SEARCHCROSS-SECTIONALpediatrics, nutrition

cross-sectional·pediatrics, nutrition, public health, epidemiology, family medicine·PMC10097115

Factors Influencing Undernutrition among Female Adolescent Students in Darchula District, Nepal

Nutrients · 3 authors, 1 centre

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TL;DR

This cross-sectional study assessed the prevalence and factors associated with undernutrition (thinness) among 400 female adolescent students aged 15-19 years in rural Nepal. It found a 24.7% prevalence of thinness, with significant associations to paternal occupation, household food insecurity, the type of food primarily purchased, and menarche status.

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This cross-sectional study surveyed 400 female students aged 15-19 years from rural secondary and higher secondary schools in Darchula District, Nepal. The primary outcome was undernutrition defined as thinness (low Body Mass Index). The study reported a 24.7% prevalence of thinness. Binary logistic regression analysis identified several factors significantly associated with thinness: the main occupation of the student's father (monthly paying job or foreign employment), household food insecurity access prevalence, the kind of food mostly bought by the family (grains/tubers/cereals), and the initiation of the menarche cycle.

STUDY TYPE

cross-sectional

SPECIALTY

pediatrics

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ORIGINAL PAPER

PMC10097115

Factors Influencing Undernutrition among Female Adolescent Students in Darchula District, Nepal

Nutrients

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ABSTRACT

Abstract Failure to understand and address the problem of malnutrition and its associated factors among female adolescents could lead to a vicious cycle of intergenerational malnutrition. A cross-sectional study was conducted in six secondary schools of four rural municipalities in Darchula District, Nepal. Data collection for the study was conducted from November 2021 to February 2022. Four hundred female adolescent students aged 15 to 19 years old were selected using quota sampling. The study aims to examine the prevalence of malnutrition by assessing different levels of body mass index (BMI) that is thinness (BMI less than 18.5 kg/m 2 ), normal (18.5 kg/m 2 to 24.9 kg/m 2 ), overweight (25 kg/m 2 to 29.9 kg/m 2 ) and obese (BMI more than or equal to 30 kg/m 2 ). Along with BMI, factors associated with undernutrition, here identified as thinness, are assessed using a structured questionnaire. Additionally, key informant interviews and review of interventions was performed to understand the gaps in nutrition-related policies and programs of school going adolescents in the study district. Quantitative data analysis included a prevalence study and chi-square test along with simple and multiple logistic regression to obtain crude and adjusted odds ratio at 95% confidence interval for the significant factors with p < 0.05 identified in the chi-square test. Thematic analysis and reviews were used for the synthesis of qualitative data. The results show a 24.7% prevalence of thinness in the study participants. Pre-mensuration status (OR = 5.015, CI = 1.257–20.011, p < 0.022), father having a monthly paying job (OR = 4.384, CI = 1.135–16.928, p < 0.032), father’s foreign employment (OR = 6.96, CI = 1.649–29.377, p < 0.008), household (HH) food insecurity status (OR = 2.079, CI = 1.182–3.658, p < 0.011) and grain/roots/tuber as most commonly bought food (OR = 9.487, CI = 1.182–76.138, p < 0.034) were found to be significantly associated with thinness. Information from the qualitative part identified gaps in existing interventions for an improved nutritional outcome among school going adolescent females. Further studies to understand the nutritional practices and its contributory factors in relation to thinness is encouraged. Stakeholders are urged to effectively address the shortcomings in existing interventions and adopt a more adolescent-centered approach to enhance the nutritional status of female adolescents. Keywords: undernutrition, late adolescent, intergenerational cycle of malnutrition, dietary diversity, food security, Nepal

CITATION EXPORT

Deepika Giri, Nitaya Vajanapoom, Uma Langkulsen. Factors Influencing Undernutrition among Female Adolescent Students in Darchula District, Nepal. Nutrients. (2023). https://doi.org/10.3390/nu15071699

AUTHORS

3 · 1 CENTRES

Deepika Giri, Nitaya Vajanapoom, Uma Langkulsen

1Faculty of Public Health, Thammasat University, Bangkok 12120, Pathum Thani, Thailand