Study on prevalence of thinness among adolescents in urban set up in western Tamil Nadu
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This study is aiming to assess the prevalence of thinness among adolescents in urban setup in western Tamil Nadu. As thinness is a common problem in adolescents, we tried to address this vulnerable group needs and to help in alleviating theirproblem. It is a cross sectional study conducted in urban and semi urban school going children from 11-17 years of age. Bothboys and girls included. Anthropometries were measured in all children in these schools belonging to the age group 11-17years.Thinness is defined as BMI < International Cut offs for age and sex defined to pass through BMI 16, 17, and 18.5 at 18 years andgraded as grades 3, 2 and1 respectively through the ages between 2 and 18 years1. The diagnosed cases of thinness werefollowed with questionnaire containing their age, sex, class, socio demographic profile, including economic class, mother, fatheroccupation, educational status, living area, co morbid diseases etc. A total of 11,520 students (5942 boys and 5578 girls) weretaken. The prevalence of thinness among adolescents was 35.5% (boys = 42.7 %; girls = 28.3 %; P = 0.001). Adolescents in11-13year old age group (Adjusted Odds ratio (AOR) = 2.36; 95 % CI: 1.22, 4.08), boys (AOR = 3.22; 95 % CI: 1.52, 4.21) and ruralresidents (AOR = 2.85; 95 % CI: 1.20, 3.94) had significantly higher odds of having severe thinness compared totheircounterparts. Furthermore, boys had higher (AOR = 2.04; 95 % CI: 1.19, 3.55) odds of being thin compared to girls. Agespecificoverall thinness was found to be highest in 12 years (46.3%) of age. Compared to those 11 to 13 years of age, adolescents in 15to 17 years of age were (AOR = 0.44; 95 % CI: 0.23, 0.95) less likely to be thin. Prevalence of grades 1, 2 and 3 of thinness washigher among 11, 12 year old students in our study.
Tim J Cole, professor of medical statistics1, Katherine
M Flegal, senior research scientist2, Dasha Nicholls,
consultant child and adolescent psychiatrist3, Alan A
Jackson, professor of human nutrition4 .Body mass
index cut offs to define thinness in children and
adolescents: international survey. BMJ 2007; doi:
https://doi.org/10.1136/bmj.39238.399444.55
(Published 25 June 2007)
WHO. Physical status: the use and interpretation of
anthropometry, Geneva: WHO, 1995.
Jelliffe DB. The assessment of nutritional status of the
community, Geneva: WHO, 1966.
WHO- Multicentre Growth Reference Study Group.
WHO child growth standards based on length/height,
weight and age. Acta Paediatr. 2006;(suppl 450):76-
Ying-xiu ZhangEmail author, Zhao-xia Wang,
Mei Wang, Li Xie, European Journal of Nutrition,
March 2016, Volume 55, Issue 2, pp 809–813,
Prevalence of thinness among children and adolescents
in Shandong, China
J Adolesc Health. 2017 Apr; 60 (4):447-454.e1. doi:
1016/j.jadohealth.2016.11.003. Epub 2017 Jan 16.
Prevalence of Thinness in Adolescent Girls in Lowand
Middle-Income Countries and Associations With
Wealth, Food Security, and Inequality. Candler T1,
Costa S1, Heys M2, Costello A3, Viner RM4.
Public Health Nutr. 2014 Oct;17(10):2207-15. doi:
1017/S1368980013002541. Epub 2013 Sep 24.
Trends in thinness prevalence among adolescents in
ten European countries and the USA (1998-2006): a
cross-sectional survey.Lazzeri G1, Rossi S1, Kelly C2,
Vereecken C3, Ahluwalia N4, Giacchi MV1.
Arch Public Health. 2015 Oct 28; 73:44. doi:
1186/s13690-015-0093-9. eCollection
Prevalence and factors associated with stunting
and thinness among adolescent students in Northern
Ethiopia: a comparison to World Health Organization
standards. Melaku YA1, Zello GA2, Gill TK3, Adams
RJ3, Shi Z3.
Maiti S, Ghosh D, Paul S (2011) Prevalence of thinness
among early adolescent in rural school girls of Paschim
Medinipur, West Bengal, India. J Trop Pediatr 57:496–
Takimoto H, Yoshiike N, Kaneda F, Yoshita K (2004)
Thinness among young Japanese women. Am J Public
Health 94:9–16
Misra M, Aggarwal A, Miller KK, Almazan C, Worley
M, Soyka LA, Herzog DB, Klibanski A (2004) Effects
of anorexia nervosa on clinical, hematologic,
biochemical, and bone density parameters in
community-dwelling adolescent girls. Pediatrics
:1574–1583
Bovet P, Kizirian N, Madeleine G, Blossner M,
Chiolero A (2011) Prevalence of thinness in children and adolescents in the Seychelles: comparison of two
international growth references. Nutr J 10:65–70
Marques-Vidal P, Ferreira R, Oliveira JM, Paccaud F
(2008) Is thinness more prevalent than obesity in
Portuguese adolescents? Clin Nutr 27:531–536
Schönbeck Y, van Dommelen P, HiraSing RA, van
Buuren S (2014) Thinness in the era of obesity: trends
in children and adolescents in The Netherlands since
Eur J Public Health. doi:
O’Dea JA, Dibley MJ (2014) Prevalence of obesity,
overweight and thinness in Australian children and
adolescents by socioeconomic status and ethnic/cultural
group in 2006 and 2012. Int J Public Health 59:819–
Mak KK, Tan SH (2012) Underweight problems in
Asian children and adolescents. Eur J Pediatr 171:779–
Ferrar K, Olds T (2010) Thin adolescents: who are
they? What do they do? Socio-demographic and use-oftime
characteristics. Prev Med 51:253–258
The double burden of overweight and thinness among
children and adolescents in Shandong China,Zhang,
Ying-xiu,Sun, Gui-zhi, International Journal of
Cardiology 2015.
Woodruff BA, Duffield A. Anthropometric
assessment of nutritional status in adolescent
populations in humanitarian emergencies. Eur J Clin
Nutr 2002;56:1108-18.
Flegal KM, Wei R, Ogden C. Weight-for-stature
compared with body mass index-for-age growth charts
for the United States from the, Centers for Disease
Control and Prevention.Am J Clin Nutr, 2002;75:761-
Leung SSF, Cole TJ, Tse LY, Lau JTF. Body mass
index reference curves for Chinese children, Ann Hum
Biol, 1998;25:169-74.
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