-menarcheal girls in rural northern Bangladesh.
Cross-sectional data on anthropometric measurements, dietary intake, work activity, morbidity and socio-economic status were collected from 12- to 19-year-old primigravidae (n 209) and never-pregnant adolescents (n 456) matched on age and time since menarche. Multiple regression analyses were conducted to determine predictors of stunting, thinness, upper-arm muscle (UAMZ) and fat area Z-scores (UAFZ) among the adolescent girls.
A large proportion of adolescents (49 %) were stunted (height-for-age Z-score <-2) and underweight (40 %; weight-for-age Z-score <-2), but not thin (BMI-for-age <5th percentile; approximately 10 %). The mean (sd) UAMZ and UAFZ of the adolescent girls was -0.3 (0.64) and -0.9 (0.40), respectively. Lean mass increased whereas fat mass declined with age. Both stunting and thinness were positively associated with age and time since menarche (P < 0.05). Young age (12-14 years) and literacy were protective against stunting among pregnant adolescents (OR = 0.29, 95 % CI 0.09, 0.88 and OR = 0.50, 95 % CI 0.26, 0.96, respectively). Having symptoms of diarrhoea or dysentery (OR = 7.40, 95 % CI 1.43, 38.29) predicted thinness and was associated with lower UAMZ and UAFZ among never-pregnant girls (both P < 0.05). Performing light-to-moderate activities was protective against thinness among never-pregnant girls (OR = 0.43, 95 % CI 0.22, 0.82), whereas pregnant adolescents who performed high levels of strenuous activities had greater UAMZ (P < 0.05).
Undernutrition was widespread among this post-menarcheal adolescent population. Younger and literate adolescents were less likely to be stunted, whereas thinness and body composition were associated with morbidity and work activity.]]></description><subject>Adolescent</subject><subject>Adolescent girls</subject><subject>adolescent nutrition</subject><subject>Adolescent Nutritional Physiological Phenomena - physiology</subject><subject>Adolescents</subject><subject>Age</subject><subject>Age of Onset</subject><subject>anthropometric measurements</subject><subject>Bangladesh - epidemiology</subject><subject>Body composition</subject><subject>Body Composition - physiology</subject><subject>Body Height - physiology</subject><subject>Body Weight - physiology</subject><subject>Breastfeeding & lactation</subject><subject>Child</subject><subject>Child development</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>cross-sectional studies</subject><subject>Developing countries</subject><subject>Diet</subject><subject>Dysentery</subject><subject>employment</subject><subject>Female</subject><subject>Food</subject><subject>food intake</subject><subject>Girls</subject><subject>growth retardation</subject><subject>Health Status</subject><subject>Humans</subject><subject>Interviews</subject><subject>Lactation - physiology</subject><subject>LDCs</subject><subject>literacy</subject><subject>Malnutrition</subject><subject>Marriage</subject><subject>Menarche</subject><subject>Morbidity</subject><subject>Nutrition assessment</subject><subject>Nutritional Requirements</subject><subject>Nutritional Status</subject><subject>Predictive Value of Tests</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>puberty</subject><subject>Risk Factors</subject><subject>Rural areas</subject><subject>Rural Bangladesh</subject><subject>Rural Health</subject><subject>Rural Population - statistics & numerical data</subject><subject>socioeconomic status</subject><subject>Socioeconomics</subject><subject>Stunting</subject><subject>Teenagers</subject><subject>Thinness</subject><subject>Thinness - epidemiology</subject><subject>underweight</subject><subject>Waterborne diseases</subject><subject>Young Adult</subject><issn>1368-9800</issn><issn>1475-2727</issn><issn>1475-2727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU1v1DAQhi0EomXhB3CBiAOcAv529tguUCqt-Co9cbAmyTjrkjiLnUj039fLrqhUBCdbfp8ZvzMvIU8Zfc0oM28umNDVsqKULilVQqp75JhJo0puuLmf71kud_oReZTSVeaUMeYhOWJLIaWS_Jh8_xyx9c00xlSMrkjTHCYfugJCW0wbHwKmVPhQbMc0lQMGiM0GoS-gHXtMDYap6HzsfzNxjlk5hdD10GLaPCYPHPQJnxzOBbl8_-7b6kO5_nR2vjpZl42iZiodVRpUQ7nUAEaDc1jztmYOgHHduEo2qnbIgMraACBFgTS_alfppWyEWJBX-77bOP6cMU128Nla30PAcU7WCKGZ5HpHvvwvyRnPa6RVBl_cAa_GOYY8heVc0EqLvO8FYXuoiWNKEZ3dRj9AvLaM2l1A9q-Acs2zQ-O5HrC9rTgkkoFyD_g04a8_OsQfVhthlNVnX7KH1duP669re5r553vewWihiz7ZywtOmcj_U1kxlglxsAlDHX3b4e0w_zZ6A4q1sxM</recordid><startdate>20091201</startdate><enddate>20091201</enddate><creator>Rah, Jee H</creator><creator>Christian, Parul</creator><creator>Shamim, Abu Ahmed</creator><creator>Arju, Ummeh T</creator><creator>Labrique, Alain B</creator><creator>Rashid, Mahbubur</creator><general>Cambridge University Press</general><scope>FBQ</scope><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RQ</scope><scope>7RV</scope><scope>7T2</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7U1</scope><scope>7U2</scope><scope>7X8</scope></search><sort><creationdate>20091201</creationdate><title>Predictors of stunting and thinness in post-menarcheal adolescent girls in rural Bangladesh</title><author>Rah, Jee H ; Christian, Parul ; Shamim, Abu Ahmed ; Arju, Ummeh T ; Labrique, Alain B ; Rashid, Mahbubur</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c507t-f056a5c0246aa76affeb2db1faa126cf84c5bfe1a04b7aae0e3e0f846f8694c33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adolescent girls</topic><topic>adolescent nutrition</topic><topic>Adolescent Nutritional Physiological Phenomena - physiology</topic><topic>Adolescents</topic><topic>Age</topic><topic>Age of Onset</topic><topic>anthropometric measurements</topic><topic>Bangladesh - epidemiology</topic><topic>Body composition</topic><topic>Body Composition - physiology</topic><topic>Body Height - physiology</topic><topic>Body Weight - physiology</topic><topic>Breastfeeding & lactation</topic><topic>Child</topic><topic>Child development</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>cross-sectional studies</topic><topic>Developing countries</topic><topic>Diet</topic><topic>Dysentery</topic><topic>employment</topic><topic>Female</topic><topic>Food</topic><topic>food intake</topic><topic>Girls</topic><topic>growth retardation</topic><topic>Health Status</topic><topic>Humans</topic><topic>Interviews</topic><topic>Lactation - physiology</topic><topic>LDCs</topic><topic>literacy</topic><topic>Malnutrition</topic><topic>Marriage</topic><topic>Menarche</topic><topic>Morbidity</topic><topic>Nutrition assessment</topic><topic>Nutritional Requirements</topic><topic>Nutritional Status</topic><topic>Predictive Value of Tests</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><topic>puberty</topic><topic>Risk Factors</topic><topic>Rural areas</topic><topic>Rural Bangladesh</topic><topic>Rural Health</topic><topic>Rural Population - statistics & numerical data</topic><topic>socioeconomic status</topic><topic>Socioeconomics</topic><topic>Stunting</topic><topic>Teenagers</topic><topic>Thinness</topic><topic>Thinness - epidemiology</topic><topic>underweight</topic><topic>Waterborne diseases</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rah, Jee H</creatorcontrib><creatorcontrib>Christian, Parul</creatorcontrib><creatorcontrib>Shamim, Abu Ahmed</creatorcontrib><creatorcontrib>Arju, Ummeh T</creatorcontrib><creatorcontrib>Labrique, Alain B</creatorcontrib><creatorcontrib>Rashid, Mahbubur</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>MEDLINE - Academic</collection><jtitle>Public health nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rah, Jee H</au><au>Christian, Parul</au><au>Shamim, Abu Ahmed</au><au>Arju, Ummeh T</au><au>Labrique, Alain B</au><au>Rashid, Mahbubur</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of stunting and thinness in post-menarcheal adolescent girls in rural Bangladesh</atitle><jtitle>Public health nutrition</jtitle><addtitle>Public Health Nutr</addtitle><date>2009-12-01</date><risdate>2009</risdate><volume>12</volume><issue>12</issue><spage>2400</spage><epage>2409</epage><pages>2400-2409</pages><issn>1368-9800</issn><issn>1475-2727</issn><eissn>1475-2727</eissn><abstract><![CDATA[To assess the nutritional status and risk factors of undernutrition in post-menarcheal girls in rural northern Bangladesh.
Cross-sectional data on anthropometric measurements, dietary intake, work activity, morbidity and socio-economic status were collected from 12- to 19-year-old primigravidae (n 209) and never-pregnant adolescents (n 456) matched on age and time since menarche. Multiple regression analyses were conducted to determine predictors of stunting, thinness, upper-arm muscle (UAMZ) and fat area Z-scores (UAFZ) among the adolescent girls.
A large proportion of adolescents (49 %) were stunted (height-for-age Z-score <-2) and underweight (40 %; weight-for-age Z-score <-2), but not thin (BMI-for-age <5th percentile; approximately 10 %). The mean (sd) UAMZ and UAFZ of the adolescent girls was -0.3 (0.64) and -0.9 (0.40), respectively. Lean mass increased whereas fat mass declined with age. Both stunting and thinness were positively associated with age and time since menarche (P < 0.05). Young age (12-14 years) and literacy were protective against stunting among pregnant adolescents (OR = 0.29, 95 % CI 0.09, 0.88 and OR = 0.50, 95 % CI 0.26, 0.96, respectively). Having symptoms of diarrhoea or dysentery (OR = 7.40, 95 % CI 1.43, 38.29) predicted thinness and was associated with lower UAMZ and UAFZ among never-pregnant girls (both P < 0.05). Performing light-to-moderate activities was protective against thinness among never-pregnant girls (OR = 0.43, 95 % CI 0.22, 0.82), whereas pregnant adolescents who performed high levels of strenuous activities had greater UAMZ (P < 0.05).
Undernutrition was widespread among this post-menarcheal adolescent population. Younger and literate adolescents were less likely to be stunted, whereas thinness and body composition were associated with morbidity and work activity.]]></abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>19344542</pmid><doi>10.1017/S1368980009005345</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adolescent girls adolescent nutrition Adolescent Nutritional Physiological Phenomena - physiology Adolescents Age Age of Onset anthropometric measurements Bangladesh - epidemiology Body composition Body Composition - physiology Body Height - physiology Body Weight - physiology Breastfeeding & lactation Child Child development Cohort analysis Cohort Studies cross-sectional studies Developing countries Diet Dysentery employment Female Food food intake Girls growth retardation Health Status Humans Interviews Lactation - physiology LDCs literacy Malnutrition Marriage Menarche Morbidity Nutrition assessment Nutritional Requirements Nutritional Status Predictive Value of Tests Pregnancy Prospective Studies puberty Risk Factors Rural areas Rural Bangladesh Rural Health Rural Population - statistics & numerical data socioeconomic status Socioeconomics Stunting Teenagers Thinness Thinness - epidemiology underweight Waterborne diseases Young Adult |
| title | Predictors of stunting and thinness in post-menarcheal adolescent girls in rural Bangladesh |
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