Associated Factors of Stunting and Thinness among Rural Adolescent Girls in Telangana, South India

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Stunting, adolescence, logistic regression, malnutrition, nutrition education


Adolescent girls are the future mothers and their nutritional needs are critical for the wellbeing of a society and future generations. Stunting and thinness are widely prevalent malnutrition problems among adolescent girls and are known risk factor for obstetric complications and associated with the reduced work capacity. In this connection, an attempt is made in this study to explore the prevalence of stunting and thinness among rural adolescent girls in the newly formed Telangana state in India and their associations with socio-demographic factors. It is a cross sectional study carried out in two districts of Telangana state, India during 2012-2014. WHO guidelines were used to compute the prevalence of stunting and thinness and the data was analyzed on SPSS software. A binary logistic regression was used to identify the risk factors of stunting and thinness and the odds ratios were presented along with the 95% confidence intervals. The prevalence of stunting and thinness among adolescent girls in this study area was 33.4% and 20.4% respectively. Absolute height deficit of 6-13 cm was observed during the adolescence period. Age of the respondent, community, standard of living conditions and occupation of the household head were significantly associated with the stunting and age at menarche, literacy status of the girls was associated with the thinness. The prevalence of stunting and thinness was associated with age of the adolescent girls and standard of living, timely introduction of age-specific nutritional education and practices needed for these adolescent girls.


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How to Cite

Babu Geddam, J. J., Boiroju, N. K., Mamidi, R. S., Mummadi, M. K., & Pagidoju, S. (2019). Associated Factors of Stunting and Thinness among Rural Adolescent Girls in Telangana, South India. The Indian Journal of Nutrition and Dietetics, 56(4), 381–396.



Original Articles
Received 2019-07-16
Accepted 2019-08-08
Published 2019-10-01



UNICEF, Adolescent Development: Perspectives and Frameworks- A Discussion Paper, United Nations Children's Fund, New York, 2005.

UNFPA, A Profile of Adolescents and Youth in India, Census of India and United Nations Population Fund-India 2014.

WHO. Mortality, morbidity and disability in adolescence, World Health Organization, 2016.

Black, R.E., Victora, C.G., Walker, S.P., Bhutta, Z.A., Christian, P., De Onis, M., Ezzati, M., GranthamMcGregor, S., Katz, J., Martorell, R. and Uauy, R. Maternal and child under nutrition and overweight in low-income and middle-income countries. The Lancet, 2013, 382, 427-451.

Alam, N., Roy, S.K., Ahmed, T. and Ahmed, A.M.S. Nutritional status, dietary intake and relevant knowledge of adolescent girls in rural Bangladesh. J. Health Popul. Nutr., 2010, 28, 86-94.

Ghosh, A., Adhikari, P., Chowdhury, S.D. and Ghosh, T. Prevalence of under nutrition in Nepalese children. Ann. Hum. Biol., 2009, 36, 38-45.

Singh, J.P., Peeyush Kariwal, Gupta, S. B., Atul Kumar Singh and Danish Imtiaz, Assessment of nutritional status among adolescents: A hospital based cross sectional study. Int. J. Res.Med. Sci., 2014, 2, 620-624.

Prashant, K. and Chandan Shaw. Nutritional status of adolescent girls from an urban slum area in South India. The Ind. J. Pediat., 2009, 76, 501-504.

NNMB, National Nutrition Monitoring Bureau-Third Repeat Survey, Division of community studies, ICMR- National Institute of Nutrition, Hyderabad, 2012.

De Onis, M., Onyango, A.W., Borghi, E., Siyam, A., Nishida, C. and Siekmann, J., Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization 2007, 85, 660-667.

WHO, Anthro Plus for personal computers Manual: Software for assessing growth of the world's children and adolescents. WHO, Geneva. 2009 ( en/ Assessed on 17 June 2019).

Leroy, L., Marie Ruel, Jean-Pierre Habicht and Edward A. Frongillo. Using height-for-age differences (HAD) instead of height-for-age z-scores (HAZ) for the meaningful measurement of population-level catch-up in linear growth in children less than 5 years of age. BMC Pediat., 2015, 15, 145.

WHO, Nutrition Landscape Information System (NLIS) country profile indicators: interpretation guide. WHO Document Production Services, Geneva, Switzerland, 2010.

Shrestha, B. Anthropometrically determined under nutrition among the adolescent girls in Kathmandu Valley. Kathmandu Univ. Med. J., 2017, 13, 224-229.

Schoenbuchner, S. M., Sophie, E. Moore, William Johnson, Mohammed Ngum, Bakary Sonko, Ann Prentice, Andrew M. Prentice and Kate, A. Ward. In rural Gambia, do adolescents have increased nutritional vulnerability compared with adults? Ann. N.Y. Acad. Sci., 2018, 1416, 77-85.

Pal, A., Pari, A.K., Sinha, A. and Dhara, P.C. Prevalence of under nutrition and associated factors: A cross-sectional study among rural adolescents in West Bengal, India. Int. J. Pediat. Adoles. Med., 2017, 4, 9-18.

Mondal Nitish and MoloyaTerangpi, Prevalence of under nutrition among tribal adolescents of Karbi Anglong district of Assam, Northeast India, Sri Lanka. J. Child Health, 2014, 43, 154157.

Goyal Neha, A comparison of nutritional status of rural and urban adolescent girls from schools in North India: a cross-sectional study. Int. J. Comm. Med. Public Health, 2018, 5, 1996-2002.

Sushama A. Khopkar, Suvi M. Virtanen and Sangita Kulathinal. Anthropometric characteristics of underprivileged adolescents: A study from urban slums of India. J. Anthropol., 2014, Article ID 197048.

Venkaiah, K., Damayanti, K., Nayak, M. and Vijayaraghavan, K. Diet and nutritional status of rural adolescents in India. Eur. J. Clini. Nutr.. 2002, 56, 1119-1125

Kodavanti, M. R., Nagalla Balakrishna, AvulaLaxmaiah, Kodali Venkaiah and Brahmam, G.N.V.Diet and nutritional status of adolescent tribal population in nine States of India. Asia Pac. J.Clin. Nutr., 2006, 15, 64-71.

Melody SebRengma, Kaushik Bose, Nitish Mondal, Socio-economic and demographic correlates of stunting among adolescents of Assam, North-east India, Anthropologi. Rev., 2016, 79, 409-425.

Amitava Pal, Amal Kumar Pari, Arunanshu Sinha, Prakash C. Dhara, Prevalence of under nutrition and associated factors: A cross-sectional study among rural adolescents in West Bengal, India. Int. J. Pediat. Adoles. Med., 2017, 4, 9-18.

WHO, Improving nutrition outcomes with better water, sanitation and hygiene: practical solutions for policies and programmes, WHO Press, World Health Organization, Geneva, Switzerland, 2015.

Mazengia, A.L. and Gashaw Andargie Biks. Predictors of stunting among school-age children in Northwestern Ethiopia, J. Nutr. Metab., 2018, Article ID 7521751.

Melaku, Y.A., Gordon Alexander Zello, Tiffany K. Gill, Robert J. Adams and Zumin Shi. Prevalence and factors associated with stunting and thinness among adolescent students in Northern Ethiopia: a comparison to World Health Organization standards, Arc. Public Health, 2015, 73, 44.

Madhari S. Radhika, Boddula Swetha, B., Naveen Kumar, N., Bala Krishna, and Avula Laxmaiah.

Dietary and non-dietary determinants of nutritional status among adolescent girls and adult women in India, Ann. N.Y. Acad. Sci., 2018, 1416, 5-17.

Swaroop Kumar Sahu, S., Ganesh Kumar, B., Vishnu Bhat, K.C., Premarajan, Sonali Sarkar, Gautam Roy and Nitin Joseph, Malnutrition among under-five children in India and strategies for control, J. Nat. Sci. Biol. Med., 2015, 6, 18-23.

Branca, F., et al. Nutrition and health in women, children and adolescent girls. BMJ., 2015, 351, 4173.