Main Article Content

Abstract

BACKGROUND


The rapid physical growth and development in adolescence are associated with increased nutritional needs and this depends on the dietary pattern and eating habits of the adolescents. Adolescence is also a period of increased vulnerability to obesity which is not only linked to food intake but also due to a lack of physical activity in the growing years. Dietary habits that are established during adolescence are often sustained till adulthood. Hence the purpose of the study was to understand the prevalence of unhealthy dietary practices among adolescents that could enable schools to create a health-promoting culture by teaching healthy food choices and creating awareness of the ill effects of unhealthy dietary practices.


METHODS


A cross-sectional study was conducted using a semi-structured questionnaire among adolescents in the age group 15 to 17 years in a panchayat in Kerala. The socio-demographic characteristics, the family details and dietary practices were recorded, height and weight were measured, and BMI was calculated and ELIZ health pathway for adolescents (EPHA) was used for categorising the study participants. A diet score was also calculated to estimate the prevalence of unhealthy dietary practices among adolescents.


RESULTS


The prevalence of inadequate consumption of fruits was 60.9 % and inadequate consumption of vegetables was 36.9 %. Based on the dietary score, 36.7 % had poor dietary habits and 36.6 % had good dietary habits. A significant association was found between the type of school, occupation of mother, educational status of parents, type of family and inadequate consumption of fruits and vegetables.


CONCLUSIONS


An unhealthy lifestyle does not just appear in adulthood, it stems from practices children develop during their childhood and adolescence. Awareness regarding the risk factors of non-communicable diseases should be provided to children to enable primordial and primary prevention as powerful tools to prevent these diseases in future.

Keywords

Dietary Practices, Adolescence, Risk Factors, Non-Communicable Diseases

Article Details

How to Cite
Carol Pinheiro, Sulekha Rani Rugmini, Alagurajan Krishnaveni, & Lakshmi Rajeev Thuruthiyath. (2022). Dietary Practices among Adolescents in a Rural Area in Kerala. Journal of Evolution of Medical and Dental Sciences, 11(8), 722–727. https://doi.org/10.14260/jemds.v11i8.162

References

  1. Nicholaus C, Martin HD, Kassim N, et al. Dietary practices, nutrient adequacy, and nutrition status among adolescents in boarding high schools in the Kilimanjaro Region, Tanzania. J Nutr Metab 2020;2020:e3592813.
  2. Yusuf S, Reddy S, Ounpuu S, et al. Global burden of cardiovascular diseases: part I: general considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation 2001;104(22):2746-53.
  3. Appel LJ Moore TJ, Obarzanek E, et al. A clinical trial of the effects of dietary patterns on blood pressure. N Engl J Med 1998;336(16):1117-24.
  4. Willett WC. Diet, nutrition, and avoidable cancer. Environ Health Perspect. 1995;103(Suppl 8):S165-70.
  5. Salmeron J, Hu FB, Manson JE, et al. Dietary fat intake and risk of type 2 diabetes in women. Am J Clin Nutr 2001;73(6):1019-26.
  6. World Health Organization. Global status report on noncommunicable diseases. 2010.
  7. Stanton CA, Green SL, Fries EA. Diet-specific social support among rural adolescents. J Nutr Educ Behav. 2007;39(4):214-8.
  8. Astra Zeneca Youth Health Programme. Non-communicable diseases and adolescents: an opportunity for action. 2008.
  9. CDC Global School-based Student Health Survey (GSHS). 2019 [cited 2022 May 24]. Available from: https://www.cdc.gov/gshs/index.htm
  10. ALFaris NA, Al-Tamimi JZ, Al-Jobair MO, et al. Trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh. Food Nutr Res 2015;59(1):26488.
  11. Elizabeth KE. A novel growth assessment chart for adolescents. Indian Pediatr 2001;38(9):1061-4.
  12. Jain S. Screening obesity in Adolescents. IOSR J Dent Med Sci 2013;5(5):4-7.
  13. Bachani D, Sogarwal R, Shukla SK, et al. Dietary practices and physical activity performed by adolescents in selected districts of India. Indian J Community Health 2013;25(2):171-7.
  14. HBSC-No.7_factsheet_Diet.pdf [Internet]. [cited 2022 May 25]. Available from: https://www.euro.who.int/__data/assets/pdf_file/0006/303477/HBSC-No.7_factsheet_Diet.pdf%3Fua%3D1
  15. Kotecha PV, Patel SV, Baxi RK, et al. Dietary pattern of schoolgoing adolescents in urban Baroda, India. J Health Popul Nutr 2013;31(4):490-6.
  16. Sugathan TN, Soman CR, Sankaranarayanan K. Behavioural risk factors for non communicable diseases among adults in Kerala, India. Indian J Med Res 2008;127(6):555-63.
  17. Rani MA, Sathiyasekaran BWC. Behavioural determinants for obesity: a cross-sectional study among urban adolescents in India. J Prev Med Public Health Yebang Ŭihakhoe Chi 2013;46(4):192-200.
  18. Gujjarlapudi C, Kasyapa VB, Ravinder A. Risk factors for Non Communicable Diseases ( NCD ) among High School Students in an Urban Setting. Int J Recent Trends Sci Technol 2013;7(2):82-5.

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